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Lancasterisso rnce ieS Acct.M `' v Samp eo#La aster Laboratories only <br /> F SCR#: r 'Sit 7�O(y <br /> iM�ere gt�alltyis a science. . <br /> Analyses Requested <br /> Q x atr <br /> MiPreservation Codes Preservative Codes <br /> Facility#: .. �' � 1 �.] : _ - � - - - <br /> 3 H=HCl T=Thiosulfate <br /> Site Address: N=HNO3 B=NaOH <br /> Chevron PM. Lead Consultant: <br /> ro S=H2SO4 O=Other <br /> Consultant/Office: ani ❑J value reporting needed' <br /> o ❑ c <br /> 0 0_ ro N 9 ❑Must meet lowest detection limits <br /> Consultant Prj. Mgr.: (L z UFO i possible for 8260 compounds <br /> .Consultant Phone 1j I— Fax s-A Q - bLgM ❑ ❑ og ow o ❑ 8021 MTBE Confirmation <br /> C,4 <br /> v <br /> Sampler: 1 ,r :? ❑ n o ^ ©Confirm highest hit by 8260 <br /> --- y E m OM 0 ❑ ❑Confirm all hits by 8260 <br /> Service Order#: <br /> ❑Non SAR: o z _ R ❑ <br /> � a � + o Run_oxy s on highest hit <br /> Date Time m o 'o o _ lu <br /> Sample Identification Collected Collected U U v7 O r m a �; ❑Run_oxy s on all hits <br /> Comments 1 Remarks <br /> Mon <br /> 3 <br /> Turnaround Time Requested(TAT)(please circle) <br /> Relinquished by: Date Time Received by: Date Time <br /> 1 5ti t I i <br /> ZTDp.Tj72 hour 48 hour Relinquish ate Time Received by: Date Time <br /> 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by: Date Time Received by: Date Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished mm ial Carrier: Rec Diveby: Date Time <br /> WIP(RWQCB) UPS ed Ex Other <br /> Disk Temperature Upon Receipt Co Custody Seals Intact? es No <br /> Lancaster Laboratories,inc.,2425 New Holland Pike,Ir+ Ix 12425,Lancaster,PA 17605-2425 (717)656-2300 /- '%0 Rev.7130101 <br /> Copies:While and yellow should accompany samples to Lang Laboratories. The pink copy should be retained by the client. Hwy <br />