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� w f <br /> For t ancalt/f LaborMcrl/l Ull only Q �`] rJ <br /> Lancaster f_abwtit es Acd 0 i <br /> tMXreQuarityaasrewe 9 w F ��O <br /> 6— O S Analyses Requested f S <br /> C. D Matrix <br /> Preservation Codes Presarvetive Codes <br /> Facility# SS�tS 2fl33-OMI. G R#386847 Global !D#Tt]6t)77IX3702 H=HCi T=Thiosulfate <br /> 508 CHARTER WAS' STOCKTON, CA o N=HM03 a=kaOH <br /> Site Address S=H?SO4 O=Other <br /> Chevron PMDR Lead Consu tans-SECORGF <br /> Q J value reporting needed <br /> W <br /> r-R Inc :7d7 5stttsa Court,Scute J, pubiln,Ce 94568 w13❑ c�5 13 Must meet lawest detecW llmlts <br /> Consultant/Office ° rY <br /> � � c possible for e260 oc,mporrnds <br /> Consultant Pri Mgr Deanna L Harding ttiBanna�griflC cam) l( <br /> ❑❑ U "r p Q4 © 0 8021 MTBE Confirmation <br /> Consultant Rhone#q25-551 -1555 Fax# 925-551-7599 <br /> c a ti <br /> � (;}Confirm highest hEt by 8260 <br /> Sampler — r�tA�� T © E S 2 ❑ t ©Confirm ail hits by 8260 <br /> Non SAR z a ❑Run oxy s on highest hit <br /> Service Order# © is $ <br /> Date Time e p o re �e D u ❑Run qxy s On all hits <br /> Sample Identifiw6on Collected Collected t7 U N O �– m m -' comments!Remarks <br /> -- — . - — -- *"l;Vr <br /> w�- S <br /> --�- Mss }. — - ETIA o a <br /> '� — c.� V11"t E�DSsta�4 <br /> — — -- Fox. TP ►�-+�a`t <br /> ------ — ttgLu li Sit-ICA 6-9L <br /> —- _ CLC X40'4 tP CIO-) TPEt-4 <br /> - — — — TPS--#4o N rM <br /> Reh iced by �... <br /> Data Time Received by Dat Time <br /> Turnaround Time Requested(TAT)(please dmie) -("t7 <br /> 5T TA 72 hour 48 flour Raft wished by pa�e Time Rec rued til to firm <br /> 2e hour 4 day 5 day <br /> Rel sh <br /> A0 Time R ,�q 4, Time <br /> Data Package Options(please circle if requrred) I IA ZLO at ]�c �4-t-� 4l 4 <br /> OC Summary Type I—Full Rei ]eiShBd r / Received by Date Ttme <br /> Type vI(Raw Data) ❑Cosh Deliverable notneedEDFIEDDL"4"y ,/ ��, r <br /> WIP(RWOCB) UPS ed Other <br /> ---�*AL avo— <br /> Disk Temperature Upon Receipt CLIT 1 ' C° Cu�y Intad'I a No <br /> Lancaster Laboratories Inc 2425 New Holland Pace PO Box 12425 Lancaster PA 176052425 (717)$56-2300 3460 Rev 71301x1 <br /> CoMs White and yellow should acwrrpany samples to Lancaster Laborat"s The prnk Copy should be retw"d by the rJ+eni <br />