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• • • • — • Il — • • • • <br /> jj�Master Labor& For Lancaster Laboratories use only <br /> Acct <br /> # Sample# C7 SCR# <br /> Analyses Requested <br /> Faculty# qAA14 D Matrix Preservation Codes Preservatrve Codes <br /> Site Address H=HCI T=Thlosulfate <br /> N=HNO3 B=NaOH <br /> Chevron PM ead Consultant S=H2SO4 O=Other <br /> U <br /> ConsultantfOffice o c © ❑J value reporting needed <br /> ❑Must meet lowest detection limb <br /> ~��Q,� ° <br /> Consultant Pri Mgr az c $ its� <br /> 0 0 ❑ possible for 8260 compounds <br /> Consultant Phone o 8 0 8021 MTBE Confirmation Y <br /> Sampler ❑ w $ o c ❑Confine highest hit by 8260 <br /> Service Order# = M C © ❑Confirm all hits by 8260 <br /> ❑Non SAR 0 ¢ z 9 t2 y N <br /> Date Time ro E — �' ❑ m + ;a 2 o �~ ❑Run`oxy s on highest hit <br /> Sample Identification Collected Collected C7 0 r°n O �°- F m ❑Run`oxy s on all hits <br /> t tJI Comments 1 Remarks <br /> � I �► � f � t br+i �1�t <br /> b [,t: ,TIAYYI�, <br /> F3 4-t t <br /> ax 14 <br /> S ' lav � �p�► ,�-.r,��ra� <br /> a <br /> �->,e o <br /> ound Time Requested A e at Time Received by Date Time <br /> q (TAT)(Please circle) <br /> STD T 72 hour 48 hour el wished b 1 <br /> 4 hour qday 5 day ate Time Received by to Time <br /> Data Package Options(please circle If required) Relinq shed by Date Time Received by Date <br /> QC Summary Type I—Full <br /> Type A(Raw Data) ❑Coelt Deliverable not needed Relinquished b ercial Camer Receiv b v Date Time <br /> WIP(RWQCB) UPS d: Other f <br /> Disk Temperature Upon Receipt .'O C. Custody Seals Intact es No r <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 7/30101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratones The pink copy should be retained by the client <br />