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Ar <br /> Lamer L t0 QLVieS For Lancaster LaboratorI use Doty <br /> VIIIIIgAdityisasoence Acct.# 1 Sample#: <br /> -�� `� `�123 <br /> Analyses Requested <br /> Facility M Preservation Codes <br /> Preservative Codes <br /> Site Address: H=HCl T=Thiosulfate <br /> Chevron PM: O l7 N=HNO3 'B=NaOH <br /> lead Consultant: S=H2SO4 0=Other <br /> Consultant/Office, lQ c ❑ ❑J value reporting needed <br /> Consultant Pry'.Mgr.: Jp IL o " QMust meet lwdeteco € <br /> limits <br /> Consultant Phoria#: I p(p! ax Iibde for 8260 compounds <br /> y ' �;, 8021 MTBE Confirmation <br /> Sampler. !�� r _ m $ ©confirm highest hit b 8260 <br /> Service Order#: E D y <br /> ❑No SAR: a Z w ❑Confirm all hits by 6260 <br /> Field Repeat I TapTime New S x t7 Run—oxy's on highest hit <br /> aint Name U e h I ed Fie[ f:) I-� ❑Run oxy's,on all hits <br /> J-0 <br /> Comments!Remarks <br /> b <br /> m <br /> Turnaround Time Requested(TAT)(please cinede) R uished by. Date Time Received by: <br /> TD.TAT 72 hour 48 hour R�e' ' 10! Date, Time <br /> 24 hour 4 day 5 day qu ed Date Time Received by: <br /> p to Time <br /> Data Package Options(please circle if required) Re qu h Date Tune Received by: <br /> QC Summa Date Time <br /> Summary Type 1-Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished b ommercial Carrier. R <br /> WIP(i2WQC8) UPSIt edEx OtherD Time. <br /> Disk Temperature upon Receipt r C• <br /> Custody �ftln'U I'V) <br /> es No <br /> Lancaster Laboratories,Inc..2425 Now Holland Pike,PO.Box 12425,Lancaster,.PA.17605-2425 (717)656.2300-� - *- 3a6p Rev +tl/04/01 <br /> � -VYhite and yedlow8h"rtrrldaocam' n' same es to Lancaster <br /> y �+atories. The pink copy should be retained by the client.: <br />