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Lancaster <br /> I ,� For Lancaster Laboratories use only 018 613 <br /> Laboratories Acct.#. Sample# Group#: <br /> Analyses Requested <br /> Facility#: SS#305620-0 L G-R#385833 Global ID#TO607700008 Matrix Preservation Codes Preservative Codes <br /> 5606 PACIFIC AVE., STOCKTON, CA 11 H= HCI T=Thiosulfate <br /> Site Address: N=HNO3 8 = Nal <br /> SM AECOMJJ Johns S=H2SO1 0=Other <br /> Chevron PM: Lead Consultant: q <br /> nc., u ..Terra `ourt Suite J, u In, m a) m <br /> Consultant/Office: '� o a 11C5ro 0 value reporting needed <br /> enn ar i g eann gnn .com a z ftRlust meet lowest detection limits <br /> Consultant Pd. Mgr.: U5 rr possible for 8260 compounds <br /> 925-551-7555 925-551-7899 0❑ El [I8 8 , <br /> Consultant Phone#: Fax#: o 8 0 <br /> g o 8021 MTBE Confirmation <br /> Sampler: <br /> hlr,7p"^' O o + ❑Confirm highest hit by 8260 <br /> : w 8 <br /> a Z 52 g e ❑Confirm all hits by 8260 <br /> Date Time 0 E — m ❑_ �+ a ❑ Run_oxy's on highest hit <br /> Sample Identification Collected Collected 0 0 in 3 ° ❑Run oxy's on all hits <br /> me zl q r6 z i I :� - >- k <br /> Comments/Remarks <br /> ")-2 D c <br /> Please forward the tab results <br /> directh/to the Lead Consultant <br /> and cc: G-R. <br /> P)l 2tID IC/n <br /> r7IJ- zSp Irflr ? k d <br /> )Ylt-,- 1 f lrlav k <br /> Turnaround Time Requested(TAT)(please circle) Relinquished by: ate Time Received by: Date Time <br /> :STD,TAT 72 hour 48 hour ��"Z - �� �!7?�r+ aaov ��:_._ �i. _iC Y.Ii✓G,rF7.-r- �3 - `�-v0 <br /> 24 hour 4 day 5 day Relinquished" y. a Tlme Received by!! r rri Time <br /> Relinquished by: Date Tlme Received by: " Date Time <br /> Date Package Options (please circle if required) <br /> OC Summery Type I -Full EMEDD Relinquished b Commercial Carrier:Type VI (Raw Data) ❑Coelt Deliverable not needed q y Received by: Date Time <br /> WIP(RWOCB) UPS FedEx Other <br /> Disk Temperature Upon Receipt C° 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 (11ann) 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 />