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Chevron Califomia F*ion Anal is RequestlChain of Ci riv 7 <br /> YS <br /> �n L � Far Lan bo ries use only <br /> ACc# #: Sample#: � '7 <br /> Wharfe quafiryts ascience. . <br /> Analyses Requested <br /> Facility M. SCJ 77'Od S Preservation Codesfive Codes <br /> r r HCl T=Thiosulfate <br /> Site Address:3 -00= a <br /> _ � B=NaOH <br /> Chevron PM:_ami „ t7kSc�Lead Cnonslultant:'t Le <br /> _ 4 "$=meter — <br /> COnsultant/Offlce: d�? ;.� ,�r� „J �r„� c 11 (3 ❑J value reporting needed <br /> W.Cn' <br /> Consultant Pd.Mgr.' Aff ❑Must meet lowest detection limits <br /> �QLY possible for 8266 compounds <br /> Consultant Phone#: Fax#: ���� � 0 <br /> o cc o 8021 MTBE Confirmation <br /> Sampler: n qy °�' fl o ❑Confirm highest hit by 8260 <br /> Lu <br /> w 20 4M ❑ ❑Confirm all hits by 8260 <br /> Service Order#: 0Non SAR: a z 5 Ln Lo g, <br /> + El Run_ox an highest hit <br /> Field _. . -.-_. _ Repeat :. fop _ :. . Fine . New - 'o _ ©Run oxy's on all hits <br /> Point Name Matrix Sam De th Year Month Da II ed F3 0 U F It <br /> � <br /> r Y Comments f Remarks <br /> elinquisat Time Received pate Time <br /> Time Requested(TAT)(please circle) ��f <br /> STD.TA 72 4 day 5 day hour 48 hour R wished by: to Time Received by: pate Time <br /> 2 our <br /> Data Package Options(please circle if required) Relinquish Date Time Reoeivedby: -.. ate Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier: Received by: Dafte Time <br /> %MP(RWQCB) UPS Other <br /> Disk Temperature Upon Receipt _C° Custody In Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)65&2300 3460 Rev. 70/04/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client, <br />