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IP A <br /> (� Lancaster Laboratories For Lancaster Laboratories use only <br /> Wher2qualrrytsasaence Acct 1{ v V1J Samplo# 2 r j 0 Y <br /> scRu <br /> "Y'?7US <br /> Analyses Requested <br /> Facility# c- .,,z<,.� C,-ZSq Preservation Codes <br /> Preservative Codes <br /> Site Address , H= HCl T=Thlosultate <br /> Chevron PM N=HNO3 B=NaOH <br /> Lead Consultant cow <br /> g S= H2SO4 O=Other <br /> Consultant/Officev�K.�(,�t ,zD ,�„r� a �,f Ccw�.%1 5`Slv7d' _ c <br /> J value reporting needed <br /> Consultant Pry Mgr lo�t>c C o El Must meet lowest detection limits <br /> Consultant Phone# k �L!�aser� U � p possible for 8260 compounds <br /> Fax# `�,c�) °13c> o o o ❑ <br /> Sampler 5 1co H 802] IVITBE Confirmation <br /> w `' ❑Confirm highest hit by 8260 <br /> Service Order# ❑Non SAR " m c <br /> P Z ❑ El all hits by 8260 <br /> N o <br /> Field !90�_ <br /> 2 O n ❑Run oxy's on highest hit <br /> P int N m Time New b a �° w z o I ti <br /> M trrxYear Month Da Collected Field Pt 0- 0 F°- m � w m 1 � <br /> C�� S' 1�2 ❑Run_oxy's on al!hits <br /> Os_ Comments I Remarks <br /> k x <br /> �- y_s-r Z& n <br /> tit t.,t- � � !• s i S , z <br /> S <br /> �10) <br /> r nd�Ime Requested TAT Relinquished by Date Time ecerved by <br /> TA q (TAT){please circle) ,i �, Date Time <br /> 72 hour 48 hour �4° +�/� <br /> 24 haat 4 day 5 day R hed by Date Time Received by <br /> Date Time <br /> Data Package Options (please circle if required) Relinquished by ate Time Received by ate <br /> OC Summary Type!-Ful! The <br /> Type VI(Raw Data) 000e11 Deliverable not needed Relinquished by Commercial Carrier Received b <br /> W!P Mom UPS Other y Date Tlm <br /> hx <br /> Disk <br /> Temperature Upon Receipt_c° <br /> Custody Seats Intact? Yes No <br /> Lancaster Laboratories Inc 2425 New Holrinri P,kp Po n,,1���� <br />