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AdC 17 • . eques <br /> .� Lantraster LabOrgodeS Ap / Q For Lan Ir" e T" <br /> _ CL A�_ !— Sample f!: <br /> VWxye Gual)tyis a sd errce <br /> Analyses Requested <br /> Facility#: — � . '.��'" M 11, T0601 400% Preservation Codes a tura Codes <br /> - _ _ T=Thiosulfate <br /> Site Address:-33a%s ,a ; n M=HNO3 B- NaOH <br /> Chevron PM.- ZT6� �e�lts�1 Lead Consultant: 12 � <br /> S=H2SO4 O=Other <br /> Consultant(Office: 111/7A ! ':- Ou> ❑Jvalue reporting needed <br /> :° N ❑Must meet lowest detection limits <br /> Consultant Pd.Mgr.: �� cyt ._ o possible for 8260 compounds <br /> 0 Olt, 13 <br /> Consultant Phone#: / f ,O!tom Fax#: --Sil–�$� o 8021 MTBE Confirmation <br /> Sampler G�e� / HdYh m ° o g O Confirm highest hit by 8260 <br /> Service Order# E El ❑Confirm all hits by 82$0 <br /> �Non SAR: <br /> Field Repeat Top Time New m x W ❑Run_wcy s on h ghest hit <br /> Point N M a le CII ed l=' U !a ,� ❑Run_oxys on all hits <br /> !S .I <br /> Comments I Remartcs <br /> 1'V a 1�C . 51 FT I <br /> 11 1 <br /> i <br /> nd Time Requested A Mhe <br /> D to Time eceived by: Date Time <br /> eq (TAT)(please circle} <br /> S`Tl].TAT 72 hour 48 hour �� s Received Date Time <br /> 4 day 5 day i <br /> Data Package options(please circle if required] } Date Time Received by: Date Time <br /> OC Summary Type I–Full' <br /> Type M(Raw Data) ❑Coelt beliverable not needed Relinquished by Commer ' I Carrier: ljrx-��ed by: Date Time <br /> WIP(RVIiQCB) UPS FedEx er } <br /> Disk Temperature Upon Receipt .�-rC° custody Seals. t ? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 v. 10/04/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />