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LAe s IFF EQUIVA Services LLC Chain Of Custody Record p fl <br /> Lab Identdlcaton(If rieeeeSalyi <br /> Equiva Project Manager to be invoiced <br /> Addlass <br /> �� " eLEIraEER�I� Karen Petryna 9 x 9 9 5 't a o {SATE <br /> UI/Slate Zrp QT1:Ct1hRl LSERVICES SY.`(S�€�c ,r/-�ywi.+�( <br /> s PAGE -- 1 of <br /> ©t:R14i NDlJFvTpN <br /> CONSIATANr COMPANY 917E PM E99(Sued and C" <br /> Blaine Tech Services <br /> ADDRESS 7910 Lower Sacramento Road,Stockton <br /> 1680 Rogers Avenue PROJECT CONTACT(R.panbl CDNSULTANTPROJ CTNO <br /> `rY Nick Sudano <br /> TS# <br /> S 1n Josel CA 95112 SAMPtrRk"E(S)(P-4 "A USE ONLY I <br /> LLY1nKNlE FAxE MAIL <br /> 1(08 S73 0555 608.573 7771 nsudano(Sblalnetech corn - LI <br /> tri <br /> TI r d ROUND TIME(BUSINESS DAYS) <br /> K1 II)AIS ❑5 DAYS ❑71 HOUtS 13 48 HOURS 0 24 HOURS©LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> LAI- hNFQCd REPORT FORMAT ❑UST AGENCY <br /> - � s <br /> V 11,=t,TC:C CONFIRMATION HIGHEST HIGHEST per BORING ALL FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECSPT C' <br /> e e m a3 COntalneTIPreservatIve <br /> wo a or PID Readings <br /> a € or Laboratory Notes <br /> C+ J7 o e <br /> N w L b P <br /> m C V <br /> the SAMPLING No or m m <br /> USE Field Sample Identification MATRIX cors d ►- � = x � a rn <br /> ONLY RATE TIME F m M o w w <br /> Mtw- 11 limIV.nctr 3 _ t <br /> rL11,11Z3 A <br /> 1 -b <br /> a <br /> ReYnpurhad by ISrsnalwy Rarnvec YY[9lgneanl K1 i Dime Time <br /> RekA% Slpuniei Recelvechy(&"kre) Dair Time <br /> a <br /> m <br /> C7 <br /> R eenWfhed by(slL+yaxe) RSceivea by(Sty+Rkret Drts 71mS p <br /> b <br /> O <br /> OISTR1BSlIOH laiu rt?�4+Sentorpe Yeea.Sn6 r',rM le CYerc 70dE/OfJ ReHSPn <br />