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i <br /> • • • • • ' - • • • ' - • - • • • • <br /> Lancaster Laboratories / For L c�arst�er� boratories use only <br /> Whereq.6rItyrsasc�ce 0� 2,&O- -`6b(P Acct # Sample# avry ] J1-( SCR#14 51 Was, <br /> Analyses Requested Grot-V <br /> Fac+ldy# 9-2396 Job# 386960 <br /> Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thosulfate <br /> Site Address 25651 Highway 99 North, Acampo, CA N=HNO3 B=NaOH <br /> Chevron PM Robert Cochran lead Consultant Secor S=H2SO4 O=Other <br /> N 0 ❑J value reporting needed <br /> Consultant/Office G Inc 6747 Sierra Ct Dublin CA 94568 o c c� <br /> Z a. cai4 ❑Must meet lowest detection limits <br /> Consultant Pq Mgr Deanna L. Harding Deanna@grinc.com a z o y possible for 8260 compounds <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7899 0 o 8021,MTBE Confirmation <br /> o a <br /> ❑Confirm highest hit by 8260 <br /> Sampler m ❑ D w <br /> Service Order# ❑Non SAR o <br /> C L g — is © ❑ all hits by 8260 <br /> _ m a❑ $ $ ❑Run_oxy s on highest hit <br /> Date Time p is <br /> Sample Identification Collected Collected C7 U co 3 O m !00 Run axy s on all hits <br /> i <br /> Comments!Remarks <br /> ZZ <br /> =26 304 <br /> Ha�'3 v <br /> Reltnquis d by Date TimeM`SA �-' <br /> Dat ,Time <br /> Tu d Time Requested(TAT)(please circle) W <br /> 72 hour 48 Hour r Tim t T1 <br /> 24 hour 4 day 5 day <br /> P Zd?, <br /> Data Package Options(please circle if required) Relr us by Da�O7, 1� 1a e Time <br /> QC Summary Typal—Full linquished b I Me '(� Rece a Time <br /> Type VI(Raw Data) ❑Coeft Deliverable not needed <br /> 1MP(RWQCB) UPS FedEx Other 7 ]'a <br /> Disk Temperature pon Receipt -L Seals In Yes No <br /> i <br /> Lancastar Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 17605-2425 (717)656-2300 Rev 7130101 <br /> . Copies White and yellow should accompany samples to Lanc�aboratories The pink copy should be retained by the client 4f <br />