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jion Analysis RequestlChain of CIL. '.xfv <br /> Wherequ [yt5ascrence Avc:t-t sample /_�-3(o $d <br /> r <br /> Analyses Requested <br /> Faaldy#- Q 27S L Preservation Codes Preservative Codes <br /> ��� H=HCl T=Thiosulfate <br /> Site Address <br /> N=HNO3 B=NaOH <br /> Chevron PM L,&,,z R_�_ Lead Consultant -S s=H�SO4 0=other <br /> ConsultanVOlfice �o 1-7 14 1a& C_ � ICAO "� c ❑ c� ❑J value reporting needed <br /> ICA— er <br /> Q $ � 0 ©Must meet kywest det+Eschan frmRS <br /> Consultant Pr) Mgr r V possible#or 8260 compounds <br /> Consultant Phone# M Fax# �!� _ a�1-p�3� `o W- o ❑ 8021 MTBE Confirmation <br /> a V ❑Confirm h hit <br /> Sampler � �'lt:�nnol � �, � m o o '- by 8260 <br /> ❑ ❑Confirm all has by 8260 <br /> Service Order# ❑Non SAR z V _ !3 <br /> Field Repeat Top Time New g,1 C 0 � � $ a � � ❑Run_ �oxy s on highest hit <br /> Point N Matrix Sample Year M Collected Field Pt c) F- m ©R�_o Ys.on all has <br /> S 0! 3 o 1 Comments l Remarks <br /> _1;91 3 o <br /> IL 66— 03 w�9�4 TyE <br /> - c 03o H <br /> t 0 E <br /> -1 i � ae X 7VA- <br /> - Z z� 12 - f I x I x I <br /> MU A 5-20 d 1 5�.la o 'z7 X X <br /> So. 06 0 L Y <br /> II'if-ZK-SD` S -I I 2S di OL 271 J ! lei I V IX d13S106 01 27 1 ISTMM <br /> na.! <br /> Regi i ed b to Tune Received by Date Torre <br /> Tuma nd Time Requested(TAT)(please circle) pp W �(:- <br /> 5TD TAT 72 hour 48 hour Ra gZhed by Date Tune Received by Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please ante d required) Relinquished by Date I Time Received by Date Time <br /> QC Summary Type I-Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carver Bceived by Date Time <br /> WIP(RWQCB) LIPS lio OtherU"010 <br /> Disk Temperature Upon Receipt 1 C° C y ntad? be No <br /> Lancaster Laboratories Inc 2425 New Holland Pike PO Box 12425 Lancaster PA 17605-2425 (717)656-2340 3464 Rev 10/04/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retamed by the client <br />