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HLsto • PortfolioAnalysisi • <br /> +LawaslerUmbies 0097 For Lancaster Laboratories use only <br /> Wheivqa tyisasdence ■t � <br /> Acct.#: � Group# `"l� Sample#. T S�k �_Q� w <br /> Please print v9a h ?01bf T -§�ln/v Analyses Requested SCR#: <br /> Site/Global ID: 66� "� Preservation Codes Preservative Codes <br /> N=HCI T=Thiosul#ate <br /> Site Address N=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Cons u tants SAIC <D S=H2SO4 O=Other <br /> rJ U <br /> ConsultantlOt#ice: ❑401 Alberto Way,Suite B,Los Gatos,CA 95032 c ^' ❑J value reporting needed <br /> 3800Waft Ave <br /> �n]ua,Suiitee 210,Sacramento,CA 95821 N z PP Risk Assessment Detection <br /> Consultant Pd.Mgr.: 1 �P V [9 C�LTX4U El >1 © Lou 0 imus <br /> ` <br /> " C ❑Chromatograms <br /> � Of Consultant Phone Fax#: � QU <br /> Sampler: �C +y CZ tit" 7619' `} c�i o o 2 <br /> p. Z 00 " N u, ,n U <br /> co OO O J <br /> Field Repeat Top Time New o W m = co _ .0Point Name Matrix Sample Depth Year Month Day Collected Feld PtYnu C7 U m a <br /> I Lu Comments!Remarks <br /> /7bkVl!,, <br /> er,M6� � <br /> Turnaround Time Requested(TAT)(check box) 4Ruifths5 <br /> to Time Received by: Date Time <br /> STD.TAT <br /> El hour El 48 hour <br /> day El72 hour El4 day ed by: Date Tim eeeived by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Received by: {late Time <br /> S Soil D Duplicate sample Relinquished by rcial Carrier: Re iv d by: <br /> W Surface Water or Groundwater T Triplicate Sample at e <br /> T <br /> Trip Blank-QA Sample Pre Purge Sample UPS edEx Other _� •� <br /> R Rinsate Blank-QA Sample P Post-Purge SampleIr <br /> M Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt C° pH tody Seals I y Yes o <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1114105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />