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LAB Testament sT1 other SH Chain Of Custody Record ) o <br /> Lab Identlricatlon( ary) <br /> E3TA-Irvine,Cal; Shell Project Manager to be invoiced 111111w INCIDENT NUMBER(ES ONLY) <br /> ❑7A Morgan Hill California <br /> q{r RaNMEWTALS�R%Co Denis Brown 9 8 9 9 6 118 3 DATE z Z7 <br /> ❑TA-Nashville,Tennesee <br /> ❑STL [�TECHNICAL SERVICES O O Ole- 0001 SAP or CRMT NUMBER(TSICRMT) <br /> ©Other(location) ❑CIkt4T HOUSTON ❑NOT FOR ENV REMEDIATION NO Er M SEND PAPER INVOICE PAGE �, of <br /> SAMPLING COMPANY JLOG CODE. SrM ADDRESS Street an d Gty State GLOBAL m No <br /> Blalne Tech Services 4315 Waterloo Road,Stockton CA 70607700400 <br /> AODRESS EOF DELIVERABLE TO{Name Comoarry Office Lmasm) PHONENO €MAIL CONSULTANT PROJECT NO <br /> 1,680 Rogers Avenue,San Jose,CA 95112 <br /> rROFcrcONTACTIJiwd-NaPDFRapona) Ann]Kreml,Cambria,Oakland 1(510)420-3335 shell em ed{Ca)cambna-envcorn IBTS I <br /> Jason Brown SAMPLER NAME(S)(Ptet) <br /> tae USE ONLY <br /> TELEPHONE FAX Em L mL <br /> 916-925-2913 x 102 916-925-2891 Ibrown(ftlainetech ccom <br /> TURNAROUND TIME(STANDARD IS 10 CALENDAR DAYS) ❑ RESULTS NEEDED REQUESTED ANALYSIS <br /> STD ❑ 5 DAY ❑ 3 DAY ❑ 2 DAY ❑ 24 HOURS ON WEEKEND <br /> ❑ LA RWQCB REPORT FORMAT ❑ UST AGENCY <br /> GGlMS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS NOT NEEDED m <br /> € Container/Preservative <br /> c c m or PID Readings <br /> San Joaquin County Reporting Limits r o a or Laboratory Notes <br /> m � <br /> � N <br /> EL mo m ro <br /> D c a o mo o m W m o <br /> a1 m a c m go o 0 m <br /> RECEIPT VERIFICATION REQUESTED CI m ° m N N w o <br /> a w rn~ Cal � o c <br /> LAB SAMPLING NO OF = y x m W� O m TEMPERATURE ON REGEIPT�y <br /> USE Field Sample Identification MATR� coNr I- d m a <br /> 0N(y DATE TIME r F- m .o F n LU w w <br /> ki-1- 35iv <br /> N <br /> O <br /> d] <br /> m <br /> D1 <br /> Retmgw5hed by(Signature) Received by(SlgnaLve) <br /> Da[ Time <br /> mqurshadby(SlgnaNre) Rxnvedby(Signa Data Time <br /> ReEmquLshedby(S re) db i Data Time O <br /> 1 . 740 �- � <br /> 1111=5 Redman <br /> r� <br />