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Chevron California Region sis RequestlChainof • • <br /> ,, For Lan ste t, laoratorie se Drily <br /> VWxyequakytsascierxe <br /> #LaruWe Labor& 1e5 0 4� Acd# b G`t' Sample# ' �[ 5� le'7O- 1 8071 SCR# <br /> Analyses Requested <br /> Facility# <br /> JOB 086855 G O el IEWTU-607700670 Matrix Preservation C es Preservative Codes <br /> 75 GRANT LINE ROAD TRACY CA IffH=HCI T=Thiosulfate <br /> SKS Addres a N=HNO3 B=NaOH <br /> Chevron PM Bob Cochran Lead Consultant Secor N S=H2SO4 O=Other <br /> G-R 6747 Sierra Court Dublin Ca 94568 25 W ❑.1 value reporting needed <br /> ConsultantlOffice � Inc , o c <br /> 9 a 2 N Is `k p Must meet lowest detection lints <br /> Consultant Pq MgrDeanna L Harding (Deanna@gnnc com) n z o possible for 8260 compounds <br /> Consultant Phone#925-554-7555 Fax# 925-551-78990 © 8021 MTBE Confirmation <br /> Sampler m ^ ,Confirm highest hit by 8260 <br /> Lu w g — ❑ ❑Confirm all hits by 8260 <br /> Service order V ❑Non SAR a z <br /> Date Time E o R o ❑Run_oxy s on highest fiat <br /> Sample Identification Collected` Collected 0 O ❑Run_ oxy s on all hits <br /> 77777— <br /> � X Z )( Comments 1 Remarks <br /> u,u 0?3 Y X 7t X <br /> AW-I 030 K Y, Iac ]C tc <br /> JAW 3 <br /> Mw-3 !+LT- Y-1 IX K <br /> MW_q r X x )( <br /> M,w_ X X <br /> Mw- llg : K� X x k x X I x <br /> 9AL-013 J3 C3 <br /> 1 X <br /> Relinquished by- <br /> Turnaround �Tim'� Received by FDTime <br /> Turnaround Time Requested(TAT)(please circle) c�7 TD TAT 72 hour 48 hour R inquish by at Time Re N by Time <br /> 24 hour 4 day 5 day t( =' D ( 3JData Package Options(please drde if required) Relinqulsh h D to Time Received ae Time <br /> QC Summary Type I—Full A l l s� 5f S f <br /> T Vf Raw Data Relinquished Com a ial Ca r Receive <br /> Type ( ) ❑Coeft Deliverable not needed UPS FedEx ther Y Date Time <br /> WIP(RWQCB) J ZI <br /> Disk Temperature Upon Receipt t-� — C° Custody Se Is Intact? es No <br /> . Lancaster Laboratories,Inc,2425 New Holland Pik ox 12425,Lancaster,PA 17605-2425 (717)656-2300 060 Rev 7130101 <br /> Copies White and yellow should accompany samples to La er Laboratories The pink copy should be retained by the client <br />