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Chevron f RegionRequestlChain1Custody <br /> liiY` Laruaster Laboratories For Lan meter laboratories use only 250012 <br /> K VNlaegts3fltyis8soence. Acct# llaiou sample#: �5308�9 -73 SCR#: <br /> gbig Analyses Requested <br /> Facility#: � L 7twinkt0 Preservation Codes t...a <br /> Preservative Codes <br /> Site Addresg: r (n,IGti I W1 H=HCI T=Thiosulfate <br /> 1 ' '�a ff N=HNO3 B=NaOH <br /> Chevron PM: til Y/.��G.f.:J.1/AIXIX� Lead Consultant: l s ///���,t p J Q S=H2SO4 O=Other <br /> Consultant/Office: -�I^-.J�I/ Lail�Vlh `•!'� l�r .� l G ❑_ (9 ❑J value reporting needed <br /> .uN 1 f� �11ft V F� 0 W <br /> ❑Must meet lowest detection limits <br /> Consultant Prj. Mgr.: o m N possible for 8260 compounds <br /> ConsultantP one#A1ie-16 ?1 a lot Fax#:�I��q$C7:�?j � � ° ❑ ❑ <br /> m e c R 8021 MTBE Confirmation <br /> Sampler. a) loo Ttra. ' ❑Confirm highest hit by 8260 <br /> E m ` S ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR• o z' � g <br /> a n * S 2 ❑Run_oxy's on highest hit <br /> Field Repeat Top Time New E c o ❑Run_oxy's on all hits 1 <br /> Point Name Mariample Det Year Month Da Collected Field Pt. t7 v F- m � e: E n. <br /> t IDS K I 1 1 X1,K 1 11 1 Comments/Remarks <br /> UIIDoIV 1 I Ia4D 0) 1 1)( <br /> ow:w 3 A - 5111 w `1 I I X K X x AJwMLt1661Wlo/iiL <br /> a 1K rA t Q ibczb 41x <br /> Marc a LJ II a13 4K #)C, (�plp ,cS <br /> NW- t -001,11a \A3 ll ytq X <br /> �-w -w-mill D 11 a 9 at^e �e td I�cvrd <br /> 1 1) 06 9 <br /> Iww" w 081113 OS 1 X <br /> �a -to-oSul3 W tl 3 qb X x- <br /> w W- uta t1 13 X X <br /> o x <br /> Pao Time Received by. Date Time <br /> Turnaround Time Requested(TAT)(please circle) ` _ <br /> ST=fT.-TAT our — linquishe b . a Time Received by: Date Time <br /> our 4day 5day <br /> Data Package Options(please circle if required) Relinquished by: Date Time Received bY: - Date Time <br /> QC Summary Type t-Full <br /> Type VI(Raw Data) OCoelt Deliverable not needed Relinquished by Commercial Carrier, Received by. DateTim <br /> WIP(RWQC8) UPS FedEx Other I 1JlOt' <br /> Disk Temperature Upon Receipt 3.5-SJP C° Custody Seals Intact? es No b lv <br /> Lancaster Laboratories, Ina,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.10/04101 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client <br />