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Larxager Labor*n*es <br /> VYheretrtYcsasaence Acct # LAG Sample# U P is y_ - SCR# <br /> � �7� .����S- Analyses Requested a <br /> r7 <br /> Facility# SS#9-6171 G-R#385121 Global IbP0001700035 Matrix Preservation Codes Preservative Codes <br /> AH=HCl T=Thlosulfate <br /> Site Addressfi633 PACIFIC 1E , STOCK#ON, CA <br /> N=H14% B=NaOH - <br /> Chevrort PM RC Lead Consultant SECORRH_ s=H2SO4 ' O=Other <br /> G-R, Inc . 6747 Sierra Court, Suite J, Dublin, Ca. 94 W <br /> � w m � � ❑J value reporting needed <br /> Consultant/Office c c ❑_ c <br /> [3 Must meet lowest detection limits <br /> Consultant Pq Mgr Deanna L Harding deanna 9nrtc Com) Jri ii z possible for 8260 compourids <br /> 925-5511-78�19E3❑ 0 <br /> I55Consultant Phone#- 925-551-7t <br /> 8021 MTBE Confirmation <br /> cli <br /> Sampler " _ E ❑ m o t 13 Confirm highest hit by 8260 <br /> _ �" € a 3 13 Confirm all tits by 8280 <br /> Service Order# ❑Non SAR I z <br /> '- + ❑Run oxy s on highest hit <br /> Date TIn1e T o — " 0 H 0 0 x iE dnl ❑Run oxy s on all hits ~ <br /> Sample Identification i Collected Collected O U chi 3: O m 1' `� <br /> -/ I W I PZ xX Comments!Remarks <br /> o pKI � X X <br /> 1 x <br /> DE <br /> , <br /> Q5" XX x <br /> '*W 8' E XIA <br /> _ <br /> M W-1113 A <br /> XV <br /> r { <br /> 4 <br /> Rel a rune Received by Time <br /> Turnaround Time Requested (TAT)(please dreie <br /> TD:T 72 hour 48 hour Relh1quished by Date Time R by Date rime <br /> 24 hour 4 day i 5 day I <br /> r <br /> Data Package Options(please circle H required) i ulshed Date Time Received Date Time <br /> QC Summary Type l--Full jZe.2Y�.sL <br /> T Raw Data Rellnquishad by Commercial Ca r <br /> Type VI( ) ❑Coen Deliverable not needed ^ Recei Date I ' <br /> e <br /> WIP(RWQCB) IF UPS FedEx Other ( kjlk'-� <br /> Disk t Temperature Upon Receipt r C° Custody In ? es No <br /> Lancaster Labra=les,Inc,2425 New Holland Pike,PO Box 12425 Lancaster,PA 17606-2425 (717)656-230040 <br /> Rev 7/3=1 <br /> Copies White and yellow should accompany samples <br /> to. Laboratones The pink copy should be retained by the c hent <br /> 1 <br />