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i <br /> Chevron CaVifornia Region Analysis Request/Chain of Custody <br /> +LarKasterUor&ries For use only ^•�Acct.#:. Sample#: SCR#:- d 0- <br /> d� <br /> in/laerec7uadreyisa.saience . <br /> " <br /> Analyses Requested <br /> Facility#: Pfeservation Codes ZIvative Codes <br /> Site Address: 3341 ,� �cr�,t,Sf: 4. T=Thiosulfate <br /> ._°. a H= B=NaOH <br /> Chevron PM: 196, -v. ► Lead Consultant: 12 � S=H2SO4 O=Other <br /> ConsultantfOffice: A .� /'{%�g,� d 51�:f®� ,,.,�L,� �;y c ©_ c ❑J value reporting needed <br /> 'e ©Must meet lowest detection Iomits <br /> Consultant Pij.Mgr.: n�sYGfJLzi _,._•..„•..,_. possible for 8260 compounds <br /> Consultant phone#: / = ax#: _!R3 /--1� - e o ❑ 8021 MTBE Confirmation <br /> m o e <br /> Sampler: ---- fry„ . �qC2 Z2;�$ Oyu y ❑Confirm highest hit by 8280 <br /> -_ ❑ ❑Canfiml all hits by$250 <br /> Service Order#: Q Non SAR: z Ln o <br /> ❑Run oxy's on highest hit <br /> Field Repeat Top Time New m l= <br /> Point Nam le be Y D ollected Fieldca URun`oxy's on all hits <br /> Comments t Remarks <br /> =n: IE 3 3 5a )Cl T I <br /> -Ilk <br /> FF+;F <br /> Relin ul y: ate Time;;. : by: Date Time <br /> Tu Time Requested(TAT)(please circle) <br /> TD”TAT 72 hour 48 hour Re to Time Received by: Date Time <br /> 24 our 4 day 5 day r _ <br /> Data:Package Options(please circle if required) in 1Jate �ffn. Received by: Date Time <br /> QC Summary Type 1-Full <br /> Type VI(Raw Date) ]Coen Deliverable not needed Relinquished by Commercial Carrier: Received by: Date' Time <br /> WIP(0WQCB) UPS FedEx Other---- PAL Hgo�L <br /> Disk 'Temperature Upon Receipt C. Custody. Ct? .yam Yes No <br /> Lancaster Laboratories,Inc„2425 New Holland Pike,PO pox 12425 Lancaster,PA 17005-2425 3450 Rev.10/04101 <br /> Copies:White acid yeilow should'accompany iiiiip ii'idlancaster Laboratories. The pink copy should be retained by the client. - <br /> f rr II r ( r I r { � r r { <br /> L-::G �_.-:..--.-+r ` .� l.�r l� t......rrr L.c.w... �.+ww..._- 4.+ww..�. 1.���Ll � L�—* <br />