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n51�Lbora#ores1. Fn Lancaster Laboratories ase only <br /> j . + ".het qualrty sascrence. . Acct.#: Group# .. amp e..#i <br /> Please punt Analyses#iequestrd SCR#: <br /> 5itelGlobal.iD; . 9� , ° ` -z t t� '.`3°tel �`" Preservation Codes Preservative Codes <br /> LL: H- F GI T=Thiosulf. <br /> Site Address: : Cyt: "'� ' ?f�;t i c' r N - HNO3 B-NaOFi <br /> ChevronTexaeo PM.M.Scott Mansholt Lead Consultant' �. S= N25O4 O=OtEler <br /> N U <br /> ConsultantlOffice: ©4131 Alberto Way,Suite F3,Las Gatos,CA 95032 O ' ❑J value reporting needed <br /> 3860 Watt Avenue;Suite 210,Sacramento,CA 95821 ❑ 0 ❑11.0 Risk Assessment Detection <br /> Limits <br /> Consultant Prj Mgr )� � i t4 0 . �- ❑Chromatograms <br /> Consultant Phone# ' ' Fax#: 1 <br /> S l Vo 2: ': <br /> Sampler e. �C e a o N �, <br /> a ,: <br /> Field Repeat Top Time Nem o ; _ a: <br /> Point dame Mafrix. Scruple Depth Year Manth Day Collected Field PE YIN U �`. ' <br /> � �,d1aj 1 x _ Comments 1 Remarks <br /> `w.'+M N - '-i f } i .' ,�. \°4.:+"6 {j qp _ f¢+ 'meq �` �` <br /> i 1 , <br /> _ t �/1` <br /> p .,;yy pp <br /> t 61w ' ( � . Itti = ',t1. 7 ?f? <br /> n <br /> '^.^,; j1 ars N{ l t <br /> . , .& . <br /> 1. <br /> t `: , <br /> TurrEarouncl Tfine Re nested TAT check box Reli gushed by:'{ Date Time .. by at Time <br /> u ( )f ) <br /> STD TAT ' ❑ 24 hour ❑ 8 hour1. : :'. : . : Iii .. .. I .: / 61--�)—�- . <br /> Ald ' <br /> �❑ 5'day ❑ 72 hour ❑4 daytelinGuished fDat Time Received Date Time <br /> I ' ' ✓ 1 <br /> - „ Y ��' . '' •' � l �� 4 1. 4' � � �. <br /> Matrix Values Repeat Vatues ? Relinquished by: Date Time Received by. Date Time <br /> S snit;' 1] ouplicaie sample Relinquished by CommerciaE Carrier Received by: Date' Time <br /> .... .. . .. . �tffi. ... r . .... .. .. . . . . .� <br /> W Surface,Waieror.Grouritlwater. .:T Triplicafe.Sampis. .:.,.. . <br /> T Tri Blank.-QA Semple' N Pre-Purge Sample UPS FedEx ©ther <br /> R Rinsate Blank. QA Sample P Post P..urge Sample <br /> M Mlscellar,eous(e,g,product sample) TemperaturelpHfUpon Receipt C° pH Custooy Seals.intact? Yes t3o <br /> Lancaster Laboratories,Enc.,2425 New Holland'Pike,PO Box 12425,Lancaster,PA 1.17605'-2425 :(717)656-2300 4324.011. Rev. 1114105 <br /> Copies:White antl yellow should accompany samples to Lancaster Laboratories; The pin€c copy should be retained;by the cjient. <br />