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i <br /> n ForLancaster ba oriel use anly <br /> +Lamaster�1 utVn� Acct # 1 Sample# rn SCR# <br /> Where4 dVisasaence h I Ihl� +Fb <br /> oo�V Ci. Analyses Requested r7 25 <br /> H Matrix Preservation Codes Preservative Codes <br /> Facility# – H=HCI T=Thiosulfate <br /> Site Address 4344 WATERLOO ROAD STOCKTON CAI I a fd=HNOa B=NaOH <br /> s=H2SO4 0=other <br /> Chevron PM Robert_ Cochran Lead Consultant agnor <br /> o = © ❑J value reporting needed <br /> ConsultantlOfrice G nR Inc 6747 Sierra Ct #J Dublin CIA 94565 m rn ❑Must meet lowest detection limits <br /> II z r possible for 8260 compounds <br /> Consultant Prl Mgr Deanna L Hardin deannaCd rink.com ❑❑ U ❑ ❑ <br /> 1 II o o 8021 MTBE Gonfinnabon <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7599 L N I <br /> W ao o Confirm highest hit by 8260 <br /> Sampler s/�`�/ yG II m E w $ Q m ❑ ❑Confirm all hits by 8260 <br /> Non SAR 11 y <br /> Service Order# ❑ o $ $ o ❑Run oxy s on highest hit <br /> Date Time IE o o M o ' x ' ❑Run_oxy s on all hits <br /> Sample Identification Collected Collected v 3 0 ; m J <br /> II Il Comments!Remarks <br /> X I k <br /> '9 11 l <br /> i <br /> XIXI <br /> -on IV5 3�II I' S m je 'VD1 vni <br /> �1v- Ix.1 J Il <br /> rd-r - a zs II Gt VA �q��C F01- <br /> ---- <br /> d1 <br /> I II <br /> II It <br /> II it r� I <br /> II II <br /> Relinq5 Date Time Received y f Da Time <br /> J11,440 AP <br /> urn d Time Requested(TAT)(please circle) U ,� � / 3,, <br /> STD T 72 hour 48 hour Relinquishe�by to Time v d b D to ATIrne <br /> ou4 <br /> day 5 day 1 I ' 1!J _L quish byate Time Recei d by ' Date <br /> Data Package Options(please circle If required) �I II f Sb <br /> QC Summary Type I—Full Receiv Time <br /> Relinquished by Commercial CaMer el <br /> "VN <br /> VI(Raw Data) ❑Coelt Deliverable not needed JPS FedEx Other r , J <br /> WIP(RWQCB) , Gustod Seals intact Yes No <br /> Disk Tiemperat1 11ure Upon Receipt C y <br /> it 3460 Rev 7130/01 <br /> Lancaster Laboratories,Inc,2425 New Holland Pike P ox 12425 Lancaster,PA 17605-2425 (717)656-2300 . <br /> Copies White and yellow shouldi accompany samples to Lar Laboratories The pink copy should be retained by the client _ <br />