Laserfiche WebLink
i * 0 <br /> LAI N E 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB Sequoia DHS# <br /> AN JOSE,CALIFORNIA 95112-1105 ALL ANALYSIS MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 LIMITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES, PHONE(408)573-0555 ❑ EPA <br /> ❑ RWQCB REGION <br /> ❑ LIA <br /> CHAIN OF0 ❑ OTHER <br /> w C) 3 <br /> CLIENT Z SPECIAL INSTRUCTIONS <br /> E uiva- Karen Petlyna F <br /> SITE <br /> 1071 N Main Street ° `N° --.* -S Send invoice to Equiva <br /> 00 <br /> Manteca, CA h o Incident # 98995643 <br /> 10 3 r-A '� �; �,, a �7 q Sent report to Blaine Tech Services, Inc <br /> MATRi CONTAINERS a p`�p 7d z `+-� <br /> o o w w u � � nn ATTN APember <br /> N AO GQ ti <br /> SAMPLE I D DATE I TIME ch co 3: TOgTAL U 1 F, 0 11 1 JADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> 510 7 A MF A4 T � <br /> t,c <br /> SAMPLING JDATE ITIME SAMPLING RESULTS NEEDED <br /> COMPLETED ja„r 7-j j 16a,% PERFORMED BY I V , s�f�,,� � NO LATER THAN <br /> RELEASED,N9 <br /> DATE ITIME RECEIVED DATE I T ,4E <br /> O <br /> RELEASED BY DAT TIME RECEIVE BY DATE TIME <br /> � �Q �� �S 2 3 • <br /> RELEASED BY [DATE ITIME RECEIVED BY DATE ITIME <br /> O <br /> SHIPPED VIA DATE SENT TIME SENT ICOOLERl <br />