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Ub IdentficatcW558M Eguiva Project Manager to be Involved' <br /> Address CJ scsiixa L. w+ Karen Petryna 98 9 9 6 7 8 0 DATE <br /> Gry Slats Zrp ❑�� SA�9EC> gist [C� <br /> PAGE of <br /> ❑CFtt+ITn {J <br /> IMPUNa M=y <br /> WE nW and Cko � <br /> Blaine Tech Services 7910 Lower Sacramento Road Stockton T0607700250 <br /> ADDRESS EoF OELNER#9LE YO fRWNP rdn P"r 06MMk PHONE E +L CaF1SU�l,7ApNT PRQIECT NO <br /> 1680 Rogers Avenue,San Jose,CA 95112 <br /> PROJECT CONTACT IKWdWPY Of PDF R@W 1 x Aubre Cool i707-933-2368 lsonomnmcambria-env cam BTS9 <br /> a.uP�RNMHSIs1tP*+�t LAB�GNii'! <br /> Leon Gearhart <br /> TELEPHONE FAX <br /> 408-573-0555 408-M-7771 i0earh2rt0blainatech corn _ <br /> TURNAROUND TIME(WSINFM DAYS) REQUESTED ANALYSIS <br /> ❑ 10 DAYS ❑ 5 DAYS❑ 72 HMM❑ 46 HOURS ❑ 24 HOURS❑ LESS THAN M HOURS <br /> ❑ LA RWQM REPORT FORMAT ❑ UST AGOCY. _ <br /> GGMS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL FIELD NOTES. <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS)a NEEDED Lj m ContsinedPresmativ <br /> or PID Readings <br /> • or Laboratory NotRs <br /> a' Ca <br /> Y m <br /> - er m � � � � ssG• <br /> w a - TEMPERATURE ON RECEIPT C° <br /> OF <br /> usr Field Sample Identification SAMPLING wrnu< <br /> NO <br /> oN�r DATE TIME <br /> Lf -3 volko . �r <br /> N <br /> -44- <br /> O <br /> OI <br /> Relmqushed by(SVW6*hn) Racelved by(SHp O-I TYnC <br /> Aom-m <br /> Time -`+' <br /> RHdwHquslM by Isgeaarel ReCoved by(Sgnee+el 0 rd <br /> Raenqulihetl by f es, ` /' ` °a Q yy'`I az— <br /> Tune <br /> oCJ `eaf te�aoRavisan <br /> 015TR$8UTIDN Whim wM firer moon.Green tr Fee,Yeeow and Pink 10 0MM <br />