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• • rf ! + <br /> • .,� <br /> #�er _For Lancaster Laboralnrles use anly <br /> Wherequa tyi5a�dpr>£e" .. . = Aad # CI Samp lea lk SCR# ' <br /> L y <br /> Analyses Requested " <br /> Facility#? = r -vo 10 M 1 L Preservation Codes Live Codes <br /> /� H I T=Thiowtfate <br /> Site Address::. N= O B=NaOH <br /> Chevron PM: a ..naLead Consultant: S=H2SO4 O=Other <br /> � U <br /> Consuftant(Of1"ice: d �p ❑ ❑ vacua reporting needed <br /> �1 :° ❑Must meet krwest detection limits <br /> Consultant Pd.fl)Igr.: �c./e.7v� i-. o possible for 8260 compounds <br /> Consultant Phone#: f f" Fax#: �- 0 5 g © ❑ 8021 MTBE Confirmation <br /> Saatpler: Z �1�r.. .1 m .9 L„ �n Confirm highest 0 <br /> N V j N <br /> ' aO � ^ ❑ t hit by 826 <br /> o <br /> Service Order# Cl Non SAR: i z 2 s 1 0 T ❑Confirm all hits by 8260 <br /> Time New E t9 ?+� ° 2 o C3 Run_oxy's on highest hit <br /> Field Repeat Top ` <br /> Point Name Matrixle De n h Da fiect F' M1 C� c0 tom— m T ❑Run_oxy s an all hits <br /> A i Comments d Remarks <br /> 9 <br /> 3 i <br /> 3 <br /> wished by: Date Time Received by: Date Time <br /> r un Time Requested(TAT)(Please circle) �. 62r' MO _ i <br /> 4c"z — <br /> STD.TAT 72 hour 48 hoar Relinqui D e Time Received by: a Date Time <br /> r * 4 day 5 day e. brims <br /> { is ed by: 'Date Tame Received py, Date Time <br /> Data Package Options(please circle if required) <br /> r� 2 l5S iz s ' <br /> QC Summaryy Type I—Full Relinquish eraal Carrier: a ived by: ate Time <br /> Type Vl(Raw Data) ©Coen Deliverable not needed UPS FedEx Cther <br /> WIP(RWOCS) La <br /> Disk Temperature Upon Receipt '' C° Custody Se Intact? Yes No 09 'O <br /> Lancaster Laboratories,inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 37605-2425 (717)656-2300 3460 Rev. 10!04!0 y <br /> Copies:White and yellow should accompany samples to Lancap' ' i-aboratories. The pink copy should be retained by the client. 1� ►-+� <br /> r �R � <br /> 36n <br />