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r r M-7*Lancaster LbO QL� 6 Q For r La�"torles use only 390�� <br /> Acct.#: -r ' <br /> Sample,#. <br /> P <br /> wfteregr,arltyisaxi� sCR#: <br /> Analyses Requested <br /> Facd4#: ��14_S� TC e V 7? l—I 4c ' /?'l l L Preservation Codes wive Codes <br /> Site Address: H=H T=Thiosulfate <br /> NO3 B=NaOH <br /> Chevron PMaq�- r Lead Consultant.T S=H2SO4 O=Other <br /> LO <br /> CottSuit8nt10f{7Ce: Rj . C,r„�, _ ❑ ❑J value reporting needed <br /> 3 <br /> Consultant Pry.Mgr..- ©_��s ip Must meet lowest detedion limits <br /> �.,c N <br /> possible for 8260 compounds <br /> ConsuRant Phone#:���/�ax ❑ <br /> 0 it �;, 8021 MT13E Confirmation <br /> Sampler: w fl ^ ❑Confirm highest hit by 8260 <br /> Service Order* w E Co � � � m ❑ <br /> ❑No SAR: o ❑Confine all hits by 9260 <br /> Field Repeat Top Time New m. E �° x ❑Run "3 on highest hit <br /> Point Name Matdx Sarnole <br /> 2W&Year Mon1h Qay Collected 1 0 0 � � �, � � Q Run_oxy's on all hits <br /> Comments I Remarks <br /> 4 <br /> Relinquished by. Date Received b <br /> Time Requested(TAT)(please circle) f� $ y: Date Time <br /> STD.TAT 72 hour cjq <br /> 48 hour Relin <br /> 24 hour 4 day 5 day �� ate Time R b : Date Time <br /> r T j <br /> Data Package Optiorl8(please circle if required) Relin ish by: '�- Date Time Received by: <br /> I ) Date Time <br /> QC Summary Type 1-Ful `��� 1 <br /> Type VI(Raw Data) ❑Coek Deliverable not needed Re nquis Com ercial Carrier: 4Red by: ime <br /> WIP(RWOCS) DP OtherDisk Temperature Upai1 Receipt C° Seals I ?. yes No <br /> Lancaster Laboratories,inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10/04/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />