Laserfiche WebLink
CHAIN QFCUDY Page of <br /> CONSULTANTS NAME CONSULTANTS ADDRESS r <br /> Blame Tech Services, Inc 1680 Rogers Ave , San .lose CA 95112 <br /> 13 SITE NUMBER BP SITE I FACILITY ADDRESS CONSULTANT PROJECT NUMBER <br /> 111941 1 2375 Tracy Blvd Tracy 4 �Z 3,�► <br /> CCtISUt TFf IT—PROJECT MANAGER PHONE NUMBER FAX NUMBER CONSULTANZ CONTRACT NUMBER <br /> 5uott Boor (408) 573-0555 x 223 (408) 573-7771 J594672 <br /> BP i OtITACT BP ADDRESS PHONE NUMBER FAX NO <br /> _Scott I looton 295 SW 41st Street, Suite N, Renton WA (425)251-0689 (425) 251-0736 <br /> 1 AD CONTACT I ABORATORY ADDRESS PHONE NUMBER FAX NO <br /> Pace - Paula Kirtley 900 Gemini Ave , Houston, TX 77058 (281) 488-1810 (281) 488-4661 <br /> SP CONTACT REQUESTING RUSH TAT(Print BP Contact Name) RUSH REQUESTED OF(Print Consultant Contact Name) DATEITIME SHIIPMENT DATE SHIPMENT METHOD <br /> I <br /> rAT ❑ 24 HOURS ❑ 46 HOURS ❑ 72 HOURS Standard 7 or 14 Days AIRBILL NUMBERANALYSIS REQUIRED <br /> I <br /> CONTAINERS PRESERVATIVE <br /> Lu <br /> s cn o <br /> COLLECTION COLLECTION MATRIX w S <br /> 5At4FLE DESCRIPTION ~ `p COMMENTS <br /> DATE TIME SOILlWATER NO TYPE LAB - z m <br /> (VOL) SAMPLE# <br /> m m X + <br /> p <br /> J o U <br /> Z m 2 w N O <br /> - 1220 <br /> 3(0 <br /> 136 F -39 <br /> SAMPLED BY(Please Print} SAMPLED BY(SI lure} ADDITIONAL COMMENTS <br /> RELINQUISHED BY I AFFILIATION ACCEPTED BY! FILIATION (Print <br /> (Pnni Name!Signature) DATE TIME DATE TIME <br /> Narno 1 Signa(Lire) <br /> L _ o� C1��� L��-�.C� -CLQ' , l <br />