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HiSt0fical Pipeline Poiffolfid Analysis <br /> RequestlChain Of fd <br /> V <br /> Lamast 'LabQ00695 1227 For Lancaster Laboratories use only <br /> Vk ereqAftYiSasGLcrm <br /> Acct.M + '!`T Group# D S 2 2527 sample#: -1530 7S8 Z <br /> Please print <br /> Analyses Requested SCR#: <br /> Site/Global ID:tfoulfl PI� Preservation Codes Preservative Codes <br /> Site Address: i�QCY, 54A)JVAa(1A) , GJ�Fp.Ae,,Q1A Q H=HCI T=Thiosulfate <br /> Chevron Texaco PM:M.Scott Mansholt Lead Consultant:SAIC L m N=HNO3 B=NaOH <br /> 5=H2SO4 O=Other <br /> U <br /> Consultant/Office: ❑401 Alberto Way,Suite B,Los Gatos,CA 95032xi d ,� <br /> 840 Watt Avenue,Suite 290,Sacramento,CA 95821 P a <br /> ❑J value reporting needed <br /> Consultant Pd.Mgr.: t El YHPP <br /> El <br /> El o U Lim Risk Assessment Detection <br /> Consultant Phone#: 6 o ❑Chromatograms <br /> ;( Fax#: <br /> l � <br /> Sampler: ! E ❑ r" 0 0 0 2 <br /> CD CDa Z co o m u� `� uVi <br /> Field Repeat ToP Time New m o ca w m <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt Yrs 0 U H a <br /> S+8^ O$ O 3 1-7 101 XComments 1 Remarks <br /> 5B-z S ,5' 08 63 0 <br /> 3 �-- ' 08 03 t <br /> Xy <br /> 03 $ oqq!o <br /> .-� 5 OS D3 8 /6l0 1 <br /> SS-6 — D ! toZo Y <br /> 09 <br /> 13 03 12-30 <br /> 5 �5 S D 13 p 1230 <br /> Of 0 3 1119 z <br /> Tur around Time Requested(TAT)(check box) Reli to Time Received by: Date Time <br /> TD.TAT ❑24 hour ❑48 hour <br /> ❑ 5 day ❑ 72 hour ❑4 day Relinquished by: Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Received by: Date Time <br /> S Soil D Duplicate sample <br /> W Surface Water or Groundwater T Triplicate Sample R quished by Commercial Carrier: 4Recd by: atTime <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS F E Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample b7a)M Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt ` r.7 C° H bP Seals Intact? No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605- 25 (717)656-2300 4324.01 Rev.1114/05 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />