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Histodcol Pipeline Ponlbfid Anolysis1 1 1 Custody <br /> Lwcaster Lab= ws 0934 ] ] [, ` For Lancaster <br /> Laboratories use only <br /> whmq Acct.#: j 1 t 1 Group# !71V�i0 Sample <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: E N =HNO3 B=NaOH <br /> ChevronTexaco PM:M nshoolt1Lead Consn: AIC 99P I , q4(:7 <br /> 7 Gvtl = S=H2SO4 O=Other <br /> OLO <br /> Consultantl0ffioe: �4@4�tfhe `—y' CA 9s aa�s,CA 515039 1 (p jS 4 a WPP <br /> alue reporting needed <br /> El 3800 Watt Avenue,Suite 210,Sacramento,CA 95821 c o Risk Assessment Detection <br /> �- 0 ❑ 0 ,,, z Limits <br /> Consuttant Prj.Mgr.: J1 0 <br /> c—� L4 _ O N � El C h rom atog ra ms <br /> Consultant Phone#: n L4 17t1J h 71 1 9 Fax#: 71 0 g � � � v co M � <br /> 0 <br /> Sampler: E � � �N <br /> C> <br /> 0- <br /> coo O <br /> co <br /> Field Repeat Top Time New m o o w = a <br /> Point Name Matrix Sample Depth Year Month Day Collected Field R YIN 0 U 1-- milo- <br /> �2 <br /> jcry Comments 1 Remarks D <br /> 07 <br /> 1 t 1a ,� 4� f T <br /> -5 1 � r <br /> 3 <br /> AA1 I i i ai-n <br /> t� <br /> Turnaround Time Requested(TAT)(check box) Relinquished b : D to Time eceived by: Date Time <br /> ��// llU <br /> -J.,STD.TAT ❑ 24 hour ❑48 hour <br /> ❑ 5 day ❑ 72 hour El4 day Relin l y: "(6-4e Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Received by: Time <br /> S Soil a Duplicate sample Relinquishe tial Carrier: d by: D to Time <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS FedEx Other f <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt Co pH CustodyeaI intact? Yes o <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 {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 />