Laserfiche WebLink
i 0 • . <br /> B LAS N E SAN JOSE, 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB DHS# <br /> CALIFORNIA 85112-1105 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 LIMITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES,INC PHONE(408)573-0555 ❑ EPA ❑ RWQCB REGION <br /> ❑ LIA <br /> CHAIN OF ❑ OTHER <br /> I � <br /> CLIENT Z <br /> E uiva-Karen Pea SPECIAL INSTRUCTIONS <br /> � A <br /> SITE 620 W Charter Wa ° � Send invoice to E uiva <br /> U C400 <br /> q <br /> Stockton, CA a H o �c -�� Incident# 98996187 <br /> 00 0 a v Send report to Blame Tech Services, Inc <br /> MATRIX CONTAINERS a to � � ATTN Ann Pember <br /> w w N �l.1 <br /> 60 � x x <br /> SAMPLE I D I DATE TIME cn 3 TOTAL U H O 1 ADD'L INFORMATION STATUS CONDITION LAB SAMPL # <br /> w..t. Y x CA c r w, hoc. 1iy j <br /> - mw - a Iy:to m-r8� z <br /> qo � X ` �s�-cao An CQ at" 4 <br /> mw Cr W 3a► <br /> . rHw — <br /> $ 1155 <br /> . r )V- I d %0:14 X <br /> SAMPLING DATE TIME SAMPLING RESULTS NEEDED <br /> COMPLETED S L'�:y PERFORMED SY�r 1 q ��� NO LATER HAN <br /> R ED BY I DATE ITIME RECEIVED B DATE TIME <br /> 4S71(7(cr0 C 3,7A <br /> LEASED Y DATE TIME RECEIV DAT TIME <br /> REL ED BY I DTE TIME OFVXIVEDIVATE TIME <br /> SHIPPED VIA DATE SENT TIME SENT COOLER# <br />