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' r� rl �r rr r ■r rr r <br /> lysis <br /> Lff .... r <br /> awaster L. b Q I {} For Lancaster Laboratories use only <br /> Wherer tyrsasderue Aat Sample# 101Sa3— a seRk ya3) <br /> Analyses Requested <br /> Facility#_ !5-1'7_5Preservabon Codes pn ervathee Codes <br /> Site Address 30 W115* XL Je M Ltyl f (A Q H=HCl T=Thiosuifate <br /> = N=HN% B=NaOH <br /> IChq,MnPM ?ob oC h ` Lead Consultant S'2fole, S=H2SO4 O=Other <br /> ConsultantlOffloe 3D l 7 <br /> CAAChn Cn�d V q c ©J value reporting needed <br /> Consultant Pq Mgr 130b 1<50/3 c ❑Must meet lowest detection[cuts <br /> �j 0 0 possbie for 82fi0 compounds <br /> Cansuftant Phare# `f�k�$(al_tK/00 Fax 16� .Uy a o a 8021 MTBE Confirmation <br /> Sampler GAA C l ill m m Q <br /> ,L a m C1 Confirm highest hit by 8260 <br /> E _ <br /> Settee Order# ❑Non SAR Z ,�, iZ [I Confirm all hits by 8260 <br /> tn <br /> Field Rapeat Top Time New m c � + a � � � ❑Run�oxy's an highest hit <br /> P N M x le t]e ar Mo Oa ollected Field Pt t9 v m p Run oxys on all tide <br /> O O o e 70 Comments l Remarks <br /> .0t <br /> -Z z 03 08 �o <br /> b D 7D <br /> 'R D b$ 7.c Ipit) k <br /> b3 o 5 zJ 151490 x y k <br /> Turnaround Time Requested A Reh uished by- Date Time Rene b71 Date Time <br /> eq (TAT)(Please circle) 9! vo <br /> TAT 72 hour 48 flour <br /> 24 hour 4 day 5 day [Re by Date Time Received by Date Time <br /> Data Package Options(please rarde if required) Relinquished by Date Time Received by Date Time <br /> QC Summary Type l—Ful! <br /> Type VI(Raw Data) Coelt deliverable not needed Relinquished by Commercial Camer qGTked by a� <br /> WIP(RWQCB) UPS ed x Other <br /> eYX <br /> Desk Temperature Upon Receipt'( C° Custody Sea r1 Re <br /> G[7 Yes p �r� <br /> fancaster Laboratories,frlc,2425 New Holland Piste PO Box 12425 Lancaster PA 17605 2425 (717)656 2:100 3460 Rev 10!04!01 <br /> Copies White and yellow should aocompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />