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evron • • • � '� • • • • • • • i • <br /> nFar La e5- aboratoWas usrr only <br /> _ cas e5- rEes [� �1 <br /> Wherequefrtyisast lance I t -(0�1 —1 Z Acct.#: 5�npis#: �J U�j�r7��j _SCR#: <br /> __Analyses Requested _ - <br /> $S#9-1452 t^a-R#386582 Global I'D4`TC6077D0554 Matrix Preservation Codes <br /> Facility# Preservative Codes <br /> Site AddregV 4 EAST MAIN STREET, RIPON,CA H=HCI T=Thiosulfate <br /> N=HNO3 8=NaOH <br /> Chevron POC Lead COnsultan§ECORES S=H2SO4 O=Other <br /> Consultant/OfflcqG-R, Inc., 6747 Sierra Court, Suite J, Dublin, Ca.94558 Lu ❑J value reporting needed <br /> nna L. Harding eanna rinc.Com a z c O ❑Must meet lowest detection limits <br /> Consultant Prj.MgQ.caLHdi $ d <br /> { Q.© o _ .1 possible for 8260 compounds <br /> consultant P of e925-551-7555 Fax 1625.551-7899 `o g 8021 MTBE Confirmation <br /> Sampler: tisT na_ ro ❑ $ g $o 'a ❑Confirm highest hit by 8260 <br /> ^ _ �^ a Z ❑ ❑Confirm all hits by 8260 <br /> Service Order#: �]Non SAR: � � � R <br /> Date Time — ❑ !9 + 2 ti ©Run oxy s on highest hit. <br /> a o ?4 <br /> Sample IdentificationCollected Collected c4 U `'r. O M m ❑Run.�oxy s on all hits <br /> Comments l Remarks <br /> MW::3 IFx <br /> XX �r <br /> ��ss res s X <br /> mw-s'.D G x x <br /> moo x <br /> mw- - <br /> mu/-� <br /> - Relin <br /> to Time i i7 to Time <br /> Turnaround Time Requested(TAT)(please circle) �� <br /> 72 hour 48 hour y Date Tlme R ei by. a Time . <br /> 24 hour 4 day 5 day I{oa4 <br /> Data Package Options lease circle if ReEi ul <br /> 9 In (R required) � lllshm <br /> a0 Time ecehredby� Date Time <br /> QC Summary Type I--Futi Relinquished by Commerci r. / <br /> Type Vt(Raw Data) ❑Coett Deliverable not needed RS���b�y::� } Date Time <br /> MP(RWQCB)- UPS Fed i/z'f("v y p 92- <br /> Disk <br /> zDisk Temperature Upon Receipt 1 C° Custody Seats Intact? Y Na <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 176055-2425 (717)658-2300 3460 Rev,7130101 <br /> Copies:White and yellow should accompany samples to Lancaster LaWrtbries. The pink copy should be retained by the client. <br />