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I�Uncaster Laboratories For Lancaster Laboratarig�a�se only ` <br /> Acct.#:VOwequalityisasctence. b Sample#: 1 <br /> Analyses Requested <br /> Facility#: i0— Preservation Codes Preservative Codes <br /> � H=HCl T=Thiosuifate <br /> Site Address: 1\ Q,�•G• ' N=HNO3 B= NaOH <br /> Chevron PM: Lead Consultant: n S=H2SO4 O=Other <br /> Consultant/Office: El [IJ value reporting needed <br /> if �s ro tg ❑Must meet lowest detection limits <br /> Consultant Prj.Mgr.: ` U possible for 8260 compounds <br /> Consultant Phone . G Fax q[(b%Le hD u - o 8021 MTBE Confirmation <br /> m ❑Confirm highest hit by 8260 <br /> Sampler: E o o C. <br /> 0 0 ❑ ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: o z �2 2 <br /> _ � <br /> CL + o o „ ❑Run_oxy's on highest hit <br /> Field Repeat Top Time New o oW a N ❑Run_oxy's on all hits <br /> Point Namg M t Y Month Il t FieldPt 0 I— �- m <br /> O 4 D ` Comments 1 Remarks <br /> �a Q, <br /> rzb <br /> 1�• <br /> - - - - - - - - <br /> l <br /> 1 'b <br /> 3• <br /> I shed by: ate Time Received by: Date Time <br /> d time Requested(TAT)(please circle) (A; <br /> ( 1 <br /> =D..T 72 hour 48 hour 2?qeui�shed by: Date Time Received by: to Time <br /> 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by: Date a Received by: Date Time <br /> OC Summary Type I--Full :lb : Date Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier: Y �y <br /> UPS a Other v9), 1fc�7 <br /> WIP(RWOCB) <br /> Disk Temperature eceipt C° &STody Seals Intact. Yes No <br /> Lancaster Laboratories,inc.,2425 New Holland Pike, PO Box 12425, Lancaster,PA 17605.2425 (717)656-2300 <br /> 3460 Rev. 10/04/01 <br /> Coples:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />