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• 0 • A – • • <br /> For Lancaster Laboratories use n G <br /> Lancaster Laboratories Acct # 1 Sample# SCR# <br /> Wherequa1Visaxence <br /> Analyses Requested <br /> Matrix Preservation Codes Preservative Codes <br /> Facility# 9-4215 Job#386845 Global ID#TQ6�7700257 H= HCl T=Thiosulfate <br /> Site Address 2905 W BENJAMIN HOLT STOCKTON CA C N=HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> Chevron PM RC Lead Consultant Secor Internationa Ir c12 2 <br /> ❑J value reporting needed <br /> R Ing 6747 Sierra Ccsulf_ Dublin Ca 945 $ .0 w c 0 c <br /> Consultant/Office m o N }g ❑Must meet lowest detection limits <br /> a z c m v, possible for 8260 compounds <br /> j Consultant Pri Mgr V ❑ <br /> Il ❑� ,... o ❑ 8021 MTBE Confirmation <br /> Consultant Phone# - Fax# �7fi-55'!-7gc}� ° 2 o <br /> ❑ w O m „ ❑Confirm highest hit by 8260 <br /> Sampler E�R ID E g = d ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR 0 Q Z $ ❑Run_oxy s on highest hit <br /> Date Time o o `° = o r ro []Run_oxy s on all hits <br /> Sample Identification Collected Collected U (n 3: o �' m <br /> Comments 1 Remarks <br /> r <br /> W~ <br /> w- 30 <br /> 3 <br /> r <br /> 12.7-3 <br /> W-� D3o <br /> SD <br /> finquishe by Date Time Rec v Date, Time <br /> Turnaround Time Requested(TAT)(please circle) ;. <br /> 72 hour 48 hour R ings at Time ReTAT Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle If required) lin uishe y Date Time Received b Date Time <br /> (' 12-- <br /> OC Summary Type I—Full Relinquished by Commercial Camer Re ed by �7 /Date Time <br /> Type VI(Raw Data) OCoelt Deliverable not needed UPS FedEx that i <br /> W1P(RWQCB) go, US <br /> Disk Temperature Upon Receipt rT-,o C. Custody veals lntact? Yes No <br /> Lancaster Laboratories,Inc.2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />