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Chevron CaliforriffRegion Analysis Request/Chain ot Custody <br /> Lancaster Laboratories C oc '# 3 f too( — c o J For Lancaster Laboratories use only <br /> a <br /> tMiere aa�naence a� # _i OgO i� sample# 34,7102440 —"j scR# � <br /> 4�r'h' <br /> Analyses Requested <br /> Facility x-8632 Job#386855 Matrix Preservation Codes Preservative Codes <br /> H=HCf T=Thiosulfate <br /> Site Add&76 GRANT LINE ROAD TRACY CA a N=HNO3 B=NaOH <br /> Chevron art Cochran Lead Consultant Senor S=H2SO4 O=Other <br /> 12 <br /> Consultant/0fffcG_ w c (S Q ❑J value reporting needed <br /> 0 o <br /> Q. .. N is ❑Must meet lowest detection limits <br /> Consultant Pr) 17lip-sinnaftilinc cam) a z V �, possible for 8260 compounds <br /> Consultant Pho Fax _ ❑❑ o g 2R 3 8021 MTBE Confirmation <br /> Sampler m ❑ E g o P'Confirm highest hit by 8260 <br /> w <br /> Service Order 9 ❑Nan SAR a d 1 9 � �_ � � � � ❑ <br /> Confirm all hits by 8260 <br /> a m + A ❑Run_oxy s on highest hit <br /> Date Time E o rro ' $ ❑Run_oxy s on all hits <br /> Identification Collected Collected 04 N O 1,0- <br /> Sample m <br /> 'Z i( Comments 1 Remarks <br /> ,�- <br /> x s <br /> zuvj 3 3Z <br /> Relinqu ed by to Time Received by Date Time <br /> Turnaround Time Requested(TAT)(please circle) r�11 _ <br /> STD T 72 hour 48 hour Re*6ulshedbyi` 4 /Dat Time R led by Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) Rel s �#G 'Time Received by I i fe Time <br /> lD' <br /> OC Summary Type I—Full remperatu6UM4ecatpl: <br /> ei nquished rclal Carrier Rece!UL <br /> Date Time <br /> Type V!(Raw Data) ❑Coeit Deliverable not needed <br /> WIP(RWCCB) PS FedEx Other , 5 <br /> Disk �C° CustodySeals Intact? iss No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 17605-2425 (717)658-2300 Rev 7/30/01 <br /> Copies White and yellow should accompany samples to Lancaboratories The pink Copy should be retained by the client <br />