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Lancaster <br /> Laboratories <br /> f 1� For Lancaster Laboratorf use only <br /> VOvm n ascwence LV Acct # f V Sample# 32 3 3 0 L scR# <br /> I o 1 a-L - o 09 Analyses Requested <br /> I <br /> Facility# 9-2396 Jab#386960 ' Globe! ID#NA Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosuifate <br /> Site Address 25651 HIGHWAY 99„NORTH=ACAMPO. CA 06 N=HNO3 B=NaOH <br /> Chevron PM ___RQ Lead Consulpf <br /> S=H2804 0=Other <br /> _2 <br /> Consultant/Office ---- T � w c ❑ c ❑d value reporting needed <br /> G-R Inc 61742 Sildima Court D11blin Ca 94568 M ❑ <br /> CL a o ❑Must meet lowest detection limits <br /> Consultant Prq Mgr aeanna@gnne corn) 0 m possible for 8260 compounds <br /> Consultant Phone# 995 551 75-5r, <br /> Fax# o 0 o 118021 MTBE Confirmation <br /> Sampler S? Ew o o ❑Confirm highest hit by 8260 <br /> Service Order# Non SAR o Q Z � �_ ❑ all hits by 6260 <br /> CL + o ti ❑Run_oxy s on highest hit <br /> i Date Time o o v o $ N m [3 Run____axy s On all hits <br /> Sample Identification Collected Collected 0 U cn � O 1– m � � m � � <br /> X XComments!Remarks <br /> I �Q� <br /> I j1�5 v <br /> I <br /> I - <br /> I <br /> i Re1m ed by Date Time Received by - Da Time <br /> Turnaround Time Requested(TAT)(please circle) �• � i Q <br /> TD 72 hour 48 hour Relinquished�' D to Time R ed by ate Time <br /> 24 hour 4 day 5 day T IN-6Z 1 330 <br /> I <br /> R in uished y Date Time Rerived y Date Time <br /> Data Package Options(please circle d required) �2, fF-`�_ I S,J� (to( i/} f <br /> QC Summary Type I—Full <br /> € Relinquished by Commercial CarnertJ Rece Date Ti e <br /> Type VI(Raw Data) ElCoeit Deliverable not needed , /I <br /> WIP(RWQCB) UPS FedEx er <br /> Disk Temperature Upon Receipt co Custody Seats Intact? Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,Pift 12425,Lancaster,PA 17605-2425 (717)656-2300 Rev 7130101 <br /> . Copies White and yellow should accompany samples to Lanc jWboretones The pink copy should be retained by the client _ <br />