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r <br /> Chevron rJo! r rg ➢ f Analysis RecluestlChain , Custody f <br /> *LaxasterbbombflesAcct For Lantosses use only <br /> # a �o- Sample e 4 33 7So SCR# � <br /> Wiseve quality s a saersct? <br /> Analyses Requested �Y13 8{ Q. <br /> Facility# Preservation Codes �J Preservative Codes <br /> Site Address ? / Ly 4'�' <<G N=HCI 7= late <br /> CL NaOH N=HNOs B=NaOH <br /> Chevron PM Lead Cons ant ` ,� S=H2SO4 O=(mer <br /> Consuftant/Office i 7 A2(12d f �_ ❑ c " ❑J value reporting needed <br /> g ❑Must meet lowest detection limits <br /> Consultant Pry Mgr 4001j' ible fbr 8260 <br /> � � pose oatnpounds <br /> Consultant Phone#9 a� �'" "1 Fax# a o 4 8021 MTBE Confirmation <br /> Sampler Z aCa505 ❑Confirm hrghest hit by 8260 <br /> Service Order# .� ❑ ❑Confirm all hits by 8260 <br /> ❑Non 5AR m as is $ $ A ❑Run_oxy's on highest hit- <br /> Field Repeat Top Time New <br /> Pant Name M D Mo F (D U ❑Run_ _ox on all hfs <br /> -`0.7 X X Comments I Remarks <br /> ` X K -t ",hun al <br /> _i X anal ses pGr <br /> a <br /> Time Requested(TAT)(please arde) r u by 3TJime Received by Date rime <br /> STD TAT 72 hour 48 hour Ren Tme Reoehred by Data Time <br /> our 4 day 5 day �J <br /> Data Package Options(please circle if required) Relmqu Time Received by Data Time <br /> OC Suitimary Type l—Full Relinquished mesal Carver <br /> Type vi(Raw Data) (3Coelt Deliverable not needed by Date The <br /> vylp lamb) UPS edl_x Other <br /> Disk Temperature Upon Receipt..e:j�z� C° Custody Seal In ? Yes No <br /> Lancaster Labomtones,Inc.,2425 New HollandllPdte,PO Box 12425,Lancaster,PA 17406-2425 (717)&5r-2300 34M Rev 10104/01 <br /> Copies White and yellow should accompany samples 6o Lanr laboratories The pink cagy should be retairied by the client. <br />