Laserfiche WebLink
I f f <br /> i I 1660 ROGERS AVENUE <br /> S SANJOSE CALIFORNIA 95112 1 CONDUCT ANALYSIS TO DETECT LAB lt��� <br /> FAX (408)573 7771 L-- --- - ------- - .,.-•--- Dti—iS k-.L� <br /> L- TECH SERVICESM;; PHONE(408)573-0555 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION LIMITS <br /> SET BY CALIFORNIA DHS AND <br /> CHAIN OF CUSTODY F ❑EPA ❑RWOCF3 REGION <br /> 3 _ <br /> -7o �o-S ,� ❑ LtA <br /> CLIENT x ❑OTHER <br /> to ' ! + z 1 SPECIAL INSTRUCTIONS <br /> p `,y,' <br /> O <br /> 57ZLuJ <br /> CONTAINERS a <br /> O <br /> 0 <br /> d p= 0 <br /> SAtu4PLE I D !jd( � � f.t� ° u n <br /> ua3 TOTAL UADD'L INFORMATION STATUS CONDITION LAB SAMPLE 9 <br /> ---------- <br /> k1-- 13 <br /> W <br /> PEE 9703012 <br /> I ' # 27592 <br /> 0 ' I <br /> SAMPLING DATE TIME SAMPLING RESULTS NEEDED <br /> COMPLETED PERFORMED BY, <br /> /�)q(I NO LATER THAN <br /> IRELEASED BY <br /> DATE TIME <br /> o: DATE TIME CEIVED B <br /> iL <br /> I RELEASED BY DATE TIME RECEIVED BY DATE TIME <br /> tl, <br /> i <br /> RELEASED BY DATE ITIME RECEIVED BY <br /> I DATE TIME <br /> u <br /> S <br /> SHIPPED VIA DATE SENT TIME SENT COOLLR o <br />