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i <br /> �Lancaster Laboratories For La only 240545 <br /> VIftypgja tysascrence Ate-# J �3` Sample B `? SGl2il <br /> Analyses Requested ' -7�C <br /> Facddy# _9-1$yl? - Preservation Codes Preservative Codes <br /> Site Address IZE4 .1 CL <br /> H=HCI T=Thosulfate <br /> N=HNO3 B=NaOH <br /> Chevron PM Lead Cortsultari 124 2 S=H2SO4 0=Other <br /> Consultant/Office ❑ 0 J value reporting needed <br /> =° 0 Must meet lowest detectwn knits <br /> Consultant Pr} Mgr U <br /> possible for 8260 oompounds <br /> Consultant Phone# Fax# of _3 0 Ix p 4 8021 MTBE Confirmation <br /> M <br /> Sampler :f 2 w o M r- Q Confirm highest hit by 826 0 <br /> Service Order*- Q No1I 5AR o Z Q Confirm all hits by 8260 <br /> Field Repeat Top Time New .0 1° x 2 .9Run_oxys on highest hit <br /> Pant Ma x a le ar Month Da 11 a Field Pt 0 U t° ©Run oxys on all hits <br /> ; CPAD 7-r / 1 X yc Comments I Remarks <br /> z 1 x <br /> L <br /> i �' <br /> T�MFI1TI <br /> 1C <br /> MOIR- <br /> t <br /> Turnaround Time Requested(TAT)(please arcle) R h ui Time Hied by Dale Time <br /> 6, � <br /> 5 TAT 72 hour 48 hour <br /> 4 day 5 day Reli qui a Dae Timer Received by Date Time <br /> Hata Package Options required) Relinquished by Date Time Received b <br /> g p (please circle if re cared Y Time <br /> QC Summary Type I--Full <br /> T FRelinquish by m ercial Camer R Bred b <br /> Type {Raw Data) ❑CoeR 17elrverable not neededY D e �ttttne <br /> WiP{RWQCt3} FedEx Other 10 <br /> a <br /> Disk Temperature Upon Receipt kn�-I?:;- C. Custody Sea act? Yes o <br /> Lancaster Laboratories Inc 2425 New Holland Pike PO Boz 12425 Lancaster,PA 17605-2425 (717)655-2300 3460 Rev 10/04/01 <br /> Copies While and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br /> I <br />