Laserfiche WebLink
i <br /> BLAINE 1680'ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB =Seq=6 p OHS# <br /> AN JOSE,CALIFORNIA 95112-1105 ALL ANALYSIS MU FICATIONS AND DETECTION <br /> FAX(408)573.7771 LIMITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES,me PH6NE(408)573-0555 <br /> ❑ EPA ❑ RWflCB REGION <br /> CHAIN OF ❑ LIA <br /> I U) ❑ OTHER <br /> Lu <br /> CLIENT <br /> E uiva- Karen Pe a ' F SPECIAL INSTRUCTIONS <br /> SITE iO� � cy } � <br /> 2575 Count Club Send invoice to Equiva <br /> Stockton, CA ? ¢ W <br /> I w o c`Dv Incident# 98996184 <br /> G 6 # Z t 60 00 0 �' Sent report to Blaine Tech Serzber <br /> s, Inc <br /> MATRI CONTAINERS � -a .� -�.. <br /> N w a ATTN Ann <br /> 1 <br /> X 11 H° Pq M d4 <br /> SAMPLE I D DATE TIME v� N � TOTAL U H H C5 ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> ixL j, <br /> x Z <br /> •� r aefcc Flo <br /> X �Clf <br /> Idld xf f II <br /> Z 5'1. art 1 zo rC <br /> fzL,<< x X II <br /> s�> CA- I Jx I )L— <br /> SAMPLING DATE ITIME I SAMPLING l RESULTS NEEDED <br /> COMPLETED`-1 C G ZS PERFORMED BYI� NO LATER THAN <br /> RELEASED BY � DATE TIt E RECEIVED ITIME <br /> O <br /> RELEASED 13Y / i DATE ITIME RECEIVED BY DATE 1TIME <br /> RELEASED BY JDATE ITIME RECEIVED BY JDATE TIME <br /> SHIPPED VIA DATE SENT TIME SENT COOLER# <br />