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, <br /> evron Califomiar RequestlChain of <br /> Lancaster Lc Wrdtories � For La <br /> ncaster Laboratories use onl <br /> Wherequallty6aseience- Acct.#: +� Sample#: `7 5D95 414 47 SCR#: <br /> Analyses Requested <br /> Facility#5P J4dSf2Tom __ 7 74m_ L Preservation Codes ervative Codes <br /> Irl- ! H=HCI T=Thiosulfate <br /> Site Address: <br /> C =NaOH <br /> S <br /> Chevron PM._ ,�_/�as �Lead Corisuttant:�;5 eon S=Hzsoa O=Other <br /> L <br /> ConsultanVOffice: CD <br /> r _ c p ❑ value reporting Weeder! <br /> +s B I]Must meet lowest detection limits <br /> Consultant Pd.Mgr.: o possible for 8260 compounds <br /> O.' L) O <br /> Consultant Phone#: 2A6-2W j-9!>jh=Fa)c 0 8021 MTBE Confirmation <br /> CD <br /> Sampler: m o M .1 -10. C]Confirm highest hit by 8260 <br /> Service Order#: [ Non 5A e z ©Confirm all hits by 8260 <br /> + p Run,oxy's on highest hit <br /> Field Repeat Top 'Time New o w " 9 p Run oxy s on all hits <br /> Point N me a rix Sam De th Ye r Mont Da C lected Field c'7 C) l° m � <br /> 11✓ 4Sa / p Comments I Remarks <br /> os i <br /> Relinquis Da Time Received by: Date Time <br /> 1TCn3M0zd Time Requested(TAT)(please circle) 3 - <br /> TD.TAT 72 hour 48 hour Relinquished by: Date Time Received by: Date Time <br /> 4 day 5 day <br /> Data Package Options(please circle if required) <br /> Relinquished by: a Received by: Date Time <br /> OC Summary Type I-Full <br /> Type VI(Raw Data) Q Coelt Deliverable not needed Relinquished by Commercial Carrier: R ived by: Date e <br /> t r <br /> WIP(RWQCB) UPS FedEx Other r� ,: <br /> Disk Temperature Upon Receipt C° Custody Seal ad? es Na <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> 3460 Rev. 10/04/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br /> s_. _..... ............ � .._. <br />