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• • • o " - • • • ' - • - o • • • <br /> i <br /> LLaboratories r. For La ter Laboratories use <br /> # amaster <br /> on�c- <br /> iA?aerequ��yaasaance Acct # N tP Sample# T a SCR# <br /> O �J � U �O Analyses Requested <br /> I I <br /> Facility# 9-2033 Job#3385847 Globel IQ#M(307700702 Matrix Preservation Codes Preservative Codes <br /> H=HCl T=Thiosulfate <br /> Site Address 508 CHARTER 11iMY. S I QQK LQbl. CA a N=HNO3 B=NaOH <br /> 5=H2SO4 O=Other <br /> Chevron PM Robert Cochran Lead Consultant SECOR <br /> 2 N m Q p J value reporting needed <br /> Consultant/Off a o c <br /> —fir�C-7-& I q 0. coo N g ny V ❑Must meet lowest detection limits <br /> Consultant Pq Mgt'Deagna-L k riinn filaanna r�nnnr r�r+ I 110 <br /> O U ❑ ❑ �• possible for 8260 compounds <br /> Consultant Phone# +-S Fax# �2_rfii_7RaCL! o o ❑ 8021 MTBE Confirmation <br /> �� �' ❑ 2co a in � o ~ � �Cortfirm highest hit by 8260 <br /> Sampler �c+eivl M.1,re a; E Lu o o m <br /> N � � ❑ � ❑Confirm all hits by$260 <br /> Service Order# []Non SAR c Q z <br /> CL m , $ $ o p ❑Run_oxy s on highest hit <br /> Date Time o o o z m � ❑Run _oxy s on all hits <br /> Sample identification Collected Collected 0 U m to m <br /> Comments/Remarks <br /> AfAl' (2513 ?CI Go K X ?- XXX �TSritu N( <br /> W-2 ! CO <br /> - 3 //3 'E G w Eke Frt7iF�� <br /> R66nquished by t Time R by Date Time <br /> Turnaround Time Requested(TAT)(please circle) � <br /> STD TAT 72 hour 48 hour lin uis dby 1�4 $�te Ti -fit ive byg116f�' � Time <br /> 24 hour 4 day 5 days / <br /> Data Package Options(please caro a if required) Relinquished by Date Time Received by Date Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coen Deliverable not needed Relinquished b eraal Carver R Ivsd by' Zaj <br /> Time <br /> UPS I FedEx Other8. Qm <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt— -S C. Custody Seals Intal? es No <br /> 0 Rev 71W/01Lancaster Laboratories,Inc,2425 New Holland Pike, x 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> S Copies White and yellow should accompany samples to LanMLaboratones The pink copy should be retained by the client is <br /> I <br />