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Chevron Califomlia Region Analysis Request/Chain of Custody <br /> L .,�.,�} For La ratoHas use only <br /> ancaster�0rie Acct.# I O Ul�V1 Sample#: SCR#: <br /> Where qLa js a sdence. <br /> Analyses Requested <br /> Preservation Codes Preservative Codes �i <br /> - <br /> Facility#: — .,�.� ..✓f�-� - - — H=NCI T-Thiosulfate a <br /> Site Address: ��/ {^ .s ` ' ^ N=HNO3 B=NaOH <br /> . S=H2SO4 O=Other <br /> Chevron Pm:Bob C—=- 't Lead Consuttant: <br /> fLn U <br /> C].1 <br /> 30/7 f1,� �- 7FIL1?� �3ty ❑ c value reporting needed <br /> ConsultantlOffice: Z2 Q Must meet lowest detection limits <br /> Consultant P4.Mgr.: �Gv� possible for 8260 compounds <br /> 8021 MTBE Confirmation <br /> Consultant Phone#: <br /> pl6 �C?'r-DYE Fax# T1�r' l" ❑ <br /> S� ❑Confirm highest hit by 8260 <br /> Sampler. ' �'^ .E ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR'. + ❑Run oxy's on highest hit <br /> Field Repeat Top Time New l! o o x x p Run oxy's on all hits <br /> !Point Name Matrix Sam Dqgth Year Month I F' 0 U H <br /> Comments I Remarks z <br /> r <br /> Relinqu Date Time Received by: Date Time <br /> Requested(TAT)(please circle) <br /> TA7 72 hour 48 hour i y: Date. Time Received by: " Date i Fme <br /> r b day 5 day <br /> - . ]Rel qui h Date Time Received by: Date Time <br /> Data Package Options(please circle if required) <br /> OC Summary Type I-Full Relinquished by Commercial Carrier: �! � Re Wed by: D to Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed DPS FedEx Other, DTt'-� �r a <br /> 1MP(RWQCB) <br /> IPTemperature Upon Receipt� �, 3 C.Disk [ <br /> Custody Seals Intact? Yes No <br /> Lancast9r Laboratories,InC,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10l04I0t <br /> ., <br /> Copies:VYhite and yellow should accompany sarttp 's to Lancast-laboratories. Thb p4*k'r:d0y'thould be retained by dwTftrW. <br />