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Historical Pipeline PorffbfidAnalysis • 1 1Custody <br /> L&Kaster Umbies -.1226 For Lancaster Laboratories use only <br /> VVhQreL�fi +Sas Acct.#: �ISII®J Group# ld&7 ?1 Sample M <br /> Please print Analyses Requested SCR#: <br /> Site/Global 1D: m p wrA 0 e �+i Preservation Codes Preservative Codes <br /> Site Address��, A �]6A QIA11J Lf ���t�Q 3 N=HNO3 B=NaOH lfate <br /> ChevronTexaoo PM:M.Scott Mansholt Lead Consultant:SAIC m S=HaSO4 O=Other <br /> y U <br /> Con sultantl0ffice: ❑4 1 Alberto Way,Suite B,Los Gatos,CA 95032 c� ❑J value reporting needed <br /> {° `—' HPP Risk Assessment Detection <br /> 800 tt Ave�nue,�quite 210,Sacramento,CA 95821 "� ? imus <br /> Consultant P Mgr.: '�v v � 0 ❑ ❑ <br /> Lu U <br /> R g r may/ o 0 0 ❑ 0 0 � -6 ❑Chromatograms <br /> Consultant Ph ne#: tom [ 76 Fax#: 5�� ; `i co � 0 0 L) <br /> GoOOOM <br /> Sampler: Jul fit �0�/jIl 1WP c7�-�T ` 1!5 1 L4 - m = N to M M 2 <br /> a Z C14 0 <br /> co c N cn <br /> 00 O O J <br /> Field Repeat Top Time New Z o o w m = x x w <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt Y!N L U H m a <br /> Comments!Remarks <br /> �.. <br /> -- 0803 /3 ! x 7 K �U_Yti S t Ge I <br /> Q e-Re Pt — -- o S 0 3 zv 7 X x C fe.4�u QA <br /> B 10 <br /> VV — o$ 0 3 zo 2 38 dle+e c on <br /> r <br /> n 2- <br /> &q&y939059 4- <br /> Turnaround Time Requested(TAT)(check box) I 7 l ed by: at 1Time Received by: Date Time <br /> STD.TAT El 24 hour ❑48 hour r <br /> El 5 day El 72 hour El 4 day elinquished by: Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Re by: Date Time <br /> S Soil D Duplicate sample Relinquished b Commercial Carrier: eceiv d Date Time <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS Ex Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt Q-") C. pH Cus ody Seals Intact? 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 />