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Chevron California w • • • sis RequestlChainofClistody <br /> #LaxisterLabim&ries For Laboratorks uf Amy <br /> Acct # Sample#NV�3�n QT 3SCR# 1 <br /> 1Miere qusaGiy rs a saence Q�Q�/TI-��O <br /> J Analyses Requested <br /> Facility# SS#9-3232 GR#386463 Global ID#TD607700658 Matrix Preservation Codes Preservative Codes <br /> A- 14Sfi6D LWR SACRAMENTO RD, STOCKTON,CA NaOH H=HCI T= (fate <br /> Site Address a N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consultant SECORRH = S=H2SO4 O=Other <br /> 120 <br /> G-R, Inc, 674 Sierra Court, Suite J, Dublin, a w c ❑ ❑,I value reporting needed <br /> Consultant/Office, <br /> dt�nna nnc coni ❑Must meet lowest detection limits <br /> Deanna L Hardin <br /> Consultant Pri Mgr 9 t ft ) a z possible for 8260 compounds <br /> Consultant Phone# 925-551-7555 Fax# 925»551-7899 o ❑ 8021 MTBE Confirmation <br /> 0 ❑Confirm highest hit by 8260 <br /> Sampler E g$ _ R [3Confirm all hits by 8260 <br /> Service Order# ❑Non SAR ¢ z '� <br /> ❑ <br /> + Run oxy s on highest hit <br /> Date Time 2 E o o 0 ❑Run_oxy s on all hits <br /> Sam to Identification Collected Collected (9 co 3: O , m F 1 1 w <br /> R 11K z Comments/Remarks <br /> Mw- All <br /> I SP&2 <br /> r"IV- <br /> r'X,v. q i flu <br /> P1141- YD Air Yr N I <br /> Mlw_ ;./r <br /> rnw. 114Fo <br /> 1v <br /> ,4w- o 11irx x <br /> Time <br /> sh to Time ived by Date e <br /> Turnaround Time Requested(TAT)(please circle) Relinqui7 a [`aat <br /> TAT 72 hour 48 hour fished by Dat time Received by �te Time <br /> ur 4 day 5 day f / <br /> Data Package Options(please anile if required) Relinquished by f Time Recivedby Time <br /> OC SummaryType 1—Full <br /> Type Vi(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Coev <br /> mer /1 ! b Rece � Time <br /> WIP(RWaCB) UPS FedExer { <br /> Disk Temperature Upon Receipt _C° Custody Seals intact? es No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)656-2300 3460 Rev 7/30/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />