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i <br /> a / • llill' 'Pig <br /> Ft 181 kal TOf <br /> • For Lanesstsr Lsboratorlss ass only <br /> S #' Std i <br /> +Lancaqer LabomloCm o�Z Aco# d � - <br /> IEME lS d Sr7�l1C@ rr O 3 ( i <br /> i Analyses Reguestsd <br /> preservation Codes _ Prsservsd"Codes <br /> Facility# S90-6171 G-81385121 Matrix H=HCI T=Thiosulfate <br /> CL N=HNOa 8=NaOH <br /> Site Address 6633 Pacific Avenue, Stockton, CA 4 S=H2SO4 O=Otheri <br /> Chevron PM Darin Rouse Lead Consultant SECbRGF p.!value reporting needed <br /> I <br /> CA 94568 meet lowest detadion limits <br /> Consultant/Office G—R Inc 6747 Sierra Ct Dublin, a c possible for 8260 comp ands <br /> z <br /> Consultant P1 Mgr Dean L. Hardin deanna@ rinc.coni El 1: F �1 p 0Uj 8024 MTBE Confirmation - <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7899 © � o u ©Confirm highest hit by 8260 <br /> sf� i « ` Q Contimt atLhits by 8260 <br /> Sampler �, ,� f3 Run oxy s ori highest hit <br /> Service Order# ❑Non SAR _ © $ A 4 = Rim_axy s an all hits - <br /> r I* <br /> Date Time I6 0 t <br /> Sam le Identification Collected Coll Continents I Remarks <br /> -e�cA 1710 X K a. P,� E <br /> oe7 7s C M leo Mu'o S <br /> i <br /> Ga.•�-e�3 1 g'jO� o�j Lr,a�1j <br /> - 7 r I <br /> I <br /> y � I <br /> s <br /> I <br /> EE <br /> 1 <br /> J I11 4i <br /> i � I <br /> it <br /> Relinquished by 'Time Received by Dal t <br /> Turnaround Time Requested(TAT)(please drele) a 09/r <br /> ;:4 72 hour 48 hour Relinqui ,b e T a R kyr FD me <br /> 24 hour 4 day 5 day r 3y fished al T)me Rene d by ime <br /> Date'Package Options(please tincts d required) l Ti t <br /> QC Summary Type I—Full , Relinquished by Commercial Carrier Received b)r D" Timer <br /> Type VI(Raw Data) ©Coen Deliverable not needed 075's <br /> UPS i FedEx Other <br /> WIP(RWQCB) <br /> Com leis C° ° v Cust intactBS No ` <br /> Disk' Temperature Upon Receipt Qr 9 ?jrCJ ? s e <br /> I i` _346(1 Rev 7130101 <br /> Lancaster Laboratorles,Inc.2425 Now Holland Pike,PO Box 12425,Lancaster,PA 17805-2425 (717)658-2300 i <br /> Copies While and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the ohent <br />