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bwaster <br /> Lkoratories 0337 For Lan aster Laboratories use only �� <br /> Z <br /> is a scie�e r <br /> .Acct.#. "1� Group# Lam.]� Sample#: � I <br /> Please print20', <br /> 5 S <br /> `�✓ © Analyses Requested SCR#: <br /> Site/Global ID: Preservation Codes Preservative Codes <br /> �Zr.�a_l t S ✓�.� 37-A-rt3,J VV#Jaio e- <br /> Site Address: CL H=HCl T=ThiosulfateN=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Soon Mansholt Lead Consultant:SAIC Q S=H2SO4 O=Other <br /> ConsuItant/Offce: 0401 Alberto Way,Suite B,Los Gatos,CA 95032 Z <br /> ❑J value reporting needed <br /> M ig ii <br /> M3800 Watt Avenue,Suite 2100,Sacramento,CA 95821 c - ❑HPP Risk Assessment Detection <br /> t d�� �t �',r�,t L v © ❑ ❑ W Z Limits <br /> Consultant Prj.Mgr.:_ v <br /> 0 0 0 <br /> N �, ❑Chromatograms <br /> � <br /> Consultant Phone#: Q TA 37q k Fax#: �11(o 974 n 3 U v . co <br /> Wo <br /> .0 It Elo v n <br /> Sampler: tV c.11'G\\ y coo 2 2 <br /> O <br /> Z CD m N VCL co <br /> co <br /> U <br /> Field Repeat Top Time New 0 0 W m = <br /> Point Name Ma 'x Sample Depth Year Month Day Collected Fra N YIN O 0 i° Co M a F <br /> p T rq o (} ()() Comments!Remar <br /> NN W-'7 w 0 DU1 X dig <br /> - GQW ! y5k9. <br /> aL Ar <br /> ft W 2 °o x k "�- <br /> iS- Mr � �Sa rnPkS <br /> �Ir - _="e' <br /> ongrt� �resu.��• <br /> AeyToMad G-a4e <br /> Turnaro ime Requested(TAT)(check box) Relinquish y: ate jjme Receive Dat Time <br /> STD.TAT ❑24 hour ❑ 48 hour <br /> �x/1 s 7ov <br /> ❑ 5 day ❑ 72 hour ❑4 day Relinqu' d by: ate Ti ceived by: Date Time. <br /> a5 Fv <br /> t Pale Tame trix Va ues -- --- —Repe�Values - by: -- <br /> S Soil Duplicate sample Relinquished b mmercial Carrie. Received by: to Time <br /> W Surface Water or Groundwater T T Triplicate Sample iM 0100T Trip Blank-QA Sample N Pre-Purge Sample UPS FedE Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample d-W �$ <br /> AA Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt e5'—l.r c° pH Cust a ct? es No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Sox 12425,Lancaster,PA 17605-2425 (717)856-2300 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 />