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• • 11 • f ZIIIIILOIRIKIINLDI 167M 1111=11•01z#-1 • t Wt 1 <br /> �Q uq�p <br /> +bwAsterLaWratofles p<oal 6 l!J� Far a st@r labs► f�e� !`{my <br /> where�#Yrsascrence Aod # sample# rO s��t# <br /> Analyses Requested <br /> Facility# 9-1848 Job#3116392 Globel IOM607750493 Matrix Preservation Codes Preservative Codes <br /> Sole Addres <br /> J257 W YOSEMITE AVE MANTECA CA H=HCI T=Thiosulfate, <br /> ? N=HNO3 S=NaOH <br /> 4 Chevron PM Bob Cochran Lead Consultant Secor S=H2SO4 O=Otherra <br /> j <br /> Consultant/Oce —G-R, Inc , 6747 Sierra Court, Dublin, Ca 94568 .0 c [3 J value reporting needed <br /> ff <br /> 9 a .3 N s ❑Must meet lowest detection limits <br /> Consultant Pry Mgr Deanna L Harding (D�eanna�gnnc coo) z o` �, possible for 8260 oompounds <br /> Consultant Phone#925-551-7555 Fax# 925-551-7899 4 <br /> o � 2 0 8421 MTBE confirmation <br /> Sampler --2—,b,. CAMIr4�74 p 0 W o oConfirm highest hit by 8260 <br /> ❑Confirm all hits by Mo <br /> Service Order# []Non SAR E z <br /> Date Time <br /> A [3 Run,,,,.,r oxy s on highest hit= o � _ j � p Run_axy s on all hits <br /> Sample Identification Collected Coltected o m ft t a 1 <br /> A 4 h I to?- 2- A Comments 1 Remarks <br /> C– lots— (v <br /> C L a x fn <br /> C o3� n 6 <br /> Relinquished by Qflk� Time -Received D e Time <br /> Tum round Time Requested(TAT)(please circle) y n, <br /> 72 hour 48 hour R riqutsh by ' a Time by Time <br /> 24 hour 4 day 5 day 14xj fil2A j0'0 <br /> Data Package Options(please circle if required) R nqu ed Date Time Race y` Data Time <br /> 'l� )5 a �bb Y t� 9/Io <br /> CC Summary Type!—Full Reilnqulshad by Commercial Ca Received late Time <br /> Type VI(Raw Data) ❑Coelt Delirarable not needed � 1� , <br /> MP(RWQCB) UPS FedEx the 7 <br /> Disk Temperature Upon Receipt 5^ � :0 Custody Seals Intactf Yes No <br />� <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P x 12425,Lancaster,PA 17605-2425 (71T)656-2300 3460 Rev 7130146 <br /> 0 Copies White and yellow should accompany samples to LanLabomtories The pink copy should be retained by the client <br />