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11 �� <br /> Chevron Califomia Region Analysis RequestlChain of Custody <br /> 1 Lancaster laboratories if � For star Laboratories use only <br /> 1 iMterr?qua! isa50encz? A # {Jl(J[>— — Sampte SCR# <br /> �y - <br /> 0 8 16 0 ��2 Analyses Requested <br /> Facility# SS#9-0557 G-R#386843 Global ID#TO607700391 J� Matrix Preservation Codes Preservative Codas <br /> �� H=HCl T=Thiosuffate <br /> Site Addres}39 S CENTER STREET, STOCKTON,CA <br /> N=HNO3 S=NaOH <br /> Chevron PISC Lead Consuitart$ECORRH S=H2SO4 D=Other <br /> G-R, Inc ,6747 Stem Court, Suite J, Dublin, Ca 94568 v <br /> Consultant/Officew c ❑ [3 J value reporting needed <br /> nna L HBrdIR dBanrlB Must meet lowest detectison limits <br /> Consultant Prl Mg 8 0gnnc corn) z <br /> C $ © possible for 8260 compounds <br /> Consultant Phone 925-551-7555 Fax A925-551-7899 �� o 0 & ❑ rO 18021 MTBE Conflrmabon <br /> Sampler • TTS Q, m ❑ �' w $ 4gq Z i [3 Confirm highest hit by 8260 <br /> Service Order# ' a i ❑ �` ❑Conflnn all hits by 8260 <br /> ❑bion SAR <br /> Z w R W <br /> Date Trme — 9 + ❑Run T oxy s on highest hit <br /> Sam !e Identification Collected Collected 0 to 3 O ►°- ` L]Run oxy s on all nits <br /> V MW <br /> !r �� A K Comments!Remarks <br /> -l3 4q KX <br /> w —L.:2-� /I�p Lyhe <br /> _ r • R3 0 /1 /4 �( /� <br /> C_ X <br /> -13 —r.2- �dALLX x x <br /> �� 13a6yTP <br /> y �I y � <br /> V~ OO�7O /'� X I{ x <br /> fl3- K �{ <br /> �i x yc K <br /> rA W1-4- -ra-oq• )C ac x X <br /> Turnaround Time Requested(TAT)(please circle) Rel' Patp Time Detey'� <br /> WV N6 C�6W <br /> {� �y 72 hour 48 hour <br /> 2dTour 4 day 5 day lsttell 4 R b1' i� Date Time <br /> u <br /> Data Package Options(please circle if required) ui Date Trime Rece ed by Date Time <br /> OC Summary Type t—Full <br /> a �OdD <br /> Type Vl(Raw Data) ❑Cosit Deliverable not needed Relinquished by Commercial b� Date Time <br /> WiP(RWOCB) UPS FedEx ` Other <br /> Disk Temperature UR. pon Receipt Cust ate to ? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Bax 12425,Lancaster,PA 17605-2425' (717)656-2300 3460 Rev 7130101 <br /> CopiW White and yellow should accompany to boratOrM"The pink copy should be retained by the client <br />