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RUPP IT43 M Log a i UM <br /> '' ww ��,{{.'�� For La bbn3totles uaa only �1��� �`S a rJ <br /> I�I..R3�Y�rQW� O G n� ]` � Acct.# Semp{e# r 9CR# <br /> . iMleregt�ryisa.saence. � � 3� L.�� <br /> Cambria MTI Project#61H 2043 Analyses Requested <br /> SS19-1848 G-R#386392 Global 1D#T0607700493 Matrix Preservatio Codes Preservative Codes <br /> Facility# H=HCI T=Thiosuffate <br /> Site Address 1257 W YOSEMITE AVENUE, MANTECA, CA a N=HNO3 B=NaOH <br /> CAMBRiABE S=1-12SO4 O=Other <br /> ad Consubnt <br /> Cheymn PM lv1T1 Le ❑1 value reporting needed <br /> Consultant/OfficeGR, inc, 6747 Sierra Court, Surte J, Dublin,Ca 94588 m w ❑ <br /> fl us1 meet lowest detectionlimlt3 <br /> Consultant Pry Mgr <br /> Deanna l- Harding (deannaftnnc com) z possible for 8260 compounds <br /> o 13 E] 8021 MTBE Confirmation <br /> Consultant Phone# 925-551 7555 Fax#- 925-551-71399 'B � <br /> 1 L �i ❑Confirm highest hit by 8260 <br /> Sampler Uel 1`r m 0 Lu ❑ [3 Confirm Confirm all hits by 8 <br /> Service Order# (]Non SAR _ 0 z S R 0 ❑Run oxy s on highest hit <br /> jNI1e <br /> Time p Run oxy s on all hits <br /> sample identificationcollected collected <br /> Comments 1 Remarks <br /> C.-- g X (� �! x 3 S <br /> PIS <br /> Relinqulshed by <br /> Da lime Received by Dabs 6 Time <br /> Turn round Time Requested(TAT)(please circle) t jOp 1 <br /> TO T 72 hour 48 hour Relinquished by- Oa Time R by <br /> ' e <br /> 24 r 4 day 5 day )�� <br /> fi <br /> Data Package Options(please circle it required) R 8 ed by- Data Time Received by Date Time <br /> t� f <br /> QC Summary Type I—Full Reli ed mercial Carrier Received b Tune <br /> Type w(Raw Data) ❑Coen Deftrerable not needed EDREDD tips ad Other <br /> WIP(RWQCB) �4c�u - <br /> Disk Temperature Upon Receipt i cook'3 a f-So-VIV Cus a tad? es No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (7M656-2300 3460 Rev 7MI01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />