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Chevron California Region Analysis RequestlChain of Custody <br /> Forborato <br /> +Larrzter Laboratories Acct # P Samp e#� $f`1 X 43 �g051 <br /> 8801 <br /> vequaRylsasaSCR# <br /> IMcrlc� q +a� <br /> Analyses Requested <br /> 0 G 0 7006 0 Matrix Preservation C es Preservative Codes <br /> Facility# - N=HCI T=Thiosulfate <br /> Site Add res 75 GRANT LINE ROAD, TRACY, CA N=HNO3 B=NaOH <br /> Chevron PM <br /> Bob Cochran Lead Consultant Secor s S=H2SO4 0=Other <br /> N <br /> Consultant/Office G-R, Inc , 6747 Sierra Court, Dublin, Ca 94568 Z Lu <br /> ©J value reporting needed <br /> o a ❑Must meet lowest detection limits <br /> Consultant Pry Mgr Deanna L Harding (Deanna gnnc com) rL z o possible for 8260 compounds <br /> Consultant Phone#925-551-7555 Fax# 925-551-7899 o g 2 0 8021 MTBE Confirmation <br /> GAE <br /> E/on✓ W g $ )AConfinn highest hit 8260 <br /> 1 MA� _ ❑Confirm all hits by 8260 <br /> Service Order# Non SAR 0 a Z , us �' — o R <br /> $ ❑Run_oxy s on highest hit <br /> Date Time 0 E c ra © o ©Run oxy s on all hits <br /> Sample Identification Collected Collected a 8 � � O �- m � <br /> 1 11 <br /> Y_ 2- Comments if Remarks <br /> Sump on Y x I 7C � <br /> AW-4 1 oso K <br /> Nw-Z 1.0 <br /> MW-3 lw- K X <br /> W',4 s— X X <br /> AW- X X <br /> MW- (o ,142:,, , Y, k x X <br /> w !v [31 <br /> X <br /> q )(p ) Relinquished by to Received by a tit d Time <br /> 473 Turnaround Time Requested AT lease circle) v �Cc 1 <br /> STD TAT 72 hour 48 hour Refinquishell by at Time Ref by Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle If required) Relinquish D to Time Received Date Time <br /> li i33o s�sl <br /> QC Summary Type I—Full <br /> Type A(Raw Data) ❑Coeit Deliverable not needed Relinquished Come al Ca r Recei Date Time <br /> UPS FedEx ther ,if`1 <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt C° Custody Se Is intact? es No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike, x 12425,Lancaster,PA 17605-2425 (717)656-2300 0 Rev 7130101' <br /> ®r Copies White and yellow should accompany samples to Lan LaThe pink copy should be retained by the client <br />