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s ai <br /> T x <br /> Lancastertl •r4,,.r�}�,r. nip [� ,�p�-q For Lancaster Latiaratctialr rise onCy- <br /> tgt�tyisas�rtc� ���'7J7�Wa��# ,,..,,� r_ Sample �r{�lr��tr� SC <br /> R#: 1 I <br /> Analyses Requested <br /> Facility#: Z 7�G�O ♦'r7 1L �. Preservation Codes rvative Codes <br /> _HCl T=Thiosulfate <br /> Site Address: _ 4: �: ,��✓! a 3 B=NaOH . <br /> Chevron PM: ri!i /?4.1�Lead Consultant: ° 5=.HzSOa O=Other <br /> `� U ❑J value reporting needed <br /> ConsultaWo ic8: i l 9d/Y� :/� • _ i <br /> d Must meet lowIur <br /> est detection b <br /> Consultant Pd.Mgr.: 06 possible for 8260 compounds <br /> t p <br /> Consultant Phone#: Fax 8021 MTBE Confirmation <br /> Sampler LU- 7 /G jGJ•.s�f�ry. m n a ^ ©Confirm highest hit by 8260 <br /> —' C3 ©Confirm all hits by 8264 <br /> Service Order#: ❑Non SAR:.: o z <br /> CL + c� v ❑Run_oxy's on highest hit <br /> Field Repeat Top Time New E2 o o ??55 0 Run o s on all hits <br /> Point Name MMLj:3_ a Denth Year Coll <br /> -,PAVg6 Ste; ta/ �►� Z-ff4xi Comments l Remarks <br /> - i <br /> Reli y; f e Time Received by: S b. Da#e Time <br /> f. <br /> d Ime Requested(TAT)(please circle) -/ �o Z t - <br /> :STDTAT 72 hour 48 hour <br /> li y: a Time Received by: Date Time <br /> 4 day 5 day <br /> Re uished by. Date. Time Received by_ a Time <br /> Data Package Options(please circle if required) Y i., <br /> QC Summary Type 1-Full <br /> Relinquished by Commercial Carrier: R ived by: Date Time <br /> Type VI(Raw Data) 0Coelt Deliverable not needed <br /> WIP(RWQCB) UPS FedEx Other �7 l• <br /> DiskTemperature Upon Receipt t o C° Custody Sealsact? Yes o <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Snx 12425,Lancaster,PA 17505-2425 (717)656-2300 3460 Rev. 101W01 <br /> u <br /> Copies:White and yellow should accompany samples to Lanza ')boratories. The pink copy should be retained by the client_ <br />