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E <br /> Chevron California Region Analysis1 • ofCustody <br /> +LawasterLtw&des Ace # 1boo b Sample#t a�, oa�ories use only (01`0SCR#4* 9V6b7(fF `� 45, <br /> t <br /> 0 S 0 '0 i —C Analyses Requested <br /> Faality# SS99-8632 G-R#386855 Global ID#TO607700670 Matrix Preservation Codes Preservative Codes <br /> X75 GRANT LINE ROAD, TRACY, CA H=HCl T=Thlosulfate <br /> Site Addr N=HNO3 8=NaOH <br /> Chevron PIC Lead ConsultanRH d II <br /> S=H2804 O=Other <br /> CansultantlOffice ' ' <br /> G R Inc.,6747 Sierra Coun,'Sulle J, Dublin,Ca 94568 w ❑ 0 value reporting needed <br /> � $ r ❑t <br /> Must <br /> lowest detectionlimits <br /> Consultant Pr1 Mg�nne L Harding {deanna 9nnc.com} zz s+bie for 260ccomicounds 111:1 © V v <br /> Consultant Phone 125-551-755Fax 825-551- 899 o <br /> 8021 MTBE Confirmation <br /> Sampler C ; m ❑ W a ❑Confirm highest hit by 826o <br /> Service Order# ❑Non SAR _ 3 z _ O+ �' k, <br /> [3Con(Irm all hits by 8260 <br /> Date Time I — a0 a 8 " ❑Run_oxy a on highest hit <br /> Sam I ldentffi tion Collected CollectedO coo 0 8 9I Coll ❑Run_oxy a on all hits <br /> Comments 1 Remarks <br /> 1123,IJ-3 <br /> h�iJ- 0800 <br /> rJIDOO .8 <br /> PAw-4o <br /> VA 1 1-( ! <br /> P <br /> 06 136 <br /> k <br /> 4 i <br /> �i <br /> Turnaround Time Requested A Relinqu Date Time Received byLL Date Time <br /> q (TAT)(please�dncle) 7 r <br /> STPTAT 72 hour 48 hour Relinquished by Time R <br /> 2 4 day 5 day �" Date Time <br /> r <br /> Data Package Options(please circlerf required) y Time Received !/ 1..� E Da Time <br /> QC Summary Type I—Full 'f�l?(�J. <br /> Type VI(Raw Data) ©Coen Deliverable not needed Relinquished by Commode!Carrier R <br /> WIP(RWQCB) UPS FedEx r ^ Pate-" Time <br /> Disk Temperature Upon Reoelpt r. C' Custody Intact? Yes I No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,FA 176052425 (717)6W2300 3460 Rev 7/30/01 <br /> Copies White and yellow should accompany samples to Lancaster boralofts The pink copy should be retalned by the client <br />