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11 " <br /> { <br /> t <br /> • it • • • • <br /> Ulm <br /> Emu= <br /> r [ W" For Z gst�e "i 1 ries only <br /> 3 °�7� S l Acct,#: Sample#: SCR#: <br /> Laborato I� f Y b <br /> +L31raqer <br /> WIj6gr isasaieruas '� o � 3 Z W Analyses Requested I� <br /> Preservation Codes preservative Gode]ffate <br /> Y <br /> Matrix H HCI T=Thiosu <br /> Facility#: 9-0557 Jobi�` 386843 Global- ft -70607700391 N=HNO3 B=NaOH <br /> Site Address: 13 SOU S IL Hz504 O=Other <br /> crmi '01 pi�value reporting needed <br /> Chevron PM: ROBERT COCftRAN Lead Consultant: SECOR 8CD CO c ❑ ZB p Must meet k>uwest detectiConsultanVOffice: - Q. vble is 8260 compo <br /> O N <br /> Consultant Pd.Mgr.: Aeanna L Hardin deanna r n ❑❑ U ❑ ❑ 0 8021 MTBE Confirmation <br /> Consultant Phone#: 925-551-7555 - Fax#: 925-551-7899 ° a a p Confirm highest hit by 8260 <br /> m <br /> m ❑ E w $ o m © I []Cordirrn all hits by 8260 <br /> Sampler r/Gi� OyCl�lb � M 2 <br /> .0 $ $ Q Run oxy s on highest hit <br /> Service Order ❑Non$AR: <br /> P. <br /> Date F. _ -S 0 `� '� p Run,axy s on all hits <br /> Collected Collected t7 ca O ~ m ~ J x Comments!Remarks <br /> Sam ie identification 103 <br /> if <br /> if <br /> I[ <br /> 1[ <br /> 1[ <br /> 11I tI� Dat Time <br /> Re' ish <br /> Data Time Received by: j 8 It <br /> cc <br /> ease drele) f lE <br /> Turnaround Time Requested(TAT)(pi Date Time <br /> at Time Received by: <br /> D.T 72 hour 48 hour Relinquished by: r O <br /> 5 ( rf <br /> a day <br /> r 4 dy <br /> �[ Time <br /> .. <br /> Relinquished.y: Data Time Received by. <br /> ;" lata Package d'Dons(please circle H required) <br /> '�;... R ! Date Time <br /> E- 'DC Summary Type I--Full Relinquished by r ciai Carrier. 4 , ' �� (� <br /> :'type VI(Raw Data) ❑Coeft Deliverabie not needed Other 1+� 1 <br /> UPS dEx <br /> 'WP(RWQCB) t S Custody Sea s Intact? l Yes No <br /> Disk <br /> Temperature Upon Receipt <br /> if Wo Rev. 7130101 ..: <br /> i ! fr. <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO X2425,Lancaster,PA 17fi05-2425 (717y 656-2300 <br /> Copies,White and yellow should ac company sam I to Lances tones. The Pink cagy should be retained by the client. <br />