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t• <br /> '+ - <br /> +Lamaster Wr�s Forster laboratories use only / ^ <br /> Where quality is a sdenc-� <br /> Acct.M Sample#:C39 SCR#4Lj! O <br /> Analyses Requested Grn l�� 0a(0 <br /> Facility#: 4-n�57_ __._ Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: / t a N=HNO3 B=NaOH <br /> Chevron PM: Lead Consultant: E2 <br /> S=H2SO4 O=Other <br /> a <br /> 0 0 [1J value reporting needed <br /> Consultant/Of li /e6 <br /> Consultant/Office: -a 1. L, ews 52G9� � o c ❑ <br /> Mgr.: o a N ❑Must meet lowest detection limits <br /> Consultant Pd. 9 a_ Z o possible for 8260 compounds <br /> Consultant Phone#: _Q�f�,— Io1 -tX�Q_J ax#: 4�f1�a[g,�_� o 0 O 8021 MTBE Confirmation <br /> Sampler: m D g a ❑CC C-4 <br /> Confirm highest hit by 8260 <br /> Service Order#: 3 2 © ❑Confirm all hits by 8260 <br /> ❑Non SAR: z Ln <br /> E — m ❑ + w ❑Run_oxy s on highest hit <br /> Date Time l o s@ _ o = a <br /> Sample Identification Collected Collected (9 U to 3: O ❑Run_oxy s on all hits <br /> 1r7.j LaaC X X Comments I Remarks <br /> v f >t )L X <br /> X <br /> Relinquis7- <br /> ST <br /> : Date Time ecelved by: Data Time <br /> Turnaround Time Requested(TAT)(please circle} a 1 <br /> >>TAT 72 hour 48 hour R ed by: Date Time Received Date Time <br /> hour 4 day 5 day J <br /> i <br /> Data Package Options(please circle if required) uished by: Date Time Received by: Date Time <br /> QC Summary Type I—Full <br /> T Relinquished by ercial Carrier: b <br /> Type Vi(Raw Data) ❑Coelt Deliverable not needed UPS by: Time <br /> �� pier � <br /> WIP(RWQCB) l 3 <br /> A <br /> D0TA-n <br /> ►sk Temperature Upon R l co 7� d 3 D stody Seals I Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,Pn Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.7130101 <br /> Copies:White and yellow should accompany samples to Lar r Laboratories. The pink copy should be retained by the chant. <br />