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twulvA serve LLL Unain Of Custody Record <br /> t�z ld.,lun� n�,l Ilr nn Equiva Project Manager to be invoiced INCIDENT)NUMOER(S$E ONLY) <br /> City State Zip Egr��EY1Cf fit�,y� Karen P@tryna s $ 9 9 6 1 a t I)AT>= <br /> ^C—`_^YIW /�Ta�4+i• 4 h'4 CI 1l R, II <br /> n%aIutpululw�l= `s�o _L_ <br /> PAGE � of <br /> n <br /> CONSUL TAN)COMPANY it MILE ADDRESS(Streel ul°CRYI , <br /> Blaine Tech Services 11 <br /> AOORESS 2494 Fremont Street,Stockton <br /> 1680 Rogers Avenue II PROJECT CONTACT(Report tal CONSULTANT PROJeCT NO <br /> CITY II Nick Sudan BTS# e— <br /> San Jose,CA 95112 R <br /> LA611$EOXLY, <br /> TEUEAANF FAk 114WL I 1 1 r ' <br /> 408 573A555 408573-1771 rteudano@hlalnatacltCom <br /> TURNAROUND TIME(BUSINESS DAYS) II <br /> X10 DAYS ❑5 DAYS ❑72 tIOURS 0 48 HOURS Cl 24 HOURS 0 LESS THAN 24 HOURS REQUESTER ANALYSIS <br /> II <br /> ❑IA RWQI B REPORT FORMAT ❑UST AGENCY <br /> E g <br /> VGrMS MTSE CONFIRMATION ItIGHEST 1 HIGHEST pet BORING ALL E 2 FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT G' Y° <br /> o t Container/Preservative <br /> ° or Pin headings <br /> _ A or Laboratory Notes <br /> uuuu a c , c <br /> e <br /> -- e <br /> LA8 SAMPLING IIsto o► 111 <br /> x x m <br /> r,E Meld Sample Identification ttuTRlx <br /> GATE TIME �� CONT 9 O <br /> x Jx X <br /> IXIK x I <br /> x x X. <br /> X indl <br /> II <br /> 0 <br /> m <br /> FirYn• _ y-J euer� c y re) t Dille — 7[ "•�// T/IT/a <br /> Z. / —U <br /> t Date TI1LS � <br /> li t,elcnlusl y f�lpael{fc� yletvel Date Time 0 <br /> ' O <br /> ad <br /> O <br /> ill,f RI01111on Wlala%lilt llri.l mpal Greco to file Yetow end PhJCto Cteol 10l18A0 R"slon <br />