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Lancaster LaboratoriesFor <br /> IM9� isascience. Sample* s r �!a o es use only <br /> )ere f Acct.M f QBCoq <br /> Analyses Requested <br /> Facility#: C6_*)r'o e\ f (lamne Mo Preservation Codes Preservative Codes <br /> Site Address: 1'1 541 0CS\_ Gl_. ,�- Zoj ,-fir a N C'A a H=HCI T=Thiosulfate <br /> ` = N=HNO3 B=NaOH <br /> Chevron PM:_bob mf, Lead Consuftant: 5E COQ S=H2SO4 O=Other <br /> Consultant/Office: S Eco 2 30 V_ <br /> a C6 00. C+4 c El_ 1� ❑J value reporting needed <br /> Consultant P0. Mgr.: e 01 e r e, o $ d Must meet lowest detection limits <br /> CJ0 O 3 possible for 8260 compounds <br /> Consultant Phone#: 3114 'kU 04ob Fax#: qlb g6) o4 o ct o y 8021 MTBEConfim,ation <br /> Sampler: -5e--,N Ce..\c .r o d Q Confirm highest hit by 8260 <br /> Service Order#: ❑Non SAR: �' � m _ c 0 <br /> n Z N 2 c9 _ ❑Confirm all hits by 8260 <br /> Field Repeat Top Time New � F x o O Run_oxy s on Highest hit <br /> Point Name Matrix le D ear Month a Collected Field . 0 0 ►o m � � � I f- �-- 0 Run_oxy s on all hits <br /> s - - 6' SOWLb 10.o 06 �1 koi <br /> Comments/Remarks <br /> 04 jo6 21 15: 16 L X x x X <br /> Turnaround Time Requested A Relinquish by: Date Time Received by <br /> q (TAT)(please circle) Date Time <br /> rj <br /> D.TAT 72 hour 48 hour Relinquished by: <br /> 2 our 4 day 5 day Date Time Received by: Dates Time <br /> Data Package Options (please circle if required) Relinquished by: Da Time Received by: <br /> Date <br /> QC Summary Type I-Full <br /> Type A(Raw Data) ❑Coelt Deliverable not needed Relinquished b mmerclal Carrier. Received by ate Time <br /> WIP(RWQCB) UPS FedE Other <br /> Disk Temperature Upon Receipt co <br /> Custody Seals Intact? Yes No <br /> r t ancatter Laborat2425,�1Qy� � PQ 8"plPike,P8"�oe�� an <br /> Lancaster,PA 494Q .2485-: .(717)656-2300 - --�_rev. 10/64,x} <br /> " " Copies: a and yeitow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />