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1 4111 • • • O <br /> Labor&lies For Lancaster Laboratories use only <br /> +Larxwter <br /> WWequahtyrsa50&XeAcct # v Sample# i3r'$r,'1144– SCR# <br /> q-2,6 0 Analyses Requested V Z039 0 <br /> Facility#9-2033 Cb#38984T a T 7007 Matrix Preservation Code Preservative Codes <br /> 1k d <br /> .D8 CHARTER W4Y, ',STOCKTON CA H=HCI T=Thiosulfate <br /> Site Address <br /> 4 N=HNOs B=NaOH <br /> Chevron PmRobert Cochran Lead Consultant Secor S=H2SO4 O=Other <br /> G-R Inc 6747 Sierra Court Dublin Ca 94568 � m U ❑,i value reporting needed <br /> Consultant/Of lice , m O c ❑ 8 <br /> Consultant Pr M peanna L Harding (Deanna�rinc com} a. z r m - ❑Must meet knnrest detection limits <br /> J g ❑❑ U � possible for 8260 compounds <br /> Consultant Phone X25-66�-�`�`� Fax# 925-�61`7899 o _ g © 8021 MTBE Confirmation <br /> Sampler __ Q�Q1t` 1�?�-1 13dAf1 I m ❑ ~ ❑Confirm highest hit by 8260 <br /> Service Order# ❑Non SAR o a Z 5 $ 07 ❑ ❑Confirm all ids by 8260 <br /> E _ + $ a 9 '� ❑Run_oxy s on highest hit <br /> Date Time P E o ca © e � a II V1 Q [I Run`oxy s on all hits <br /> Sample Identification Collected Collected U) � o a, 1 <br /> •OCL C Comments 1 Remarks <br /> t,DX S)nLVLD <br /> �a I <br /> 13 Xk X M%sus w1hV4. - <br /> �q 53 3 S"1110 4MAIL6 <br /> I <br /> I <br /> I <br /> I � <br /> Reltnquished � Time R d by to I Time <br /> T �nd?line Requested{TA1�)(please circle) ' ,72 hour 48 hour Relin uished by D to Time R ed b ate }Time <br /> 2 4 day 5 day Din A-/-,A a <br /> Data Package Options(please circle if required) lI kA <br /> R in fished Date Time Receiv d by Date i Time <br /> Q <br /> t <br /> QC Summary Type 1—Fuq S ti <br /> T VI Raw Data Relinquished fay Commercial f Receive <br /> Type ( ) ) ❑Coelt Deliverable not needed UPS FedEx then t } �0 Date, <br /> WIP RWQCB <br /> Disk Temperature Upon Receipt 2. --2 Sc- Custody Seals Intact? Ales No � <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 17605-2425 (717)656-2300 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lanc4aboratodes The pink copy should be retained by the client <br /> { <br /> t <br />