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Lancaster t..aborator�es ! For Lancaster Laboratories use only <br /> Accl.#: _v n G Sample#: 3 7 69 3 3 =S SCR#: <br /> Mereq zUtytsascience. — k' o <br /> O V� 6' i Analyses Requested C' "3 751 Z <br /> Facility#:9-0557 Jab# 386843 Global IDI 70607700391 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: 139 SOUTH CENTER STREET STOCKTON CA a N=HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> Chevron PM: Robert Cochran Lead Consultant: Secor <br /> U) c <br /> ❑ [IJ value reporting needed <br /> Consultantl0ffice:G—R Inc 6747 Sierra Ct #J Dublin CA 94565 o ❑Must meet lowest detection limits <br /> o a w t3 <br /> c � <br /> L. - possible o <br /> CansultantPrj. Mgr.: Deanna . Hardin deanna om poss for 8260 compounds <br /> rinc.c <br /> z o ,� <br /> U <br /> ❑❑ ❑ <br /> o 8021 MT9E Confirmation <br /> Consultant Pho #: 925-551-7555 Fax#: 925-551-7899 0 cr 0 <br /> C4 <br /> ❑ o [j Confirm highest hit by 8260 <br /> Sampler: *Vr N a ? m $ k ❑ ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: a Z `� '� C]Run`oxy s on highest hit <br /> Date Time 2 o 'o cc o [1 Run T oxy s on all hits <br /> Sam le Identification Collected Collected U �: o m <br /> X Comments!Remarks <br /> -5 X k <br /> 1• •� X DY4 X <br /> Rel' h Date Time Received y: Date Time <br /> Tu d Time Requested(TAT)(please circle) as <br /> j STD. 72 hour 48 hour Relinquished by: Da Time Received by: Date Time <br /> 24 hour 4 day 5 day <br /> rA <br /> Data Package Options(please circle if required) eli quish by: D to Time Rivetof <br /> y: Date Time <br /> 00,9 15307�+� we_. H <br /> QC Summary Type I—Full Relinquished by Commercial Cam Re Date Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed } <br /> UPS FedEx Other <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt 77S7—s C. Custody Se intact? foto <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.7130101 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />