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Vh"*Lamager Laborane5 For <br /> Lancaster Laboratories use only <br /> I/l/11krL'Q[Ia�lIJ/1Sas�pI1C� Acct.# Sample# <br /> ,fin r Analyses Requested <br /> Facility# Matrix Preservation Codes <br /> Sg$ SS�N Preservative codes <br /> Sde Address �+ C� H=HCI T=Throsulfate <br /> CL <br /> Chevron PM _ CERA Lead Consultant Z <br /> N=HNOs B=NaOH <br /> Consultant/Office t l w; ow S=H2SO4 O=Other <br /> A ( B � c ❑ ❑J value reporting needed <br /> Consultant Pri Mgr �� 0. z o its <br /> Z <br /> Consultant Phone# U ❑ ❑Must meet lowest detection limb <br /> q Z '6t possible for 8260 compounds <br /> _L�b� ��d Fax# 6" 3� o S & ❑ <br /> iv 8021 MTBE Conlimzabon <br /> Sampler r ❑Confirm highest hit by 8260 <br /> Service Order# Non SAR w E w g ❑ <br /> Z 9 �, ,c, ❑Confirm all hits by 8260 <br /> Date Tlme c c ❑ g + ❑Run oxy s on highest hit <br /> Sam le Identification Collected Collected 0 U rn p g 0 = <br /> 041 <br /> _Z m A [3 Run._._oxy s on all hits <br /> X comments 1 Remarks <br /> g o2 <br /> PF7ar ,.Imps <br /> 02 Zz7 &Tr x DiF4 ? C-r'r7Ti�� <br /> Vi Z 3oS b7z- 16 C&I <br /> W" 2 ►foo -4,0f119/1- <br /> Vj <br /> uJ <br /> z o <br /> t,4 T M <br /> Tu round Tlme Re nested AT linqursh d by Date Time iv by <br /> Requested(TAT)(please circle) <br /> 1�,� Time <br /> TD T 72 hour 48 hour 10 <br /> 24 hour 4 day 5 day X,I,n <br /> ed b D Time R i y <br /> ' ;2- Time <br /> Data Package Options(Please circle if required) is by Time Received by <br /> CC Summary Type I--Full Time <br /> Type VI(Raw Data) ❑Coett DeErverable not needed Relinquished by Commercial Camer• Receiv Time <br /> WIP(RWQCS) UPS edEx Other { / �m <br /> Disk Temperature Recelpt r G- C° 1 <br /> Custody s Intact? as No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike.em 12425,Lancaster,PA 176052425 (717)656-2300 Rev 7130!01 <br /> Copies White and yeuow should a000mpany sernplas to Lancaster Laboratorlm The"COPY staA be retained by this diem. <br />