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ally ' MAI;&Lawasberr <br /> For ncsster boratories eras only <br /> 1MaeregAftyisasaence. Acct itlV 011l`'1 Sampled: SCF*. 0 <br /> Analyses Requested <br /> Facility#: Q�� Preservation Codes Preservative Codes <br /> Site Address: .)7 70a H=HCI T=Thiosulfate <br /> = N=HNO3 13=NaOH <br /> Chevron PMS, tc _Lead Consultant: _ S=H28O4 O=Other <br /> Consultant/Office:.e.lZ L�l�n a�-N�--p m ❑ O <br /> cJ value reportlig needed <br /> Consultant Pq.Mgr. o C1 Must meet lowest detection limits <br /> Consultant Phone % Y4Q lax#: w © ©possible for 8260 oompounds <br /> 0 o 8021 MTBE Confirmation <br /> Sampler_. �l t LL CR d ❑Contam highest hit by$26p <br /> Service Order fll m ❑ <br /> ❑Non SAR: o z ,�, ❑Confirm all hits by 8260 <br /> Field Repeat TOP Time New .o E + ❑Run —oxy's on highest hit <br /> NPoinAd r (7 U H 0Run„oxy'sonall hits <br /> y S 30Comments)Remarks <br /> r 6 jG �c sZs: <br /> , 1)(_A, <br /> IP& -r-34r IB <br /> FT <br /> .441 <br /> T Time Requested{TAT)(please circle) 60 <br /> R by at Time Race by: Date Time . <br /> S .TAT 72 hour 48 hour Relinquished by: Al ' <br /> 4 day 5 day Date Time Received by: Date Time <br /> [etaPaCkage Options(please circle if required) Relinquished by: <br /> Date Time Rexived by: Date N Tune <br /> QC Summary Type f-Full <br /> Type VI(Raw Data) 0 Coelt Deliverable not needed Relinquished by Commercial Carrier. LRece' Date Time <br /> VVIP(RWQCB) UPS Ex other <br /> Disk Temperature eceipt Co 1 <br /> CustoNSealst? Y No <br /> Lancaster laboratories,Inc,2425 New Holland Pike,Pg&x 12425,Lancaster,PA 17$05 2425 (717)656 2300 ev- 10lD4lD1 <br /> i <br /> Copies:White and yellow should a000mpany samples to Lanaboratories. The pink copy should be retained by the client. <br />