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RiStorfe--01 . finc . . <br /> v, Cusiody <br /> Lamer Latin ies 0301 I For La caste boratoHas use only ' j`p t l <br /> VIA7erecpti tyrsas[ CA. l J � 1 6 C 19 Acct.A r Group# 3 Sample#: � " U <br /> .Please print "� Analyses Requested SCR#: 7 <br /> Site/Global ID: Preservation Codes Preservative Codes <br /> r <br /> Site Address: H= HCI T=Thiosulfate <br /> M=HNO3 B=NaOH <br /> Ch' <br /> evronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC S= H2SO4 O=Other <br /> U <br /> Consultant/Office: El 401 Alberto Way,Suite B,Los Gatos,CA 95032 ❑J value reporting needed <br /> ,,��,,// 3 a. <br /> X3800 Watt Avenue,Suite 210,Sacramento,CA 95821 0 El z PP Risk Assessment Detection <br /> Tb®� imits <br /> Consultant Prj.Mgr.: r U ❑. ❑ ❑ Louo v <br /> )/ y o n o o U a ❑Chromatograms <br /> Consultant Phone#: !{�f,,'�!I Fax#: l l �,/ m m o <br /> Sampler: L6-E 0 V �C Cz dZr�r i V <br /> a� B ❑ ❑ o <br /> _ `� 0 0 0 � <br /> N Z C4 m r us U <br /> Field Repeat Top Time Newm 0 *6w m CO 2 _ <br /> Point Name Matrix ISample Depth I Year Month Day Collected FIeId Pt YIN 0 U m IL <br /> PS-03-1A-40 Comments!Remarks <br /> 5 t OS-p3" i 95 <br /> Q J 3 1 o <br /> —13 Z0 <br /> 5 �' _ <br /> 5 a 0 it <br /> 05'-03- 15 10 r <br /> v _03- IT 103o <br /> Turnaround Time Requested(TAT)(check box) Reli uis y: ate Time Re ived b Date Time <br /> a Q <br /> STD.TAT 1124 hour ❑48 hour <br /> 5 day ❑ 72 hour ❑4 day inqui e b , to i Received bA Time <br /> Relin ed b <br /> Matrix Values Repeat Values q Y ate Time Receive by: D Time <br /> �7v /7 <br /> S Sail D Duplicate sample <br /> W Surface Water or Groundwater T Triplicate Sample Relinquished by Commercial Carrier: Received by: D to Time <br /> T Trip Blank-QA Sample N Pre-Purge Sample UP5edEx Other 0)1178 <br /> R Rinsate Blank-QA Sample P Post-Purge Sample orrr <br /> M Miscellaneous(e.g.,product sample) Temperaturkpblddopon Receipt 7. ° pH Custo a tact? 65 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 />