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Chevron California Region Analysis RequestlChain of Custody <br /> Lancaster LgbOratDmFor Ltncasbr Laboratories use only Q' <br /> When'quahtyis a saence Acct # mpie#mn wo 9"-71 „SCR# OXi f <br /> Analyses Requested <br /> Faaldy#�''� Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address Q N=HNO3 B=NaOH <br /> Chevron PM 4EP,� Lead Consultant ey S=H2SO4 O=Other <br /> Consultant/Office ._— e w c ❑ ❑J value reporting needed <br /> m p � <br /> Consultant Pd Mgr 6T a e ❑Must meet lowest detection limits <br /> ❑❑ 0 © possible for 8260 compounds <br /> Consultant Phone# _ `-� x#' <br /> Fa /[Q - o g W- o2 8021 MTBE Conflrmation <br /> Sample ❑ .0w o ❑Confirm highest hit by 8260 <br /> Service Order P ❑Nan SAR o a Z 2 ❑Confirm all hits by 8280 <br /> Date Time CL <br /> 0 E o cava ❑ a ?+� $ � � � ❑Run_oxy s on highest hit <br /> Sample Identification Collected Collected (99 O H m ❑Run._oxy s on all hits <br /> 'r Comments!Remarks <br /> Ila <br /> 4+ 1 1_jj <br /> lc.Y <br /> dcJ- t <br /> Turnaround Time Requested A Relinquish Data Time ived by Date Time <br /> q (TAT)(please drde) <br /> STD TAT 72 hour 48 hour Re u shed by Date Time Received by a Time <br /> 24 hour 4 day 5 day <br /> Data Package Options Relinquished by Date Time Received b <br /> ge pti (please circle if required) Y Time <br /> QC Summary Type( --Full Relinquished by Commercial Carrier Reoei p Time <br /> Type A(Raw Data) ❑Coelt Deliverable not needed g <br /> WIP(RW=) UPS E Other <br /> Disk <br /> Temperature pon Receipt Custody Seals lntefdI6 No <br /> �w • Lancaster Laboratories,Inc,2425 New Holland Pike,P 2425,Lancaster,PA 17605.2425 (717)OW2300 v 7130101 <br /> Copies White and yellow should accompany samples to Lana boratorles The pink copy should be retained by the client. -W-a <br />