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For Lanes ter Laborstorles use only. pf*Lawistere j1 �V S '- 0� Acct.#' o^���0 Sample#: - 3CRlF' <br /> IMieregt�alityaasr�errca - Analyses Requested <br /> Pr�seivetIon Codes: Preservative Codes <br /> SS#9=1452-OML' CrR#386582 Global IDOTO607700554' Matrix K=-HCl . T=Tltrosultate <br /> Facility#: t N=HNO3 l3=NaOH „ <br /> 334 EAST MAIN STREET,'RIPON, CA ° C " S=H2SO4 O=Other <br /> Sits Address. <br /> Chevron PNf�R. Lead'ConsultantSECORBS r3 p J value reporting needed <br /> G-R, Inc., 6747 Sierra Couri,Suite J, Dublin,Ca,9456!3 w c ❑ <br /> Con5ultant1001re: ❑Must meet lowest detection emits <br /> 'r possible for 8280 compounds <br /> Consultant Prk.lsAgr.Dean�ne L. Harding (deanne@grfnc.corrt) i � <br /> ❑ o ❑ ❑ 0 8021 MTBE Confirmation <br /> Consultant Phone#325-551-7555' 'Fax#/:925-55l-7899 + p conihm highest hit by s2so <br /> Sampler: g ❑ Q Contlnn all hits by 8280 l <br /> s Non SAR: a z "' "' ❑Run oxy s on highest hit <br /> Service Order#: ❑ ?� ! } Ru!oxy s on all hits <br /> Date Time N 3 :O ° m '1 a <br /> Sample Identification Col Coffected Comments 1 Remarks <br /> i 1 60 Y . <br /> a h # f 1 - <br /> r y z n <br /> LY? I;Ax � . <br /> X, Y -4 <br /> Y/ <br /> g p� {! 1 } <br /> 0�4 <br /> ! « p Time <br /> S Relin urs by ,� r D <br /> Time Received by: I s <br /> and Time Requested(TAT)(please circle) (%L-, I I J"�' Y <br /> 1 t t s D Time Received by' <br /> . > Mme <br /> STs.TAT 72 hour 48 hour Relinquished by: F i� + �S 0 <br /> 4 day 5 day a <br /> t } + Time Received pate Time <br /> Rellnquis by: X53 p LY <br /> " = 7A�,, pS :53p <br /> Data Package Options(please circle If required} f' <br /> OC SummaryType I—Fullf s Received by: Date Time <br /> Relinquished by Canmerdel Carrier. f <br /> Type VI(Raw Data)1 ©welt Deliverable not need�F f ADD UPS ed Omer . 4 <br /> WIP(RWOCB) t e , ° Cust Sea s Intack'! No <br /> Disk Temperature Llpon Receipt Cts C t 3j <br /> 3480 Rev.7/30101 <br /> a < Lancaster Laboratories,Inc.,2425 New Holland Pike,PQ Bax 12425,Lancaster,PA 17605.2425 (717)856-2300 <br /> s Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink dopy should be retained t:y the cpent. <br />