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�*on. r'-1. 1-7 (--1f-7 <br /> lrt <br /> Chevron Califomia Re I n Analysis RequestlChain of CustAy <br /> p1�c t� <br /> -.. ��Ld�eC Labaratones - Acd fk � Sample#.l.anc�s`{ou�q{5 y e only -SCR#: <br /> Analyses Requested C� 10 <br /> Facility M I Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: 33 e. 4o N=HNO3 B=NaOH <br /> Chevron PM:� � -� Lead Consultant: <br /> �� S=H2SO4 O=Other <br /> 0 D J value reporting needed <br /> Consultant/Office: �O/7 l�d raw�o�S7LlL�j +o Cy <br /> -- '� ¢ .�°- — _- - - -- --_ _ _ ' ❑must meet lowest detection limits -`-- --- <br /> Consultant Prj.Mgr.: �Q'N--- �-L�� 0 0 possible for 8260 compounds <br /> Consultant Phone#: ? g!� -m ax 9:Ste M --CyS � o � ❑ 8021 MTBE Confirmation <br /> Sampler. �7y.� r)•�� �+,t ___ '�` ❑Confirm highest hit by 8260 <br /> ro E a, ❑ O Confirm all hits by 8260 <br /> SerAce Order M 0 Non SAR: z <br /> -0 + C]Run_oxy's on highest hit <br /> Field Repeat Top Time New m o o x <br /> a a <br /> ❑Run_oxy's on all hits <br /> Point Matrix Sam le Det ea II <br /> `]; +j Comments l Remarks <br /> fin LtJ t f a�/ ,5a <br /> ✓ S tt/ /r 9 �`� 't' � <br /> elfin(b Time Received by: Date Time <br /> TnTATTime Requester!(TAT)(piaase circle) <br /> ST 72 hour 48 hour Relinqeduis ate Time Received by: Date Time <br /> 24 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by: Date Time Received by- Date Time <br /> OC Summary t tr <br /> Type 1-Full Relinquishe b omrnercial Carrier: Rete' by: Date Time <br /> Type A(Raw Data) ❑Coelt Deliverable not needed UPS edE Other <br /> WIP(RWQCB) <br /> Disk Temperature Upon Reipt C° _ Custody Seals Intact? es No <br /> Lancaster Laboratories,Inc.,2425 t*w Holland Pte,PO Box 12425,Lancaster,PA 17605-2425. (71-1)856-2300 3460 Rev. 10/04/01 <br /> Copies:V1RrIte and yellow should accompgny samples to CAncaster Laboratories. Thpink,copy should tie retained by fhe.�eiif.' <br />