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017=ft jtf1-n1iWA1 M <br /> lKancaster Laboratories For Lancaster Laboratories use only <br /> �rerequalrtyrs ascrence <br /> Acct # Sample# SCR# <br /> Analyses Requested <br /> Facility# (l hogoA --q-4,275 „ Preservation Codes Preservative Codes <br /> Site Address H= HCl T=Thiosulfate <br /> N = HNO3 B=NaOH <br /> co <br /> Chevron PM Lead Consultant .5CG C N S=H2SO4 O=Other <br /> Consultant/OfficeC ❑ w C1J value reporting needed <br /> C) <br /> Consultant P9 Mgr � � _ 5 ❑possible detectiont meet lowest <br /> sible for 8 60 compounds <br /> Consultant Phone# Oa Fax# cj�(¢-ala[b�f. a o o - ❑ 8021 MTBE Confirmation <br /> C, <br /> Sampler .0 LU 0 o ❑Confirm highest hit by 8260 <br /> Service Order# ❑Non SAR o z 5 Ln � 0 ❑Confirm all hits by 8260 <br /> Field Repeat Top Time New m E 2il <br /> + o a ❑Run_oxy s on highest hit <br /> o ° <br /> = z ❑Run_oxy s on all hits <br /> PointName Matrix Sam le De th Year Month Da Collected Field Pt C0 o �- m � m lr� <br /> Comments!Remarks <br /> 1. <br /> , a <br /> Z4 <br /> 2 o y':SO o2 <br /> Relinquished by Date Time Received by Date Time <br /> Turnaround Time Requested (TAT}{please circle) <br /> TD T 72 hour 48 hour Relinquished by Date Time Received by Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle rf required) Relinquished by Date Time Received by Date Time <br /> QC Summary Type i--Full <br /> Type Vi(Raw Data) C3 Coelt Deliverable not needed Relinquished by Commercial Garner Received by Date Time I <br /> WiP(RWQCB) LIPS FedEx Other <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Yes No <br /> LanractPr f_ahnratnnPn Inr 74?5 Naw Hnlranri Pike Pf)Rnv 1?A*)K I nmpaa +cr on +7anr -)ti-)r r?,71 ata ,)onn 3460 Rev 10/04/01 <br />