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I <br /> 11 II <br /> y■ ■WWe— V•{\.e\{■ V■ VVVrVV� •\VVV■ M V i <br />± Lob "a '(`rnacessary) Equiva Project Manager to bInvoil ed <br /> Addrm I <br /> City state zip- Karen Petryna 81 8 71 0 5 873 DATE - L 7-0 <br /> Cl patrHotdrt <br /> 7� PAGE � of 1 <br /> I <br /> S4e�J1q COAIP4NY LA0.000E {su.1 1. .1 1 1 FT <br /> 'Imm Rawy.13 No <br /> Blaine Tech Services BTSR 440 Wil Charter Way, Stockton T0607700195 <br /> ADDRESSI� roles+++{Fttry O{gr{t ��WIE No COrfslxrurt ag4JEcr Ho <br />� 1684 Rogers Avenue,San Jose,CA 95312 I Q10lL7-Tt3t <br /> aetuEcrcoNrAcrpamc{pysaoFrt{oenle= Joe Neely933-2361 Isonornaedf0carn la-env corn HT9 IF <br /> i <br /> Leon Gearhart SAMPLER NAME(S)(Pft)z <br /> TELEPHONEFA 4 ErtMIL �.11 ^ 1f�J <br /> 4.0&573-0555 448.373.7771 I arha blal e m �I.J I�u �•w rOw <br /> URti <br /> TNAROUND TIME{BUSINESS MAYS) I <br /> [� to DAYS ❑ 5 DAYS❑ 72 Nouns❑ 48-HOURS ❑ 24 HOURS❑ 1.E55 THAN 24 HOURS II REQUESTED ANALYSIS <br /> I <br /> ❑ 4A-RWQCB RVORT FORMAT ❑ UST AGENCY. <br /> GCIMS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL <br /> FIELD NOTES <br /> I 3 <br /> SPECIAL INSTRUCTIONS Oft NOTES CHECK BOX IF EDD IS 1W NEEDED <br /> ContainorlPrasarvatfva <br /> i o n or PID Readings <br /> or Laboratory Notes <br />,I S <br /> C N <br /> sls� Meld Sample Identification SAMPLING A{A7RU1 NO OF to .. 7PERATURE ON RECEIPT C• <br /> z <br /> 1` DATE TIME CONT m O r a9 <br /> I ,f a✓-t1 - til -1.7 li7 W x X x X <br /> -fl, <br /> v� �w- 1 - yo y-17 Itl3U til 3 Al Ix 9 K �( K O <br /> etw- f� - 1 )111.0 ?-L7 Ilia w 7 �! A ��( '� >< � '� X <br /> Oq <br /> X IX X 7r X X 04 <br /> I <br /> I <br /> ii <br /> Ri:{+ed 1 Aacdwd bf(SRnmrel Dart jl TMrte UP IL -- <br /> r <br /> RMnq�thed { } RecOndby(3Wmkme1 If 0{tR Tine y <br /> r <br /> himoW d of{WM.) Rephred br 1 1 It ,y Uuc ante p <br /> LD <br /> O'STFUSUTION.W10 GrOW b Fite.Veww and Pid b C4" l III1p <br /> t011a100 R <br />