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LAB EQUIVA Sear s LLC Chain Of Custody Record <br /> Lap Identification(If Ory) <br /> Equiva Project Manager to be invoiced. <br /> Address <br /> r' Karen Petryna 9 8 9 9 5 6 4 3 DATE 4-/- Z 'Q <br /> c,1y Statn zlP +�yy� ,�.���yy �p,� e' <br /> T.F8FlI1ffzt,56RifICE$ V1 �y F r <br /> �tfiQt15TON� � q ���` PAGE of <br /> CONSULTANT COMPMY 3176 ADDRI:sa(Straat and City) <br /> Blaine Tech Services <br /> ADDRESS 1071 N Main Street, Manteca <br /> 1660 Rogers Avenue PROJECT CONTACT(R*pcd to] CONSULTANT PROJECT NO,. <br /> CITY Nick 5udano o rd+-r Sd`A- <br /> San Jose,GA 861112 EWIXR NAMIM(FI <br /> r n ay I, Mli�lle ik I �'Iry 9g� <br /> TTELEPHONE6YWL r i Sf 1 <br /> 408-573-0666 408-573-7771 r- nctNdanoeblalnetech cbm J <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> aG0 DAYS 0 5 DAYS ©72 HOURS ❑48 HOURS Q 24 HOURS 0 LEss THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑LA RWQCB REPORT FORMAT 0 U5T AGENCY _ <br /> E <br /> GCIWISMTBE CONFIRMATION HIGHEST }{IGHESTper BORIM ALL 1O z FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTBS TEMPERATURE ON RECEIPT C' 116 <br /> d Container/Preservative <br /> 3 'a or PID Readings <br /> Oxygenates to Include MTBE,ETBE,DI PE.TBA or Laboratory Notes <br /> Detection ilmlts for 8260 and Methanol by 8015 must be at least TBA Q 100 ppb Er e <br /> MTBE,ETBE,TAME DIPEa 5 0 ppb Methanol-1 0 ppm Ethanol*500 ppb <br /> is <br /> LAB Fleid Sample Identlf.cation SAMPLING MATRIx No OF x w w m <br /> DIYL DATE TIME CONT F t] <br /> l / <br /> Inc e <br />� l <br /> I <br /> IrNy <br /> HeM}isheuD ( gnntvel Rbc tors) Dais iTRna W <br /> y n <br /> ItaYn fie hcJ Dy S, 1ueS R d by'(S1Druturs) <br /> Date Ttms u <br /> a. <br /> Rc4nq,astc4by I natal Recstvadby(SiDnaturs) <br /> bats Tim O <br /> .0 <br /> i .TRIER)TIC1h WNle%Ith Dnel rapon Green to ria Yelow and Pini,to Clan! 10710100 Revislon <br />