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N <br /> #LanaqerLabor&rjes For Lancaster es use my m <br /> o <br /> ec�La4ty>sasdaxe. l4 m1�9 Sample <br /> �//� P Scli- _ s �7 17 Co <br /> Co <br /> N <br /> m <br /> Analyses Requested m <br /> W <br /> Facility#: Tr- Matrix Preservation Codes Preservative Codes <br /> Site Address:cg'f .& y t H =HCI T=Thiosuffate U, <br /> N=HNO3 B=NaOH <br /> Chevron PM: LQuf Lead Consultard:_:rk oz c S=H2SO4 O=Other <br /> ConsuEtantl0ffrce: 3017 7 p rap z U)ca a CD <br /> ❑ ❑J value reporting needed Lo <br /> Consultant Prj.Mgr.: a° Z $ ❑Must meet lowestdotection Omits o' <br /> Possible for 8260 compounds m <br /> Consultant Phone#: �jta-�lat-,cxttr� �,c ❑❑ 0 W o Q ❑ `� ~' <br /> _ Zai Fax#;�df0`�,f-&4 3 o g 0 N 8021 MTBE Confirmation CD <br /> Sample �.� ,, ;� _ m ❑ m in o ti QConfirm highest hit by8260 m <br /> Uj <br /> G o roEl <br /> Service Order#: []Non SAR: L Q P N 11 Confirm all hits by 8260 <br /> Date Time Ls o• o ❑ z a 'R N C)Run_oxy s on highesthit <br /> Sample IdentificationCie L7 U O >I°� m W J ❑Run`oxy s on all hiss <br /> ��! X J x X- Comments 1 Remarks <br /> co <br /> M <br /> C) <br /> 0 <br /> l 1 <br /> d rime Requested(TAT)(prease circre) Rei shed Date Time Received by: Date <br /> 72 hour 48 hour Relinquished 4 haw 4 day 5 day q - Date Ti a Received by: �� T <br /> Data Package Options(please circre if required) Relinquished by: Date Time Received Gate Time <br /> QC Summary Type 1—Fuil <br /> Type Vf(Raw Data) ❑Coelt Deliverable not needed Relinquished by rcial Carrier: Received by: Time D <br /> VAP{RWQC6) UPS FedEx Other L j m <br /> Disk �] � )�d3 l bSv <br /> Temperature Upon Receipt—4� G" Custody eats m <br /> Lancaster Laboratories,Inc.,2425 New holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> 3480 Rev.7I30V01 � <br /> Co*s:While and yellow should accompany samples to Lancaster Laboratories, The pink copy should be retained by the client, <br />