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L L L L L [ f <br /> i <br /> Lancaster j � � ( / � µ — For Lancaster Laboratories uao only - <br /> ' Acct#: Sample# Group#: i t, �I• <br /> 11F'913t�eslltt directl3,to thr Load Con,ctiltani end cc. 044. <br /> Analyses Requested <br /> Facility#: 39;8 y M Matrix Proservation Codes Proservativo Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: AR;A 5S-EAeM /1 N=HNO3 B=NaOH <br /> Chevron PM: Lead Consultant:D ..°a S=H2SO4 O=Other <br /> t? �a <br /> GR, Inc 67d 7 Sierra ^ouri, Su,t� .i', {�ubiin, CA�':?�56F.. m � � <br /> Consultant/Office: o O_ c ? ❑J value reporting needed <br /> Deanna L herd ng (dsn�nn��gnric.corn) a° � c � � 1 '� /7 ` 'Must meet lowest detection limi <br /> Consultant Prj.Mgr.: ❑ ❑ +� s . possible for 8260 compounds <br /> Consultant Phone#.925-551-7555 Fax#:925-551,7819 o g ¢ \ �' 8021 MTBE Confirmation <br /> Sampler. m $ &! a 3 3 ❑Confirm highest hit by 8260 <br /> a <br /> 2 � � � � ❑Confirm all hits by 8260 <br /> a E _ o p Z * g g A L? ❑Run_._._oxy's on highest hit <br /> r <br /> Date Time E _ c �r -� ❑Run i oxy s on all hits <br /> Sam le identification Collected Collected ti ,. c r- <br /> r Comments/Remarks <br /> CiL <br /> r,n <br /> � fir�gar:a^,tirsq �O:gram silica gn! <br /> I cls aft up on TPR-DRO and <br /> TPH h*,O vimplo,vhth <br /> COLUMN. <br /> In <br /> Turnaround Time Requested A Re)inq ,i Date Time Received by: Date Time <br /> �i (Please circle) <br /> !.� r�. <br /> e. iTT T 72 hour 48 hour <br /> 24 hour 4 day 5 day Relinquished Dat Time Received by Date Time <br /> Data Package Options(please circle if required) Relinquished by: Date Time Received by: Date Time <br /> CC Summary Type I-Full r 0Ffj. r)p Relinquished by Commercial Carrier. Received by: Date Time <br /> Type VI(Raw Data) ❑Coeit Deliverable not needed UPS FedEx Other <br /> WIP(RWOCS) <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17606-2425 (717)656.2300 4804.01 (nosh) Rev.10/12/06 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />