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• • ! • • + <br /> 1 II,CIJLQlit <br /> UW 11- <br /> r1 CiWdes ,, For Lancaster E aboratorlea use oonly1/t�h yeq E tyisasoence Acct.#: U tj lV Sample M 75 ` - R#. <br /> SC • <br /> Analyses Requested <br /> Facility#: Matrix Preservation Godes Preservative Codes <br /> Site Address: ELL �jCL( H=HCI T=Thlosuliate <br /> N=HNO3 ' B=NaOH <br /> Chevron PM: S=H2SO4 O=Other <br /> 124 <br /> m � <br /> ConsultantlOCe: CD <br /> m wo ❑ ❑J value reporting needed <br /> a Z <br /> o 13 Must <br /> a Must meet lowest detection limb <br /> Consultant Prj. Mgr.; m possible for 8260 compounds <br /> Consultant Ph aFax 1313 w o ❑ ❑ <br /> y 8021 MTBE Confirmation <br /> Sampler: o " <br /> N ❑ E g ❑ ❑Confirm highest hit by 8260 <br /> Service Order#: - 0 Non SAR o L ¢ z. ,�, ,r, o CI Confirm all hits by 8260 <br /> Date Time cv E - '' _❑ O Q Run oxy s on highest hit a. <br /> 9 <br /> Sam le Identification Collected Collected 0 U in � 0 F � F � � � ❑Run�oxy s on all hits <br /> T �- i � �$ 4'a. �l'•15 <br /> 21 Comments 1 Remarks <br /> � a '•5S � <br /> — �► + ti 8 a <br /> ® \1 too 1'.6b <br /> 3i .. . . (0 <br /> CO q a Ck,CP; <br /> 4:M <br /> k Tum and Time Requested(TAT)(please circle) 4Rels <br /> had <br /> 07 a Time Received by: Date <br /> f STD.TA 72 hour 48 hour <br /> D to Tim eceived by: <br /> 24 hour 4 day 5 day 0 Date Time <br /> U . <br /> Data Package Options(please circle if required) Reli quish Date Time Receive <br /> Date Time <br /> QC Summary Type I—l=ull <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed wshe tial Carrier: <br /> Receiv b .D to Time <br /> WIP(RWQCB) UPS FedE�> Other <br /> �f r <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Yes No7 Oz <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (71 T)656-2300 3460 Rev.7/30/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client.. <br />