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{{ ww11��rr��CC}} ��,,}}�� �=. —:rte e rr,�, .. ....� .ri. x..�.- s -. <br /> Lwaster sten�E& -. _. l For _ onJy <br /> Lancaster Laboratories use <br /> �..�. ,-... :---Acct._#:- - `Sample#' CJLt �fl - <br /> 'd <br /> Analyses Requested <br /> Facility#: - Preservation Codes �P I� F+`_e ative Codes! <br /> HCI T=Thiosulfate <br /> Site Address: r a T =NaOH <br /> Chevron PM:290b r=V. ;n2 _Lead Consultant_ , S=H2SO4 O=Other <br /> ConsultanttOfCrce: ,� c ❑J value reporting needed <br /> Consultant Prj.Mgr. _C ❑Must meet IMost detection limits <br /> Consultant Phone#: ! �� Fax#: �� possible for 8260 impounds <br /> o Q <br /> N 8021 MTBE Confirmation <br /> Sampler. — �^ — ©Confirm highest hit by 8260 <br /> i,. Service Order#: Nota SAR z ;, ;r, R I Confirm all hits by 82$0 <br /> Field Repeal Cap Time NevY m ❑Run oxy s on highest hit <br /> Point Name <br /> Matrix <br /> Sam I D ear n h D Il C7 toCL <br /> ©Run_oxy's an all hits <br /> Cornmerits f Remarks <br /> S <br /> :Z <br /> y <br /> F <br /> Y-' <br /> Al <br /> Iyl <br /> a mre Re �ived by: to Time <br /> Tu d Time Requested(TAT)(please circle) Boli s• <br /> STD-TAT 42dhour 48 5 da hour <br /> li by: f to r -Recei by: Date Time <br /> day Y ! 0 k, <br /> Data Package Options(please circle if required) Relin ished by: Date Time Received b Date e <br /> QC Summary Type I—Full <br /> T Vi Raw Data Relinquish by Commercial carrier: R ived by: Date Time <br /> Type ( ) i]Coelt Deliverable not needed UPS _q�ef <br /> %MP(RWQCB) Ex <br /> Disk Temperature Upon Receipt C. Custody Seals Intact? Yes No <br /> b. ._�__ <br /> Lancaster Laboratories,Inc:,2425!Veru Holland Price,PO Bost 12425,Lancaster,PA 17605-2425 (717)658-2300 3460 Rev. 10/04!01 <br /> is <br /> 755l5les.White and yellow eh-6 accompany samples to Lancastertaboratories. die n — -Wt -- - - <br /> p copy s ould be retained by{h'e diem. —' <br />