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'W dk"* 'JAM <br /> • For La La ra use only <br /> Acct.#. Sample# SCR#: <br /> VA-ae gluaRyis a silence. <br /> G 1 - M OO 2,52 GAC. L� Analyses Requested c 4 9 69 7 5 <br /> Facility# <br /> r.1hey to q —�27 Preservation Codes Preservative Codes <br /> n — <br /> H=HCI T=Thiosulfate <br /> Site Address: 0 4�' C N=HNO3 B=NaOH <br /> S=H2SO4 0=Other <br /> Chevron PM:_J+E�nn P'e0s� Lead Consultant: Q �^ <br /> V <br /> r � [IJ value reporting needed <br /> ConsrAtantlOffice: 40 <br /> o s� ❑Must meet Wmest detection limits <br /> vj possible for 8260 compounds <br /> Consultant Prj. Mgr.: ' trr U ❑ P <br /> Consultant Phone#: Cql�� �l�j•Qtj 00 Fax#: _ _`i o 8021 MTBE Confirmation <br /> Sampler. eo = (j Confirm highest hit by 8260 <br /> 0 3 ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: z LO <br /> Field Repeat Top Time New .a + $ ❑Run oxy's ore highest hd <br /> Lgial NameM le Deoth Year Month D olleded Field Pl. C]Run_ouy's on all hits <br /> Comments 1 Remarks <br /> i7tOo 2 D <br /> ML) <br /> W bo. IA.IP <br /> W oto° ) 3 <br /> 031P -K <br /> dt 1-4 <br /> • _ ���cor.cow. <br /> i h�bcrl e�sfcof <br /> Reli uis � Date Time 'veil by: DaleTrme <br /> Turnaround Time Requested{TAT)(please circle) QA b <br /> j;T�'.TAT ' 72 hour 48 hour Relinquished' Date Time Received by: date Tune <br /> ur 4 day 5 day <br /> IData Package Options(please circle if required) Relinquished by. Time Received by: to Time <br /> QC Summa <br /> Type VI(Raw Data) Coelt Deliverable not needed Relinquished rci�l Carrier:m � -o ived by: ate Trrne <br /> WIP(RWQCB) (^ UPS Fed Other <br /> Disk ��rEEI��,tA Temperature U n Receipt ° C° Custody I tad? Yes o <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev: 10!04/01 <br /> Copies:White and yellow should accompany samptes to Lancaster Laboratories. The pink copy should be retained by the client. <br />