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l Ii • • <br /> r <br /> 1 �� For Lancaster Laborstod0s use only <br /> Lancaster LabOra ries Acct t— %/� / Sample#_+10 !tai - 7� Ca _ SCR# <br /> jj� <br /> IMlEr2gt�3Gry+sasaerice $j Analyses Requested S i z 43 <br /> i <br /> Matrix Preservation Codes Preservative Codes <br /> Faahty# SS#9-9540 G-R1i;386�46 Global[D€f0647700716 Mat <br /> , H=HCl T=Thiosulfate <br /> 4344 WATERLOO RD., STOCKTON, CA JI! H=HNOa B=NaOH <br /> Site Address ff S=H2SO4 O=Other <br /> Chevron PM RC Lead Consultant SECORRH IE12 <br /> C]J value reporting needed <br /> GortsultaMlDffice GR, Inc, 6747 Sierra Court, Suite J, Dublin, Ca 94568 � o c ❑_ E3 must meet lowest detection Inrnts <br /> possible for 8260 compounds <br /> Consultant PrJ Mgr Deanna L Harding (deanna0gnnc.com) - a <br /> 0. <br /> ` ❑0 0 ❑ Cl e 8021 MTBE Continuation <br /> Consultant Phone# 925-551-7555 # 925-55i-7$99 1` ° & ❑Corffirm highest hit by 8260 <br /> Sampler V-41001 E LU ❑ ❑Gordian all hits by 8260 <br /> y a <br /> � p <br /> Service Order# [IN on SAR a m ❑ + $ $ Run oxY s on hughest hit <br /> Date Time �I �t o — m — a � I ❑Run oxy s on all hits <br /> Sample Identification Colected Collected U O F' m I J <br /> QA 7110 •] I1 �. Comments I Remarks <br /> f <br /> 11 <br /> 111:✓• ' au <br /> �r X——�c X+ <br /> J II - <br /> vo'! <br /> NY <br /> I►'!tr• � <br /> Qe �l <br /> 11 II <br /> f 1[ IE <br /> to Time <br /> t <br /> Tu d Time Requested(TAT)(please cimle) �' iRelTime e <br /> TAT 72 hour 48 hour IDateTime Received by Date Tune <br /> ifflWX r� 1f <br /> 24 hour 4 day 5 day <br /> Relcnquish"W byNJ V OF <br /> Time Received by dr D Thrill <br /> Data Package Options(please drde It required) ; !! �i0' t' y <br /> QC Sununary Type I—Full I` Reilnqulshed by Commercial Camer to Time <br /> Type VI(Raw Data) ❑Cook Deliverable not needed UPS I� FedEx then 11T, <br /> - <br /> WIP(RWOCB) ir <br /> Disk Teesaperateure Upon Receipt G° Custody ntact? as lVo <br /> } I� 11 t 3460 Rev 7130MI <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 47605-2425 (717)656-2380 <br /> Copies White and yellow should accompany samples to Laboratories The pink copy should be retained by the client <br />