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- 1010 <br /> NW <br /> Lancaster LaboratoriesFor Lancaster Laboratories use only <br /> Where quaG a a saence Acct # D Sample#- 1 q 3 o7 n I -!`-1 SCR# �o <br /> DVd� Analyses Requested ZU 1 <br /> Facility#X8264 Job#386854 , , „_.Global ID#T0607700627 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address 3775_ZRArY RI VD_,TRACY, CA a N---l4NQ3 B=NaOH <br /> Chevron PM _. RQ Lead Consult m S=H2SO4- O=Other <br /> m N mU [3J value reporting needed <br /> Consultant/Office C R inc 1_R747 Clarra r niirf ublin Ca 94568 (a p c E) � v <br /> o a. a N a ❑Must meet lowest detection limits <br /> Consultant Pry Mgr Deanna I Hardiila—��nna@gnnC nnm} V pco <br /> ossible for 8260 Compounds <br /> Consultant Phone Fax# o o © 8021 MTBE Confirmation <br /> �Li a $ vex <br /> Sampler «J I7 Ci! o ©Confirm highest hit by 8260 <br /> Service Order# <br /> y I E w g 0 C ❑ I! ❑Confirm all hits by 8260 <br /> Q Non SAR a L z F8 +� i <br /> � q� ,� Q Run_oxy S on highest hit <br /> Date Time e o L0 vI R ❑Run`oxy s on all <br /> 3 � hits <br /> Sample Identification Collected Collected O U N O m <br /> /pr o Comments I Remarks <br /> /� x r <br /> Igo X f),sSa lve8 <br /> hne-fa <br /> Re [hod yDate Time Rece v by � Date Time <br /> Tum round Time Requested(TAT)(please circle) J <br /> : D TAT 72 hour 48 hour Rein uished D e Time Re Iv d by a Time <br /> 2:4 4 day 5 day 1 1510 <br /> 11 <br /> ell utsh by 1611-6.. � me Rece4led,byDate Time <br /> Data Package Options(please circle it required) JO t�'t <br /> QC Summary Type I—Full <br /> Relinquished by Commercial Ca r r Received Date Time <br /> Type VI{Raw Data) ❑Coelt Deliverable not needed <br /> WIP(RWQCB) UPS FedEx the �l <br /> Disk Temperature Upon Receipt Custody Seals Intact? Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 7130/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />