Laserfiche WebLink
9880 ROGERS AVENUE <br /> BLAINE CONDUCT ANALYSIS TO DETECT LAB DHS# <br /> SAN JOSE,CALIFORNIA 8)573-1145 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX{408)573-7771 <br /> TECH SERVICES,INCIMITS SET BY CALIFORNIA DHS ANDe PHONE(408)573.0555 [] EPA ❑ RWQCB REGION <br /> CHAIN OF ❑ LIA <br /> ❑ OTHER <br /> CLIENT z SPECIAL INSTRUCTIONS <br /> E ul:va - Karen Pet na Q <br /> SITE 7910 Lower Sacramento Road o <br /> 0x N Send invoice to Equiva <br /> 00 <br /> gkrAF�, CA a H Incident# 98996180 <br /> Lu go <br /> (0 Send report to Blaine Tech Services, Inc <br /> MATRIX CONTAINERS 0 to <br /> 1 <br /> o Q w w <br /> O on ATTN Ann Pember <br /> 2 ? c <br /> SAMPLE ID DATE TIME i� TOTAL P �G <br /> U F' H O ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> -K e-44 kA <br /> 60 <br /> T-1-7- <br /> 000JERCUST01 Y <br /> SAMPLING IDATE TIME SAMPLING RESULTS NEEDED <br /> COMPLETED ,'Z�� j?.1d PERFORMED BY NO LATE THAN <br /> RELEASED BY A DATE TIME RECEIV Y DAT TIME <br /> 01 d 0 1-t 0 — <br /> RELEASED BY DA ITIME R BY DATE IM <br /> RELEASED BY DATE TIME RE 1�~ �Wp) C"F {�( �� <br /> C I ED �j , d "' DA TI �U <br /> SHIPPED VIA DATE SENT TIME SENT COOL # OkLuv <br /> zr�Cnd �� <br /> Y <br /> i <br />