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Chevron iysis <br /> r rRe-lion ` r i <br /> y ForLancasterLaboratories use I r�a{A (;3 <br /> Lancaster Laboratories Acct. : C�c4��v Sample#: SCRM <br /> Where quaW is a science. q MIQ 3! -L4'� <br /> Analyses Requested G 4 a 7 <br /> Facility#: `4-4<-H•-l d 553 • oz-' <n 36-2n _ Preservation Codes Preservative Codes <br /> H = HCl T=Thiosulfate <br /> Site Address: 1 C N = HNO3 8=NaOH <br /> S = H2SO4 0=Other <br /> Chevron PM: Lead Consultant: u, iv <br /> El El J value reporting needed <br /> ConsultanttOffice: M Y <br /> �, ❑Must meet lowest detection limits <br /> 0o possible for 8260 compounds <br /> Consultant Prj. Mgr.: ° <br /> Consultant Phone#: 9«v "glv/ �O<7_Fax#: o ❑ 8021 MTBE Confirmation <br /> (} N <br /> oo n o m ❑Confirm highest hit by 8260 <br /> Sampler: E m 5 .� ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: a Z - <br /> a + o o v ❑Rur_oxy's on highest hit <br /> Field Repeat lop Time New a o w z = ❑Rur_oxy's on all hits <br /> Point Name Matrix Sam le De th Year Month Da Collected Field Pt. F- m aco <br /> n �Z�(• a 17,30 1 Comments I Remarks <br /> 17,399' l 1� C5u-�,� <br /> I Ole 73Et b3lo �� � <br /> 2 . I <br /> zs� ! <br /> ^� 1300 E <br /> X00 <br /> Reli a DateTime Received by: Date Time <br /> T01, <br /> nd Time Requested (TAT)(please circle) 2�'G3 [l�60 4:-600S T 72 hour 48 hour ReEPV <br /> ed by: Date Time b : Date Time <br /> ��u <br /> r 4 day 5 day <br /> Relinquished by: Date Time Received by: Se <br /> Data Package Options(please circle if required) <br /> QC Summary Type I—Full Relinquished o mercial Carrier. R c ived by Time <br /> Type Vk(Raw Data) ❑Coelt Deliverable not needed UPS FedEx Other 1\MP(RWQCB)pisk Temperature Upon Receipt C° Custody Seak n ct? es <br /> Lancaster Laboratories, Inc., 2425 New Holland Pike, PO Box 12425, Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10104101 <br /> Copies:Write and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br /> I <br />