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f • ` Anai�stsjxequestj'Chchw; of Custody <br /> +Laxastff ♦�w� For La star Laboratories us only <br /> IMlere[ ►tylsasraence �Z mss- �� Acid # &7 IDA Sample# SCR# <br /> a <br /> Analyses Requested <br /> Fatxlrty# SS#9-2033-OML GR#385847 Giobal ID#TO607700702 Matrix Praservstlon C Preservadva Codes <br /> H=HCI T=Thiosutfate <br /> Site Addrea8 CHARTER WAY, STOCKTON, CA � � t N=HNO3 t3=NaOH <br /> Chevron PM RC Lead Consultant SECOR13S +t N S=H2SO4 O=Other <br /> 0) 120 <br /> Consultantl0fficE' R, Inc, 6747 Slarra Court,Supe J, Dublin, Ce 94588 m c ❑ : n ❑Must meet lowest detectionlimits. <br /> Consultant P9 MgpnnaL Harding (deenneftnnccam) z 0 11 U N �.J3 possible for 8260oompaunds <br /> Consuhant Phone# 925.551-7555Fax# 925-551-7899 o & 90 8021 MTBE Conftwbon <br /> Sampler t ❑ g �- J v ❑CoMinn highest hit by 82134 <br /> y a E, a7 ❑Confirm all hits by 8280 <br /> Service Order# ❑Non SAR z 1 y _ d ❑Run oxy s on highest hit <br /> Date Time c r r +5 g gg� <br /> Sample tdentMeation it ded Collected (D U a m F� ( ❑Run_oxy s on all hits <br /> 1.Q� 2t g j(s Comments/R``ernarks <br /> la3s � �.�w►�{- �c�Ir <br /> 4�c�r�e n�cS <br /> o.so PPb. <br /> 1 <br /> Tu me Requested A <br /> Relinquished Date Time RecaNed <br /> q (TAT)(please circle) rr by bete Time <br /> TD TAT 72 hour 48 hour p Oa <br /> 24 hour 4 day 5 day Relinquished h}r jI�e R by Date Time <br /> Yw Q l g <br /> Data Package Options(please arole It required) <br /> Relinquished by <br /> by Time <br /> QC summary Type I--Full d L <br /> Type VI(Raw Data) �Coe1t Deliverable riot needed Rallnquished by Commercrat Ca <br /> Received Tirrre <br /> WIP(RWQCB) UPS FedEx Other <br /> disk <br /> Temperahtre Upon Receipt • , C° Intact? As No <br /> Lancaster Laboratories,Inc,2425 New Holiand Pike PO Box 12425 Lancaster,PA 17905-2425 (717)856-234p 3460 Rev 713WI <br /> Copses Wh$e 8nd yellow should accompany samples to Lancaesr Leboratnrlea The pink copy should be retained by the clyent <br />