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+Lancaster Labor des For s es ly <br /> tMaerequa!' isasaerrce <br /> Acct. r Sam le#: /�IP <br /> �Y p �� _SCR#: `7 da <br /> Analyses Requested <br /> Facility#: Pr~eservatlan es Cod <br /> i tvative Codes <br /> Site Address:33'Y ,�i77a..:, 7 <br /> - V Q HC T=Thiosulfate <br /> Chevron PM: T� 'W17NO3 B=NaOH <br /> Lead Consultant: t ti``" i�` f � S=H2SO4 0'=Other <br /> Consultant/Office: dO2JQqc p J value reporting needed <br /> J <br /> p <br /> Consultant Pd.Mgr.:_� _ ❑Must meet lowest detection limits <br /> Consultant Phone r92Y/ Fax#: .. -- o <br /> ❑ possible for 8260 compounds <br /> Sampler L% g 8021 MTBE Confirmation <br /> tu <br /> Service Order#: ❑Non SAR: ~� m <br /> l]Confirm highest hit by 8260 <br /> ❑Confirm al!hits by 826f7 <br /> Field <br /> I Repeat Top Time New m s o x a o ❑Run_oxy's on highest hit <br /> Sample DB t Y oath D i ed Fie :U ❑Run oxys on all hits <br /> 4 �bCommants 1 <br /> ReL*Vff marks <br /> •u <br /> Tu . d Time R Relinquis <br /> equested(TAT)(please circle) at ime ived by: Gate ]r,-eSTD,TAT 72 hour 48 hour24 hour 4 day 5 day j_,�t Time Rene ed-by: <br /> 3'Oa <br /> Data Package Options(please circle if required) linquished <br /> QC Summary to Time Rece' <br /> Y- Date ime <br /> Type I—Full <br /> Type VI(Raw Data) ❑Cbelt Deliverable not needed Relinq 'shed by Commercial Carrier: Re ived by: <br /> WIP(RWQCB) UPS FedEx ':Other Oate Time <br /> Disk <br /> Temperature upon Receipts co Custody Seals Intact? Yes No r <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO x 12425;Lancastjwj PA 17605-2425 (717 656-2300 . 1oto4m1 <br /> Co ) __— 3460 Rev. <br /> ' � Y p Labo�a'[ones- -71t�pirik copy should be retained by the chant. __,...... .-_. ..._.... . __...__ ... ... <br /> Copies' yellow shoCvtd'ancam ri-sam fes to Lanpst <br /> 01 <br />