Laserfiche WebLink
CHAIN OF CUSTODY Page of 3— <br /> GONSUTAHTS NAJ& CONSULTANTS ADDREM <br /> CD <br /> Blaine Tech Services.Inc 1880 R2pTs Ave_ San Jose CA 95112 ^� <br /> SP SLTE HUMBER GLOBAL.ID BP S(TE f FACILTTY ADDRESS CONSULTANTPROJECT NUKOER <br /> 11394 ITD607700011 2675 Tracy Blvd ,Tracy -- <br /> CONSULTANT PROJECT MANACAR PHONE NUMBER FAX NUMBER CONSULTANT CONTRACT NUMBER �– <br /> Candy Magyar (4013)573-0555 x 221 (40B)573-7779 J966620 <br /> BP CONTACT BP ADDRESS PHONE NUMBER 1 FAX NO rn <br /> Shaft Hnotan 2955 SW 41st Street,Suite N,Renton WA 425 251-0689 425 251 36 <br /> LAB CONTACT LABORATORYADDRESS PHONE NULWER FAX NO <br /> Pace-Paula Kddey 900 Gemml Ave, Houston.TX 77058 281 488-1810 2131 4BB-4661 ' <br /> 33PWWACT REQUESnt4GRL15H TAT(Pant BP Qwdald Name) RLJBH REDLW TED OF(Prat Cwmttwd cmeocl Nmee) DA"!El w SHIMVE DATLr Stili ff NET14M � <br /> TAT 11 24 HOURS 0 I 46ows 72 NOUS IdSlandarti 7 or 14 Days ANALYSIS REQUIRED R811i NUM13M <br /> c-� <br /> CWMhERS PMMRYA71VE z <br /> � m <br /> COUECTION COLLECTION MATMK <br /> SAMPLE DESCRIPTION � m COMMENTS c� <br /> DATE TIME 501UWATER ND TY[ LAB m � iu o <br /> (VOL) SAWir=W m a Lu <br /> F m 0 Q <br /> n <br /> LL �� <br /> /1t W—+f zy 13 L S— ?-3? 1 <br /> MW—G <br /> tat Zf, kLd <br /> u�- !0 7-5 X S <br /> SAIu M.W BY TIOM Pmt ) SAM'PLED BY(SI ] ADDMONAI_01 ?AEf;S <br /> lk In or <br /> RELINQUISHEDBY)AFFILIATION DATE TIME ACGEPTEID BY 7AFRLIA710h (Prlf� DATE TIME <br /> (Print Name IsigtS-kft) r Nam <br /> e I tatiae) <br /> 7-77 <br /> Q <br /> o <br /> cn. <br />