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Lancaster LabdrAxies For Lanf4T�boratories use only <br /> W*requlaftyisa.SC1Eym Acct.#: $maple#: sefZ#: <br /> Analyses Requested <br /> Facility#: °I I S'L d7 S L Pneservatlon Godes <br /> Preservative Godes <br /> Site Address:_ 3 by ,e �t,- F Q T=Thiosulfate <br /> ea nsu : - <br /> O3 B=NaOH <br /> Consultarrtl0ifioe: o da Ro-.,crj"W' C ❑ 0 p J value reporting needed <br /> Consultant P'.M r.: o,�,C 1° <br /> r! g Rz!n e o p Must meet knvest detection limits <br /> —' —" � possible for 8260 compounds <br /> Consultant Phone# l- acts t cy.ls� Fax#: �t 3Clnt- Owl,1m it o © 8021 MTBE Confirmation <br /> O v <br /> Sampler: -T o o O Confirm highest hit by 8260 <br /> Service Order#: �+ <br /> ❑Non SAR: e � � ❑Confirm all hits by 8260 <br /> Field CL <br /> repeat.- Top. W - Time New. E. x ' k _. .D Run axy's.onhighest,hR - <br /> P a t ' Sample Depth Year D n I C9 U ,#�- m �9 p Run oxy's on all hits <br /> r►�w -{.S <br /> -Ten-, <br /> lrJ 200 0 (a <br /> Comments!Remarks <br /> pvq k <br /> 3eek scrh @ cnr. <br /> Relinquished by: Hate Time -Received by: Date Time <br /> Turnaround Time Requested(TAT)(please circle) <br /> STD,T 72 hour 48 hour rs as 0 <br /> fished by: Date Time Received <br /> our 4 day 5 day Date Time <br /> Data Package Options(please cirGie!f required) Relinquished by Date Time Received by: ate Time <br /> QC Summary Typel-Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Geqimerdai Car 7,tid <br /> by: D e Time <br /> VVIP(RWQCB) _ UPS. FedEx Olher lrC.. - <br /> Disk Temperature Upon Receipt �3. C. Seals In Yes No nn <br /> Lancaster Laboratories, Inc.,2425-New Holland Prike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.10104!01 <br /> Copies:While and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />