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Chevron California s ` • • • RequestlChainofCustody <br /> +Lamaster����C �� � ,, For Lanc-alster Labo Dries use only <br /> Where tsar ab ' es D Q � # 'cL Sample# � 1 o�0�TV SCR# <br /> q�►�Y <br /> Analyses Requested <br /> Facility# 9-6258 JOB #386844 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address_ 2409 East Main_ St. , Stockton CA a N=HNO3 B=NaOH <br /> S=H2SO4 O Other <br /> Chevron PM Lead Consultant Ser-or = <br /> CD <br /> v [3J value reporting needed <br /> ConsultantlOffice G—R Inc, 6747 Sierra CT, Dublin, CA 94568 o <br /> 0 0_ :° n � ❑Must meet lowest detection limits <br /> o. z <br /> ❑❑ possible for 8260 compounds <br /> Consultant Pd Mgr Deanna L. Hardin Deanna@grinc.com o <br /> Consultant Phone# 925-551--7555 Fax# 925-551-7899 o g 2 O 4. 8021 MTBE Confirmation <br /> `m o ❑Confirm highest hit by 8260 <br /> Sampler Tony Camarda — m O <br /> ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR a Z "' "' o ❑Run oxy s an highest hit <br /> E _ m ❑ - <br /> Date Time T 8 0 O ' 15 m ❑Run_oxy s on all hitsSam le Identification Collected Collected <br /> V* • fte �O // • Z Y V. Comments I Remarks <br /> AN#V � n 6 <br /> A 1116 x X G K <br /> law a 411 1 <br /> i <br /> Relinquished by Dille, T me R Iv d by, ate Time <br /> Tu and Tune Requested(TAT)(please circle) /0 /� t <br /> TD TAT 72 hour 48 hour qui a Tim ed by Date Time <br /> 24 ur 4 day 5 day q*A -c,r 13q <br /> e squished by ate Time eceived by D in'1e <br /> Data Package Options(please circle If required) <br /> QC Summary Type I—Full Relinquish rcial Corner Received yDa Time <br /> Type VI(Raw Data) [3 Cook Deliverable not needed UPS edEx Other O J v <br /> WIP(RWQCB) <br /> Disk Temperature pon Recel� - C' Custody Seals Intact? Ye No <br /> 3460 Rev 7130101 <br /> • Lancaster Laboratories,Inc,2425 New Holland Pike,PO x 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies White and yellow should accompany samples to Lan raboratomes The pink copy should be retained by the client <br />