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Lab a°"`�mShell Project Manager to be Invoiced WIDr NT NUMBER(SM ONLY) <br /> AMdresa QNti+,1NE Lynn Walker 9 7 4 0 2 2 4 1 DATE y <br /> CEy,slate Zip TEFF GAL SEPNitES � SW.or�f�NLWIXER(T�7 PAGE f of <br /> ❑CRH)[tom► <br /> c cawAM' Loc CODE: UM ADDRM(Stmat and 0tyl CLOeAL Jo NO_ <br /> Blaine Tech Services BTSR 2320 N. Eldorado,Stockton pending <br /> A001I�S& EDFOELNERJIBLETO(Ra4pnkaa PSMaoeWa"lPNONE MO_ E-"L CONSWAM PROJECT ND <br /> 1680 Rogers Avenue,San Jose,CA 95112 X30 a7'�J�-t <br /> FRO„E,CT CONGCT pwdxw at Pw Roped to) Debbie Arnold 408J224-0724 darnol khml cam STSs <br /> Leon Gearhart SAMPLER MA951 iPrw LAW UW*&Y <br /> 408.573-0555 408-573-7771 tkems0blametech cam /�►�.��t t[—t?aa+�asa-s - <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> I,to DAYS (35 DAYS[1 R HOURS[1 48 HOURS ❑ 24 HOURS❑ U35 THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA-RWQm REPORT FORMAT ❑ UST AGENCY <br /> GGMS MTBE CONRRMATION HIGHEST HIGHEST per BOFdNG ALL FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS NOT NEEDED ContalnedPreservative <br /> 3 DJC m or PID Readings <br /> A a a or Laboratory Nom <br /> CL CL <br /> a, <br /> LP IL o <br /> o <br /> a_ _ <br /> w <br /> C Y <br /> SAMPLINGNo OF W W 4 TEMPERATURE ON RECEIPT C° <br /> Lftkk, Field Sample IdentificationDATE TIMEcow o <br /> 116AW-1 V-7 091 TC <br /> Mwi-Z 3J ti wv►, -S �C OZ <br /> Mw-3 ;/ 04 VJ 13 X �C <br /> '/-) o <br /> Riut9iulMbkY } � J REnrvadby(Sipn+Ln) Data <br /> Rab4UMbd W(Sytakln) Received by(SISuLn) Data Time a <br /> Ratadby(Sipna4aa) 6y stun) ri.�t � �a I V <br /> � TTV" CY <br /> V <br /> 1Dft61Do Ravaton <br /> DuMEL IDN YMdta wart Eeal neat Grow lo Fps Yakow and Pink b)plant <br />