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e71�CL1.. V11d111 Vi %oUbLVUY F%vuLltu <br /> A&IaentlNTaec y) Ask <br /> E411va Project Manager to be invoiced. lK**000mof oNLYk <br /> City State zip _❑ <br /> Karen Petryna 9 8 91 91 1 21212 DATE J-3-1-0 ) <br /> 0-7 �\ i4f� iHl (trlil <br /> � u PAGE of <br /> �� <br /> cc IIIL <br /> I <br /> au�a+c co►wur Loo <br /> SITE ADDREN(sua.t and tatty) <br /> Blaine Tech Services 8TS 3725 South Trac Boulevard,Trac T06d 4102 <br /> r 80 R DEiIV�E T4 r � Room No_ NMIL � Car�TMT PRDJECT NO <br /> 1680 Rogers Avenue,San Joao,CA 951 12 <br /> P'° 1707-933-23610]p <br /> JECOONf �a°m01orPDPihpOftok Joe Fee sonocom ISTSe <br /> Leon Gearhart <br /> eA►atFAN+wEIstlt I IA�C3RNL1� <br /> TELEctiOwE FAX n <br /> 408-573-0555 1408-573-771 I ea artblal e aJa+�t 13IrAw%, <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> CK10 DAYS ❑ 5 DAYS❑ 7I HOURS❑ 48 HOUR5 ❑ 24 ❑ IE55 THAN 24 HOURS REQUESTED ANALYS <br /> ❑ LA i1w=REPORT FORMAT ❑ UST Aawa <br /> GUMS MTBE CONFIRMATION HIGHEST HIGHEST 14 r BORING ALL FIELD NOTES.SPECIAL INSTRUCTIONS OR NOTES CHECK BO EDD L5 Ma NEEDED _ A <br /> n • ContaitnerlPnservative <br /> $ a or PSD Readings <br /> „ n ,� or Laboratory Notes <br /> ILiLAO $ <br /> � v m <br /> Field Sample Identification PILING MAT M c 4 i TEMPERATURE ON RECEIPT C• <br /> T DA TIME 0 w Iu t— 1 <br /> t <br /> 02 <br /> eiw- 3A �al.o ,� >rc <br /> 03 <br /> �F-i io3J- Ott <br /> F <br /> 3 <br /> i <br /> I <br /> n <br /> RZ=°r f ) i Aecawaa by( ) naer r,�„c <br /> R*WlhW er I ) Ratawee er(64�1 M An Date Three .E, <br />� RaanpteOhed by( I by(SIReeYae} Data <br /> TIM <br /> 44 <br /> DISTRIBUTION WPft Wei kW rayarL Gran in I*Yelbar Ono ft*b Cent I ttyt l gewIsbn <br /> I. <br />