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ly <br /> Acct # (Z��_ Samp a#:�"1 er Labor Dries use only <br /> Lancaster L kor&des SC> :q33 <br /> +KfeeqLaftyisasdence. <br /> = Analyses Requested <br /> Preservation Codes rvative Codes r <br /> Facility#: =HCI _ T=Thiasulfate <br /> Site Address: � e,-% a . H=NaOH <br /> S=H2SO4 0=Other <br /> Chevron PM:01+_ 0 .._Lead Consultant: <br /> �:`� / `. Q E p z []J value reporting needed <br /> Consultanyofttce: 7W ' [3 Must meet lowest detection limits <br /> Consultant Pd.Mgr.: O�tiCy �-[/C`-✓� c m possible for 8260 compounds <br /> 0 <br /> Const /' ��Fax#: }f�,— I a . © sD21 MTBE Confirmation <br /> Phone#: <br /> «- ❑Confirm highest hit by 8260 <br /> Sampler J �a�h�Se.� -- m LL, <br /> p _ E m F, ❑ 0 Confirm all hits by 8260 <br /> Service Order#: ©Non SAR: z 'r' "' p Run. „_M's on highest hit <br /> Field Repeat Top Time Never n � � II � E]Run,oxy's on all hits <br /> Day II [7 U. E- m .- m i .s <br /> Comments J Remarks <br /> - r <br /> { i <br /> r , <br /> Year <br /> r <br /> in a Time Received by: Date Time <br /> di Time Requested(TAT)(please circle) <br /> 5 72 hour 46 hour Re[in ed by' f Time eceived Data Time <br /> 24 hour 4 day 5 day /r <br /> Relinquished by: bate Time Received by: a Dake Time <br /> Data Package Options(please circle if required) <br /> QC Summary Type I-Full - r . Date <br /> Relinquished by Commercial Carrier. ( Recehled by: <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed <br /> UPS FedEx Other. � `-' <br /> WIP(F 1NQCS) Cut <br /> Sea <br /> Disk Temperature!icon Receipt C° . ? Yes No N <br /> 3460_ Rev. 10!04101 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425, Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies:While and yellow should accompany samples to Lan[-'---Q" '3boratories. The pink copy should be retained by the client <br />