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I ' <br /> V"., <br /> Lancasteraborories <br /> P9,,Q For Lan bo ries use only <br /> Acd. k- .�(1.1L1 l Sample#: �fO s— t-: seft: = 9-.��.3 <br /> t�Vherequalftyisasdence= <br /> Analyses Requested <br /> Facgity#_ !t f' Z" �.�. WI titsTo 6o 3�7w5 Preservation Codes tive Codes <br /> Site Address* , >�;^ - =;�ICi T=Thiosutfate <br /> CL B=NaOH <br /> Chtvn°n +Lead Consultant: S=H2SO4 O=Other <br /> y <br /> ConsulfarttlpffiCe: !? i� onr /LILj °' Q 0 El value reporting needed <br /> _ "' _ _ - p Must meet lowest detection limits <br /> Consultant Pd.Mgr G- S. . $ possible for 8260 compounds <br /> O y <br /> Consultant Phone#: / —'tea Fax#: — � o 0 ❑ 8021 MTBE Confirmation <br /> Sampler m <br /> P �� � i'► m ca '� ❑Con*m highest hit by 8260_ <br /> Service Order#. _ �_p Non SAR: o .z' ❑Confirm all hits by 8280 <br /> Field Repeat Tap Time New m, E a x m 2 ❑Run oxys on highest nit <br /> u+ x ti <br /> P 8m trix �j 00 � m � � m � ❑Run_oxys on all hits <br /> r_♦ S Comments 1 Renna+rks <br /> 7 <br /> �TT dlime R uested A Relin D to Time Received beq (T T)(please Circle) Y Date Time <br /> o-T 72 hour 48 hour Relin fished b <br /> our 4 day 5 da y a e Time Receive Date Time <br /> Y <br /> Data Package options(please circle if required) Rol ate Time Received by: Date Time <br /> QC Summary Type I–f=ull <br /> Type A(Raw Data) ❑Coeft Deliverable not needed Relinquished by Commercial Carrier- i Received by: Date Time <br /> WIP(RWQCB) UPS FedEx Other <br /> Disk Temperature Upon Receipt ° C° ` 1 <br /> Custody Seals ct? Yes o <br /> Lancaster Laboratories,Inc.,2425 New Holfand Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10AW01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client, <br />