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.�,� ,, For Ls s L arias use only <br /> ��di'I caster L&Q dories Acd 4 �Oq 5am�le s9 �l/x-! �-i iG d -SCR# <br /> �. iA/fim?rl?¢r*saxericL <br /> op-7 O� H� � t Analyses Requested � "l 71pJ00 <br /> Facility d SS 9 8264-OML G R4386Matrix Preservation Codes Preservative Codes <br /> 854 Global 1©�T0607700627 H=HCI T=Thmosulfate <br /> Site Address 3775 TRACY BLVD, TRACY, CA N=HNO3 B=NaOH <br /> DR Lead ConsultaMSBCCRGF S=H2SO4 O=Other <br /> Chevron PM 0 ❑ 01 value reporting needed <br /> Consuuantl0ffice 3-R, Inc, 6747 Sierra Court, Suite J, Dublin,Ca, 94568 z o <br /> Must meet lowest detection limits <br /> Deanna L }-larding tdeanna@grinc com) a z 9 9i possible for 8260 compounds <br /> Consultant" Mgr ❑ p <br /> Consultant Phone 925-551-7555 Fax 925-55T-7899 a <br /> ❑ 8021 MTBE Ccrdlrntalian <br /> m o 0 confirm highest hit by 8260 <br /> Sampler Vti w E w ❑ p Confirm all hits by 8260 <br /> Service Order# ❑Non SAR a z [3 Run oxy s or highest hit <br /> Date Time 8 E m 0 c Cj Rim oxy s on all hffs <br /> Sample Identification Call ed Collected b *2 m J <br /> I a5 Comments J Remarks <br /> MW-3 0 g <br /> I <br /> Relinquished by Date Time Received by to Time <br /> Turnaround Time Requested(TAT)(please drele) -ILI, L <br /> STD TAT 72 hour 48 hour Rettnquished by ate Time Received by 1e Tlme I <br /> 24 hour 4 day 5 day ,Z7 1Z <br /> Ref nquished by Time Received byate Time <br /> Data Package Options(please dmie if required) 41'% �$3 0 J 5 3 <br /> OC Summary Type I—Fun <br /> Type vl(Raw Data) [3 Coati Deliverable not^��DFIEDD Relinquished by Commercial Cerner Received Date Thee <br /> WIP(RWQCB) UPS FedEx Other a Oti <br /> Disk Temperature Upon Receipt 5ccolca cal,,7—"---5 j 3 C ats Intact? Ye No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)656 2300 3460 Rev 7130101 <br /> Copies Wh4e and yaltow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />