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Historical ' • _ ' • Analysis e_"q • • <br /> Lamaster Lkoratode5 0722 J J j For Lancaster Laboratories use only /�I <br /> � �8$CierlCe' Acct.#: 1 `4 [� Group# /V d31 J� Sample#: �` (4-7 09� v9—eSG <br /> Please print Analyses Requested SCRM 31 -1 <br /> 7 7 <br /> Site/Global ID: 4elvWiSM n S LU -4 4 Q�32S P servatiop Codes Preservative Codes <br /> H=HCl T=Thiosulfate <br /> Site Address: S �� V1 Yi/f I iS a N=HNO3 B=NaOH <br /> 8$Sd Canits bwn's, I]$l�o� S=H2SO4 O=Other <br /> ChevronTexaco PM:M.Scott Mansholt Leasulta5t:SA-IC d <br /> L <br /> Consultant/Office: El 401 Alberto Way,Suite B,Los Gatos,CA 95032 a) ❑J value reporting needed <br /> V3800 Watt Avenue,Suite 210,Sacramento,CA 95821 ❑ M ❑H P P Risk Assessment Detection <br /> o Limits <br /> Consultant Pd.Mgr.: l ]Pt(i nl J <br /> 0 ❑Chromatograms <br /> Consultant Phone#: G3- ci- ECo Fax#: ��-3 -35--- -0o <br /> ii + m .0 a <br /> Sampler: L &1Y rW l�r (o1'1 N o <br /> Q Z mLo <br /> Field Repeat TopTime New m o = <br /> Point Name Matrix Sample Depth Year Month Day Collected Flew Pt ym 0 0 a <br /> tLMW N U Ot 29 1 }( Comments t Remarks <br /> KA 114-Lo 1 2-4 15q,5 N X X, X t/6a 5171Cu <br /> 77 N l NA AIA 0761 6q'00 X 12 d47i?G ai TPNol <br /> MS�MS D <br /> Turnaround Time Requested (TAT)(check box) inqu' h d by: Y at Time by: Date Time <br /> VTD.TAT ❑ 24 hour ❑48 hour <br /> ❑ 5 day ❑ 72 hour ❑4 day d by: Date TimeReceiv by: Dae Time <br /> Matrix Values Repeat Values TRelfluished W, Date Time Received by: Date Time <br /> S Soil D Duplicate sample Relinquished b Commercial t`arrier: Received by Date Time <br /> W Surface Water or Groundwater T Pre-Purge <br /> Sample /7 <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS Fe Other ��- /�/—,(`/�� � OQ7� <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt r G•C' Co pH Custody Se ct? Q�P No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev.1/14105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />