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Chevron Califolmia A,,,jion Analysis RequestlChain of C"' �6dy <br /> *Lwcaster La &ries {Oy alt 1 Sam F r e �,J ° u h' <br /> where gLelga asaence scR��y n <br /> Analyses Requested Gr�► b� '"i <br /> Facility# NAI L 8 r. 1 100 (a t( Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address 22S. �Sao1` C c N=NNOa B=NaOH <br /> Chevron PM ocAm'-, Lead Consultant. 02- `° 00 S=HZSO, O=Other <br /> La �_ v <br /> Consultant/Office Y e. J .lL"'W in. &,r ld !4-g�7J 0 ❑ c� cc � ❑J value reporting needed <br /> Consultant P Mgr � c d o ❑Must meet lowest detebon limits <br /> 8 U © © ` possible for 8260 compounds <br /> Consultant Phone# t8c'psi-69{w cy�.I�(Fax# 2�l-Cf't 7o o oo -0 — �` 8021 MTBE Confirmahon <br /> Sampler L° o .>, ❑Confiml highest hd by 8250 <br /> E ❑ ❑Confirm all hits by 8260 <br /> Service Order# <br /> ❑Non SAR o Z o <br /> Field Repeat Top Time New b E ++ a� ' I <br /> ❑Run oxys on highest hitP int N me Ma rix m De h Yea a II a Fr 0 UIQ m � I a ©Run oxys on all hits <br /> OW-17-V sotI q� 03 2 /b q2a r Comments!Remarks <br /> 1-5:� — fs v— `r <br /> _ / J <br /> V <br /> r5%r PIPE4 <br /> a.d <br /> to Wr z� <br /> 5 — 3 )aY 31 <br /> /U� <br /> Ll <br /> Relin ed by Date Time Received by Date Time <br /> Turnaround Time Requested(TAT)(please arca} � �� �� <br /> (OR) 72 hour 4$hour n7�� <br /> by Date Time Rey Date Time <br /> 24 hour 4 day 5 day !�� <br /> Data Package Options(please circle if required) Relinquished by Date Time Received by /, Date Time <br /> QC Summary Type I-Full `4L`J➢ <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by erci8l Carrier Re by a Time <br /> — <br /> UPS(RWQCB) UPS ed Other <br /> Disk Temperature Upon Receipt a? 0 `C° slody Seats In � Yes No <br /> Lancaster Laboratories,Inc 2425 New Holland Pike PO Box 12425 Lancaster PA 17605-2425 (717}556-2300 3460 Rev 10/04/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />