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v■ ■��r. v���w•s• r. ....v..rw� r Mrr.w v. ... <br /> Lab Idenificati*ssary) Equiva Project Manager to be invoiced, ONLY) <br /> Address G moo Karen Petryna 9 $ 9 91 61 1 $ 7 DATE <br /> City Slate Zp SANc�F IlI � � <br /> Ll.�!Gi44T+# IS N PAGE .�t of ISUIFL _ <br /> 2�Z Z <br /> rola Loa CODE SITE ADDRE33(31net mW C*A <br /> Blaine Tech Services BTSR 620 W, Charter Way, Stockton T0607700305 <br /> ADDRESS D UVOURE To(Reawtut P"or Dmmr el PHONE NO &UAIL OONSI.'ITANT PROJECT NO <br /> 1680 Rogers Avenue,San.lose,CA 95112 'VXDfJL:1•Fa7/ <br /> PRnJECTCONTACT{N.rarbe9aPOP PAW in). AUbrQ Cool (70J933-2368 sononla carnbrla-env corn RTS0 <br /> Leon Gearhart sAw NAMEISI t�+> �JtH uaE p!H-Y <br /> YEl6PHONE FAX E-Y4rL <br /> 408-573-0555 408-573.7771 I arhatt f l tech CQM <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> %-10 DAYS ❑ 5 DAYS C] n HOURS[34B HOURS 1124 HOURS❑ LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA RWQCB REPORT FORMAT ❑ UST AGENCY <br /> GC/MS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD I$Wa NEEDED U Container/Preservativs <br /> �a m 3.5 or PID Readings <br /> or Laboratory Notes <br /> co <br /> C. <br /> IA OF x SJAMPLING NO m Y TEMPERATURE ON RECEIPT C <br /> vs� Field Sample Identification DATE TIDE ''" ` caNr m o W <br /> oatk `Q <br /> � -3 fur. <br /> �l•y/ x `'oy <br /> K .� <br /> 0 <br /> X <br /> RehrwW ed I Ramed bir(mss) <br /> ti <br /> R=W ISpnak,rel Reoty t50p lknl rune <br /> � I <br /> ReMrps�hed tty lSgnaNrel R CY i + Dais <br /> 7prSE100 Revlslon <br /> DISTRIBUTION Whim wIN Anal report Green ID Fie Yellow and Pvir 10 CYent <br />