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Chevron California Region Analysis RequestlChain of Custody <br /> _ �U x3ger Laborato6esu /n� For Lancaster Laboratories u only <br /> �� Acct # "i Sample# _317W �7 SCR# <br /> Wxye Analyses Requested <br /> Facility# Matrix Preservation Codes Preservative Codes <br /> H=FIC! T=Thiosulfate <br /> Site Address a N=HNO3 B=NaOH <br /> Chevron PM It*G,.rU Lead Consultant S=H2SO4 O=Other <br /> U <br /> Consultant/Office <br /> in ❑ ) ❑J value reporting needed <br /> So EL ❑Must meet lowest detection limits <br /> Consultant Prt Mgr dt I AQ o_ z o possible for 8260 compounds <br /> p, ❑❑ pounds <br /> Consultant Phone# Fax U o � <br /> El MTBE Confirmation <br /> 47 S d H C4 <br /> [I Confirm highest hit by 8260 <br /> Sampler m m $ a 0 m <br /> Service Order# ❑Non SAR 0 Q Z 9 - 13 ©Confirm all hits by 6260 <br /> m + m � 0 ^ ❑Run oxy s on highest hit <br /> Date Time T o o o F a a 1 ❑Run oxy s on all hits <br /> Sample Identification Collected Collected 0 � rn � O H m ,- ,- � 1 <br /> r. rj Comments 1 Remarks <br /> � E � <br /> r E-, rn <br /> l <br /> 1� <br /> r <br /> r ` <br /> So- <br /> d D Time veil by Date Time <br /> Turn round Time Requested(TAT)(please circle) de <br /> 72 hour 48 hour a in y Da Time Received by Date Time <br /> 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by Date Time Received by Time <br /> QC Summary Type I—Full Relinquished ercial Camer Re ved by „pate Time <br /> Type Vf(Raw Data) ❑Coeft Deliverable not needed UPS FedEx Other of ` <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt G° Custody 5ea1 In Yes o <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 17605-2425 (717)656-2300 Rev 7/30101 <br /> Copies White and yellow should accompany samples to Lanc�aboratones The pink copy should be retained by the client <br />