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Chevron r <br /> LdnCaSt2r LboolOres � �f��q For Lancaster Latso nes use only � <br /> Aad.M Sample#. Q G b e `-(aq SCR#: <br /> Where qualrtyis a <br /> science-quested ESQ 3 <br /> Preservation Codes alive Codes <br /> Facility#: /'}SZ. Tb 6 Z� /57/G f>�-SL. <br /> =HCl T=Thiosulfate <br /> Site Address: /' �� A "�dr, -- 3 B=NaOH <br /> Q,Y o c.setead Consultant: s= H2SO4 0=Other <br /> Chevron PM:_1� <br /> rt�1�7 /-�,l�Qa��F GYJ �o,�.�...: �.P,� 0 ❑ _ c�_ - ❑J value reporting needed <br /> Consultant[Office:. ❑Must meet lowest detection limits <br /> Consultant Prj.Mgr.: Ctr<� '! t v possible for 8260 campatinds <br /> Consultant Phone#: 9/��$l J�Q'S�z�Fax#: / g o o a !3021 MTBE Confirmation <br /> m M1 ❑Confirm highest hit by 8260 <br /> Sampler: = m M 2 <br /> w y ❑Confirm al!hits by.$260 <br /> In <br /> Service Order#: ❑Non SAR:. . <br /> x � o ,� o. � ❑Run�ox�s on highest hit <br /> Field Repeat Top Tune IN m --o �- 12 m ❑Run bxy s on all hies <br /> Point Name Matrix Sam f Depth Year Month Da Collected Field Pt. h° m <br /> pyr`+y 7-3d Comments)Remarks - <br /> 13j <br /> e i by. Dale TimGe Re � [date Time <br /> Time Requested(TAT)(please circle)ppmpo" / 07 <br /> STD.TAT 72 hour 48 tour Relin ate Timb Received by: Date Time <br /> 24 hour 4 day 5 day gki <br /> Relinquished by ate Time Received by: Date Tune <br /> Data Package Options(please circle if required) -- <br /> J <br /> QC Summary Type I-Full Relinquished by Commercial Carrier. iune <br /> � / Received by: Date T <br /> Type M(Raw Dale) ©Coen Deliverable not needed UPS FedEx Other t(J1}'`I� <br /> WP(RWQCB) <br /> Disk Temperature Upon Receipt 1i <br /> Q C° Cust tad? es No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10/04/41 <br /> Laboratories. The pink copy should be retained by the client. <br /> Copies:White and yellow should accompany samples to Lant <br />