Laserfiche WebLink
f <br /> BLAINE SAN JOSE, 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB 1JI)o ,Q DHS# <br /> CALIFORNIA 95112-1105 ALL ANALYSES UST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 LIMITS SET BY CALIFORNIA DMS AND <br /> TECH SERVICES,INC PHONE(408)573-0555 ❑ EPA ❑ RWQCB REGION <br /> ❑ LIA <br /> CHAIN OF ❑ OTHER <br /> I � <br /> CLIENT z SPECIAL INSTRUCTIONS <br /> Ec ulva - Karen Petryna r <br /> SITE 7910 Lower Sacramento Road 0 N Send Invoice to Equiva <br /> x <br /> Sacramento, CA w o 00 <br /> Incident# 9$996180 <br /> 11 Q J"1 '� '=ul) � Send zeport to Blaine Tech Services, Inc <br /> MATRIX CONTAINERS 0 A � <br /> w w QATTN Ann Pember <br /> o � 0 x x <br /> V, S u A, A. x <br /> SAMPLE ID DATE I TIME c'n !� TOTAL U P C) ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> a .007 If <br /> IV <br /> SAMPLING DATE ITIME SAMPLING RESULTS NEEDED <br /> COMPLETED q D PERFORMED BY I ( ,� f V, s�v�,,,, ,,.,,. NO LATER THAN <br /> RELEASED By DATE ITIME RECEIVED BY a� DATE ITIME <br /> RELEASED BY JDATE ITIME RECEIVED BY — E TI <br /> RELEASED BY JDATE ITIME ORECEIVED��, TE ITIME <br /> SHIPPED VIA DATE SENT TIME SENT COOLER# <br />