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Chevron Califomia Re6flln Analysis Reques <br /> 4&l.a IcwtertaboI Qlories Q For:La — <br /> IM�eregr�a!ityis sri�errce.. -_ ._..�:.. . _ •�- <br /> Acct.. _ _l Sample0- torte�s only may$ 1 v <br /> v_ Analyses Requested <br /> Preservation Codes <br /> Facility#: "� � �- 03 <br /> rvative Codes <br /> Site AddreSS-F � �r klq ` - T=Thiosuifate <br /> /� � � `� t3=NaOH <br /> Chevron PM: �rapwl Lead Consultant: S=H2SO4 O=Other <br /> ❑J value <br /> Consultant/Office:.3-d/ Z . S _I�. , C3ca reporting needed <br /> r. . . ,�rr--�� .-. o :. ._._ . ...._ .. _ ... .. -- ❑Must meet lOWest det@C#IOn limlt5 <br /> Consultant Pd. Mgr.: Opt VG ✓ S _ o.' -0 possible for 8260 compounds <br /> Consultant Phone#-, %41�d��ax#.?1.4 f� `Q `o ff 0 ❑a 8029 MBE Confirmation <br /> C <br /> Sampler. � � o E o g '� C]Confirm highest hit by 8250 <br /> Service Order# El Non SAR: ❑El <br /> Confirm all hits by e26o <br /> N <br /> -` + o o - ❑Run_oxy's on highest hit: <br /> Feld Repeat Top Time New o _ . <br /> RcYint Name Matrix SgWple Deoth Year Day Collected Field P1, C9 U t} m. Dq ❑Run oxy's on all hits <br /> AI-CLeo Comments I Remarks <br /> I <br /> elinqui D Time Received by: <br /> d Time Requested(TAT)(Please circle) � r <br /> ZAT 72 hour 48 hour Reli Date Time Received by: Date Time <br /> r 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by Date Time Received by-. Date Time <br /> W Summary Type I-Full <br /> 7 Relinquished by Commercial Cafrier. Xtm" <br /> by: <br /> Type VI(Raw Data) ❑Coett Deliverable not neededDate Time <br /> WiP(RWQCB) � U x Other l os r��s <br /> Duk Temperature Upon Receipt C° eats Intact? Yes No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike PO 49LLU=W,P 1ZK-2=(73 656-2300 3460 Rev. 10/04/01 <br /> —Copies:White aril yellow should accompany samples to Lancaster—Laboratories. The pink copy should be retained by the client <br />