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�lel'Ito n1R!11rTof 11t!r•iteI!>i[ 71�AnL!1jsis ►t=�q1I= <br /> +Larnster LaboratoriesFar Lancaster Laboratories use only <br /> Wfoerequaliryrsasaence Acct # Sample# c/ 7. 23—3Z scR# <br /> Analyses Requested (` 4a zcc)2,-a <br /> Facility# 9-8632 Joh#386$55 „. Matrix Preservation Codes Preservative Codes <br /> „C21oha} I D#TQ6QZ700670 <br /> gate <br /> Sate Address __575 GRANT LINE ROAD, TRACY, CA C N=HNO3 8=NaOH <br /> Chevron PM RC Lead ConsusetS=H2SO4 O=Other <br /> l <br /> ID ❑J value reporting needed <br /> Consultant/Office _ 5, o C1 <br /> CL o ! ❑Must meet lowest detection limits <br /> Consultant Pry MgriggnAc 11 U °� 0 ,9 _ possible for 8260 compounds <br /> El w m � <br /> � 8021 MTBE ConfirmationConsultant Phone# 9-95-551-7555 Fax o <br /> _ 7CM <br /> [3 Confirm highest hit by 8 <br /> 260 <br /> Sampler <br /> E W iu ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR n z ii g <br /> a y $ ti ❑Run_oxy s on highest hit <br /> Date Time 0 a o © o �5 _ <br /> Sample Identification Collected Collected 0 v O m ❑Run oxy s on all hits <br /> Comments/Remarks <br /> �913T x Na Tpft-� "N1154�r�� <br /> MW Ilo� x <br /> MW 3 X35, XS <br /> L) /�a3 <br /> MW - s /r�V� x <br /> A/267 lf� f <br /> x <br /> X SC �C <br /> Io7 S" <br /> Relinquished by Date Time Received by '�- 41 <br /> Date Time <br /> Turnaround Time Requested(TAT)(please circle) --- , <br /> AT 72 hour 48 hour inq to Time Re d by Time <br /> 24 hour 4 day 5 day liG UZO <br /> Data Package Options{please circle d required) R i s b Time Recewed at Time <br /> QC Summary Type I—Full r 6 d <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed alinquished by Co al mer �n Received lSy. ` J� D Time <br /> WIP(RWQCB) UPS FedEx Other V� /J ��AL <br /> Disk [Temperature Upon Receipt C. Custody Seals Intact? f Yes No <br /> Lancaster Laboratories,Inc.2425 New Holland Pike,P 12425,Lancaster,PA 17605-2425 (717)656-2340 0 Rev 7/30/01 <br /> Copies White and yellow should accompany samples to Lanclgaboratones The pink copy should be retained by the client <br />