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--Chevron California I-_�,gton Analysis RequestlChain of C- fody-1 <br /> +LanccAffUb dlUries For Lancaster A us iy <br /> VWMquafitytsasoeMe ID �# Sample!{ L" SCR# <br /> Q� Analyses Requested &,-0,P4 <br /> Facility# 1001621 G-Re 386883 GLOBAL ID# T0607700004 Matrix Preservation Codes Preservative Codes <br /> Site Address 22888 KASSEN ROAD BANTA CA N=HCl T=Thiosulfate <br /> CL jf1 N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consultant SECORM 1 Q r S=H2SO4 O=Other <br /> OG � <br /> Consultant/Office G-R Inc Sierra6747 Siera Court Suite J Dublin CA 945 m w0 0 c ��value� V needed <br /> M 0 � � � � ic O Must meet bwest detectlon limits <br /> Consultant Prj Mgr Degnna.L Harding deanng%Mi-ne,com ❑ U © possible for 8260 compounds <br /> Consultant Phone# 925-551-7555 Fax P 925-551-7899 `o a ❑008021 MTBE Confirmation <br /> Sampler M i& KEvoak „ ❑ 0 � ❑Confirm highest hit by 8260 <br /> Service Omer# ❑Non SAR. � _� :_I ❑Confirm all hits by 8280 <br /> Dela Time E _ _0 14 a+� F }— +I.i1 L7 Run,�oxy s on high s hrt <br /> Sample Identification Coil ed Collected O 3 O 1° m Jtl ❑Run w oxy s on all hits <br /> A Comments 1 Remarks <br /> Mw—— 1 a,0 @ 0 <br /> it Time Dale Timeggg)�� Da <br /> Turnaround Time Requested(TAT)(please circle) { in <br /> TD T 72 hour 48 hour R li <br /> 24 hour 4 day 5 day Date Time Received by D e Time <br /> t 3 <br /> Data Package Options(please circle If required) 11 <br /> Relinquished by zr Time Received by at Time <br /> QC Summary Type i—Full k2v, ftr A,,4,V ,Q/ Z <br /> Type VI(Raw Data) ❑Coelt DelmerablA not needed Relinquished by Commercial Cardeif Recei � T1 <br /> WIP(RWOCS) UPS FedEx <br /> i <br /> Disk Temperature Upon Receipt s C° Custody Seals Intact? Ye No <br /> Lancaster Laboratories,Inc.,2425 NOW Holland Pike,PO Box 12425,Lancaster,PA 17605•-2425 (717)656-2300 3460 Rev 7130101 <br /> Copies white and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the chant <br />