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Chevron California Region' Analysis' �RequestlChal in' olf Cust6d <br /> �Lancaster' ��,A��+ I For Lancaster Laboratories use only <br /> ' " I..dIU� CICIQS ir1 � (u I -O O G Acct # �,I Sample#�3 -7 47,j f n�r SGR# <br /> Mem q zky is a science <br /> l! <br /> Analyses Requested <br /> Facility# 9-2033 Job 1WR7 Global ID#706077007021 Matrix Preservation Codes Preservative Codes <br /> 506 CHARTER WAY, STOCKTON CA L+i W1 H=HCI T=Thiosulfate <br /> Sde Address i a N=HNO3 a=NaOH <br /> S W H2SO4, O <br /> Chevron PM Robert Cochran Lead Consultant Secor d =Other <br /> O ❑J value reporting needed <br /> Consultant/Office G-R, Inc., 6747 Sierra Court, Dublin, Ca 94568 r o =_ �' ❑Must meet lowest detection limits <br /> n°. z (4 possible for 6260 compounds <br /> Consultant P Mgr Deanna L Harding (Deanna�c� oQQ <br /> Consultant Phone#925-551-75�►5 Fax# 925-551-7899 o 8 � o� ❑ �y 8021 MTBE Confirmation <br /> m o s 3 wJ1Confirm highest hit by 8260 <br /> Sampler L E❑ w m ❑ '� <br /> E $ = o Z ❑Confirm all hits by 8260 <br /> Service Order# ©Non SAR n _ Z $ N ' ❑Run_oxy s on highest hit <br /> Date Time o a ca = o ' x F $ II m d ❑Run oxy s on all hits <br /> Sample Identification Collected Collected O U � O €- m � m i <br /> ' I OG ( -f 2- 1411CComments 1 Remarks <br /> fm.IV I Ili 1 AlcrA45 <br /> M yj <br /> L <br /> I <br /> I <br /> I <br /> i <br /> l <br /> Relin hod by Date Time ved Date Time <br /> Turnaround Time Requested(TAT)(please circle) f j 6 1� JJ t <br /> 72 hour 48 hour R i D to Time D t Time <br /> 24 hour 4 day 5 day QI G q0r- <br /> R n uish y ate Time/ R ived by ate Time <br /> u,"A <br /> Data Package Options(please prole If required) ' <br /> QC Summary Type I—Full Relinquished by Commercial Caul Receiv y Date Time <br /> Type um <br /> {Raw Data} ❑Coen Deliverable not needed UPS FedEx e5- ' 2 <br /> QIP(RWQ <br /> Temperature Upon Receipt -T C° Custody Seals Intact Ye fJo <br /> i <br /> (.- 3460 Rev 7130101 <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P x 124 ,Lancaster PA 17605-2425 (717)656-2300 <br /> 40 copies White and yellow should accompany samples to Lanwaboratodes The pink copy should be retained by the client <br /> i <br />