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Chevron Califomia Region RequestlChain 1 Custody <br /> ��[[ � <br /> For Lan rat�or es use only <br /> �Lanc��sW aLabor&rleS Acct.#: . 0 Sample* <br /> 4varrtY <br /> Analyses Requested <br /> Facility#: '— F"servation Codes rvative Codes <br /> Site Addre5S��� /� cy.� _S` n =NCI T= NaOHliate <br /> s 13= Other� <br /> Chevron PM: iead Consultant:_ '� - 5= zSOs 0=OOther <br /> U <br /> Conaultant/Office:aa/ ,� 9� 5�7 f,a1J �r� 0D J value reporting needed <br /> �+ ❑Must meet lowest detection limits <br /> Consultant Pry.Mgr_: . 5 W 0 possibie for 8260 compounds <br /> Consultant Phone Fax#:,��1-� 1 3 m 8021 MTBE Corrhimation <br /> ED <br /> Sampler. � � ^T ©Confirm highest hit by 8260 <br /> p _ C9r�r ._ m w <br /> Service Order#: 0 Non-SAR: o m _ 0 ❑Confirm all hits by 8260 <br /> o r : <br /> . a r. + v ❑Run oxy's on highest hit <br /> Field Repeat Top Time New m o z m ❑Run_oxy's on all hits <br /> Poi Name Matrix m D M edField Pt. to t- m <br /> VIf a5r XComments 1 Remarks <br /> r d <br /> Time Received by: Date Tune <br /> u Time Requested(TAT)(please drele) 6` <br /> TAT 72 hour 48 hour Relin sh y: Date Time Received by: Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle K required) Relinquished by: Date Time Received by: Date Time <br /> OC Summary Type I—Full <br /> Relinquished by Commercial Caller: i by: Date- Tune <br /> Type VI(Raw Data) ❑CoeR Deliverable not needed <br /> MP(RWQ ) L119.!tFedEx Dther OS t <br /> Disk Temperature Upon Receipt .co usody Seais Intal? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike PO '2425 LLanoa t r P 17805- (717)6W2300 P� -,10/OMOi <br /> Copies:White a'n• yct a uid accompany samples to Lancaste rratones. The pink copy should be retained by the client ` <br />