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i <br /> +LZIC43Aff <br /> For Lan i borstorNs uas only SCR# <br /> Kfxfequa1tyaasnence 2%o "Q43 Analyses Requested <br /> Faailty# SS#9-i 64 G- ;1 386854 Global lD T0607700627 Matrix Preservation CodestN <br /> reswadve Codes <br /> 14 HCl T=Thlosuffate <br /> Site Address3775 TRACY BLVD, TRACY, CA Os B=NaOH <br /> Chevron PMfIC Lead ConsukanttiSECORRH 304 O=Other <br /> rn m Oe repor"needed <br /> Consultant/Office G-R, Inc., 6747 Sierra Court Suite J, Dublin, Ce 94568 $ o c H �, )` meet low+eat detsctiom pm!!s <br /> Consultant P Mgr manna L Harding, (daJone@grin com) 2 z ble for 8280 compounds <br /> 00 0 ❑ ❑ ❑ TBE Confirmation <br /> Consultant Phone#�25-551-7555 Fax# - <br /> ❑0 G rrn MTBE+Naphthalene <br /> Sampler --s _ .- E 0 Q ❑Confirm highest hit by 8280 <br /> Service Order#7 ©Nan SAR. 2 x � ❑Confirm all hits by 8260 <br /> E _ Q C3 Run—oxy s on highest lid <br /> two Time ° I I �! <br /> Sam fa ldentHl tion ed ed 0 � O F m i ©Run,aury a on all tilts <br /> Comment l�Ranrarl�s <br /> �] Ssr�+r r4 S <br /> XDd c ,, A <br /> 1103 h,we ��esr �i�d <br /> rut f�►- �}1�D� <br /> Relinquished Date Time Received by Time <br /> T nd Time Requested(TAT)(please drele) <br /> STPTAT 72 hour 46 hour Relinquished by Time Received by Time <br /> 4 day 5 day e,L) 1 , <br /> Data Package Options(please circle ff required) Relinquh;hed by ata R by Date Time <br /> QC Summary Type I-Full /d, e21103 I <br /> Type VI(Raw Data) Disk!EDD Relinquished by Commercialr Recei+r Da6B Time <br /> W1P(RWQCB) Standard Format UPS FedEx bm <br /> (J <br /> Disk Other Temperature Upon Reoelpt C° Custody Seals ntact?JYea No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)658.2300 3468 Rev 818!01 <br /> Copies White and yellow should accornMy samples to Lancaster Laboratories The pink copy should be retained by the dianL <br />