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• i • • s • • s • e • • • AT, • • <br /> #LwagL&oratofies For Lancaster Laborato es use only <br /> er <br /> Wf1em isasamm Acct # Sample# � a1(DS2_,(Q ( _SCR# 1/5 40 <br /> Analyses Requested <br /> FacildyP_1001alMatrix Preservation Codes Preservative Codes <br /> H=HCf T=Thiosulfate <br /> Site Address a N=HNO3 B=NaOH <br /> Chevron PM aog <Ocgm Lead Con Rant S=H2SO4 O=Other E <br /> Consultant/Office m ❑ rt ❑J value reporting needed <br /> q 9 � �� 2 8 V1 ❑Must meet lowest detection limits <br /> Consultant P Mgr a° z C <br /> _ ! 110 <br /> ❑ 0 ❑ 0 (�[ i< t1 V) possible for 8260 compounds <br /> Consultant Phone# ' Ora ,p Fax# � "16r'`d'�34 o g o ❑ <br /> 8021 MTBE Confirmation <br /> Sampler Q w $ o a- C]Confirm highest hit by 6260 <br /> ` ❑Confirm all hits by 5260 <br /> Service Order# 7?"1,+� !f(�_, �O ❑Non SAR 0 L a z _� �_ <br /> Date Time o o as _❑ ;;+ 8 p [3 Run oxy s on highest hit <br /> Sample Idesitificatlon Collected Collected CO U to O ° m 4 ❑Run oxy s on all hits <br /> r 11/7/01 10 Comments 1 Remarks <br /> �! o Z. d Mx,i)►fi,1rlwE, "roe, <br /> o Mq5 E78 1,t,DCA,ED$45 <br /> 1100 i 300 <br /> MW -7n l y () <br /> r v <br /> E 0 0 <br /> Relinquished by Date Timecircle) calved by Date Time <br /> Turnaround Time Requested(TAT)(please circle) /_ ` 30 <br /> r <br /> CED 72 hour 48 hour riga he Date Time Receiv d D Time <br /> 24 four 4 day 5 day � ft' g a <br /> elinquis ed by Dat Time Re v <br /> Data Package Options(please urcde if required) Y Dae TimUUe�� <br /> OC Summary Type!—Full �- j Z"tv <br /> Tyt*VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by ercal Corner Receive Date Time <br /> WIP(RWQCB) UPS F6dEx Other <br /> Disk Temperature Upon Receipt '41 .sC° Custody Is Intact? Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)656.2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the dient. <br />