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For Lan ter Laboratories use only 252855 . <br /> Lancaster Laboratories Acct.#: ► (0y Sample#: Co S S L 8 g-&5— SCR#: <br /> INherequalityisascience [?) 4 8 a a 3 <br /> Analyses Requested �j r a l <br /> °l`����I Preservation Codes Preservative Codes <br /> Facility#: D of D �� H=HCI T=Thiosulfate <br /> 7,2r- <br /> r__ <br /> N=HNO3 B=NaOH <br /> CA-Site Address: S=H2SO4O=Other <br /> Chevron PM: R?r n �a�'*c Lead onsultant: D J value reporting needed <br /> D C�I c hit pr�� S D D Must meet lowest detection limits <br /> Consultant/Offce: ci T �° is CMt [ o possible for 8260 compounds <br /> Consultant Pd.Mgr.: T�u� W�-a'f" f - v 8021 MTBE Confirmation <br /> $Gf 3 rFax#: �r6 � � oConsultant Phone#: �(� " D Confirm highest hit by 8260Sampler: ILl G�n4s��-� D Confirm all hits by 8260E '� D Run oxy's on highest hit <br /> Service Order#: D Non SAR: a Z + <br /> F m x `� <br /> Field <br /> gRepeatTop TimeNew c o w x x D Run oxy s on all hits <br /> Point Name Matrix De th Year Mon h Da Collected Field Pt. v m ~ ~ JK Comments I Remarks <br /> „V — tL t ~ MWt�fi3 03d°linT-AI <br /> Relinquished b <br /> Date Time Received by: Date Time <br /> T round Time Requested(TAT)(please circle) Received by: Date Time <br /> L Oi�B <br /> STD. T 72 hour 48 hour Relinqw ed by: <br /> Date Time <br /> 24 hour 4 day 5 day Date Time <br /> Relinquished by: Date Time Received by: <br /> Data Package Options(please circle if required) <br /> QC Summa Type I—Full _ Received i Date Tie <br /> N yP Relinquished b mmercial Carrier: <br /> Type VI(Raw Data) D Coelt Deliverable not needed UPS FedEx Other <br /> WIP(RWQCB) Custody Seals Intact? Yes No <br /> Disk Temperature Upon Receipt a co <br /> 3460 Rev.10/04/01 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies:White and yellow should accompany samples tcpgag %ejboratories. The pink copy should be retained by the client. <br />