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Erma-== <br /> For Lanca <br /> +Larnder <br /> �.�O&rim Acca.# Sample t SCR# <br /> Wheregt�lltyrsasaerlce / _ -4�'�=is�� — <br /> D6 Analyses Requested ,Q <br /> r <br /> Faality# 1001621 G-R* 366883 GLOBAL ID# 70607700004 Matrix Preservation Codes Preservative Codes <br /> H=HCl T=Thlosutfate <br /> Site Address 22888 KASSEN ROAD, BANTA, CA a (,/1 N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consultant SECORBJ Q D S=H2SO4 0=Other <br /> m m m C5 ko too <br /> ❑J value reporting needed <br /> ConsuRant/OFfice G-R Inc, 6747 Siena Court, Suite J, Dublin, CA 945b z z J Must meet lowest detection limits <br /> JJ <br /> Consultant F41 Mgr Deanna L. Hardin deanna@strinc.com N t3* � possible for 8260 compounds <br /> 130 � J 8021 MTBE ConRnnatlon <br /> Consultant PCChlon/ne�#t 925-551-7555 Q� Fax#' 925-551-7899 o a o <br /> Sampler _ n C"t 1�- �y�_LZ C] o Z ❑CoMirtn highest htt by 8280 <br /> o <br /> Service order# [3 Non SAR a z'E CIE ❑Corfirrr,an hire by alae <br /> E m © + $ + ❑Run_oxy a on highest hit <br /> Sample Identification Collected <br /> TimeCollected (�7 (� th tj ° m W X [3 Run_oxy s on all hits <br /> A Comments 1 Remarks <br /> L A I A /L <br /> I d _ Time m <br /> Turnaround Time Requested(TAT)(please dudDate b Da Time <br /> dude) Date <br /> FsTO <br /> 72 hour 48 hour R 1 Date A Time Received by D e Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle If required) Relinquished by Data Time Received <br /> ,/ J) by at Time <br /> QC Summa n/j,-L 4-" 2 <br /> Summary Type I—Full Relinqufsfied by Commerda[Cavite Racal date Ti e <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed , ✓� <br /> WIP(RWQCB) UPS FedEx her L Z Qf(� <br /> Disk Tem rature Upon Receipt • S <br /> pe po p Co Custody sears rnlaon 71'9') No <br /> Lancaster LaboraWes,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />