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BLAINE SAN <br /> ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB: TEST AMERICA-Pleasanton DHS# <br /> N.JOSE,CA 95112-1105 -0 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 = LIMITS SET BY CALIFORNIA QHS AND oN <br /> TECH SERVICES,sNc. PHONE(408)573-0555 v ❑ EPA ❑ RWOCB REGION (D <br /> ❑ LIA <br /> CHAIN OF CUSTODY O <br /> BTS# 110:1 Ko-�L� C) � EJ OTHER (�a 1-;5 0 <br /> Ch <br /> CLIENT u�i v M (D Client Name/Address: <br /> ArcadlS z a) © Melissa Straten-Arcadis <br /> Cn p '�v <br /> SITE iv� 17 <br /> z cu O O 1587 Cole Blvd,Shite 20(3 <br /> UPRR Farmer Maintenance Yard o ) � m ; (D Lakewood, GO 80401 <br /> Trac , CA c �, a W o Phone: (303)231-0115 x121 /Fax:(303)231-9571 <br /> LO a ai a © Project/PO Number, Tracy, Permanent Dissolved <br /> us `' � Z U Gases:CO2,Oxygen, <br /> MATRIXCONTAINERS a O CA-UPRR Maintenance Yard Nitrogen,Methane, <br /> C <br /> UPRR Site#248© CO,Ethene,Ethane <br /> O = m r°n 3 E C1 E <br /> SAMPLE I.D. DATE TIME rig TOTAL TYPE is IF— F 0 Z Q Q 01 CT ADD'L INFORMATION STATUS CONDITION1 LAB SAMPLE# <br /> 7 WG-2480-MW108- <br /> ltoc3�� 3 I>� 114 i5 w x <br /> N <br /> Lr) <br /> WG-2480- <br /> 0 <br /> MW1113R-9t0013 +� (, g' w X <br /> G 2480 W12A- )�a L4-Z;- w 7— M1.P x N <br /> { WG-2480-MW12B- <br /> `❑ o ! 3,I fo Ll st� W z4�- x d <br /> jj WG-2480-MW14A- <br /> 1 itoe5i1 3 p w - rWf> x x x x x x X x <br /> wown mom <br /> SAMPLING DATE TIME SAMPLING RESULTS NEEDED <br /> COMPLETED L r l 1,c,4PERFORMED BYJ- .C iG.. ► . � / NO LATER THAN <br /> LEASED BY DATE TIME RECEIVED BY DATE TIME <br /> RELEASE�BV [DATE TIME 4RECEIVED BY DATE TIME <br /> RELEASED BY I DATE ITIME 0RECEIVED BY JDATE ITIME <br /> SHIPPED VIA DATE SENT TIME SENT COOLER# <br /> a .� a zf3,o j 4,�� 4 �'� <br />