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Lancaster Labor &les „� # I D� 7 �Samp e#L� iia 5°�°57a°"" _SCR# <br /> VVheieQualfityaasaence <br /> 0I 36 .-OS— Analyses Requested <br /> Facility# <br /> SS#9-2396 C3-R#386960 Global IDOT0607700639 Matrix Preservdon Codes Preservative Codes <br /> H=NCI T=Thtosuliate <br /> Site Address 25651 HIGHWAY 99 NORTH~, ACAMPO,CA 4 N =HNO3 B=NaOH <br /> =H2SO40 Other <br /> Chevron PM RC Lead Consultant SECORGM _ S = <br /> m rn ro ❑.i value reporting needed <br /> G-R Inc., 6747 Sierra Court, Sults J, Dublin, Ce 94568 w p , <br /> Consul#antlOffice a i p Must most lowest detection timb <br /> Consultant Pry Mgr Deanna L Harding {deannaftnnc com) a z possible for 8260 compounds <br /> i ❑❑ c <br /> Consultant�IPhone P 925-551-7555 Fax# 925-551-7899 0 � � ❑ � 8021 lutTBl:Confirmation <br /> [3 Confirm highest hit try 8260 <br /> Sampler NT[�' - i 2 E w © [3 Confirm 8fi hits by 826Q <br /> Service Order# []Non SARz ❑ <br /> r _ a $ t: Run_my s on highest hit <br /> Date I Time Le o m c ❑�5 I Run—_oxy s on all hits <br /> Sample Identification Collected Coil ed V res 3 O i- m I <br /> .2 Ix Comments 1 Remarks <br /> _ I Vq-T* xt X 1 <br /> Mw 1100 — x A-.: } <br /> X <br /> } <br /> f <br /> , <br /> t <br /> I f <br /> R bFT- <br /> patq Time Data i Time <br /> Turnaround Time Requested(TAT)(please«rete) I a <br /> D TA 72 hour 48 hour Dat To* R Iv by Date iTIM <br /> 2 4 day 5 day 3 1 j <br /> Data Package Options(please circle If requireil) t-Ish L)4� 1 <br /> Data 'Time R Date Time <br /> QC Summary Type I—Fullrd Pr K <br /> I lay-a" <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial r R by I LA Date Time <br /> W!P(RWQCB) <br /> UPS FedEx Other <br /> DiskTemperature Upon Receipt CustaAdals Intact? 1wN _j <br /> Yes No <br /> Lencaster Laboratories,Inc,2425 New Holland Pike,Pgft 12425,Lancaster,PA 17606-2425 (717)656-2300 Rev 7130101 <br /> Copies White and yellow should accompany samples to LancdWbomtories The pink copy should be retained by the client <br />