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• • 1 • ate • • . 1JIM � � • • • • • <br /> larns1,Gr l For Lancaster Lab t/orlles use only <br /> • U U`{JI I .S f l Acct.fit: 1 f Sample# �� 9 8 V `� Group aR V(� <br /> 09562 <br /> Facility 4: SS130 <br /> Analyses Requested � <br /> 38 Global • v� ' <br /> Matrix Preservation Codes Preservative Codes <br /> 5606 PACIFIC AVE„ STOCKTON, CA <br /> Site Address: H=NCI T=Thiosulfate <br /> � <br /> S N=HNO3 B= NaOH <br /> Chevron PM: 'Lead <br /> cpry� tants, g S=H2SO4 O=Other <br /> C.:oUfl, 5U JN L� c> <br /> Consultant/Office: w c ❑ c`�s ti ❑J value reporting needed <br /> nna a ing nna gnnc.com a. ts <br /> Z s �► �lGust meet lowest detection timi <br /> Consultant Prj.Mgr_: � possible for 8260 compounds <br /> Consultant Phone#925-551-7555 Fax#925-551-7899 ❑❑ ❑ a g 8 <br /> �J o ¢ ¢N m 8021 MTBE Confirmation <br /> Sampler -- /'fC•ttA.✓ £ o 0 1. a M ❑Confirm highest hit by 8260 <br /> Z Ln Ln _ ❑Confirm all hits by 8260 <br /> Date TimeE — ' ❑_ x ❑Run_oxy's on highest hit <br /> Sample identification Uj <br /> Collected Collected 0 0 r°n a O o m I am 00I � 4 11 Run_oxy's on all hits <br /> >rk <br /> /hl�_IIF1D <br /> _T0_1 iComments/Remarks <br /> Turnaround Time Requested(TAT)(please circle) Relinquished by: Dat Time Receiv <br /> 72 tour j Dale Time <br /> 48 hour � <br /> 24 hour 4 day 5 day Relinquishe y. Date Time eceived b . <br /> 11011 Dale <br /> to Ti e� <br /> Data Package Options(please circle If required) elinquished by: Date Time Received by. Date Time <br /> ol <br /> QC Summary Type I-Full rro�cc �_' 1 <br /> Type A(Raw Data) ❑Coelt Deliverable not ne FIE W Re' quished by mmercial Carrier: gCuslSeals <br /> WIP(RWOCB) UP5 FF,x Date Time <br /> Other <br /> Disk 1—Temperature Upon Receipt J.'3. 11W <br /> COC° Intact? O <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)65&2300 4804.01 (nwh) Rev.10/12/06 <br /> Copies:White and yellow should accomparry samples to Lancaster Laboratories. The pink copy should be retained by the client_ <br />