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Historical ' • PotifolidAnalysisRequestlChainofCustody <br /> Lamaster Umbies 1225 For Lancaster Laboratories use only �/��/ <br /> Mae quaJ�tyisasaere. Acct.M Group# 1,42Z75-6 Sample M �✓�d � U <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: W tiTAW MiT=Pd Preservation Codes Preservative Codes <br /> H =HCI T=Thiosulfate <br /> Site Address: MOU �� CkLlFu�NIA N =HNO3 B= NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC S=H2SO4 O=Other <br /> ` U <br /> Consultant/Office: ❑401 Alberto Wa ,Suite B,Los Gatos,CA 95032 c c� ^1 ❑J value reporting needed <br /> i 000 gm Dw►}�� i�61Tj OA4L.4P.0 CA 1+.o �o ca � PP Risk Assessment Detection <br /> >006'M tt A>J2RYG, ' moA4ri,�o Q�R�i a L35 41111 <br /> p6 _ <br /> ,� co z <br /> Consultant Pry.Mgr.: F F 111� © © > Lu Limits <br /> p U <br /> r '7 v �, Z, ❑ ow Oo - ❑Chromatograms <br /> Consultant Phone#: 510-466—4� i g Fax#:5 I co M 0 0 <br /> Sampler: L A 9R-f SO4 0 C 4 L k E o o c�i a <br /> Y ❑ O O O M <br /> ON � o Ln w u- U <br /> Z m m N `a - <br /> Q _ m o m _ <br /> Field Repeat Top Time New E cc m = _ co x <br /> Point Name Matrix Sample Depth Year o th Day Collected Field Pt YIN 0 U a <br /> TRI P BLA i omments!Remarks <br /> B-7 d Z. y X X X1 X i F ' ' D ,DSC TED <br /> S8.8 n — 2.006 t 50 FteFZX-Y4 S I L[C�4- <br /> 58-8-WFLiCATE Vi ok Igo <br /> N G, u tbi <br /> Turnaround Time Requested(TAT)(check box) R in ished by: to ime Received by: Date <br /> STD.TAT El 24 hour El 48 hour ` � 1140 <br /> ❑ 5 day ❑ 72 hour ❑ 4 day hed by: D Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Rece' y: Date Time <br /> S Soil D Duplicate sample Relinquished b mer 'al Carrier: Rec ved by: Date Time <br /> W Surface Water or Groundwater T Triplicate Sample (� <br /> T Trip Blank-QA Sample N Pre-Purge Sample LIPS FedEx Other 3L1 �' rZ(� <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g..product sample) Temperature/pH Upon Receipt WQ Co pH ustody 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 />