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7— <br /> Historical <br /> — _ — <br /> 1 • Pipeline1 1 1 AnalysisRequestlChain 1 Custody <br /> ` a laster 1224 I'I For Lancaster Laboratories use only 2 (� <br /> K4*mgLaftyisa-qoL e. Acct.M �I'1 Group# l��Z Sample#: �✓ �,I I — (v <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: 01TA10yS tVFt- PWAJ 5l Preservation Codes Preservative Codes <br /> -fir U S AK3J 0A �r�N f yI, CAC-f�a JA H=HCI T=Thiosul#ate <br /> Site Address: N= HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC m S=142SO4 O=Other <br /> ` U <br /> Consultant/Office: El 401 Alberto Way,Suite B,Los Gatos,CA 95032 a) c ^' ❑J value reporting needed <br /> -d I <br /> 3800 Watt Avenue,Suite 210,Sacramento,CA 95821 c Elz ❑HPP Risk Assessment Detection <br /> Consultant Pd.Mgr.: t U ❑ ❑ > ❑ o Limits <br /> ^� 'q r� a °;, o o M a ❑Chromatograms <br /> ConsultanA-IL— <br /> Ph #: O �o (� O Fax M +� LIZ 7 81 0 o <br /> a� � o � <br /> ❑ rn o Q <br /> 0 0 <br /> Sampler: n o <br /> 0 Z � N in U <br /> Q m o 0 0 <br /> CO <br /> Field Repeat Top Time New a o o m = 00co <br /> Name Matrix Sample Depth Year Mon#h Day Collected Field RY1N 0 U m 2 a <br /> 2 g 5 '033 t Comments 1 Remarks <br /> 5 - !2 S O8 03 2 bio <br /> Si3- 3S I IT 08 632 it <br /> 2-009 03 7-1 12.10K <br /> i <br /> 5 ;-13 08 03 21 12-7-C1 y1 <br /> 5 0K 03 21 - t X. [ <br /> 23.50 03 2� �50 Y ! X K <br /> -_ 31.5 8$ 03 2! K <br /> T around Time Requested(TAT)(check box) Time Received by: Date Time <br /> TD.TAT ❑24 hour ❑48 hour <br /> 115 day 1172 hour ❑4 day Relinquished by: Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished b Date Time Recei by: Date Time <br /> S Sur T Duplicate sample Relinquished b Commercial Carrier: R ceived b <br /> W Surface Water or Groundwater T Triplicate Sample q Y Y- � Date Time <br /> T Trip Blank-OA Sample N Pre-Purge Sample UPS FedEx Other W 2t 6 <br /> R Rinsate Blank-OA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt C° pH Custody Seals Intact? 24s No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1/14105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br /> I <br />