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Chevron California RLMon Analysis RequestlChain of Custuay <br /> Lancaster Laborato6es C/ GJ For La o t <br /> Wherequalityisasaefx Acct# 0 �P I Sample#: SCRX: <br /> Analyses Requested <br /> Facility#: ~fes ; Preservation Codes Pnessrvative Codes <br /> Site Address:_ _S `f {/)'7�,. �� = / `n <br /> H HCI T=Thiosuffate <br /> •��. � � N'- Oa B=NaOH <br /> Chevron PM:./s,In `Lead Consultant: S=H2SO4 O=Other <br /> ConsultantlOffice:, Q/�7 HI,fcyctl— /il/ -SV.A&L-> �,,,,�.� �-, �, c D c`� D J value reporting needed <br /> T', ❑Must meet lowest detection limits <br /> c <br /> Consultant P1.Mgr.: o co �, <br /> y ❑ possible for 8260 compounds <br /> Consultant Phone#: / Fax#: o 8021 MTBE Confirmation <br /> r' CV <br /> Sampler: _ `� _�� %!„ �yy�/� fj,1 y r C9 o D Confirm highest hit by 8260 <br /> Service Order#: � w 3 <br /> ❑Non SAR: 2 R D Confirm all hits by 8260 <br /> u + $ � ❑Run xy <br /> Field Repeat Top Time New • m o 0 o_aWs on highest hit <br /> s on all hits <br /> Point m17 <br /> Nae Matrix Sam le e th Year Month Da Collected Fe `. t. 0 U N . ❑Run <br /> t 7:. )( Comments/Remarks <br /> ReGH q i by: ate' me Received by: Date Tyne <br /> TumNam"Time Requested(TAT)(please circle) 5Ti <br /> TA 72 hour 48 hour nqu $ Date Time Received by: Date Time <br /> 24 hour 4 day 5 day -0V <br /> Data Package Options(please circle if required) R inqu d by Date Time Received by: Date Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished rcial Carrier: Re by: Date e <br /> WIP(RWQCB) UPS Other 11-- - C <br /> Disk Temperature Upon Receipt:2j=0 co Custody Seals 1 es <br /> Copies:White and' Ilow should accompany samples to Lancas 3460 Rev.]OJ04/0] <br /> ____,_, Lancaster laboratories,Inc.,2425 New.iiolland Price.PO,So�i 17429,."n ster,PA 17605-2425 (777).6;:~6-231)0 <br /> Ye p y p ter Laboratories. The pink copy should be retained by the client. <br />