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L0191 IIII!IN A44!I Loll F.,1101171-1 F2 kjz�L Y"JFA-Wjj <br /> Lancaster�oratodes ��0102-(j��" r� For Lancaster Laboratories use only <br /> C.QJt Acct # V � Sample# SCR# <br /> 1. csasa�erxe <br /> Analyses Requested <br /> Facility# 8-8632 Job 9386855 Global 1D#T0607700670 Matrix Preservation Codes Preservative Codes <br /> H= HCI T=Thiosulfate <br /> Site Address5_75_GRANT LINE ROAD, TRACY, CA a N=HNO3 B=NaOH <br /> Chevron PM Robert Cochran Lead Consultant Secor <br /> S=H2SO4 O=Other <br /> Z3 <br /> amWW m m ❑J value reporting needed <br /> Consultant/Office G-R. Inc . 6747 Siena Court, Dublin, Ca 94568 0lik <br /> 0 0_ ia o ❑Must meet lowest detection Emits <br /> Consultant Pq Mgr Deanna L. Harding (DaannaaManc.00m) © n v possible for 8260 compounds <br /> Consultant Phone#925-551-7555 Fax# 92551-7ft4Q09 Wa 8021 MTBE Confirmation <br /> Sampler �~ m ❑ n v o VI I(Confirm highest hit by 8260 <br /> N � 2 2 ` ❑Confirm all hits by 8260 <br /> Service Order# —0 Non SAR Q z 9 $ V4, 0 ❑Run_oxy s on highest hit <br /> Date Time o om o _ m ❑Run oxy s on all hits <br /> Sample Identification Collected (013:Collected 0 U (0O � m IL <br /> 14410-7- ---- K 7- i Comments!Remarks <br /> W• 1C 1�- <br /> W- to <br /> 13r I(- <br /> W- ZED >`' <br /> I, <br /> Relinquished by to Time ate Time <br /> Turnaround Time Requested (TAT)(please arcle) G I , Ric <br /> TA 72 hour 48 hour Date Time Re ed b Date Time <br /> 24 hour 4 day 5 day *ffn �wWu i b 425 <br /> Data Package Options(please Carole if required) Relinq shed by Date Time Recelv by Date Time <br /> QC Summary Type I—Full gwa-)-4J /J7/1 b_ V Yid <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinqukked by Commercial Carrier Received by D to Time <br /> WIP(RWCCB) UPS FedEx Other �� 0 1ti ) <br /> Disk Temperature Upon Receipt Custody Is Inca Ye No I 1- �� <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,gwx 12425,Lancaster,PA 17605-2425 (717)6563-2300 0 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lan Laboratories The pink copy should be retained by the client <br />