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QC <br /> Chevron California Region Analysis RequestlChain of Custody <br /> • For r I e y <br /> Lancaster SC �.' arie5 Acct.#: sample#: SCR#: <br /> Wherequalrryis asdence <br /> p Analyses Requested <br /> Facility#: < ~� ��.=��-- — -- Preservation Codeskerwative Codes <br /> �1n T=Thiosuifate <br /> Site Address:,3 � F /!lit n LS ' 21 B=Na0H <br /> t S=H2SO4 0=Other <br /> Chevron PIN: (�p,�jLead Consultant: <br /> �Lj�f^-CIJ� <br /> Consultantlofftoe: .�i 1W.�9 '� o� S�:/LiD /S -+ a 0 0 J value reporting needed <br /> r 0 Must meet Iovoest detection limits <br /> possible for 8260 compounds <br /> 0 <br /> Consultant Pd.Mgr.:_ +�ct vim' Y7�n.5 a a°$� ❑65 <br /> Consultant Phone#:10J/�'' t �'lJj Fax# y��a-�$�� bQ o 0 0 8021 MTBE Confirmation <br /> Sampler: ��C�/ t?i"7)� d.� __•-- m U., Q " ❑Confirm highest hit by 8260 <br /> - C12 I D Confirm all hits by 8260 <br /> Service Order#: --- ❑Nan SARs $ R p Run_oxy's on highest hit <br /> Field Repeat Top .iime New L° <br /> P 'M Nam a ,f Mo Qa Collected Field t:9 O w O Run_oxy's on all hits <br /> I j n 7:3;i Comments!Remarks <br /> • Y <br /> etlnqulshSPy:- Pao Received by: Date Time <br /> `Tu and Time Requested(TAT)(please cirde) <br /> STD.TA 72 hour. 48 hour I quls ed b Tune a Date Time <br /> 24 hour 4 day 5 day 24 ; <br /> Data Package Options(please circle if required) R�h �_y/-- Date Time Received by: t <br /> OC Summary Type I—Full Relinquished rcial Carrier. ived by: a <br /> Type VI(Raw Data) DCoelt Deliverable not needed <br /> WIP(RWQC$) UPS FedEx Other <br /> Disk Temperature Upon Receipt .� C. Custody Se 1 a? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pace,PO Box 12425,,Lancaster,PA 17605-2425 (717)556-2300 10/04/01 <br /> F...... .. . ......_..._-. _ <br /> -'- �- Co}iies:White and yellow should'accompany samples to Lancaster r mboratories. The pink copy should be retained by the Gient- <br />