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Chevron California Region Analysis RequestlChain of Custody <br /> For Lancaster Laboratories use ony+Lmcwter <br /> a b 43 � D 0 1_(:)c)S Acct.#: 109 06 Sample#: L3�0 t�3.�i-y 9 l! SCR#: <br /> Ik <br /> Analyses Requested <br /> Facility#: 9-0557 JOB 4386843 Matrix Preservati n Codes IE Preservative Codes <br /> H=HC! T=Thiosulfate <br /> Sfte Address: N=HNO3 B=NaOH <br /> Chevron PM: Robert Cochran Lead Consultant: Secor <br /> S=H2SO4 O=Other <br /> L �_ <br /> Consuftant/Ofce C-R Tnc b 74 7 Sierra t 11 W p l varus reporting needed <br /> „,_ uhl i CA A456R B p � <br /> o a. .3 N Y4 C ❑Must meet lowest detection limits <br /> Consultant Pd, Mgr.:_Deanna L. Harding, _ eanna(�erinc.collet 0 El63 N possible for 8260 compounds <br /> Consultant Phone#: 9,25-991-7599 Fax#. 9 [ g o o <br /> �5-551-7R4qdo N t 8021 MTBE Confirmation <br /> N <br /> Sampler. ❑ w g c 2 ;! ❑Confirm highest hit by 8260 <br /> ❑ [I Confirm all hits❑Non SAR: b 8260 <br /> Service Order* ' � y � ' y <br /> � [3+ � a ti Run�oxy s on highest hit <br /> Date Time o o m� ❑ o ?5 °� <br /> Sample Identification Collected Collected 0 U O coI ❑Run oxy s on all hits <br /> Comments/Remarks <br /> Wt' -l <br /> I[ II <br /> 1[ II <br /> 1[ II <br /> 1[ II <br /> 1[ II <br /> 1[ ll <br /> 1[ 1[ <br /> l[ 11 <br /> dill <br /> Relinquished by: Date Time ece by: �{ p <br /> Turnaround Time Requested(TAT)(please circle) 11 Z <br /> STD. 72 hour 48 hour R e'd y: Date Time i Re D to me <br /> 24 hour 4 day 5 day I ! <br /> lk <br /> Data Package Options(please circle if required) ate Time Received by; I� Date Time <br /> QC Summary Type I—Full l Ik <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquish etl mmercial Carrier. R by: II Dat T11710 <br /> WIP(RWQCB) UPS "FedEx Other _ ) <br /> Disk Temperature Upon Receipt , �S C. [ <br /> Custody Seals I II Yes No <br /> 1� Rev.7/3010 t <br /> . Lancaster Laboratories,Inc.,2425 New Holland Hike,PO 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies:White and yellow should accompany samples to Lance*boratorles. The pink copy should be retained by the client. <br /> f <br />