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Chevron California ion Analysis RequestlChain of CA40dv <br /> +Lancaster La3O1iOfiFS For La cas bo Dries use ony <br /> Where%dityisa sckr�ce <br /> Acct.#:L � Sample#: 7 SCR#:98553 <br /> Analyses Regtiested <br /> Facility#: Z Iyj ,Z. r� Preservation Codes ative Codes <br /> Site Address: ` k=HC T=Thiosulfate <br /> - ----- - <br /> N=.HNO3 B=NaOH <br /> Chevron PM::r„-.�;.4 Qom.sr_Lead Consultant: <br /> Consultant(Offi /Y/, s� c © cn ❑.f value reporting needed <br /> 1 ❑Must meet lowest detection limits <br /> Consultant Prj,Mgr.: a V5 <br /> ❑ possible for 8260 compounds <br /> El <br /> Consultant Phone#: 9,16— Fax#: fi d o cc 00 8021 MTBE Confirmation <br /> Sampler: gL�7 �, ro '� ❑Confirm highest hit by 8260 <br /> uj <br /> U) 3 8 ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non R: o z � � w <br /> Field - Repeat Top _ Tirne New. m: E X.. -.. °. o _©Rr,n_--- son highest het <br /> P in Name M ri le D h Y ar Month Da 011e ed Fi ! Pt. C7 t� I ❑Run_Oxy s on all hits <br /> a.S d 6 /4Comments I Remarks <br /> 1 . <br /> I <br /> 16 Da rme Rece - -iv _ � Date - T"mte- -- <br /> T d Time Requested ITAT)(please circle) D �.� <br /> STD.TAT 72 hour 48 hour Relinquished by: Date Tette Received by: Date Time <br /> 4 day 5 day <br /> Data Package Options(please circle if required) Relrnq Date Time Received by: Date Time <br /> QC Summary Type I–Full <br /> Type VA{Raw Data} pCoelt Deliverable not needed 7�� — <br /> Relinquished by mercial Carrier: . Received by: to Time <br /> WAP(RWQCB) UPS ed6 Other <br /> Disk Temperature Upon Recelpt ^C° , Custody Se n No <br /> Lancaster Laboratories,Inc,,2425 New Holland Pike,PQ 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 />