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`QUIVA ServiceS LLL Lnaln VT LUMCly Kecora <br /> Lab Identltfcatlon urnecessaryi Equiva Project Manager to be invoiced (wtow ) <br /> Address <br /> S"o&1;"" Karen Petryna Z9 3 9181 9191 5 5 2 5 DATE _ — •�V <br /> City State Zip ❑TECHtgC+tl-Sl:liv m 40 or CAW NEliitlURIT51 RMT) ^ <br /> I <br /> I I L— =1 PAGE OF sL <br /> SAMPLING COMPANY 1.00 000E. SITE ADDRESS(SIrNt MM City) I NO <br /> Blaine Tech Services BTSR 420 W. Kettleman Lane Lodi T0607700390 <br /> ADDRESS EDFOELrVERABLETOIRwpaP"a Dem inwt PRONE NO EMAIL CONSULTANT PROJECT NO <br /> 1680 Rogers Avenue,San Jose,CA 95112 <br /> PROJECT CONTACT(HNdmpywPW PAW lnj Aubrey Cool 1707-933-2368 sonomae cambria-env com 8TS#41G11,CrD1 <br /> Leon Gearhart sAAiPLERNAME{sl;""'x tABf18E <br /> TELEPHONE FAX <br /> 408-573-0555 408.573.7771 IgearhartCc0blalneiecheom J A•!s ,✓r0 W ti <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> 10 DAYS ❑ 5 DAYS❑ 72 HOURS❑ 48 HOURS ❑ 24 HOURS LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> I <br /> ❑ IA RWQC8 REPORT FORMAT ❑ UST AGEHCY,w <br /> GC/MS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL z5aa FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT C• == rb <br /> _ � m CantatnerlPresarvat7va <br /> or PID Readings <br /> `Detection limit for MTBE must be 0 Sppb a ¢ <br /> 'Addtttonalty a-rnalt copy of tab to Karen Petryna(kepetryna@equtva com), Q or Laboratory Notes <br /> Aubrey Coal(acool gcambria-env com),and Joe Neely aneely@cambna• e I?o a mSt <br /> env com) d M m = m $ '� <br /> CRm <br /> IAN <br /> N Y Y <br /> SAMPLING No OF w L m m <br /> ONLY Field Sample Identification DATE TIME MATRIX CONT m <br /> ' T r3 r-,i ---- w <br /> N <br /> O <br /> i <br /> Or <br /> R by iTwt Received by(sW%W+te) D&W Tim m <br /> a <br /> C <br /> ReMxpA EyfSgnaltre) Recaivedty'(SipevNe) DaW Thm <br /> �I <br /> Relrpushed {Spnatwel Retzived by nakxe) Oatr Tune d <br /> Il DISTRIBUTION Wh repen Green to Fit Yeww and PIM io CUdnt tO�7 n <br />