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f-7 r ,! F"7 lam: r--?- r"'T. i"' r r-7 I"-t r-7, r-"., fl-7, r r--, r-7 <br /> Lamaster`�r 1 awles t.l�p1 ;, For Lancaster Laboratories use only <br /> vi�heret�alrtyrsasaenre. _ A —Sample#: <br /> -- .. L7 <br /> 59 <br /> Analyses Requested <br /> Facility Al: Preservation Codes five Codes <br /> She Address` ► CL =HCl T-Thiosulfate <br /> Chevron PlI LJT _ - a B=NaOH <br /> �� Lead Consultant S=H2SO4 O=Other <br /> 12. <br /> Consultant/Office A*b,,I <br /> LK22 f� <br /> . a^" e ❑ chi ❑J value reporting needed- <br /> Con 3-ultan't <br /> eeded-Consultant Pr), Mgr.: 'a 'Ei-a-tS $ ❑Must meet lowest detection limits <br /> U 0 Possible for 8260 compounds <br /> Consultant Phone#: � Fax#: rtJ <br /> o. o ❑ <br /> o c7 08021 MTBE Confirmation <br /> Sampler: S-r�C1�►L� vJ v� sG,�_ ❑Confirm highest hit by 8260 <br /> Service Order#: _ Non SAR: <br /> a ❑Confirm all hits by 8260 <br /> FPoint <br /> m Repeat Top Time New o o , 5t ❑Run o>ys on highest hit Ma rti De Coll . U U I— m f ❑Run oxy's on all hits <br /> y� Comments 1 Remarks <br /> DL <br /> roun Tlme Requested(TAT)(Please circle) l( Da a Rem! Date Time <br /> STD.T 72 hour 48 hour Retin had by; f <br /> our 4 day 5 day Date Time Received by: Data Time <br /> Data Package Options(please circle if required} R61I shed by: <br /> Date Time Received by: Time <br /> QC Summary Type 1—Full ol 10 p Q <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier. Received by: Date Time <br /> WIP(RWQCB) UPS FedEx other <br /> Disk Temperature Upon Receipt C° <br /> Custody Ct? Yes o <br /> -r.,,,,,,— w, ,�; Lancaster Laboratories Ina 2425 New oll Mr«PA 17 _ 3460 f pv. 1 <br /> -.._ .. Ox, 9Q9F 1 an�aefa <br /> Copres: and Yellows ou d�"aeconipany samples to Lan r Laboratories. The pink Copy should be relained by.the client. <br />