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• • • • • i • • • • s <br /> For � ee�� <br /> +Lamaster L,an/n1 y1U%Ac, t aLahor&rIes a1 Sample* —�SCR#Analyses Requested salG <br /> Martz Preservation Codes Preservative Codes <br /> Facility# SS*9-8264-£MI_ GRa#386854 Global ID#TQ60770 627 H=HCI T=Thtosulrate <br /> Site Address3775 TRACY BLVD, TRACY,£A a N=S=HzSH03 B=N <br /> 04 0-Othherer <br /> Chevron PMDR Lead ConsultantSEMRGF ❑1 value reporfing needed <br /> Consultantfoffice G-R, Inc,6747 Sierra Court, Suite J, Dublin, Ce 94568 W c ❑ biMust meet lowest detection limits <br /> Deanna L Harding (deannaCgnnccom) ❑ � � © ❑ possibierors26ocompounds <br /> Consultant Pry Mgr c3 <br /> 8021 MTBE Confirmation <br /> Consultant Phone#9� -� �-755.5 Fax# 925-5-51-7M o�c r <br /> m o ti ❑Cordtrm highest hit by 8260 <br /> Samples _ nl{S ,V._-, N — E w ❑ ❑Confirm all hits by 8280 <br /> Service Order# ❑Non SAR a z V V R ❑Run oxy s on highest hit <br /> Date Time E 13 ❑Run .___oxy s on all hRs <br /> Sample Identification Collected lett O H m <br /> e� Comments!Remarks <br /> f 1r t <br /> tn IA)- <br /> W- <br /> 1A,� <br /> fin fid- r o <br /> f <br /> i <br /> RBu vba e Tri"OTime R ed <br /> Turnaround Time Requested(TAT)(please circle) o0 1 <br /> S TAT 72 hour 48 hour Reiin T <br /> ime R ved 1 � IdZ ate Time <br /> 4 day 5 day -� �� _ Date Time <br /> Data Package Options(please circle fi required) - <br /> QC Summary Typal—Full Relinquished by Carimercial Received by r Date Time <br /> Type VI(Raw Data) oCoelt Defiverable not neadMIFIEDD UPS Mr 9 0S /6d o <br /> WP(RWQCB) <br /> Disk Tetnperahme Upon Recelpt ' C° 3 4 Custody Is Ihtact? No ✓�a <br /> 3480 Rev 7130101 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PD Box 12425,Lancaster,PA 17605.2425 (717')656-2300 <br /> Copies White and yellow should aominpany samples to Lancaster Laboratories The pink copy should be retained by the client_ <br />