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FL .. ` • California Region Analysis • • 1Custody <br /> �jLancaster Laboratories For L ncaster Laboratories use only <br /> �UUheregt�ster sa�xe Acct # 1_ QQ(D Sample �i S75-77 _SCR# 2ZZ0L' t0- <br /> O ZO O D Q Analyses Requested <br /> Facility# 9-6258 Job 4386844 Global ID#TO607700720 Matrix Preservation Codes Preservative Codes <br /> 14 H=HCI T=Thiosulfate <br />` Site Address 2409 EAST MAIN @ F ST , STOCKTON, CA N=HNO3 B=NaOH <br /> f S=H2SO4 O=Other <br /> Chevron PM RC Lead Consultam5ecor <br /> m rn y ❑J value reporting needed <br /> Consultant/Offrce G-R Inc 6747 Sierra Court Dublin Ca 94568 o a a ❑Must meet lowest detection limits <br /> Consultant Prt Mgr Deanna L Harding 1Deannaftring con 0 $ o © possible for 8260 compounds <br /> Consultant Phone 925-551-7555 Fax# 925-551-7899 __ o o 13021 MTBE Confirmation`m R ❑Confirm highest hit by 8260 <br /> Sampler rf5�/7CL �Cf" -- - °' ❑ W $ o =a <br /> Sam <br /> p y it M m ❑ ❑Confirm all hits by 8260 <br /> Service Order# []Non SAR az �2 V <br /> + $ o ti ❑Run oxy s on highest hit <br /> Date Time £ o i4 = E ❑Run_oxy s on all hits <br /> Sample Identification Collected Collected l:7 8 N 3: O 1.0 m I' ►- <br /> P/9-00I K) IQ X( X Comments I Remarks <br /> Y, x <br /> RelinAoKej b, Date ,Time Received by ate Time <br /> Turnaround Time Requested(TAT)(please circle) <br /> �TAT 72 hour 48 hour Rel gwshed by ate Time R ved b D e Time <br /> 4 day 5 day <br /> Data Package Options(please circle d required) R inq fished D to Time RX�COYL-V'— <br /> ed by Date Time <br /> QC Summato 47,'V� -� /g6 <br /> l- <br /> rY Type I—Full Relinquished by Commercial Cam r r Recery Data TIMP <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed UPS FedEx Oilier 1 ^ 1 L <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt C° Custody Seats Intact? s No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425 Lancaster PA 17605-2425 (717)656-2300 3460 Rev 7130/01 <br /> M Copies White and yellow should accompany samples to LancdWaboratodes The pink copy should be retained by the client <br />