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Chevron r r 1+ f Analysis r <br /> Ar <br /> Lancaster Laboratories" For Lancaster La��rratories use only f <br /> Wherequalrtyisascience. Acct.M Sample#: g63(o,5578—57 SCR#: Y <br /> Analyses Requested <br /> Facility#: s Preservation Codes atiye Codes <br /> `� c kN <br /> T=Thiosulfate <br /> Site Address• 3 d ` T n =HNO3 )3=NaOH <br /> Chevron PM:�el., Q�,Sg Lead Consultant: m =H2SO4 O=Other <br /> Consultant/OfficeJ 1 r t Ste` c © [` Q J value reporting needed <br /> ❑Must meet lowest detection limits <br /> Consultant Prj.Mgr.: 491=01 v g, Ry 2,2j" U m possible for 8260 compounds <br /> Consultant Phone #: _9/� � ' o $ a o 8021 MTBE Confirmation <br /> �L s o o Q Confirm highest hit by 8260 <br /> Sampler: �!—� � l� zg c m ❑Cbnfirn all hits by 8260 <br /> #: []Non SAR: a. z y <br /> a a o o ❑Run <br /> Service Order m's on highest hit <br /> Field Repeat Tup Time New f4 `° <br /> E 0 ' a ❑Run oxy's on all hits <br /> Point.Name Matrix Sam le De th Year Month Da Collected Field P : U 1 00 a <br /> -�r` @�iJ' s gi3 14-1�b Comments l Remarks <br /> Reli a Time Re Ned by: DateHTinmiern`"M Time Requested{TAT)(please circle)sm.TAT- 72 hour u- 48 hour quished by: Date Teme Received by Date4 day 5 day <br /> Data Package Options(please circle if required) <br /> Relinquished by: Date Time Received by: a <br /> QC Summary Type 1_Full <br /> Relinquished by Commercial Carrier: Ricgived by: Dates Time <br /> Type VI(Raw Data) El Coe It Deliverable not needed UPS FedEx Other �,�_ (Q r6 cm l5 <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt a CO Custody Seal In ? Yes o <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)65&2300 <br /> 3460 Rev, 10104101 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />