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Chevron Northwest Region Analysis RequestlChain of Custody <br /> +Lwastff 1.+fy�llJf dW Ci� �71 1r/� For Ls r�bor orN u only <br /> L A«x # L�_. 4 sample a iI .7e 31,5 V SCR# � J(o�- <br /> VI?leret�iyaasoerxe 3/,g Analyses Requested <br /> Facility# SS#9-8632 G-R#386855 Global IDOT0607700670 Matrix Preservation Codes Preservative Codes <br /> la 14 41 t4 H=HCI T=ThWulfate <br /> Site Address575 GRANT LINE ROAD, TRACY, CA N=HNO3 B=NaOH <br /> Chevron PM RC lead ConsultantSECORRH S=H2SO4 O=Other <br /> Consultant/Otfice G-R, Inc, 6747 Sierra Court, Suite J, Dublin, Ce 94568 00 <br /> c Q p Must meet low"t detection fth <br /> Deanne L Ht�ding (deenna fgnnc com) Z ❑ for SM compounds <br /> Consultant Pd Mgr 13 � � 1 � J <br /> possible <br /> Consultant Phone# Fax# 925-551-7899 _ -_ <br /> �n ❑ Q 8021 MTBE ConfimmWon <br /> ❑❑ k ❑Confirm MTBE+Naphthalene <br /> Sampler _ /�i4i[� A .18� m © ❑ <br /> 7 a 3 5 c� c S—y2 [3Cerrflrm highest hit by 8200Service Order# -❑Non SAR z td _ ❑Confirm all hits by 8260 <br /> - — Date nme o © ❑Run oxy s on highest hit <br /> ro g <br /> Sample Identlficadon Collected Collected O a N m 1 1 ❑Run oxy s on all hits <br /> OA 2 4 O ' k X Comments!Remarks <br /> 40i <br /> 1 X IX <br /> 1312- ki X <br /> AkW —5— /&'3(A <br /> MW <br /> L Same Z&5-- <br /> t <br /> Rall Ished by Time Received byTIM <br /> - <br /> TJme fequested(TAT)(please drete) <br /> TAT f �. 72 hour 48 hour <br /> RdgnquisW byReceived by 'Time <br /> 24 hbur 4t 4 day 5 day ' f <br /> Data Package 6ptions(please circle if required) Relinquished by Time R by Time <br /> QC Summary Type It Full Relinquished by Commerdal Carrier Received Date Time <br /> Type VI(Raw Data) Disk I tDD <br /> WIP(RWQCB) Standard Format UPS FedEx tier 1� I Utz) <br /> Disk Other Temperature Upon Receipt y Custody Seals I es No <br /> Lancaster Laboratories,Inc.2425 New Houand Pike,Pgft 12425,Lancaster,PA 176052425 (717)656-2300 Rev &"I <br /> Copies White and yellow should accompany samples to LancsWboretorles The pink copy should be retained by the client <br />