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Chevron California Region Analysis RequestlChain or%,.;.,, <br /> Lancaster LaboratoriesFor Lancaster Laboratories use only <br /> Where quality i5 a science. Acct.#: L 0'9'6q Sample#: �� S�6— �� SCR#: <br /> Analyses Requested <br /> h, ab-`?�3 Matrix Preservation Codes <br /> Facility#: Preservative Codes <br /> Site Address: tq Uo W . TC 0.Cld ( 41 1 1 A41 H=HCI T=Thiosulfate <br /> (� -tel g N=HNO3 B=NaOH <br /> Chevron PM: 1TTTTTT7 <br /> Ci1,1xXW �QXLead Consultant: 2 S=H2SO4 O=Other <br /> Lo 0 <br /> (� <br /> Consultant/Office: -S o c_ [1 ❑J value reporting needed <br /> 0 Q. ig ❑Must meet lowest detection limits <br /> Consultant Prj. Mgr,: a z c g y <br /> 1 I 2� ❑❑ 0 ❑ possible for 6260 compounds <br /> El <br /> 1 Consultant Phon /1(Qpl �(�(� Fax – UV `og Q 8021 MTBE Confirmation <br /> ma <br /> Sampler: .� ❑ E w g o ❑Confirm highest hit by 8260 <br /> Service Order* ❑Non SAR: o '< z n o ❑Confirm all hits by 9260 <br /> N <br /> a E _ m ❑ • m m 2 0 ❑Run_oxy s on highest hit <br /> Date Time @ m 4 �S5 <br /> Sample Identification Collected Collected 0 0 N O m S❑ Run_oxy s on all hits <br /> i tl 0 Comments/Remarks <br /> P-2Ml 6E , PliPe,G�IOF'/ <br /> it o010 1 1 £pg�TK3M�,7BAf <br /> b 1 112.-OCR <br /> t 1 <br /> ------------- <br /> R uished DTime Received by: Date <br /> to <br /> T nd Time Requested (TAT)(please circle) -41 0 , <br /> STD.TAT 72 hour 48 hour < Relin 'shed by: date Ti eceived by: Date Time <br /> 4 day 5 day <br /> Data Package Options (please circle if required) <br /> Relinquished by: Date Time Received by: Date Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) C] Relin mercial Carrier:Coelt Deliverable not needed ece by: *De TimeWIP(RWQCB) S Other / 1A/C <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Yes .7 <br /> • Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.7/30/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />