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Chevron Califomia Region Analysis RequestlChain of Custody <br /> Lancaster Lko dtode.S For La Laboratories use only���� <br /> Wtxre qualrty os a science Acct # Sample# S SCR# __. r <br /> Analyses Requested <br /> Facility# �-577 /5 c r Preservation Codes Preservative Codes <br /> Site Address fib/ f'� r�[r�7 Lr, ��,�,` H=HCl T=Thlosulfate <br /> N=HNO3 B=NaOH <br /> Chevron PM L30Lead Consultant S=H2SO4 O=Other <br /> Consultant/Office 3a/��7**77 ,�J � ! ��p,a.� _c ❑ c' C)J value reporting needed <br /> Consultant Pr) Mgr [/Pt�� L���'o _ wIkAmeet lowestdetection <br /> U ❑ possible for 8268 compounds <br /> Consultant Phone-#! - Jed- Sd!—G iE Fax# o o O 8021 MTBE Confirmation <br /> Sampler ) c�,c ��p �u . o ❑Confirm highest hrt by 8260 <br /> c <br /> Service Order# ❑Non SAR � Z � � �, � � � ❑Confirm all hrts by 8260 <br /> ,� a + $ ❑Run oxy's on highest hit ' <br /> Field Repeat Top Time New o o x <br /> Point Name Matrix Sample De th Ye Ma h D d Field C7 v 1-- g � I ❑Run oxy s on all nds <br /> / 9-30 Xt ls^ Comments f Remarks <br /> `3'yQ )I liar <br /> and Time Requested(TAT)(please circle) R by Date <br /> to rrm a Received by Date Time <br /> STD TAT 72 hour 48 hour Reli , <br /> Y atp Received by Date T me <br /> our a day 5 day J S � <br /> Data Package Options(please circle if required) Rehnquishe y Date Time Received by Time <br /> QC Summary Type 1-Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed RelinquishedXZwmarcial Carrier Recei ed by ,Dates Tema <br /> WIR(RWGCB) UPS Fed& Other d to <br /> Disk Tempersture Upon R icelpt C Ciistady Seals Inti Yes N <br /> Lancaster Laboratones,Inc. 2425 New Rolland Pike,PID Box 12425 Lancaster,PA 17505.2425 (71 656-2Np 3460 Rev 14/04/01 <br /> Copies White a4Tgellow should accompany same a incaster La ra o �'Rtp pink Eppy Owukt be retained by the client <br />