Laserfiche WebLink
1880ROGERS AVENUE �� (p 7,, <br /> BLAINE BAN JOSE.CALIFORNIA 05112 CONDUCT ANALYSIS TO DETECT LAB O,r�D �� <br /> IDHS Il <br /> N ON (408)67$.0 ALLANALYSES MUST MEET SPECIFICATIONS AND DETECTION LIMITS <br /> Q TECH SERVICES ir+c PHONE�40s)673.0515b V <br /> SET BY CALIFORNIA DHS AND <br /> a CHAIN OF CUSTODY ❑EPA ❑RWOCB REGION <br /> P ❑LIA <br /> w <br /> CLIENT ❑OTHER/ <br /> a SPECIAL INSTRUCTIONS <br /> SITE / F- <br /> Eli <br /> MATIM)! CONTAINERS p4 \I +1ISI I %' .1 114, > >'+ f E I 11 <br /> i 0 l I II iii ISI Ir IIS <br /> w u �� (1pr0 to, IIlti i't <br /> n ,\ <br /> o SAMPLE I D m3 roTAL u 1 1 1 1 1 JAD if r , <br /> n <br /> .mow- r %,� �o• �, � 3 k -- � <br /> F- Mk-J L - ! L 06 'Y <br /> /YMIv - x Ha i f <br /> /'hw - /0 Yu k <br /> `MIN �o J2'�5 <br /> -7 _ I i zv �( <br /> z <br /> ce- <br /> d <br /> O <br /> C� SAMPLING OATS TIME SAMPLING RESULTS NEEDED <br /> COMPLETED Je it 13 U'b PERFORMED BY ' ,0 NO LATER THAN <br /> m RELEASED IRY OAT/�V` TIME RECEIVED JDATE ITIME <br /> RELEASED 8Y DATE TIME RECEIVED BY DA CIMS V <br /> 0 RELEASED BY IDATE ITIME RECEIVED BYDATE TIME <br /> rn <br /> SHIPPED VIA I <br /> DATE SENT TIME SENT COOLER p I <br /> • K <br /> s <br />