Laserfiche WebLink
SHELL Chain Of CustodyRecord f <br /> 33 0 6 <br /> Lab Identdcaflan(if necessary) Equiva Project Manager to'be invoiced, IIVOIG 1`•I Ut i' �is000x) ' <br /> Address p WENN rri�J0jj ! Karel n Petryna 9 8 9 9 6 1 8 9 DATE ���--[15 <br /> CRY Slale ZRp Z J TEEM AL SEWAP5 <br /> l C� i Mfi R{`I ►l f} )PAGEof <br /> ❑C�MF31dU5'k�i'1 I I -�-- <br /> I <br /> &VA-L N6 COMPANN LOOCOM SITE u l I I <br /> Blaine Tech Services BTSR 6131 Pacific Ave. Stockton T6607T00380 <br /> ADDRESS EDF DELNEIVALS TO(Rapwafte Pohrw On"); PHONE NO EUM- aMATANT PROJECT NO <br /> 1580 Rogers Avenue,San Jose,CA 85112 <br /> PROJECT CONTACT IHmdwn or PW�b <br /> Pl � Aube Coo! 1(707)933-2368 ISO n1omae cambria-env corn la <br /> E <br /> 6AUPLER NAwf4s)(mt <br /> TELEPHONE FA <br /> I Leon Gearhart I I I � f*A9i18fDhU.Y <br /> FAX W14 c ` _ <br /> 408-573-0555 408.573-7771 laearhart0blafneWh cam % [-'%\' �\ <br /> 7U OUND TIME(BUSINESS DAYS) i l <br /> 1 <br /> 0 DAYS ❑ 5 DAYS❑ 72 HOURS❑ 48 HOURS ❑ 24 HOURS❑ LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA RwQCE REPORT FORMAT ❑ UST AGENcy. I <br /> GCfMS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR MOTES CHECK SOX IF EDD IS ba NEEDED Goaft r1wrJ'Preservative <br /> I � � � � I Or PID Readlllge <br /> o I or Laboratory Notes <br /> a � <br /> e. <br /> use Field Sam le Identification SAMPLINGMATM NaoF <br /> W Z t' TEMPERATURE ON RECEIPT C <br /> dIrLV P DATE TIME CONT K <br /> v� t.�.L1 •ZtagW I'� III I o L <br /> W — low W '� x X, ' � o <br /> srns <br /> I Q <br /> w 7 embi xo-� -07i <br /> .4 izS 3 X l -A9 by f 1 by I I� II l Oa1e. I l TWM v <br /> ReM,qurlxd by ISipnaMre7 RecdvW by(Swow, II l OMe. i Tkne _ <br /> e <br /> R.b,uuslLee br r5 pnakLrel Recdv.d by rwak..) /—�� oar I rkne <br /> , <br /> 01STRIBUTIDN V4W Arg repaL Gnm b Foe YeAow Mrd Pki 4 CWFIL <br /> i I 1 <br />