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/ �d3_ �U <br /> For Lancaster Laborato a se only • z <br /> Lamaster ries 1 3 ' St;R# a <br /> A,#• O ,Q Sample# <br /> Analyses Requested + U ✓`r <br /> SS#1001621 G-R#386883 Global 1D#TOW7700004 Matrix Preservation Godes PreservatlA Cc*1es <br /> 'Tacihty# H=HCI T=Thmosulfate <br /> Site Address 22888 KASSEN ROAD, BANTA,CA a N=HNO3 B=NdOH <br /> RC SECORSG oQ i S=Hz,So. O=Other <br /> Chevron PM Lead Consultant f2 A <br /> G-R, Inc.,6747 Sierra Court, Sults J, Dublin, Ca 94568 o w ❑ c 0 O ❑ value reporting needed <br /> Consultant/Office a 8 s lust meet lowest detection Ihnfts <br /> ConsultantPq Mgr DeannaL Harding (deanna@gnnccom) z 0 � possible for 82W oomp=Ws <br /> ❑ J <br /> Consultant Phone# 925.551-7555 ax# 925.551-7899 o & o 8021 tuITi3S confirmation �. <br /> M ❑Confirm highest hit by 8280 <br /> Sampler O C l� E 13 m `� 0 ❑Confirm all hits by 8260 <br /> Servloe Order# ❑Non SAR — m ❑ z $ S o 0 Run,oxy s on highest hit <br /> " l4 ❑Run_•,T oxy s on all hits <br /> Sample Identification Collected Collected 0 U r°n 3 0 E <br /> comments <br /> rr!Remarks e � <br /> u A 0; o3 $ X x ��-7 f �� <br /> W4,AQY 5— X 17 rSo � g X xMW LP X -X X <br /> o x <br /> t x MW - 0103 603 �c X <br /> 4 ? 03 030`110x X X <br /> W- 4 f a Oz d 1 t,5r X X <br /> Mv�- 1a 1) 01 0 1 s X X <br /> w -a a o 0� x x <br /> � Relumquisned by Date Tune <br /> Time <br /> Tumaround Time Requested(TAT)(please circle) Q <br /> STD TAT 72 hour 48 hour *Date <br /> Time �eived by <br /> 24 hour r 4 day 5 day Time Received by Date Time <br /> Data Package Options(please circle If required) Rel�tyl <br /> QC.Wummary Ty*l•—Full Relinquished by Commercial Care+ <br /> Type VI(Raw Data) E)Coek Deliverable not needed UPS <br /> Disk F4dEx timer I j `� r <br /> (RwQCB) <br /> Disk Temperature Upon Receipt_Z' �__C° Custody Seals Intact? Les2 No <br /> Lancaster laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)6W2300 3460 Rev 7130!01 <br /> Copies White and yellow should accompany samples to Lancaster Laborakdes The pink copy should be retained by the client. <br />