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Q ,I L 11 ' s <br /> Chevron • R_ C!!W <br /> . <br /> �.. <br /> QA <br /> Ir <br /> La ea r I a ries use only <br /> : �e a � Acct: : #: <br /> SCR#: - <br /> .3 a33 <br /> Analyses Requested. <br /> Faait710.,6p,.7._71Aa Z-5f #sJPreservation Codes <br /> rvative Codes <br /> Site Address rd ^^ =HCI T=Thiosulfate. <br /> `�- r bel`__�+_.� _ .. _ <br /> 03 YB=NaOH <br /> Chevron PNi .`' d Leah Consultant: S=H2SO4 0=Other <br /> ConsultantlOffice: A-2 �c © ch O J value reporting needed <br /> C <br /> e Q Must meet lowest detection limits <br /> Consultant Prj.Mgr_: �Lf1r� o m us possible for 8M compounds <br /> Consultant Phone#`j/�L— G Fax#: Q!df a g © 8021 MTBE Confirmation .. <br /> Sampler ,y In ^ 0 Confirm highest hit by 8260 <br /> a <br /> Service Order#: ❑Hon SAF:" $ z O Confirm all hits by 8260 <br /> Field Repeat Top Time New (2 Run oxy s on highest hit <br /> nt Nam m le D Coil ed Field I° m P ❑Run_oxy's on all hits <br /> W � <br /> ze Comments!Rernarks <br /> -1-ol-I f z <br /> Refin 111iY: Date ljme Received by: Date Time <br /> urnaro me Requested(TAT)(please circle) del. <br /> rele) <br /> TD.TAT 72 hour 48 hour lirish Date Time Recei Date Time <br /> 24 hour 4 day 5 day Z7'b <br /> Data Package Options(please circle if required) Reli uis d b : Date Time Received by; Date Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) D Caett Deliverable not needed Reli ed by ial Carrier: Re Da rme <br /> WIP(RWQCB) <br /> UPS edFac Other <br /> i]isk Temperature Upon Receipt z C. C stody Seats fnt . Yes tJo f <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 />