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Lancaster Far Lancaster Laboratories use only <br /> ster Laboratories <br /> Acct.#: I �� Sample#: -Y U SCR#: <br /> Where quaftyis a science. <br /> Analyses Requested <br /> Preservation Codes Preservative Codes <br /> Facility#: r'L o,��i�ul —�«at4 8> ----- - <br /> H = NCI 7=Thiosultate <br /> Site Address: rte 2 "� rvirv�l2 L✓L S�r�c�Ctt C'44 ___ N=HNO3 B=NaOH <br /> ca <br /> Chevron PM: Lead Consultant: S=H2SO4 O=Other <br /> �1 U <br /> e c ❑ ❑J value reporting needed <br /> Consultant(Office: <br /> N 9 ❑Must meet lowest detection limits <br /> ConsultantPrj.Mgr.: C)S�Uc� ___ a °° possible for 8260 compounds <br /> Consultant Phone#: i/la - g�/�0 � o 8021 MTBE Confirmation <br /> J Fax#: �t1lQ 84.! 4 c�SC? (D Ex <br /> Q co ❑Confirm highest hit by 8260 <br /> Sampled <br /> `l N E m 8 0, El ❑Confirm all hits by 8260 i <br /> Service Order#: O Non SAR: 71 <br /> CL Z + "' n ❑Run CIO _oxy's on highest hit <br /> Field - Repeat Top Time New m S =° $ = ' ❑Run oxy's on all hits <br /> Point Name Matrix Sample De th Year Month Da Collected Field Pt. 0 c0 h m � � � -� <br /> -10-Oz. •y Comments Remarks <br /> !b <br /> Relinquished by: Date ' e Received by: Date TiKe <br /> Turnaround Time Requested(TAT)(please circle) ✓cry <br /> STD.TAT 72 hour 48 hour Relinquished by: Date Time Received,by: Date Time <br /> 24 hour 4 day 5 day <br /> Relinquished b Date Time Received b Date Time <br /> Data Package Options(please circle if required) <br /> QC Summary Type I-Full Relinquished b ercial Carrier: eceiv d by: Dto Time <br /> Type VI(Raw Data) [welt Deliverable not needed <br /> WIP(RWQCB) UPS FedEx Other to <br /> Disk Temperature Upon Receipt Co Custody Seals Intact? Yes No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425, Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 40/04/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />