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""' --` T twu1VA a 1Ge5 LLL. %flail[ VT %publuuy mut;ui u <br /> tab Identrficat+ocessarY) Equiva Project Manager to be invoiced wIN014�hi'l#lEIfIIi�� li 1 t, <br /> Addres5 & Karen Petryna 9=91 9 6 11 8 9 DATE <br /> Oty State zip ( yew%CatSER IQ S or root.Num"M i1�1�It 11 <br /> ❑ � PAGE of <br /> SAMPLINGOO~ LOG CODE WE ADDRESS t and CW4 a► <br /> Blaine Tech Services BTSR 6131 Pacific Ave Stockton 70607700380 <br /> ADDRESS EDFOELrVERNLF.TQ(R&MorMftftMycrOnowwr PHONE NO EAMIL CONSULTANT PFKUECT NO <br /> 1680 Rogers Avenue,San Jose,CA 45112 r A <br /> F6760CONTACT[H.WWCePDFftWe► Aubrey Cool1(707)9932366 isonornaedWcarnbria-env corn STSs <br /> Leon Gearhart SAN.PtFER NAME(S)(P-4Y L71$i�SE�iY4.'1` <br /> TELEPHONE FAX 64AAIL _ <br /> 408.573-0556 408.573.7771 Igsarhart lblainete0 corn zia r, <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> to DAYS C35 DAYS C172 HOURS❑ RS❑ KS 4B HOUR, ❑ 24 HOULTHAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA RWQCB RETORT F0MAT ❑ UST AaNCY— <br /> GCIMSMTBECONFIRMATiON HIGHEST HMESTWBORING ALL � � FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT C � <br /> Container/Preservative <br /> $ 3 or PID Readings <br /> am or Laboratory Notes <br /> CL <br /> b <br /> o � o <br /> P v m <br /> 6 <br /> �7 WLAO m C a <br /> use Field Sample Identification sAMaLiwc +u NO = E o W <br /> ONLY DATE TIME m Se O w <br /> Asca- t <br /> a L <br /> � 63 <br /> Atli- <br /> �Y <br /> o r' <br /> 1020 92< 65 <br /> d'7 <br /> N <br /> U � <br /> Retwgry Y I5gluLre r R by(S93ak") Time <br /> oY(Sq ) <br /> Reo6ved W(SW*b"l Dow Trrw <br /> dr <br /> RelmgpsaedeYESipnasrel �+ R t� fie) iy DOW True' <br /> e Z 7 0Z <br /> (ASTRIBUTiON WhWv10%-W report Green b Fit YeNow and P%*Io CWrr tOn6roD RMsgn <br />