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f - afifornia Wn <br /> Anallick <br /> RPriflon-stl0hain Q� f 01-4, cv <br /> LQ�r�..ab01&ries For La caster Laboratories use only f] <br /> J._ l/Vf?Bre LSa3QP11[t?. — x Acct.#: Sample#: �L2) SCR#_ <br /> y - Analyses Requested <br /> r-9 to #: 91V Preservation Codes rialive Codes <br /> Site Address: <br /> fH=:HCI ' T Thiosulfate <br /> 03 B NaOH <br /> Chevron PM: /1cfn Lead Consultant: .2 S=H2O O=Other <br /> 12 <br /> ConsultanVOtRGe: GY r S ~Ao <=V c ❑ cR� ❑J value reporting needed <br /> LU !V S2Must <br /> Consultant Prj.Mgr.: s•� _ Ev�•sS. o �;, ©posy meet lowest compounds Ilmlts <br /> ---.-.._. ... - ..._ U ❑ possible far 8260 compounds <br /> Consultant Phonnee'#: / S'4f'0V42 Fax#: !f�—$`yf 'S o ❑ 8021 MBE Confirmation <br /> Sampler, c� � - dV m n W [IConfirm highest hit by aMo <br /> Service Order* _ _ m ' ❑ <br /> ❑Confirm all hits 8260 <br /> ❑than SAR: a 2 + ❑Run oxy s on highest hit <br /> Field Repeat Top Time Newo r = <br /> PointSaDether r m ❑Run_oxPs an all hits F . 9 <br /> ` l lComments 1 Remarks <br /> Z=51" <br /> ,y <br /> S <br /> Refin D; Time Re ' ed by: _ Data Time <br /> t d Time Requested(TAT)(Please arae) CSS <br /> �2r <br /> f].T 72 bout 4$hour Relingyi y; Time Received by: Date Time <br /> ur4 day 5 day <br /> 44 ArW <br /> Relin wished bate Time Received b <br /> Data Package Options(please circle if required) y Time <br /> QC Summary Type I—Full <br /> Relinquished rnercial Garrier <br /> Type VI(Raw Data) ©Coelt Deliverable not needed � ived by: Date Time <br /> WIP(RVVQCB) UPS F Y her 'a�'o1 Q <br /> Disk Temperature Upon Receipt o C° Custody SeakLiaw Yes o pr <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17505-2425 (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 />