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�La master Labof biesFor Lancaster Laboratories use only q <br /> w0equdVisasaence Acct.# ldJa(O Sample#_�'�JJ(15 3 -59,--,., SCR# Ia SSS <br /> 077,8 6-L� --0 b Analyses Requested <br /> Facility# SS#9-8264 G-R#i386854 Global ID#!~T0607700627 Matrix Preservation Codes Preservative Codes <br /> 775 TRACY BLVD, TRACY, CAHi 114 H=HCI T=Throsuffate <br /> Site Addres ICL •X N=HNO3 B=NaOH <br /> Chevron PIPC Lead Consulta4ECORRH t S=HiSO4 0=Other <br /> ConsuitanUOffit�--R, Inc, 6747 Sierra Court, Sude J, Dublin,Ca 94568 w p Eli value reporting needed <br /> a CI Must meet lowest detection limits <br /> Consultant Pd Mgpeanna L Harding (deanna fgrtnc corn) z c <br /> ❑❑ 0 © possible for 8250 compounds <br /> El <br /> Consultant Phone 925-551-7555 Fax 625-551-7899 '6 o 8021 MTBE Confirmabon <br /> fA <br /> Sampler ❑ .8 S ' ❑Confirm highest hit by 8260 <br /> Service Ober# ❑Non SAR ; d ,2 Lo 13 Confirm all hits by 8260 <br /> ❑Run oxy <br /> s on highest hit <br /> Date Timea _ 2 13 * g ^ A <br /> Sam-pie identification ©Run i 07ya on all hits m <br /> `7 ✓ 1107 <br /> I W Comments f Remarks <br /> MW.. I /toVXXDt <br /> Wr^ $�0 DEtrr ua Vl1 <br /> yrs <br /> W D � wl�;4 tA to3'H �reser <br /> 1 <br /> rroee t T <br />� Turnaround Time Requested{TAT}(please circle) <br /> Date ncle) Time Received by Dat � <br /> TD T 72 hour 48 hour Relinquished by <br /> ur 4 day 5 day 4 aTime R by Date a Time <br /> 7F' <br /> Data Package Options(please circle if required) I ulshed - Date Time Race ed Date Time <br /> QC Summary Type I—Full C C� <br /> Type A(Raw Data) ❑Coen Deliverable not needed Relinquished by Comtnerdaf Carrier RI, Tim <br /> to <br /> WIP(RWQCB) UPS FedEx ° Other <br /> Disk Temperature Upon F4celpt ^ C" <br /> Custody tact? es No <br /> Lancaster Laboratories,Inc,2425 Now holland*P2% <br /> 2425,Lancaster,PA 17605-2425 (71T)6W2300 3460 Rev 7130/01 <br /> Copies White and yellow should accompany samples tioratories The pink copy should be retained by the client T- <br />