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�r- <br /> Histoficol PipelinePoftfid Anolysis <br /> A.%,La11caster 0915 j For Lancaster Laboratories use only Q <br /> V1ftT2 qLaftyts a srrente Acct.M F Group# 1 01 3-7 7 1—Sample M. L4 9 ;3k—7)L} <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: 0-3 C'n��Ul]21 -1! Q d � �L(�(n h�� ��--:�o Preservation Codes Preservative Codes <br /> Site Address: H =HCI T=Thiosu <br /> 17� lfate� � � �� N =HNO3 B=NaOH <br /> ChevronTexaoo PM:M.Scott Mansholt Lead Consultant:SAIL m S=H2SO4 O=Other <br /> 2 U <br /> Consultant/Office: ❑401 Alberto Way,Suite B,Los Gatos,CA 95032 ❑3 value reporting needed <br /> 3800 Watt.Avenue,Suite 210,Sacramento,CA 95821 � © � - ❑HPP Risk Assessment Detection <br /> { o Limits <br /> Consultant Pry.Mgr.: _ <br /> + o N �f 00 00 ❑Chromatograms <br /> Consultant Phone#: #:(q <br /> ILP) <br /> `3 ��Fax I(p) 1� <br /> {� `y wo C7 0 <br /> Sampler; �yk ea � �[ an-Scs— T o o 0 0 <br /> In L0 <br /> Z N O O <br /> Field Repeat Top ETime ro a ,0 o w _ <br /> Point Name Matrix Sample Depth Year Month Day FleId PtYMI 0 0 H m a � � <br /> N l �( Comments 1 Remarks <br /> - � X v X 5JI& el <br /> o alo N X cC�nup ky <br /> 5�1 !i N o I Ds_ X d 7< X dehfiory 1,1/ <br /> W' vi I NIA it a N k x <br /> Turnaround Time Requested(TAT)(check box) e'n ish by: Date Time Re Date Time <br /> �6TD.TAT ❑ 24 hour ❑48 hour <br /> t I V66 0�DO <br /> day ❑ 72 hour ❑4 day R inquish b : ate Time Re ' Date Time. <br /> Matrix Values Repeat Values Relinquished by: Time Received by: Date Time <br /> S Soil T Triplicate Sample Duplicate sample <br /> T <br /> W Surface Water or Groundwater Relinquished by Commercial Carrier: Received by: Date Time <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS E Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample _ <br /> M Miscellaneous(e.g..product sample) Tem eraturel H U on Recei t�+� i=tJ�C° s Na <br /> p p p p 1 pH Custody Se I act. <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike, PO Box 124255Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1!14!05 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />