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Chevron California ngion Analysis RequestlChain of fstody <br /> For La ste boratorie se only <br /> *Lancaster Laboratories �(� TIM`1�s - agc,3 <br /> Acct # b� `r Sample# 3 � .__SCR# <br /> Wxrequafftyr'sasaence �d 4l <br /> 0'�4 Analyses Requested <br /> Facility# <br /> 2 JO G obel ID#TO607700670 Matrix Preservation C es Preservative Codes <br /> 75 GRANT LINE ROAD, TRACY, CA H=HCI T=Thiosulfate <br /> Site Addres a N=HNO3 B=NaOH <br /> Bob Cochran S@COr %9 S=H2SO4 0=Other <br /> Chevron PM Lead Consultant12 F4 <br /> Consultant/Office G-R, Inc , 6747 Sierra Court, Dublin, Ca 94568 Zo 0 ❑J value reporting needed <br /> co ;; 13 [3 Must meet lowest detection limits <br /> Consultant Pry Mgr.Deanna L Harding (Deanna@fgnnc com} d z 4 8 y possible for 8260 compounds <br /> Li 0Consultant Phone#025-551-7555 Fax# 925-551-7699 ❑ o © � 8021 MTBE Confirmation <br /> 00 <br /> Sampler — /4�c•�1 �if�IY1/��L�' _ ❑ E o ^ ,Confirm highest hit by 8260 <br /> y a = g 2 ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR 0z ko <br /> ❑Run_oxy s on highest hit <br /> Date Time 1! o o o = x ❑Run oxy s on all hits <br /> Sample Identification Collected Collected 0 v N 3 O m <br /> 4//;40- -- 1 Z Comments 1 Remarks <br /> sump og31 Y, x x X <br /> Mw- l I o3o Y, K x <br /> NW-Z 3 <br /> MW-3 1+1.R` K X <br /> w-� S X, x <br /> X X <br /> Mw- (oE 2� x x X <br /> AW- $ r306 <br /> Relinquished by to Time Received by D,Ste Time <br /> Turnaround Time Requested(TAT)(please circle) C _ qy d"�^-tc U`�/( <br /> STD TAT 72 hour 48 hour R inquish by at Time Re by Date Time <br /> i, Q J <br /> 24 hour 4 day 5 day r 6 13 <br /> Data Package Options(please circle if required) Relinquish b D to Time Received Date Time <br /> Irl � IS-3061/1 P <br /> QC Summary Type I—Full 711111 AA <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished Com I Ca Rece y r Data Time <br /> UPS FedEx Other J?'!I <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt 4` C° Custody Is Intact? es No <br /> Lancaster Laboratones,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (71T)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client. <br />