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onCLLL to"din UT tru510C] Mecvlra 1 <br /> Lab Idenbfrea smv) Steell Project Manager to be invoiced Ihi C#E{sl�t`Ii;11y6EA� $ Ip1yk <br /> Address ' <br /> Karen Petryna 91 81 9 91 5 61 4 3 DATE <br /> City state zip - <br /> ❑T"Mm so R $AP or GR11ATNt T#]5F.F1JTVCAMT) <br /> ❑ oN PAGE �_ of <br /> SAMPURG COMPANY LOG Coo SITE ADDRESS(31red aid C" GLOML W NO <br /> Blaine Tech Services ISTSIt 1071 North Main St., Manteca T0607700796 <br /> ADDRESS EDF DEWEAARLE TO(Rapaml6M Pmy or DeWgrm): PHONE NO EMIL CONSIRTANT PROJECT NO <br /> 1680 Rogers Avenue,Sae Jose,CA 45112 OST <br /> PROJECT CONTACT(Hwdwq w POP PAmm at Joe Neel1(707)933-2361 sonornaedf care a-env com 15TS X <br /> BkMPLER NaMElgl(�? <br /> Lean Gearhart LAStiSE�Q�1t'� <br /> TELEPHONE FAx E-1iM1L r <br /> 408.573.0555 408-573-7771 IgearhartQblalnetech com <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> %'10 DAYS ❑ 5 DAYS C] 72 HOURS C] 48 HOURS [1 24 HOURS❑ ESS LTHAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA-RWQCB REPORT FORMAT ❑ UST AGENCY <br /> GCIMS MTBE CONRRMATION HIGHEST HIGHEST per 80RING ALL FIELD NOTES <br /> 0 <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS tM NEEDED LJ ContalnerlPnserntive <br /> J m o <br /> Detection limits must be at leash a sK a or PID Readings <br /> a a or Laboratory Notes <br /> 500ppb-Ethanol a <br /> 0 5ppb-MTBE o <br /> 2 Oppb-DIPE TAME ETREd to m n m <br /> $ g p M m <br /> 50 Op b-TBA cs S m e e a m <br /> ,LAa SAMPLING N0.OF X W W � 4 J� L) 0 3: TEMPERATURE ON RECEIPT C- <br /> * <br /> Field Sample Identification DATE nye MATMX CONT m o w T °w CL <br /> lJ-1 o -r-o <br /> At -Z r -- <br /> 0 <br /> Relrqurshed trr Sgnaturel RereNed w(sivoae) Dace Time <br /> w <br /> Rel by(SgMUN Received by(Sigrm-) Date Tuve <br /> E <br /> c� <br /> Reimpshed by(SSlnahre) Recerved by(ftnsuq .77-7,' Date Tune q� <br /> -100 1090/ o <br /> DISTRIBUTION Writ wM fuvl report.Green o Fite Yelbw and Fink b CRerd 1 WWW Rev,sloe <br /> l <br />