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BLAINE 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB SEQUOIA <br /> SAN JOSE,CALIFORNIA 95112-1105 DHS# <br /> FAX(408)573-7771 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTIdN <br /> TECH SERVICES,we PHONE(408)573-0555 LIMITS SET BY CALIFORNIA DHS AND <br /> ❑ EPA EGlON <br /> CHAIN OF CUSTODY ❑ LIA <br /> 000�7. ❑ OTHER <br /> CLIENT <br /> Cr <br /> E uiva - Karen Petryna z SPECIAL INSTRUCTIq <br /> SITE F <br /> 420 W Kettleman Lane a x N Send invoice to Equiva <br /> Lodi, CA c o o °>1 Incident # 98995525 <br /> 00 00 <br /> Send report to Blaine Tech Services, Inc <br /> MATRIX CONTAINERS O <br /> 2 °J w w -I ATTN Nick Sudano <br /> o q <br /> SAMPLE I D DATE TIME cin TOTAL HI �E Fa-. 0 ADD L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> 01 fhVq- 5 I-zrbn 13 W 3 Von <br /> nal s cr mw-t <br /> be cv d ' <br /> wa ,<h 14 4 !d fia <br /> (2 1.2 <br /> SAMPI INGDATE TIME SAMPLING ,l �A RESULTS NEEDE <br /> COMPLETED -�j.(,r�� 0 PERFORMED BY ��9�ry IYIF:TZ�f;E� NO LATE HAND AS GQJ`tVZ <br /> RELEASED BY DATE ITIME RECEI BY D T TIME <br /> RELEASED BY DATE TIME RECEIVED BY <br /> ATE TIME <br /> RELEASED BY TE TIME RECEIVED B DATE TIMI; <br /> r <br /> D VIA DATE SENT TIME SENT COOLER# <br />