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_ DHS# <br /> 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION LIMITS <br /> SAN JOSE,CALIFORNIA 95112.1105 c <br /> FAX{408)573-7771 z u SET BY CALIFORNIA QHS AND <br /> PHONE(408)573-0555 r ' ❑ EPA ❑ RWOCB REGION <br /> TECH SERV ICES,HAI- N ❑ LIA <br /> � � y <br /> c 3 r ❑ OTHER <br /> CHAIN OF CUSTODY I ir <br /> t3 1�5# 7 o c SPECIAL INSTRUCTIONS <br /> CLIENT Y °- <br /> Western Farm Service N <br /> mQ o-- Invoicc to WFS Attn: Kirk Williams <br /> SITE o N Agrium US <br /> Vernalis North American Retail <br /> L r 6 Executive Drive Collinsville, IL 62234 <br /> g 5 c n < <br /> 35100S. Hwy. 33 = <br /> U = J• <br /> 1 o= Send Report to Geosyutec Attn: Melissa Asher <br /> Vernalis, CA c " <br /> � CC Report to Blaine Tech Services, Inc. <br /> MATRIX CONTAIN IERS - m = O <br /> a ? a LU a o include QA/QC narrative. Include Method Blank results in report. <br /> s <br /> z m O ° c7 AQD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> SAMPLE I.D. DATE TIME O TOTAL Q ca Q NO" J QUALIFIERS" <br /> 1V <br /> r <br /> RESULTS NEEDED <br /> 3ANIPLING DATE TIME SAMPLING NO LATER THAN AS CONTRACTED <br /> COMPLETED c PERFORMED BYAT DATE <br /> TIME RECEIVED BY _-__,___•_ <br /> RELEASED BY <br /> /�t r 6 a TIME RECEIVED BYDATE <br /> TE—LEASED -- – <br /> LEASED BY —---- <br /> DATE <br /> DATE TIME - RECEIVED BY <br /> ?EL EASED BY -- <br /> DATE SENT TIM E SENT COOLER# <br /> SHIPPED VIA <br /> Reporting Information : EDF Required. GIP lD SL185612929 GEOSYNTEC CODE: GSCW <br />