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JM" + 1 + <br /> r 1 i <br /> Lancaster LabQm QtOfies For Lancaster Laboratories use only <br /> Where qualrryis a science. Acct.#: Sample#: <br /> SCR#: <br /> _ <br /> Analyses Requested w. <br /> Facility#:' y - <br /> Preservation Codes Preservative Codes <br /> Site Address: (x.17 dc' H = HCI T=Thiosulfate <br /> _ - � _ _.. ;.. . :_ _- = NO3— B=NaOH- <br /> � N H <br /> Chevron P141: _ , ' ►r!i k Lead Consultant: S=H2SO4 O=Other <br /> ti U <br /> ConsultanttOffice: C.` C ❑ n ❑J value reporting needed <br /> Consultant Prj. Mgr.: ❑Must meet lowest detection limits <br /> / possible for 8260 compounds <br /> Consultant Phone#:C f�J / Fax#: q �l a o o !7 <br /> 1_ - 4 0 cc h, 8021 MTBE Confirmation <br /> Sampler: Y 1UYi� �(�VT .0 co o o ❑Confirm highest hit by 8260 <br /> Service Order#: U, z ° 2 Z C 0 ❑ <br /> ❑Non SAR: O Z �, ,,, s ❑Confirm all hits by 8260 <br /> Field Repeat TopCL Time New E E X ° n ❑Run_oxy,s on highest hit <br /> Point Name Matrix Sample De th Year Month Da Collected Field Pt. C7 cps ❑Run`oxy's on all hits <br /> ` I r`7 r (9q 10 ! 7�-(D Comments!Remarks <br /> Turnaround Time Requested TAT R "nquis d by: Date Time 5ftceived <br /> q (TAT)(please circle) Date Time <br /> STD.TAT 72 hour 48 hour O 0 f']3(J <br /> 24 hour 4 day 5 day elinqu h by: Da a Time Date Time <br /> Data Package Options (please circle if required) Relinquished by: Date Time <br /> Date Time <br /> QC Summary Type 1—Full <br /> Type V1(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier;WIP(RWQCB) UPS FedEx Other Date TimeDiskTemperature Upon ReceiptCO, ntact? 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 />