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• • • 11140 a ► <br /> I � <br /> maqff UWab* F <br /> 1d2 g�'-dd AccL t a � �� <br /> SCR ` <br /> •�C.� • <br /> 90P.3 Analyses Requested <br /> Facility# SS49-5775 GR#386408 Globes iD01 OW7700835 Mamx Preservation Codes Preservative Cod" <br /> Site Address 301 WEST KMLEMAN LN, LOal,CA 14 1 14 1 1141H=HCI T=Thiosulfate <br /> Chevron PM RC Lead Consultant SECORRH S=H2SO4 O=Other <br /> Consultant/Office G-R, Inc., 6747 Siena Court,Suite J, Dubfin,Ce 945 6 o c ❑ ❑ value reporting needed <br /> Deenne i. Hardin `� O Must meet krwest detection emits <br /> Consultant Prj Mgr g (dewneoglfno a m) a15 <br /> ble for 8260 compounds <br /> Consultant Phone#- Fox* 925.551-7899 0 0 o g � � � 8021 MTBE Confirmation <br /> Sampler ❑ 2 Sd ❑Co+nMm highest Mt by 82M <br /> Service Order* ...[�Mon SAM a = I § _§ , 1 ❑Confirm all hb by 8260 <br /> .4 Date Time _� 1S i ~ ❑�—oxy s on hippest hit <br /> Sample Identification sf F <br /> is A. 9 a � m � � � � ❑Run_oxy s an all hits <br /> Comments!Remarks <br /> - I or, o x PC.7, a or 3 <br /> - 10- s <br /> - a• 03 <br /> .. 11 dp <br /> - 1-4 .o X <br /> -o ?( <br /> .. p 8. <br /> X <br /> JIM <br /> 0• •p121 <br /> br Date Thee Received by' a me <br />� nd Time Requested(TAi'}(P�drete) <br /> ;7TAT <br /> Z& <br /> 24 hour day day D Thne Received by a Time <br /> Data Package Options(pteaae chtle if required} Rid br lime Recelved by ; ao <br /> T1me <br /> OC Summery Type I--Full l-S� � a+i' /l p) <br /> Type VI(Raw Data) DCoelt DeRverabte net needed Relhtquished M es R Date Time <br /> WIP(RWOCB) UPS Fed& � <br /> Disk TOMPSI t M Upon RdoW r 5 C. <br /> Custody Se a lr Yes No <br /> L�cester Labrrratorbs,Mc..24Za Naw Hofitrrrd Pnm,P.O Box 12425.L um aW PA 17WS.2425 (717)656-2300 <br /> Cdples•Wake and�abeorttpisiv s b Laneestar Laboratories The k 34tz0 Rev 7130161 <br /> pin Copy should be rbtained by the client <br />