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6afitbmiaRegionAnalysis RequestlChainofCus <br /> tody <br /> +Landager LabQI atodes jj {y For ter Laboratorl use only row 90-10—is? <br /> W1]erpq[ tyisas[iertce. Acct.#: 1 f Sample lie SCR#: <br /> Analyses Requested <br /> Facility#: Preservation Codes rvative Codes <br /> Site Address: ,` �� j=H <br /> T=Thlcm"ae�+ 103 B=NaOH <br /> Chevron PM:_1, 1 C-2--Agan a.Lead Consultant: .S=H2SO4 O=Other <br /> H <br /> Consultant/Offioe: / F `7�j ❑ D J value reporting needed <br /> Consultant Pd.Mgr.: ©Must meet lowest detection limits <br /> FaX#�� possible for 8260 compounds <br /> Consullant Phone#: `�/ "�� _ - - <br /> O <br /> � 8029 MTBE Confirmation <br /> n <br /> Sampler.... ��r ❑Confirm highest hit by 8260 <br /> Service Order#: p Non SAR: M z Ln0 ©Confirm all hits by 8260 <br /> Field Repeat Top Time New a C0 ❑Run_oxy's on highest hit <br /> P d le D on D ed M 0 v � m t � � � � ❑Run_oxy's on all hits <br /> ~ Comments!Reinarks <br /> y <br /> Reil <br /> un ime Requested(TAT)(please circle) D e Time ed try: Date Time <br /> 1 � <br /> Tt}.T 72 hour 48 hour ReIinq ' ed by: ate Time Received by: pate Time <br /> 24 hour 4 day 5 day , <br /> Data Package O torts lease circle if required)- Relln ed by: Date 'Time Received b _ <br /> 9 p Ip q ) Y a Time <br /> OC Summary - Type i-Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished b rclal Carrier: Received b :4!1 . <br /> TimeWIP(RWQCB) UPS Other <br /> 12A L <br /> &L <br /> No <br /> Disk i Temperature upon Receipt ' C. Cust Intact? <br /> e ' <br /> Lancaster Laboratorles iPQ. x 1,2425,Lancaster,PA 17605-2426d,„(71,7)656�069 -MM Ism 9n <br /> Copies:White and y4ow shouldaccompany samples to Lancoste,' -'+oratories. The pink copy should be retained by the client. <br /> s <br />