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U Yes (� �j D3q <br /> Fax py of Lob Report and COC to Chevron *n1act, ❑ No Chain—of---C od -- ®Co r <br /> Chevron Facility }lumber 9-1$48 _ Chevron Contact (flame)BRETT HUNTER <br /> Chevron Products Co, <br /> Faclilly Addrsse .- 247 Yosemite W. ManLET-. (Phone)3 (925) 842-8695 <br /> ' <br /> P.O. Box soot Coruullant Project (lumber —4-% -- Laboraiory Name SEQUOIA <br /> Consultant Name_BLAINE TECH SERVICES, INC. LaboratoryService Order _91444fl8_ . <br /> San Raman, CA 94583 1680 ROGERS AVE. ,, SAN�JOSE <br /> FAX {92*42-8370 Address — Laboratory Sarvlce Cod@ Z028O0 <br /> i Pralact Conlocl (Nome) CHRISTINE LILLIE S°mplas Collacled by (Name) <br /> (Phane) 408-573-0555 (Fax Number) 4013-573-7771 Signolure � `_ <br /> State Method. ❑ CA ❑ OR ❑ WA ❑ NW Series ❑ CO ❑ UT tismark� <br /> a� <br /> ;+, + o o <br /> FpV + <br /> r t # <br /> Lob Sample 110 <br /> 1 <br /> off <br /> ci I <br /> T � <br /> flellnqulehed <br /> By (Signature) Organlzotlon r)ele[)% Received By (SI nalure) Organlzollon Dula/Time Iced Y/11 Turn Around Time (Circle Chalce) {�. <br /> 24 llrs <br /> `'k%quishe ay (Signature) Orgonlzallon 0010/time Racelvad By (Slgnalura Organizallon Dole/rime Iced Y/1) 4B life <br /> /l'I �— r — 5 Days <br /> �` 10 pays <br /> d By (Slgnalura) Org nlzallan Dole/Ilme Reclevedp�Foorr Foboratory By (Slgnatura) Palo rime Iced<gn An Conlracled <br />