Laserfiche WebLink
• DHS# <br /> 1680 ROGERS AVENUECONDUCT ANALYSIS TO DETECT LAB ECTIpN <br /> SAN.FOSE,CALIFORNIA 95112-1105 ALL ANALYSES MUST MEET SPECIFICATIONS AND DET _ <br /> BLAINE' FAX(408)573-7771 LIMITS SET BY CALIFORNIA DHS AND <br /> PHONE(408)573-0555 ❑ EPA E] RWQCB REGION <br /> TECH SERVICES. uNc. ❑ LIA <br /> ❑ OTHER <br /> CHAIN OF CUSTODY <br /> 00 11 ) ("� f SPECIAL INSTRUCTIONS <br /> CLIENT z <br /> Equ.iv a- Karen Petryna <br /> z Send invoice to Equiva <br /> SITE 620 W, Chatter Way <br /> x �_ Incident# 98996187 <br /> Stockton, CA Lu Seed report to Blaine Tech Services, €itc. <br /> MATRIX CONTAINERS 0 W ATTN: Nick Sudano <br /> W <br /> oC?lv <br /> si � (~ 0 ADD1 INFORMATION STATUS CONDITION IAB SAMPLE# <br /> SAMPLE I.D. DATE. TIME ria � TOTAL b1 <br /> �Ij Lr� f <br /> -05 <br /> .x' <br /> /AI,J-to 090 <br /> RESULTS NEEDED <br /> SAMPLING DATE: TIME SAMPLING () �� � NOlATERTHAN � -s• �wr� <br /> COMPLETED I�-�r`¢� l3Q� PERFORMED BY��s '^ L� DATE TIME <br /> DATE TIME ' EIVE Y ` <br /> RI=LEAS BY l � � <br /> jj-'Z -00S DATE TIME <br /> DATE TIME C. IVED BY <br /> RELEASE Y <br /> DATE TIME <br /> RECEIVED 6Y D T <br /> RELEASED Y <br /> �---- DATE SENT TIME SENT COOLER# ' <br /> SHIPPED VIA <br />