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B LAI N E 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB Sequoia QHS# <br /> SAN JOSE,CALIFORNIA 8)573-7771 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION LIMITS <br /> FAX(408)573-7771 <br /> TECH SERVICES,INC PHONE(408)573-0555 SET BY CALIFORNIA QHS AND " <br /> ❑ EPA ❑ RWQCB REGION <br /> CHAIN OF CUSTODY ❑ LIA <br /> ❑ OTHER <br /> � I <br /> CLIENT E ulva - Karen Pet na z SPECIAL INSTRUCTIONS <br /> SITE '7910 Lower Sacramento o � N Send invoice to Equ>va <br /> Stockton, CA a H N � 00, Incident # 98996180 <br /> r P4 00 00 CA <br /> L Send report to Blaine Tech Services, Inc <br /> MATRIX CONTAINERS O <br /> CL b1° W W '6 cz <br /> ATTN Ann Pember <br /> PL1 Gq an 1 <br /> SAMPLE I D DATE TIME in TOTAL E- O ADD L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> 1G✓r2_ /Z:(9 F� <br /> /111 - <br /> 17:(K <br /> i <br /> I <br /> SAMPLING DAT TIME SAMPLING RESULTS NEEDED <br /> COMPLETED Z� PERFORMED BY �aS NO LATER THAN <br /> RELEA BY �j DATE TIME REC !-�; <br /> EIV TE TI E <br /> 41 r �I j�Ct j 3 7 I <br /> RE ASED BY DATE TIME RECEIVED BY !X <br /> T TIME <br /> 0 <br /> RELEASE Q DATE TIME RECEIVE D T ITIME <br /> SHIPPED VIA DATE SENT TIME SENT COOLER# <br />