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Chevron ! 1 <br /> Larxaster LaWzbrles ForAccJ #: V�lQ� Sample#:��i c�4{7(7 ramp se only <br /> VVhxre q Bftyis a sdenae . SCR# <br /> Analyses Requested <br /> Preservation Codes <br /> Facility#:�ySZ- -Coto�(�b SS�1 �.�L _ Preservative Codes <br /> T=Thiosulfate <br /> Site Address:33`� G . c.;.,n c tial_,Qg,�ti-(A =HNO3 8=NaOH <br /> Chevron PM: Q-OA Lead Consultant: S t,cr,- S=H2SO4 0=Other <br /> Consu1tahVOffce:3o'%-j 1(_;.ilyat�, Sky. kfas ❑ d ©J value reporting needed <br /> N C]Must meet lowest detection limits <br /> Ccinsullant Pry.Mgr.: Zc-i c. [�,('�,,,�, o m C* possible for 8260 compounds <br /> Consultant Phone 1 Fax#. i(.J $col— 0`t3- o 0 0 <br /> - N 8021 MTBE Confirmation <br /> Sampler: 0 jo u ❑Confirm highest hit by 8260 <br /> " Sm �, ❑Confirm ali hits by 8260 <br /> Service Order#: ❑Ikon SAR: z 9 9 N q <br /> Field R eat To a Tb- x �. .M, :a- .: __ - . . _ _ Run oxy's on-highesl hit.- _ _ <br /> _ ._ _ -. _--. P: . _ .__- _ -Time New = = x t' ❑Run oxy's on all his <br /> Point Name Matrix S m le Deolh Year Month Day Field P . Q <br /> v - - .,n lra 5 610 a �o `� `!t Comments i'Remarks <br /> :ma O 7 <br /> `1 Jcsk�u�La SR.Lor.Ca,�, <br /> Tu I ound Time Requested TAT Relinquished by: Date Time Receive Date Time <br /> q (TAT)(please circle) '1 <br /> STD- 72 hour 48 hour Relinquis Date Time Received by: Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) <br /> Relinquished by: Date Time Received by Date Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Car, nred by: t Time.Regie <br /> (. <br /> WIP RWQCB} --.. UPS FedEx Other _ Q: <br /> Disk Temperature Upon Reoeipt C. Custody 1 ct? es No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 .3460 Rev: 10104101 <br /> Copies:Whitt}and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br /> i <br />