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Chevron.''CaNdmia RgionRequestlChainofCustody <br /> ��Larnster L bw&ries For to caster b to .: s.only (3 <br /> Wheregtaarrty�asaerx,� Acct Sample# sCR# 7Gr t( <br /> 0 O Ansryses Requested <br /> Facility#: SS#94258 C-R#38W44 Global IDfT0607700720 Matrix Prsservatton Codes Preservative Codes <br /> Site Addreag4Q9 EAST MAIN 0 F STREET, STOCKTON, GA .141 H=HO T=Thlosuffate <br /> CL N=HNO3 B=NaOH <br /> Chevron POC teed ConsuttanEOORRH o .� S=H2SO4 0=Other <br /> ConsultanUOftic a-R Inc.,6`147 Sierra Court, Suite J, Dublin,C o.84568 w g p a E3J value repor"needed <br /> Consultant Pd.MgPeenne L. Harding (deennaftdric.com) z � � _ � ❑Mud+meet lowest detection tft <br /> �j possible for 8260 compoumd3 <br /> Consultant Phone 9-25-551-7 Fax A925-551-7899 4❑ o t ❑ �ri 8021 MTBE Confirmation <br /> Sampler K 'Ivnk&�&40A ❑ $ w s52� ;zx f ❑Confirm highest lit by 8260 <br /> Swice Order# El SAR: a Z 9 ,� � R r 0 13 Confirm all hits by 8260 <br /> Date Time 0 + S 3 V1 ❑Run oxy a on highest hit <br /> sant re rd�n Wl ed collect tR 3 O [3 Run :my s on all tilts <br /> Iqr1--2%-04 Comments 1 Remarks <br /> W-1 X X <br /> uu— ZD <br /> i <br /> T rad Time Requested(TAT)(please dreie) ReW MUWW by: - Dake Thne Received by. Date Time <br /> S TAT 72 hour 48 hour •2l•D <br /> 24 Re fished bYr <br /> 4 def► 5 day Nr Date . Tkne <br /> Data Package options(please ckde if required) Relinquished by:' Date Time Received by <br /> QC Summary Type 1--Full <br /> I <br /> TYPO V1(Raw Date) ❑Coett Deliverable not needed Rellnquishad by Commercial Received by: � <br /> IMP(RWQCB) UPS Other <br /> Disk. `(lo Og <br /> Ternperature Upon Receipt-C° Cusbdy,%alslntmA?K Y No <br /> Lancaster Laboratorlee,lnc,2425 Naw Hauer".,pfd Box 12425.Legpet W.PA 17605.2425 (717)85�230p - 3460 Irv.7/30J01 <br /> _ _ -_ Copus tiVhit�end yellow should acco <br /> mpan <br /> y samples to Lanaoster Laboratories. Tib pink copy should be retained by the client. <br />