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Ape.# 1�Qf ('� S For La bmtories use only Q <br /> Of Clic-Mri" <br /> �ILarxas er L or PS. D IJ�J amp e .y� 33-?5f SCft#: p pppCCC <br /> Mae qual tasd&Xe. <br /> Analyses Requested s <br /> FacUfty#; -�,Z �Q .7 Gam_ i�41 /77,/,e— Preservation Codes P ervative Codes <br /> Site Address: <br /> < < =HCI T=Thiosuifate <br /> S=NaOH <br /> Chevron PM: gp"�r�L/_;dtr. , _Lead Consultant, v 9=HzSO4 O=Other <br /> ConsultantlQffce: .� "Jr7� �� C30 J value reporting needed <br /> =a ❑Must meet tawest detection limits <br /> Consultant Pr.Mgr.: <br /> possible for 8260 compounds <br /> COnsuttant Phone#; - El 2ka 8021 MTBE Confirmation <br /> N C7 a N <br /> Sampler: G-t�G o� m a o a ❑Confirm highest hit by 8260 <br /> 3 I p, © ❑Confirm all hits 8260 <br /> Service Order#: ❑Non SAR: _ � �' <br /> Run_oxy'S on highest hit <br /> laid Repeat Top Time New R. o `9 K a <br /> PoiM am le De th Col1 ed el t. El Run_oxy's on all hits <br /> Comments 1 Remarks <br /> Ali W Q j ZC <br /> *ReIirvqu- y-. <br /> Date me ived by: Date Time <br /> Tu o d Time Requested(TAT)(please circle) � . ) . 1 - <br /> TRT 72 hour 48 hour D ime Received by: Date Time <br /> r 4 day 5 day . <br /> Data Package Options(please circle N required) Time Received by: ate Time <br /> OC Summary Type I-Full <br /> Type V!(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier: R Dred by: matte Time <br /> WIP(RWQCB) UPS FedEx Other ;} <br /> Disk - Temperature Upon Receipt ' Custody Sealsn ct? Yes o } <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Ftnx 12425, Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10/04/01 <br /> ;. Copies:White and yellow should accompany samples to Lane aboratories- The pink copy should be retained by the client- <br />