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f LAB: --- EQUIVA Servic4gLLC Chain Of Custody Record <br /> Lab ldentitkatbn(I riacassaryq: Equiva Project Manager to be invoiced: IN IDEt+i'�'',1�uMSF$J .RIO ul' <br /> m <br /> Address: 9l liC£:&:E1A lEELi1l1(e Karen Petryna 9 8 9 9 5 8 7 4 DATE: –a-0 <br /> TELYI : L.60ulmotcity.slate:zip: <br /> PAGE: IL of <br /> .gCltiwf7fi0llST4N�.> <br /> NSULTANT COMPMR" STiE ADDRESS lr+�and cIIT1 <br /> line Tech Services 341 East Maio Street, Ripon <br /> ORESM PROJECT CONTACT(R•Pcrl t-l: CON5ULTANT PROJECT NO.: <br /> 30 Rogers Avenue Q <br /> Nick Sudano BTS# <br /> 'T — Nick US�EONLY <br /> SJJrIPIE NAJAE{5)lPrtq: <br /> n Jose,CA 95112 <br /> LEPMONE: FAA EMAIL: �pL9^ <br /> 9-573-0855 40MM1771 nsudano@blalnetech.com A j&M <br /> URNAROUND TIME(BUSINESS DAYS): REQUESTED ANALYSIS <br /> kt0 DAYS O s DAYS 0 72 HOURS 0 48 HOURS Q 24 HOURS❑LESS THAN 21 HOURS <br /> ]UI-RWQM REPORT FORMAT i](1ST 4GENCY: g <br /> NS MTMCONFIRt. <br /> MAnotHGHEST_ HIGHEST per BORING ALL * FIELD LUTES: <br /> : <br /> ,RCIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT C' O ContaPID Readings s <br /> m m n r+ `u or PID Readings <br /> a7 g p <br /> L p or Laboratory Notes <br /> Y)xygenatea by 8260 to Include only;I VUE,DIPS,TAME,ETRE,&TBA w y, c g <br /> –Detection Limits must be at least: 5(10 ppb-ethanol,100 ppb-t-butanol, <br /> 5.0 ppb-(DIPE,TAME,&ME),4,5 ppb-(MTBE,EDB,DCA),1.0 ppm-methanol (�� k <br /> RI � Nv <br /> C <br /> �j y�w(( a1 m <br /> �g3 SAMPLING NO.OF x F x m <br /> sr Field Sample Identification MATRIX coNT. F <br /> p DATE TIME Ali � O w 8 � -2 <br /> ar <br /> i <br /> 1W <br /> I <br /> Received bY�lae) <br /> Dole: <br /> T ��/G� <br /> ld F <br /> -rrgd,Rad by. 1 ` C�^ � C <br /> 'HWllsr'od by:l 1 R 17f.t tuel Tlme: <br /> � a <br /> ey. pallre) Dole: Time: <br /> RcelvedbSlQ <br /> a1r14�ehed br fsl 1 a <br /> 10116lOb RVASIon <br /> TRIBUTION:WNte wah Mai repod,Gree^to F Ile,Yelow end Pir*to Clem. <br />