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BLAINE <br /> 1680 ROGERS AVENUE <br /> SAN JOSE,CALIFORNIA 93112 CONDUCT ANALYSIS TO DETECT LA9 St-L- IDHS# <br /> FAX (408)573-777i <br /> TECH SERVICES LNG PHONE(408)573-0555 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION LIMITS <br /> SET BY CALIFORNIA DHS AND <br /> CHAIN OF CUSTODY 9 EPA []RWQCB REGION <br /> 0 -�E,l ❑LIA <br /> CLIENT m p OTHER <br /> SITE <br /> , 1U, �` z SPECIAL INSTRUCTIONS <br /> {�f_ <br /> 04 S.aV o it e. c v.L RA e li t !r0. W f' <br /> � ' .�.t Frwl+lewn+a%t <br /> e. ¢ c <br /> IA"n: Tc#FLu <br /> 1w�f�i�.t�4*��I.� VWifo1�M��LN.fe+� .too*% <br /> MATRIX CONTAINERS aa. .3 � � � (" „ <br /> 0 0 % �, SrLwa f* top fofm*w#- <br /> SAMPLE I D ua 3 TOTAL Ab1 c} ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> - ---- �fy dL2X k <br /> i <br /> Ivi <br /> -,LAW-31� <br /> ..mw L ._ A N 5r __ie_ x <br /> —v-Z c) V i F_ <br /> lZ3e <br /> SAMPLINGDAT TIME SAMPLING RESULTS NEEDED <br /> COMPLETED PERFORMED BY <br /> }j 3 NO LATER THAN As (-41 <br /> t�q <br /> RELEASED BY ^ DAT TIME RECEIVE=D BY I`1 r DATE TIME <br /> loi !f 0 <br /> RELEASED BY f DATE TIME RECEIVED BY DATE TIME <br /> RELEASED BY DATE TIMERECEIVED BY JDATS TIME <br /> SHIPPED VIA DATE SENT TIME SENT r <br /> OLER 9 <br />