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CiC '1' 01 12$ fi ' <br /> aasoewe. <` max, scRill. <br /> 1 70 <br /> Facility i.&.0, 97 <br /> z . 1* Preservation Cbdis Prdse ,Cod@ <br /> Site Addnees �1 c O ' w <br /> 5 H= iCf T#N <br /> Chevron PM: �- a Conaultdlnt t` �' x. f.. ; �;' N ' B=N Y <br /> S S�. O=Other <br /> ConsultanUOtrioe: O <br /> ir:roriri(�rrded . <br /> Consultant Pq-'r: Kk3 +: O. fl Must mEet lowest detection <br /> r K [3 ," for 8260 compounds <br /> Consultant Phoneitl <br /> Sampler 802iE Confamatioo <br /> " � �� 3 t�hest hd by erso <br /> � $ �iadfimn <br /> r n t�ot1 SAR ; ?: Confirm all hi�i.by.8280 <br /> PdeW t Top = �:�t fir+ $ � � t �: �Run_6Ws do highest t4 <br /> nth ruu <br /> IkafnaI� c� `t,6 ❑Run ;wws on s.0 hlts <br /> _• 1 4 , Ot�lMMlel a <br /> Ilk <br /> rt3. <br /> PoS,Y� :7T f' <br /> Awn <br /> fJ- ALyze . <br /> .. <br /> t'+ <br /> g. <br /> `nd Tim •• ft ... �'' <br /> e Requested(TAT)(Abase;drde) �qulsl%d bY• atn!N1. 30 Received by. Date Time <br /> ST6:TAT 472 day <br /> 48 hour ` .R <br /> Y 5 day l b . Time <br /> Qua Package Options(please drc�-if,tequhi d)' Ralingirialhed by f4_ =Date Time Received-by: Date <br /> a, <br /> QC Summary Type I=Fun . <br /> Type VI(Raw Data) (]Oo&k Deliverable,not needed Relinquished s r Canisc <br /> by: <br /> mat <br /> WIP(RWQCB) ::.': UPS FedEx Other l 1 t 1 <br /> Disk 1 y` <br /> Temperature Receipt ' Custody Intact? Yes- No <br /> Lanepister'Laboratories,inC.;2425 Ndw Holiarid- te,PO 12425 caster,:PA 17605.2425 (T77)656 2300. ;� 3480 Rev.tOJ04l01 <br /> C*Pi #: a#nd yellow sho}rid accompany.eample:i to l ar►caster The ` <br /> pink Dopy should be retained try the client. <br />