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• • • • • • • • • • • • <br /> low <br /> La ker La�Qrabdes �] For Lencast r Laboratories use only <br /> VAffegWrityisasaerlce Z� U 0 Acct # Sample# 3 /4 2 q1 - Dy SCR# <br /> Analyses Requested <br /> Fe0%,6,M Job#386854 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Adder m N=HNO3 B=NaOH <br /> 3 <br /> Chevron FWert Cochran .„ Lead Consultant _$eorS=H2SO4 O=Other <br /> Consultant/Offica T 3 o f [3J value reporting needed <br /> Consultant P 4 z t $ ❑Must meet lowest detection limits <br /> [111o n possible for 8260 compounds <br /> Vk <br /> Consultant Pho Fax a ❑ a © ❑ A <br /> 8021 MTBE Confirmation <br /> Sampler _�Q�ll.��t . �I'L�L i �]ON t ❑ w g Q 3 p v ` Confirm highest hit by 8260 <br /> Service Order# ❑Non SAR a ¢ z 9 Ln rHv l7 <br /> Confirm au n�rs by 8260 <br /> Date Time00.0 <br /> o o © o * 5 C6 S 4 s ❑Run oxy s on highest hit <br /> Sample Identification Collected Collected U O I- �•• pv ❑Run__oxy s on all hits <br /> y4 .2"{•O( WXx I Comments 1 Remarks <br /> KW-1 <br /> - 2. <br /> !k <br /> MW-443r, X X <br /> d y tT <br /> Turnaround Time Requested(TAT)(please circle) <br /> Date Time Q o ime <br /> le) 073Y) <br /> lt� <br /> D TAT 72 hour 48 hour ate I a Iv D e Time <br /> our 4 day 5 day �- <br /> Data Package Options(please circle if required) Rel q fished y Date Time Receiv by, <br /> ate Time <br /> OC Summary Type I--Full d'�-fl �t� 'J �F-0 <br /> Type VI(Raw Data) ❑Coeit Deliverable not needed Relinquished b rcral Camer Re4Z De Time <br /> WIP(RWQCB) UPS dEx Other <br /> Disk Temperature Upon Receipt Z C° Custody Seals Intact? Yes No X11 <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425, ncaster,PA 17605-2425 (717)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client. <br />