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I <br /> f_aa -1F EQUIVA Services LLC Chain Of Custody Record <br /> I <br /> Lah Idennarc.Gon(d necessary) <br /> Equiva Project Manager to be invoiced ' ;I r� M + ;", <br /> Address <br /> [ XIENa&SNE Karen Petryna 9 8 9 951 5121 5 DATE <br /> City State LP ;OuQ , <br /> >:Ea;tNNIi�BEItVi(iEs <br /> ptRTiTif[I©SrDN <br /> 11 PAGE of <br /> CONSWAHT COWAM I SITE ADDRESS(Bareel and Cly) <br /> Main&Tech Services <br /> ADDRESS 420 W Kettleman Lane, Lodi <br /> 1680 Rogers Avenue PR0JWTC0MTACTLRRW1o) G0f431ATANTP*0JECr"O_ <br /> Cin Nick Strdano .-1 [) 04I«1'« <br /> San Jose,CA $5112 SAMPLER <br /> TEiEt+iG11E FAX EMAIL � '/ i- NY'W i i <br /> -573 7771 nsudano blainetechc <br /> 4DB-573.0665 408om <br /> F3R a I <br /> ,E =I', <br /> TURNAROLNO TIME(BUSWESS DAYS) <br /> 9L D.ys ❑s DAYSREQUESTED ANALYSIS <br /> ❑r1 Iia7UR5�[]is(iDLRS ❑i+Ilauas Q LE55 THAN 29)iDUCiS <br /> ❑LA RWVQCB REPORT FORMAT 134.15T AGERCY <br /> E <br /> GCIIJS MTBE CONFIRMATION HIGHEST <br /> HIGHEST per 6DiiING ALL a y FIELD NOTES <br /> i <br /> SPECIAL,INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT C• <br /> M Container/Preservative <br /> a res F•r« {...:b f.r T 3 E •ti.sf de- f or PID Readings <br /> r�y or Laboratory Notes <br /> LM <br /> o „ a N o <br /> WE Field Sample identification SAMPLING ""Tax COAs o w <br /> ax[r DATE TIME m2. <br /> —c � <br /> Id] Lr x x <br /> n J � <br /> m <br /> 11WMMIW eyl pn 4 r Re-Wed by(504dwe) Osla Tons <br /> C <br /> o0n� nod Dy ISJs) R=*Vod ey(agnoete) Dots Time <br /> Ta <br /> " iar se ead 19 <br /> Y C '••7 I y by eJ �r Dale Time 6 <br /> Oct oso 6 <br /> I<I^1 71(311bW. T net tepart Green to FW Ydow and Plato 10 Clere . 1 tyf6r00 RaWJlon <br /> I I <br />