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' ' • @Ofr . . <br /> f217, <br /> (� Lancaster Laboratories For Lancaster Latlaratories use only o <br /> Acc! S Sampled <br /> fMa�qr�aFfysascepnce � scltu o <br /> ` II <br /> f -ro& }7 -)ej(j�S-1 Analyses Requested <br /> II <br /> Facihly 'S7 7 ' �-� �— �(a�v�r �,T ^_ Matnx � Preservation Codes Preservative Codes <br /> Site Address lxo V —�' © H=HCI T=Thiosullate <br /> i <br /> N=HNO3 B=NaOH <br /> CJievronPMr—Rc ad Consultant-- �CJQ. _ S=HZSO, O=other ; <br /> Consuilanuoffice Ct F ( I% J0 tu $ OJ value ceposting needed <br /> Consultant Pq Mgr �a=�r °rt (� c d z p�p d I 0 Must rnael lav,est detection 1rrn1S± <br /> 130 U A I possible for 6260 compounds <br /> Consultant Phone 9 Fax fit_ o � � 4 m <br /> 0I 8021 MTBE Confnabon <br /> n n <br /> Sampler t g' �❑L= fua ❑Confirm MTBE+Naphthalene <br /> Service Order# i ❑Non SAt o t4 °: = i ❑Confirm highest hit by 8260 <br /> v n y Z G o _ ❑Confirm all hits by 8260 <br /> Date Time m E 0 '3 x J I ❑Run okys on highest hit <br /> Sample Edentificatron I Collected Collected 0 U fnn O m •Ni z ❑Run oxy s on all hits <br /> 1 r.7 y Comments!Remarks <br /> �[1 - XT— <br /> j 14 1 1 IIELt- it T1 I I <br /> Turnaround Time Requested(TAT)`{please cucle) Fielingiristted by ?.Dole Tkn—e Received by pale Time <br /> � <br /> STD TAT 72 hour }� 48 hour a q yCv�•d �� <br /> 24 hour 4 day ` 5 day Relinquished by I le Tare R cc ped <br /> i' Dale 7rrrre b <br /> Iftj o <br /> Data Package Options ipteeseurdo]f required) Relinquished by 0 Date Tsme Received by Date f 7rawQ <br /> OC Summary Type 17 Full f r II <br /> Relinquished bJ1 Commeecral Carrier <br /> Type VI(Karr Data) Disk!EBD Received by Date Time �. <br /> WIP(RWQCB) Slarrdard Formal UPS FedEx Other <br /> ` L f Disk Other # r;; teraluUpon Recelp! C' <br /> Custody Seals Intact? Yes Ho <br /> h <br /> Lancaster Labwarodes,Inc..2425 New Holland pace,Po 8425,Lancaster PA 17M-2426 (717)65612300 <br /> Coples While and yellow should accompany samples to tancasle stones. The pink copy should be retained oy the client 35663 rn <br />