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Chevron Calibmid? <br /> r��!LaLrnZwtuLabor&fles <br /> Far to3caster arat � les-�sr�my <br /> Acct # a Sample# J1 R I o� —ot T SCR# <br /> gLa tpsasconce <br /> Analyses Requested <br /> Facility#_ e ��� _ Matrix Preservation Codespreservative Codes <br /> T=Thlosulfate <br /> Site Address30 CL <br /> N=HNO3 B=NaOH <br /> Chevron PM S ("r c%PnLead ConsultantS=H2SO4 O=Other <br /> - y U <br /> .20 �, �, ©J value reporting needed <br /> Consultant/Office 'JUi`7 K a o ❑ " <br /> m €4 ❑Must meet lowest detection limits <br /> Consultant Pia Mgr i en a- Z U possible for 8260 compounds <br /> Consultant Phone# 91h S f tx1lJ�.2 __ Fax* q1 G `S61 � ❑❑ o 8 � 0 ❑ 8021 MTBE Confirmation <br /> w Q Confirm highest hit by 8260 <br /> Sampler ,►� S0 r+ m �_ E m 0 ❑ ❑Confirm all hits by 8260 <br /> Service Order#- ❑Non SAR 0 z o [3_ <br /> Date Time m E — ❑ x m " Run oxy s on highest hit <br /> o v — o a R s❑Run_oxy an all hits <br /> Sample Identification Collected Collected (D U u) 3: O !— m i- <br /> C v2 y x Comments 1 Remarks <br /> Relinquis y ote Time Rece by Date Time <br /> Turnaround Time Requested(TAT)(please circle) of Y <br /> STD TAT 72 hour 48 ho Relinquished by Time Received by Date Time <br /> 24 hour 4 day ay <br /> Data Package Options(please circle if required) Relinquished by Date Time Received by Date <br /> QC Summary Type I—Ful! <br /> Type V1(Raw Data) [I Coelt Deliverable not needed Relinquished b mesme <br /> al Carver eceived by Date rime <br /> WIP(RWQCB) UPS Other 00 <br /> Disk Temperature Upon Receipt ,Co Custody Seals Intact! Yes Na <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2340 3460 Rev 7!30104 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />