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Chevron <br /> California R#ion <br /> Analysis a w <br /> -StIC-hain of C�*-.r <br /> /'� For r Laboratories use only <br /> Lancaster l.abora�ories Acct. : 4 �511 q-L4 I . SCR#: <br /> K#)ereq 4tyisas kwx-e. Sample#: <br /> Analyses Requested <br /> Facility#: /' �� �G�77�n�Syrr�lL J'3�L� Preservation Codes rvativeCodes <br /> �✓1 �— -"Cl T=Thiosulfate <br /> Site Address: � l�l�.r, -r _ .�lti► Ct; C 3 B=NaOH <br /> r T .. S=H2SO4 O=Other <br /> Chevron.PM: .0'.rrr;' a 44t Lead Consultant: <br /> D J value reporting needed <br /> ConsuftanVOffice: ?0/7 <br /> a Must meet lowest detection limits <br /> w in possible for 8260 compounds <br /> Consultant Prj. Mgr.: c+,�� e�%rasS _ Cl <br /> Consultant Phone V9141,_-�G - it�.G Fax#: 1„��'$'�� -,PV-325 o " (D W ❑ 8921 MTBE Co„firmation <br /> Sampler. Y w o © m ❑Confirm highest hit by 8260 <br /> F � ❑ ©Confirm all hits by 8260 <br /> Service Order#: Non SAR: z_ <br /> � �; + . $ V � � � �Run oxy's on highest hit <br /> Feld Repeat Top Time New V o '�, a a B a Q Run_oxy's on all hits <br /> Poin Name Matrix Sa th le De Year Month Da ollect d F" I Pt. c0 v. m I- m <br /> 4�9fls t /�r� Comments 1 Remarks <br /> .` as T. <br /> Rel' ui a by: Date' Time ceived by: Date Time <br /> d Time Requested(TAT)(please circle) +? e r /leo <br /> STD.TAT 72 hour 48 hour Iletin` y: Da Time Received by: *,Date <br /> 4 day. 5 day x <br /> Relinquished by_ Date Time Received by: <br /> Data Package Options(please circle if required) <br /> OC Summary Type I-Full Relinquished by Commercial Carrier: L Received by:TypeVI(Raw Data) ❑Coelt Deliverable not needed LIPS FedEx Other <br /> WIP(RVVQCB) <br /> Disk Temperature upon Receipt - C. Custody Sealk I tact? Yes o <br /> 3460 Rev- 10/04101 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425, Lancaster,PA 17605-2425 (717)65&2300 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />