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Lamaster UoraWes Aj2 3 03 For L _ <br /> i ancaster Laboratories es use only <br /> Kfwegvatytsast Acct.#: i Group#//3 <br /> /3 7 Sample#: z5G <br /> Please print Analyses Requested SCR#: <br /> SitefGlobal ID: S ��_ �� . y . Preservation Codes Preservative Codes <br /> Site Address: ��� V lryf�°t S CI� a H= HCI T=Thiosulfate <br /> r j N=HNO3 B= NaOH <br /> ChevronTexaco PM:M.Scott Mansjjolt Lead Consul nt:.SAI qW, "C <br /> S=H2SO4 O=Other <br /> �0001tC <br /> Consultant/Office: ❑4at*beta.Ww R or'r—ro a 0 <br /> � ❑J value reporting needed <br /> ❑3800 Watt Avenu Suite 210,Sacramento,CA 95821 0 U [ HPP Risk Assessment Detection <br /> 1 r r" Z Limits <br /> Lu <br /> Consultant Pry.Mgr.: \"i li S 10LVI o El � �' o o 0 ❑Chromatograms <br /> of <br /> Consultant Phone#: — }4—�b•�� Fax#: �Q �/ `0 80 � ❑ L U <br /> /� C X o <br /> S.Ct'hl ( S• 3E`�[lf"t p �' E © c= o o 2 a <br /> Sampler: N co to <br /> pa Z co m m ,n c U <br /> Field Repeat Top Time New 2 S w m i i x = I <br /> LU <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YIN 0 U m a co co M 1 <br /> _T — �_ 03_ Q X Comments!Remarks <br /> - <br /> Fit. � — -03 —03 ((xb V ��c e S► -Z <br /> Q -- '� — 2 -03- I t k nes fes' <br /> — -Oj 1145 <br /> i� X J+�S�N15 I7S,s <br /> 77-1 <br /> Turnaround Time Requested(TAT)(check box) Reluished by: D to Time Received by: Date Time <br /> z 0-, z <br /> 14 STD.TAT El24 hour El48 hour <br /> ❑ 5 day ❑ 72 hour ❑4 day i uls d b Date Time Received by:r Date Time <br /> Cit- �rO� r � <br /> Matrix Values Repeat Values Relinquished by: Date Time Recei y: Date Time <br /> S Soil D Duplicate sample Relinquished by mercial Carrier: eceive by: Qate Time <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS Fe27 Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample D <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt ^ `C° pH Cust dy Seals Inta ? lis No <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 />