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rte"n1r_IJ r-71 <br /> Pont <br /> .� <br />.- +Lancaster Labw&des For l a �r stories Use only - -- <br /> !` {�p Sample#: �`5_ =: ; _--- SCR#_ G( <br /> where t7uafrtyr's a science . <br /> Analyses Requested <br /> Facility#: 0114,7 —T —1`1 op Preservation Codes Preservative Codes <br /> + WC _T=Thiosulfate . <br /> Site Address: �j f__ Onatyn >f ZZZLin 3 N= NOa IB T NaOH <br /> Chevron PM: ti' Lead Consukant: - ce <br /> y S=NZSOq O=Other <br /> Consultarttl0ffice: I�D m l7 r ❑J value reporting needed <br /> N }� ©Must meet lowest detection limits <br /> Consultant Pry, Mgr.: ►n m cn possible for 8260 compounds <br /> � " /" e�rrr �� r� c� ❑ <br /> Consultant Phone#. � , Fax#:Q 11 U( a f—�f�V o g 8, o © W21 MTBE Confirmation <br /> a— c� m ry <br /> Sampler. E F5 0 <br /> m v n 2 9 = ^ Confirm highest hit by 6260 <br /> Service Order#: p Nari SAR: n 2 ❑Confirm all hits by 8250 <br /> z <br /> Field <br /> Repeat Top Time New w x _ <br /> [I Run_oxy's on highest hit <br /> nt Name S De th Year Collected Field t� is #� � ❑Run oxy's on all hits <br /> Comments!Remarks <br /> OIL/ <br /> Turnaround Time Requested(TAT)(please circle) Relinquished by: Date Time Received by: Date Time <br /> r 1S' <br /> On <br /> TO.TAT 72 hour 48 ttour R linquished Date Time Received by: Date Time <br /> 24 hour 4 day 5 day Z�- <br /> Data Package Options(please drde W required) b Date Time Received by: Time <br /> QC Summary Type I-Fu It <br /> Type VI(Raw Date) C]Coelt Deliverable not needed Relinquished mercial Carrier: Received by: Date Time <br /> WIP(RWQCB) UPS FedEx__) Other T p Q f <br /> Disk Temperature Upon Receipt64- _C° GY,_ <br /> dy Seals Intact? Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17805-2425 (717)556-2300 3460 Rev. 10/04!01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />