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t <br /> Chevron Califomia Region Analysis RequestlChain of Custody <br /> Lancaster Ubo &des For Asci# Sample#: `7 1 LQ e only scR#. G <br /> WtrMa u3RYiSa5d6xe. <br /> Analyses Requested q Dp <br /> Facility#: lcT �7 -- Preservation Codes Preservative Codes <br /> Site Address'. 3 3 GI �MA�✓i 1�+awl 60. a H=HCI T=Thiosuifate <br /> /� - -_ N=HNO3 B=NaOH <br /> Chevron PM: 15D 1l e TV-C*I Lead Consultant: 5200r'• S=H2SO4 O=Other <br /> Consuftant/Office: 501 t, Ed �(3� o c © ❑J value reporting needed <br /> `3 ©Must meet lowest detection limits <br /> Consultant Pd.Mgr.:� aA Lc t�� oo''-- o o possible for 8260 compounds <br /> Consultant Phone#:lfy�p Scat—�Oc Fax#: /� Gx�/- af.317 0 0 8021 MTBE Confirmation <br /> Sampler.. E '�' ❑Confirm highest hit by 8260 <br /> D Confirm all hits by 8250 <br /> cl <br /> Service Order M, D Non SAR: o Z .. N R <br /> Field Repeat. Top Time New E + S § � Run oxy's on highest hit <br /> P r 0 k = I D Run_oxy's on all hits <br /> n Z& -DQ Comments I Remarks <br /> CJy ! 9:/D <br /> VI Vi I I-] V <br /> Rel' qui h to Time Received by: Date Time <br /> e2our <br /> und Time Requested(TAT)(please circle)T 72hour 48 hour finq by ate Time Rece Date Time <br /> 4 day 5 day <br /> Data Package Options(please circle if required) ell ued�j Date Time Received by: Date Time <br /> ' <br /> QC Summary Type I-Full Relinquished by mercial Carrier: ivsd b <br /> Type VI(Raw Data) ❑Coen Deliverable not needed UPS Ex Othdr y D <br /> atjF 'rime <br /> ed <br /> WIP(I*INQCB) <br /> Disk Temperature Upon Receipt 0.0 C. stody Seals 145/ Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)666-2300 3460 Rev. 10/04/01 <br /> \ Copies:White and yellow should accompany samples to Lantos 'horaio-iWi. Tide pink copy should be retained by the client. <br /> La:-: <br />