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� Lancaster Laboratories0162 For Lancaster Laboratories use only _ <br /> Where quality is ascierKe Acct.#: Group# sample#: <br /> Please printAnalyses Requested SCR#: <br /> Site/Global ID: �5(YtA 506,�;;-7-7 6L 7 ca Preservation Codes Preservative Codes <br /> Site Address: 3 Z-75 'J'O� K-,J V�_rt d ��j Ct i H=HCI T= NaOHltate <br /> - <br /> N=HNO3 B=NaDFf <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIL d S=HZSOn 0=Other <br /> y U <br /> ConsultantlOffice: 11401 Alberto Way,Suite B,Los Gatos,CA 95032 c Q -0 ❑J value reporting needed <br /> 3800 Watt Avenue,Suite 210,Sacramento,CA 95821 c ❑ z ❑HPP Risk Assessment Detection <br /> O LimiSs <br /> Consultant Pq.Mgr.: C4 t i`� ��^: w ❑ ❑ Q c� <br /> _ o C%1O o ❑Chromatograms <br /> Consultant Phone#: �}I 4' Iy" Fax#: m o o <br /> ❑ ❑ e7 O o 0 <br /> Sampler (f�.r •.= N a.�.c�� r.,�. ,U�J��.I. en m o 0 0 a <br /> O Z N 11 <br /> Field Repeat Top Time New 10 o �° w m i = _ a <br /> = F <br /> Point Name Matrix Sample Depth Year Month Day Collected Fleld PtYirt 0 U 1—° o M E � a F � <br /> C 1\ Comments I Remarks <br /> 0,z f� 63 35 c> A/ <br /> W 46 OZ (`-f /©31-> /v <br /> N <br /> 1 .rzS 1� <br /> vV <br /> Relihed by: Time Received by: Date TimeTurnaround Time Requested(TAT)(check box) <br /> WSTD.TAT ❑24 hour ❑48 hour <br /> El 5 day 1172 hour 1714 day Relinquished by: Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Received by: Date Time <br /> S Saiz D Duplicate sample <br /> W Surface Water or Groundwater T Tripkale Sample Relinquished by Commercial Carrier. Received by: Date Time <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS FedEx Other <br /> R Rinsate Blank-QA Sample P Past-Purge Sample <br /> M Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt V pH Custody Seals Intact? Yes No <br /> Lancaster Laboratories,Inc_,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (797)655-2300 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 />