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Chevron • Region AnalysisRequestlChain��iMiere bd30r'IICLA !//�C f ���1 <br /> f • <br /> f Custody <br /> Lp 31OeqLamader Laboratories Fo <br /> or% 4- <br /> AW " "n Sampl9# � = �1� SCR! <br /> I <br /> Analyses Requested <br /> ISFacility# I Matrix Preservation Codes -Preservative Codes <br /> H=HCI T=Thiosu(tate <br /> Site A,ddret> ,�,��R1TFR 4TRFRT ,ECK[Q� <br /> _ CL N=HNO3 B=NaOH <br /> Chevron P Lead ConsulladEQMD <br /> �� <br /> =HzSO4 0=Otfiter <br /> ConsultanUOffiCd"a-F�. Inc. 6747 Sierra Court,Suite A Dublin Ca.94568 a � C ©_ 9 �❑M Must <br /> et low$"�� <br /> �" ' II Must meet lowest detection Nmlta <br /> Consultant Prt Mq( nna L Hetdlrtsi (deenrtannC com) l Az sibie for 8280 corr�ounds <br /> Consultant P e Fax �� ❑ O ❑ ❑ 9021 MTBE Confirmation <br /> a�,6a1-xBM <br /> Sampler , ❑ °� ❑Confirm highest hit by 8280 <br /> L E w ❑ * ❑Confirm all hits by 8260 <br /> Service Order 0 ❑Nan SARL a Z i V <br /> Date Time � E — El $ $ $� E3 Run__,___oxy a on highest hit <br /> Sample IdentlBca i Collected Collected t U O f� m �! ❑Run oxy a on all hits <br /> comments 1 Remarks <br /> L.s (I 05, 12-40 to "XI rX <br /> coos 1`o <br /> [SdS �o <br /> 11 z 5' to <br /> ti• - 4= <br /> �'t,2,o 0 <br /> M.w-► t v fo <br /> Mw—IS 6 !e <br /> t.•�-Is Vv !b <br /> Mw- <br /> t 33 Yr,? <br /> 1[ <br /> Tumaro d Time Requested TA Reknquis Date Time Recelved by pate Time <br /> a (TAT)(Kase arefe} �/y <br /> p T 72 hour 48 hour I I �� <br /> 4 day 5 day Y Dat The Received by Dai Time <br /> IL <br /> ReHnquishifdby Time Received <br /> Data Package Options(please circle!<required) C e Time <br /> QC Summary Type I—Full � I <br /> Type V1(Raw Data) 0 Coeft Deliverable not needed Relinquishg 1`0181 Carrier Ived by IIjNo <br /> is Time <br /> WIP(RWOCS) UPS FedEx Other <br /> Disk 1MY)M, (&V-4 69ox" <br /> Tom peratiue Upas Receipt J � � �, C <br /> 1�SL1Y�U " Ctl6 als Intact? �� Yes <br /> Lancaster Laboratories,Inc.2425 Now FI(rand Pike,PO Box 12425,Lancaster,PA 176052425 (717)658-2300 <br /> 3460 Rev 7130101 <br /> Copies While and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />