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1880 ROGERS AVENUE <br /> BLAINE SAN JOSE,CALIFORNIA 85112 CONDUCT ANALYSIS TO DETECT LAB � V -i 7 IDMS# _ <br /> FAX (408)673-7771 <br /> TECH SERVICES INC PHONE{408)573-0555 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION LIMITS <br /> O SET BY CALIFORNIA DHS AND <br /> EPA ❑RWQCB REGION <br /> CHAIN OF CUSTODY <br /> ❑ LIA <br /> OTHER <br /> CLIENT <br /> fi �'� {1Ui vti. z N SPECIAL INSTRUCTIONS <br /> SITE z r� <br /> p p 3.,,vo.a v 4.v..IL Rs�e�' tv : w�'.�.,¢ EN+�ti+f a Kw•cK t• <br /> U . r} <br /> yt , g-g 0 Ate: :Tw <br /> w <br /> y.K• .}Q%..At'mevW400%W'ASOL 1fe. <br /> Aq <br /> MATRIX CONTAINERS COL .� �c !� •• SyLyyp !� SOF f�r.�•e+.� <br /> �p 2 <br /> 0 ` <br /> u <br /> SAMPLE# D cn 3: TOTAL 'L1 5. U ADD L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> i:-� �f ILA 1,000 X I <br /> 4� I bv� 6 y �" k <br /> m- t a �y w3' X X x <br /> �rnW yti <br /> /16L 11 io �' �C <br /> a X4 5" 1.-f u x <br /> "44 <br /> rh w-�i1z- 61 <br /> I q 17,30 <br /> SAMPLING DATE ITIME SAMPLING RESULTS NEEDED <br /> COMPLETED PERFORMED By NO NO LATER THAN_tAfZ <br /> RELEASED BY DAT TIME DECEIVEDBY DATE TIME <br /> fil;,;A ALI'( U 0 <br /> RELEASED BY DATE TIME RECEIDATE TIME <br /> CSG 9 -O' 12-30 - ��c' 2 <br /> RELEASED DATE TIME ECEIV D Y DATE TIME <br /> >Fi ED VIA DATE SENTTIME SENT COOLER# <br />