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• • • • <br /> • • • I • + <br /> +Lxv-der I aWf i� �y_ For La " L_I,�b as _SCR#Acct # ►V Std l— sample#q "�75(,j F�jJquakY6asoanm ,-,�+ <br /> L.�] ---0� Analyses Requested <br /> Matrix Preservation Codes Preservative Codes <br /> Facility#- SS19-8264-0ML G-R#386854 Global)D#TO607700627 14 141 141 1 141 T H=HCl T=Thosulfate <br /> 3775 TRACY BLVD, TRACY, CA b N=HNO3 B=N80H <br /> Sate Address b S=ii2S0A D=Other <br /> Chevron PM DR Lead Consultant SECORBS 13 0 vatoe reporting needed <br /> G-R, Inc,6747 Sterm Court, Shite J,Dublin,Ca.94568 w ❑ q, �4lust meet lowest detection Amits <br /> ConsuhanttOf lice a w N �- v '`bie for 6260 compounds <br /> Deanne L Harding (deanna@gnnc Com) a z 6 S a. <br /> Consultant Prj Mgr U p <br /> .._ o ;i- w 6021 MTBE Confirrnatlon <br /> Consultant Phone#925-551-7555 Fax$P.925-551-7M. ° $ c g Q ' ❑CW*m tdghest hit by 8260 <br /> Sampler a E R ❑confirm all hits by 6260 <br /> Sennce Orclet# ❑Non SAR Z ❑Run oxy s an highest hit <br /> E <br /> Date Time — [3 Run Doty s on all hits <br /> ILI <br /> Sample Identification Collected Collected <br /> A 7 1 t Orr f a Comments!Remarks <br /> Yd .-1 8ao f(v Dtssoiu<� M��t(� <br /> -� 09 <br /> ha�c 6�� r t <br /> MOAFIE Q �vl IIS OJ <br /> Date Time Reoelved by Date Time <br /> ReSnquishejr <br /> d by `�, <br /> Turnaround Time Requested(TAT)(please arde) <br /> STD TA 72 hour 48 hour Relinquished by to Time Ned W • <br /> 24 hour 4 day 5 day <br /> Relinquished by- <br /> e Time Recgietby at Time <br /> Data Package Options(please cinde If required) D <br /> QC Summary Typal--Full Relinquished merciat Card Received by ��ate�,{{ Time S <br /> Type vI(Raw Data) ❑Cosa Defivemble not needINDFIEDD UPS Other <br /> WIP(RWQCB) Cr No <br /> Disk Tennperature Upon Receipt C° i i—�7 Cus�dy <br /> 3460 Rev 7130!91 <br /> Lancaster Laboratodes,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 1760x2425 (717)656-2300 <br /> Copies White and yellow should ecoompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />