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Chevron • - • • ' - • - • • •R <br /> 25 <br /> Lancaster Laboratories J�\ - { i gl 1 For Lancaster Laboratoriesepnly " <br /> g' J� �� Acct.#: 1 Sample#: �nt��'1�I A�S O t� SCR#: <br /> Where quaftyis a sdence. <br /> • ` � � Analyses Requested O`1��++�� <br /> QSo <br /> Facility#:--rw Matrix Preservation Codes Preservative Codes <br /> pr wCA; H=HCI T=Thiosulfate <br /> Site Address:_ S S W {„� ���. ❑ N=HNO3 B=NaOH <br /> t f S=HzSO4 O=Other <br /> Chevron PM:�:ik ��4+ _Lead Consultant: 15 '� A-Gc <br /> m m m Z ❑J value reporting needed <br /> Consultant/Office: 301 - k•'kart. tow 5�.,k tyo, i +.(WAd^ CA A o 2. � � <br /> o r o a. 2 t4 ❑Must meet lowest detection limits <br /> Consultant Prj.Mgr.: ban 5"mr a z oW possible for 8260 compounds <br /> p a❑ u E] ,� ❑ <br /> Consultant Phone* 116-JrL1-01w Fax#_Sf L .0-61-17120 o N 8021 MTBE Confirmation <br /> T m o ❑ ❑Confirm MTBE+Naphthalene <br /> Sampler: J Ort' S ^� GA-L R iG)ITZ '�t�T d E m = o ❑ _ ❑Confirm highest hit by 8260 <br /> Service Order M ❑Non SAR: 0 Q z � o fL aG a = ❑Confirm all hits by 8260 <br /> M _ a? ❑ :° .2 ❑Run_oxy s on highest hit <br /> Date Time co o co — o f�I g <br /> Sample Identification Collected Collected 89 0 8 3. O � m m I � ! � > z ❑Run_oxy s on all hits <br /> IxComments/Remarks <br /> 0 aro S� •_� a; <br /> Okat7 to l 0.yt}�or�.S;Jl;a;Q64.' '. <br /> - V11.1. o kC e 3�ti+.�t <br /> O to Z +J <br /> • 2 •t7960ha <br /> • 0 ro 4 Z <br /> 2 .t7 • ry Iy�S� X X <br /> r3aItJ 1ak <br /> titer <br /> I.)e' + <br /> Reli ed by: Date Time Received by:, Dat Time <br /> Ind Time Requested{TAT)(please circle} a►�3�,ie g Z �� v <br /> STD. 72 hour 48 hour RelinquisheoFo f Date Time Ive by: Date Time <br /> hour 4 day 5 day 3 <br /> Data Package Options(please circle if required) Relinquished by: Y Date Time Re ed by: Date Time <br /> ' <br /> QC Summary Type I-Full Relinquished by Commercial Carrier: R ived by: tto Time <br /> Type VI(Raw Data) Disk 1 EDD C1 <br /> WIP(RWQCB) Standard Format UPS � Other j Zv <br /> Disk Other. Temperature Upon Receipt 'L co Cust y s Inta )�LM No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (71T)6 4 3468 Rev.816101 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />