Laserfiche WebLink
I <br /> ����• r • �Yr •YVV r•r\/ V/letiee• •/■ VA.eM keV Mr 114er%01%w9 is <br /> Lrb ldsnhficauon pl necessary) Equiva Project Manager to be Invoiced *14ENT NUMOOk(S8E ONLY) <br /> Address <br /> ewe,Q0 Karen Petryna Z z 9 8 9 9 5 5 2 5 DATEt*i Lol <br /> LIty State Zip <br /> Y-RCHMC4*VRWC`? _I SA or CPAP-NUM13ER(TSIORMT) <br /> ❑CRf4TtJOU$TpN PAGE �_ o! <br /> SAYPLMCCeWAW LOO CODE SITE ADDRESS ISOM wd City) * OLOSAL ID NO <br /> Blaine Tech Services BTSR 420 W. Kettleman Lane, Lodg T0607700390 <br />' AODRE53 FDF PELIVERAILE TO(Rewo"Ii-P&WmNOW—) PHONE NO fidehtL GONSVLTANTPROJEGTHO <br /> %80 Rogers Avenue,San Jose,CA 96912 <br /> PROJECT CONTAOT64r*"VwP0F 1tyM4r Aubrey Cool 707.833-2368 aeool carni env corn BT58 Q 1 U <br /> Nick Sudana aralpLEA wwEisl IP+it6 LAS U$E ONLY <br /> TELEPHONE FAIL EdWI <br /> 408-573.0668 408-673.7771 nsudano@blalnetech com ✓�uGLN sf�ll��j <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> ❑ 10 DAYS ❑ s DAYS 0 72 hams❑ 4a HOURS ❑ 24 Hourts El LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ 1 A RWQCB REPORT FORMAT ❑ UST AGENCY <br /> GCIMSMTBECONHRMATION HIGHEST HIGHEST pw WRING AL � z FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT Cr Y <br /> : m y y Contalnar/Preservatwe <br /> Detection limit for MTBE must be 0 5ppb o ix a '� a p or PID Readings <br /> Additionally a-Trull copy of lab to Karen Petryna(kepetrynaQequlva corn) Aubrey o $, � + or Laboratory Nates <br /> Cool(acool@cambna-env corn),and.toe Neely Oneeiy mono-env corn) a & <br /> m to o <br /> 4 G + m a m <br /> N v d N p <br /> (! a o C U [1 <br /> � SAMPLING No of = K w A ao w <br /> OW n�i Field Sample Identification RATE TIME MATRIX 0 <br /> �CORT � o � � <br /> 13bt{ <br /> i2-4 a <br /> I <br /> 11 FO 3 <br /> � 1o <br /> Rtedvsd by 191yanrel Daft Tont <br /> ----------- - ~� L <br /> i tr f 0.rs Rece{vedby'(Signotwel Dole Tuns <br /> >« "ATJtrr tTlOnshrel Recelwdby oukrel <br /> _ /� r+� DMt Tuns <br /> ` / 01 <br /> s f'P ffit)WnTMurepon Greento Fit YS w trod Ph*to[409 <br />