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Califomia Region Analysis RequestlChain of Custody <br /> For <br /> When Qua�tyis a Saen[�? -- - Lan ster Labor ouse onlyLa%3stter� Ve1 g <br /> Acd # Sample <br /> Analyses Requested <br /> Facility#: 6 Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: S• OrmcR 'a', � CL <br /> N=WN03 B=NaOH <br /> Chevron PM: -A ( &P�A& Lead Consultant: [:D� P S=W2SO4 0=Other <br /> I <br /> ConsuttantlOifice:2,&5Q MA M E-MT?b_ _ _ c_ ❑ c ❑J value reporting needed <br /> ❑Must meet lowest detection limits <br /> Consultant Plj.Mgr.: l o �, <br /> U ❑ ❑ possible for 8260 compounds <br /> Consultant Phone as s ( J'}C� 'f4d _Fax#: o o0 - 8021 MTBE Confirmation <br /> Sampler. V _ ILLt-iz _ .2 a .9 © ❑Confirm highest hit by 8260 <br /> E m <br /> Service Order t ❑Non SAR: o z o ❑Confirm ail hits by 8260 <br /> Field Repeat Top Time New E � x <br /> z ,� ❑Run _oxy's on highest hit <br /> Point N x le r M I F' t�7 V F°- I ❑Run oxy's on all hits <br /> S <br /> � V Comments/Remarks I, <br /> J- <br /> zl <br /> Reli <br /> Turnaround Time Requested(TAT)(please circle) y '115-164 T� Date Tfrne; j <br /> tz <br /> STD.TAT 72 hour 48 hour Relinquis Date Time Re�ei by: Date Time <br /> 24 hour 4 day 5 day <br /> Relinquished by: a Tkrre Reoemed b <br /> Data Package Options{please circle it required} Y Date Trne <br /> QC Summary Type!—Full <br /> T V! Raw Data Relinquished rda!Carrier i b <br /> ype { } pCaek Delivera4le not needed UPS Other y " Date�� Time <br /> WIP(RMCB) a tJ� <br /> Disk Temperature Upon Receiptd <br /> C. < Custody Seals Inw? Yes <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,�12425,Lancaster,'PA 17605-2425 {717}656-2300 3ev.10104/01 <br /> Copies:White and yellow should accompany samples to Lan aboratories: The pink copy should be retained by the dient. <br />