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LHa: ddw F-QUIVAServ' .es LLC Chain Of Custody Record <br /> �.�iaeirin� More(i iY): Equiva Project Manager to be invoiced: <br /> Ailsreaa. lY'A �` all <br /> COY, <br /> NUMBER(ssoNl.Y►, '_ . <br /> Stela,Zip Karen Petryna s s s s 6 1 a 1 2 DATE:. <br /> - <br /> - T- SAt*rar GtMT�111ltYIHER4"hMTt. T <br /> _.. .. AN =. pC1t ff01J5i RN. PAG f _ <br /> a. ! E � a <br /> MNSULIANT COMPANY: SITE ADDRESS(Street arld CNyl: <br /> Blain - <br /> Ble Tech Services <br /> lain ss: 4445 N.PershingAvenue, Stoc' kton <br /> 1680 Rogers Avenue - PROJECT CONTACT(Reped re): CONSULTANT PROJECT NO,: - - <br /> CITY: Nick Sudano BTS o d r <br /> San Jose,CA 95112 it NAMEISV IP"; <br /> LJt4[!$ i7N(Y <br /> TELEPOONE: FAf(,' 6a1A11: I�I IIA i. <br /> 408.573.0655 408573-7771 Dsuaseo�pralnetech.com <br /> TURNAROUND TIME(BUSINESS DAYS): <br /> ,13-I0 DAYS ❑5 DAYS ❑72 HOURS ©48 HOURS ❑24 HOURS[3 LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑LA-RWQCB REPORT FORMAT Q UST AGENCY: <br /> GCIMSMTOECONFIRMATION:HIGHEST_ HIGHESTperSORING ALL $ z FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT C' <br /> 3 m G Container/Preservative <br /> a° or PID Readings <br /> or Laboratory Notes <br /> m ' C o <br /> U' q c p m <br /> SAM LING No.or = ' m r m <br /> USE Field Sample Identification MATRIX CONT. x � <br /> ONLY DATE TIME m O <br /> —V o cJ <br /> ----V ` L- Am I <br /> x, %/ <br /> � z kk u <br /> x k <br /> O <br /> r <br /> ' kir W oy(Sipnanrel RNaiv 6y:(51 <br /> we Delle: Time: m <br /> 4 e es d py'(Sir ere R (5lynetve) Dale; Time: <br /> An .0-z/0 --d( <br /> RaceHed :{ pre We ;]Ale: Time:. <br /> L% (1 <br /> -:'c:7 RIInTiAil'`-Z.dc.mh Inial rt40il.Green to File.Yeeew and Pinklo Clcry 10/ifiNO Redsien <br />