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al"MOMEMMIT.'M10 D ' s A "WKWIP-Im <br /> bncwtu Labffah For s only <br /> Lan r o rieuse <br /> I eregr►�cyrsas xaa //DK®r C ASDL/ 7 Acd. 0 V'a sample# _ -� SCIS! <br /> . Analyses Requested <br /> Fadlity# SS#9-2396 G-R#386960 Global IM0607700639 , Matrix Preservadon as Preservative Codes <br /> 25651 HIGHWAY 99 NORTH, ACAMPO, CA H=HCI T=Thiosulfate <br /> Site Address N=HNO3 B=NaOH <br /> Chevron PM-RC Lead Consultant SECORGM S=H2SO4 O=Other <br /> GR Inc, 6747 Sierra Court, Suite J, Dublin, Co.94598 a ❑.d value reporting needed <br /> ConsultantlOffice a , <br /> Consultant Prj Mgr Deanne L. Herding (deanna@gnnc.com) z ❑Must <br /> for 8260 comlowast e poundtection s <br /> 110 v ❑ b ❑ ❑ 6021 MTBE Confirmation <br /> Consultant Phone#q25-Ml1555 _ Fax# 0 0 <br /> Sampler K rr <br /> p .5p'1Q ❑ ❑ 11❑1 o [3 Confirm MTBE+Naphthalene <br /> E ca o [3Confirm highest hit by 8260 <br /> Service Order# ❑Non SAR d z _ ❑Confirm all hits by 8260 <br /> Date Time — ❑ + © ry Run_ws on highest hit <br /> Sample IdentMeation 92112led ColWed 1 10 H 511 11 I 1 I I ❑Run_oxy s on all hits <br /> 't3 -Or3 a xI Ix Comments!Remarks <br /> L X <br /> W-C2 11 Vn X <br /> Do X X <br /> C946 <br /> Rei by to Time <br /> Turnaround Time Requested(TAT)(please drds) �o��V� Received <br /> T 72 hour 48 hour ' <br /> 24 hour 4 day 5 day elinqulshed by Time Received by- a Time <br /> �l <br /> Data Package Options(please cirde If required) Relinquished by Time Received by Time <br /> OC Summary Type I-Full <br /> Type VI(Raw Data) Disk!EDD Relinquished by Commercial Ceffke Received to TIMA <br /> WIP(RWQCB) Standard Format UPS FedEx r <br /> Disk -Other Temperature Upon Receipt C° Custody Is Intad7 as No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster.PA 17605-2425 (717)656.2300 3486 Rev 616/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the chant <br />