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i <br /> 4(.'.'.hevron California Region Analysis RequestlChain of Custody-,,: <br /> +UrxasterL"*ries For Lancaster Labkrat�es�e only'Accl.#: t Sample#: SCR#: <br /> MyequaFfyisasilence <br /> Analyses Requested <br /> Facility#:T i�ds$-"1 Matrix Preservation Codes Preservative Codes <br /> H=HCl T=Thiosulfate <br /> Site Address: I& emda'L- ku� a N=HNO3 B=NaOH <br /> Chevron PM: & cowo;-V Lead Consultant: S LOlr.____ 5=H2SO4 O=Other <br /> � <br /> c ❑J value reporting needed <br /> Consultant/Office: San Kd&9C ,eA Sug2-t,v 1AW4 CWP014 ❑ <br /> o a o ❑Must meet lowest detection limits <br /> Consultant Pd.Mgr.: AgB 74C,CSG�1 Z o W possible for 8260 compounds <br /> Consultant Phone# >kZd'� Fax#�5)r4(l a�3a ❑❑ o $ ❑ 8421 MTBE Confirmation <br /> 0 p m C14 <br /> gt n ❑Confirm highest hit by 8260 <br /> Sampler. 9 O H ? S ❑ ❑Confine all hits by 8260 <br /> Service Order#: ❑Non SAR: 0 <br /> _ ❑ z ii gm m a 1 [3Run- <br /> >< <br /> oxy s on highest hit <br /> Date Time @ o o ro — o x ❑Run oxy s on all hits <br /> Sample identification Collected Collected U 6 in I.- <br /> HLU <br /> /0z7 Z, l,'Ze7 �' Comments!Remarks <br /> H z=30 <br /> 'SL <br /> w �2 <br /> L✓ <br /> NV NrAll X1 <br /> a <br /> Refinqui ed Date Time Recei by: Date Time <br /> Tu and Time Requested(TAT)(please circle) ok$ 2 <br /> 72 hour 48 hour R inquish ate Time Received by: Date Time <br /> 24 hour 4 day 5 day o <br /> Date Package Options(please circle if required) Relinquished b Date Time Received by: ate Time <br /> QC Summary Type I—Full <br /> Type Vf(Raw Data) ❑Coen Deliverable not needed Relinquished by Commercial Carrier: Re ived by: /� Date Time <br /> WIP(RWQCB) <br /> UPS Fed Other 6&21 /3%-- L� IK -�IFV/ <br /> (f�J <br /> Disk Temperature Upon Receipt t 0C° ustody Seals Intact? es No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pikqft Box 12425,Lancaster,PA 17605`2425 (717)656-2300 60 Rev.7130101 <br /> Copies:White and yellow should accompany samples to L4W it Laboratories. The pink copy should be retained by the client. IV <br /> aaaa�a a� a� a� r,■ �� i• fillllllll� r 11=11 ii1 111=11 I• <br />