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Chevron California Region R' • • 1Custody <br /> �y��{p � (���e[ For 7��r, b I use only <br /> 9hi Law_ sWr L bi �"�'t tw Acct,# Sample# <br /> l,tlllt t�t,a6ty6asaerxae I (a 20e� - a 4- <br /> Analyses Requested , <br /> Facility# SS#9-8632-OML GR#386855 Global 1DP1'06077OD670 Matrix Preservation Codes i Preservative Codes <br /> 14 0 H=HCI T=Thkmtfate <br /> Site Address <br /> 575 GRANT LINE ROAD, TRACY, CA i N=HNO3 B=Na0H <br /> S=H2SO4 0=Other <br /> Chevron PM-DR Lead COnsultantSE�RW � <br /> ro <br /> G-R, Inc., 6747 Sierra Court, Suite J, Dublin,Ca 94568 p w ❑ c ❑J value reporting needed <br /> Consultant/Offioe a° ry q Must meet lowest detection limits <br /> Consultant Pd Mgr ,I gpeanna L Harding (deanna f grinc com) — a z 5 �, `�° ` 1) <br /> possible for 8260 compounds <br /> �, ❑ , <br /> Consultant Phone#-925-551-75M Fax# 925-551.7859 0 $ �° 8021 MTBE Confirmation <br /> ❑Confirmhighest fiat by 8260 <br /> Sampler `Tl?F �i�M f A E g ❑ ❑Confirm an hits by 6280 <br /> z <br /> Service Order# ❑Non SAR k <br /> E _ z [IRun oxys on highesthitDate Time Sam Ie Identification Collected Collect6d 0 ct°n 3101, t°- ❑Run---axy s on all tilts <br /> — -- J .7 Z U %011 Comments!Remarlts <br /> JMw_{ tols I I $ V ✓ ✓ <br /> w Uj-2 of 3a 1 $ <br /> rvtw-3 m9ro <br /> wnv�-4 of $ ✓ <br /> vKw-s <br /> 1141' $ �A ✓ ✓ ✓ v/ <br /> VAU) 12Z ✓ <br /> rrtw- 7 07 t' ✓ <br /> S U P 070 ✓ <br /> by Date Time Received by / Da#s Time <br /> ETr)A72 <br /> ound ime Requested(TAT)(plesse drde) to-2d.0 10-0 <br /> V I l b <br /> hour 48 hour Relmquls Time R ived by Time <br /> r 4 day 5 day f t 105 f2_00 <br /> Data Package Options(please dile x requtreda Re! s by ate Time Received by l?al Time <br /> n7 <br /> QC Summary Type I—Full Reli shed b Commardaf Carrier Received � Tlrne <br /> Type VI(Raw Data) ❑Coen Deliverable not needODFIEDO <br /> WP(RWQCB) UPS ed Other <br /> Disk Temperature n Receipt Cust intact? es No <br /> Lancaster Laboratories Inc,2425 New Holland Pike,PO Box 12425,Lancaster PA 17605-2425 (717)656-23003460 Rev 7!30!01 _ <br /> Copies White and yellow should accompany samples to Lancaster LabomWies The pink copy should be retained by the client <br />