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■� <br /> 1111111 <br /> C) <br /> Lancaster <br /> r i Cf r� l� - (I• r l 1` '-� For Lancaster Laboratories use only <br /> *Laboratories ��� , Amt.#: sample# Group#: 018 611 <br /> Analyses Requested <br /> Facility#: <br /> SS#30 620-OML 73-R#385833 Global ]D#TG607700008 Matrix Preseryation Codes Preservative Codes <br /> } I <br /> 5606 PACIFIC AVE., STOCKTON, CA H= HCl T=Thiosulfate <br /> Site Address: N= HNO3 B=NaOH <br /> SM AECOMJJ Johns S=H2SO4 O=Other <br /> Chevron PM: Lead Corfl�sultan: Ln v <br /> a- , tl I ra otl rt, 7UItG� m to ❑J value reporting needed <br /> Consultant/Office: o a ❑ <br /> Deanne e u, o a. m I Must meet lowest detection limits <br /> CL z <br /> Consultant Pd. Mgr.: El [IU ❑ ❑ r possible for 8260 compounds <br /> 9'�5-551-7555 <br /> 925-551-7899 '5 8021 MTBE Confirmation <br /> Consultant Phone#: T Fax#: 0 3 M M m <br /> 'a <br /> Sampler: J r^^ rIP ""� * [I Confirm highest hit by 8260 <br /> M M <br /> ❑Confirm all hits by 8260 <br /> O Q Z m , <br /> Date Tirhe R Eo — d ❑ + $ $ 2 ❑ Run oxy's on highest hit <br /> Sample Identification Collected Collected C7 C) co O °m I'-' r � � � ❑ Run oxy's on an hits <br /> v/a - '17 7 Comments/Remarks <br /> , Please forward the lab results <br /> �„ directly to the Lead Consultant <br /> P') t-1 - ? i 0 0 and cc•. (.i-R. <br /> S C` <br /> r Lj <br /> r ' <br /> / 7 e <br /> �- <br /> ! <br /> ,j I U <br /> ! W 0 A �c <br /> Relinquished by — ate Time Received by: / Date Time <br /> Turnaround Time Requested(TAT)(please circle) <br /> �.-✓�: � _ u 2L71 .glov �l /.lEh 5, ',� l<rD' //- � ! fJ,�, r <br /> STD-TA-r 72 hour 48 hour s <br /> 24 hour 4 day 5 day Relinquished by XZ <br /> Time Received byDate Time <br /> Relinquishedby: Time Received by: ` Date Time <br /> Data Package Options (please circle If required) <br /> QC Summary Type I -Full EDFIFW Relinquished by Commercial Carrier: Received by: Date Time <br /> Type VI(Raw Data) ❑Cosh Deliverable not needed UPS FedEx Other <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt CO Custody Seals Intact? Yes No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike, PO Box 12425, Lancaster, PA 17605-2425 (717)656.2300 4804.01 (nWh) 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 />