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LL Chain Of Custody Record 33c56 <br /> Lab Wentif necessary} ` 9 i�ll� 1` ltt3f,lKQ <br /> Equlva Prosect Manager to be Invoiced <br /> Address <br /> W—ENa Karen Petryna 9 8 9 9 6 1 8 9 DATE <br /> 0 "a3 <br /> Gly Stale lap �TfCHNiCAt:$E{NM <br /> $ldl�pit�I�lit#�Jl�t'I1�14F'� <br /> ❑Gft>+1TtlpLOMN PAGE Z of <br /> s+waLwo Loa <br /> CODE SMADD jmmw and cftl) NO <br /> Blaine Tech Services BTSR 6131 Pacific Ave., Stockton 70607700380 <br /> A EDF DEAWtOML9 ToUW*wrerP aOWW.1 PHONE No a. <br /> 168080 Rogers Avenue,San Jose,CA 951 12 nrGONBULTAM raoaecT Na <br /> 030rS�"1 �S-\ <br /> +wo,EcrCONTACT,N.a orKFrapner Aubr Cool1707933-2368 aonomae Cambria-env cam OTS# <br /> Leon Gearhart su�PL FINM�E(s11Pr") <br /> TELEPHONE FAX 1" <br /> 408-573-0555 1408-573.7T71 f earhartcfbbl Inetadl cam <br /> ` �„` <br /> TURNAROUND TIME-(-U BSINES9 DAYS) <br /> L7 to DAYS ❑ 5 DAYS❑ 72 MOURS❑ Ie HOURS ❑ 24 HWU0 LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> (3 LA RWQM REPORT FORMAT ❑ UST AGENCY <br /> GGMS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL FIELD NOTES <br /> SPECIAL.INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS 1=NEEDED _ _ o <br /> gmg o Container/Preservative <br /> or PID Readings <br /> & or Laboratory Notes <br /> SMPU <br /> x � <br /> m <br /> rs a <br /> SLY Field Sample Identification SME MATRIX No 2 TEMPERATURE ON RECEIPT C• <br /> 1-8D kJ w 3 V,Ix <br /> i <br /> I (y <br /> g9 <br /> Z <br /> (",,p AacainW br(s+Y�+itre) Dara S3 <br /> T4na <br /> v_ <br /> Ra�7 br ISronaarel Recavad by f ) <br /> DOW TbW <br /> R6ngmhWby ISonawrel ROC*41dby ftno") DAMTlma <br /> 4ISTROUT40N Wh%e Wh NW rOWL Green b Fie Yes3w Md PMM IOCMM �+ a <br /> Ioil&WRev pn <br />