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+Lawaster Ltoratnripq For Lancasterboratories use only ,1 <br /> W?*fequaityiSasdence Acct#: Sample# T sow: LJQ <br /> Analyses Requested <br /> Facility#; Preservation Codes Preservative Codes <br /> Site Address: 13'9 �. !!�;t!2<7-CAJA H=HCI T=Thiosuifate <br /> Chevron PM: N=HNO3 B=NaOH <br /> Lead CoS=H2SO4 O=Other <br /> Consultant/Office:--� "ri"� c ❑ ❑J value repotting needed <br /> Consultant Prj.Mgr.: o m N ❑Must meet lowest detection IGmb <br /> Consultant Phone 91(r �G 1' af1 Fax#: U © ❑ El possible for also compounds <br /> $ o �;, 8021 MBE Confirmation <br /> Sampler: �A-i I�. �� S 1N <br /> Service = z' a ❑ ❑Confirm highestbhit by 8260 <br /> Order ❑Non SAR: ❑Confirm all hits 6260 <br /> Field Repeat TopCL Time New m + $ ❑Run_oxys on highest hit <br /> Unt Name x m b C Fi c7 c°� I° A i ❑Run,oxy's on an hits <br /> it L -- — <br /> I <br /> YX Comments 1 Remarks <br /> QJC�s 1NC.tu� <br /> 1A <br /> Turnaround <br /> Turnaround Time Requested A Rellnquus D t Time Rece! <br /> t# (TAT)(Please circle) 1, f__ Date Tartie <br /> S 4 day 48 5 day <br /> Reli quishe by: y a 'T1" ;RTMIved <br /> 24 hour y Date Trine <br /> Data Package Options(please circle if required) Relinquished by: Date Time <br /> y: ate Time <br /> QC Summary Type I Full <br /> j Type VI(Raw Data) ©Coeft Defiverable not needed Relinquishe ercial Carrier: <br /> y: Date Tsne <br /> WIP(RWQCB) �vl�1L tResuas 33 : UPS FedEx Other �DiskTemperature Upon Receipt �Co a In ct? es o <br /> . Lancaster Laboratories,Inc.,2425 New Holland Pike,Pqft Lancaster,PA 17605-2425 (717)656-2300 34 v_10/04/01 <br /> Copies:White and yellow should accompany samples to LancallWboratories. The pink copy should be retained by the client. <br />