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� '1 � r 1' ' ,' 1rr, f S'� ] f�� i , r �j ,Fti �rrflg� lir `, � Viii; ° 7 (•}� l.. ti �i ,( ' i <br /> Lancaster Laboratories For Lancaster Laboratories use only <br /> WherequaIrtysasoence Acct.# � Sample# 14– S5J7 5.7.9 � <br /> Analyses Requested <br /> Facility# Preservation Codes Preservative Codes <br /> Site Address�� �1� 1� �,. �„�. r �� CLN =HNO3 B=NaOH <br /> rIfate <br /> Chevron PM A70,, +ter Lead Consultant _C'O <br /> E S= H2SO4 O=Other <br /> Consultant/Office /4:6ln ❑ ❑J value reporting needed <br /> Consultant Pr) Mgr � ❑Must meet lowest detection limits <br /> Consultant Phone# `3/ly /'���t'OD F # J/6—$�,/�Q• �a o 0 0 © ❑ possible far 8260 compounds <br /> 4 N a N 8021 MTBE Confirmation <br /> Sampler w aO o ❑Confirm highest hit by 8260 <br /> Service Order# y ❑Confirm all hits b <br /> C3 Non SAR o Z _� y a2sa <br /> CL <br /> Field Repeat Top Time New m o + a ❑Run—oxy s on highest hit <br /> Point Name Matrix Sam le De Ye oil ed Field C7 U 1�— m o- ,a ❑Run,oxy s on all his <br /> �'3 Comments t Remarks <br /> 7 ylD <br /> —U�l <br /> T-UffVJfMK <br /> pRelinq <br /> y Date Time Received by Date Time <br /> d Time Requested(TAT)(please«rote) 510 <br /> � G <br /> �AT 1 T <br /> 72 hour 48 hour u <br /> Dae Time Received by Date Time <br /> 4 day 5 day - <br /> Data Package Options (please circle rf required) Relinquished by Date Time Received by Date Time <br /> QC Summary Type t—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Rehngwshed m eroial Carver Re ed y D to Time <br /> W!P(RWQCB) UPS Fed Other 0?f <br /> Disk Temperature Upon Receipt Co Custody Seals Intact Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 10/04/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />