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Chevron Califomia Region Analysis RequestlChain of Custody <br /> Lancaster Laboratories �Z�4�G3 `��/ '� pFor Lanc�tq�TrpipJes use only <br /> Acca.#: Sam le#. �TT1I 1111 44 ( d ll0 / SCR#: <br /> lMlerequalrtyisascience. -7 � <br /> � �� <br /> RUSH Analyses Requested 4 ? <br /> Facility#: CK-Tf4ay {✓`LVA- MLOS Preservation Codes Preservative Codes <br /> H = HCI T =Thiosulfate <br /> Site Address: tt7uti Kl W l 51. S a N =HNO3 B = NaOH <br /> Chevron PM: S& roJecK Lead Consultant: 5= H2SO4 O=Other <br /> /A y V A <br /> Consultant/Office: 0-44 fzLljvf' ( ( ) chi ❑J value reporting needed <br /> ❑Must meet lowest detection limits <br /> �` 0 <br /> Consultant Pd. Mgr.:��_ ')N'\N'tir�l c U 0 V O ) possible for 8260 compounds <br /> 0 El <br /> Consultant Phone#. S/r) N01611111111111111111 Fax#: e426 — %/?-0 `o g z 8021 MTBE Confirmation <br /> Sampler. k33 sj E m o c a ` ❑Confirm highest hit by 8261.( <br /> Service Order#: p Non SAR: .N @ rn ❑Confirm all hits by 8260 <br /> o Z � = R <br /> a a S a ❑Run_oxy's on highest hit <br /> E <br /> Field Repeat Top Time New o a ❑ <br /> Point Name Matrix Sam le De th Year Month Da Collected Field Pt. t0 �- m Run oxy's on all hits <br /> Sd l 5- 0 3 10:31) 1 Comments/Remarks <br /> L 3 - 5' `J�:57b I I <br /> C( l�cf = Cede a: <br /> K ff:60 <br /> PL - H if -!> <br /> (o " K ' CI'•Lc7 <br /> jinquished <br /> ished b : Data Time R ry by: t Time <br /> Turnaround Time Requested(TAT)(please circle) to '(fie 3 Z'vG <br /> STD.TAT 72 hou 48 hour i ed b , at Time Recei d by Dae Time <br /> 24 hour 5 day M'3 7�.7 rl CVs <br /> by: D e Time Received b <br /> Data Package Options(please circle A required) Y. D ite Time <br /> OC Summary Type I-Full / '� :�t CLJ <br /> Type VI(Raw Data) ❑Ccelt Deliverable not needed Relinquished bym r ]� Receiv D�teTire <br /> (R <br /> WIP WQCB) UPS x the, ` n <br /> Disk Temperature Upon Receipt Custody Seal ? No <br /> Lancaster Laboratories, Inc., 2425 New Holland Pike, PO Box 12425, Lancaster,PA 17605- 25 (717)656-2300 3460 Rev. 10/04/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy sh6uld be retained by the client. <br />