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AM- <br /> 11111111 ! Safii � ` ' ! ! • i <br /> Lancaster Laboratories A:*`D&P9 For=Laboratories lw aboratorles use ants I� o <br /> VW-&e c* 2`10 -23 # 5 Sa�„p� z - A 6(00v( <br /> 5- q I q(5q(_p Analyses Requested <br /> Preservabon Codes <br /> Facility# 10016-2- Preservative Codes <br /> H=HCl T=Thiosulfate <br /> Sde Address Z l�4 e>v� d g N=HN% B=NaOH <br /> Chevron PM Lead Co sultant N S=H2SO4 0=Other <br /> Consultant/Office — p ❑J value reporting needed <br /> :a n13 <br /> Consultant Pq Mgr L��'„ r o cn ❑Must meet lowest detection!units <br /> e _ possible for 8260 compounds <br /> U Q <br /> Consultant Phone# 4!b 1?6 1 ,Qyoe3 Fax# Jl 1, SG 1 [7 3 Cp o 0 8021 MTBE Confirmation <br /> Sampler s UJ o $ Confirm highest hit by 8260 <br /> Z te O Confirm all hits by 8260 <br /> Service Order# El Non SAR <br /> Feld Repeat Top Time New o o ix $ 8 o ❑Run oxy s on highest hit <br /> P in N Matnx m le De th Year Month Da Coll Field P v �- m p Run oxys on all hits <br /> U S comments l Remarks <br /> Re nquis paje Time Re by Date Time <br /> Tu round Time Requested(TAT)(please arcle) L,4 ql4)31_7 <br /> STD Tao <br /> AT 72 hour 48 hour Ref hed by t Time Received /Date ime <br /> 2 our 4 day 5 day 16y-r- <br /> i <br /> Data Package Options(please circle if required) RelFnquis o by Date Time Received by Date Time <br /> QC Summary Type I-Full <br /> Type VI(Raw Data) ElCoelt Deliverable noRelinquished by Commeraai Received b <br /> t needed ,r Y ate Time <br /> NP(RWQCB) UPS _FedEx J Other qc­� / �Oa !•� <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? es No <br /> I <br /> Lancaster Laboratories Inc,2425 New Holland Pike P013ox 12425 Lancaster PA 17605-2425 (717)656-2300 3460 Rev 10104!01 <br /> Copies Whyte and yelknv should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />