Laserfiche WebLink
F J <br /> / <br /> 1680 ROGERS AVENUE CONDUCT ANA TO DETECT LAB <br /> Sequoia s# <br /> i ���� SAN JOSE,CALIFORNIA 95112-1145 ALL ANALYSES iNUST MEET SPECIFICATIONS AND D>=TECTION <br /> L FAX(448)112-1179 �, LIMITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES,INC PHONE(408)573-0555 Ili <br /> ❑ EPA ❑RWQCB REGION <br /> p ❑ LIA <br /> ` ❑ OTHER <br /> CHAIN OF �0 ozo.. <br /> LU SPECIAL INSTRUCTIONS <br /> CLIENTul <br /> E u>va- Karen Pe a <br /> SITE 440 W Charter Way <br /> 07 <br /> � Send invoice to Equiva <br /> w o 0 00 Incident# 88870583 <br /> Stockton, CA <br /> o Send report to Blaine Tech Services, Inc <br /> t 00a 2 N <br /> E MATRIX CONTAINERS p w W 'O ATTN Su �D <br /> D o x D� Ga <br /> N TOTAL v E- E- O ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> SAMPLE I D DATE TIME cn � <br /> mW-11 6//mp I3 d✓ g 11 <br /> Nlw-i 3 ,vX' y- y <br /> oy— .3 ff nn <br /> wrw•r�' ( T- � T 3 <br /> I"1T � SPE � � <br /> r <br /> -1k Vsw-3 1095r X Y <br /> 3F vPj~L( /1lLfX RESULTS NEEDED <br /> SAMPLING DATE TIME SAMPLING NO LATER THAN <br /> COMPLETED PERFORMED BY L4?p,J 166W#Ws.J DATE TIME <br /> RELEASED BY DAT TIME RECEIVED 8Y <br /> TIME RECEIVEDBY TE TIME <br /> REI_EASEC�,B�G D <br /> ��- DATE TIME <br /> RELEASED BY <br /> ATE TIME RECEIVED BY <br /> ` DATE SENT TIME SENT <br /> SHIPPED VIA COOLER# <br />