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Chevron Ca'fifomia Region Analysis RequestlChain -of Custody <br /> LangisteLaboratories For Acct# Sample#:lancast�r Lb r�tort@s use`only 9 q `O <br /> Uvtreregr�tyisasoience <br /> c Analyses Requested <br /> Facli ty M L""f f1►���� 1 L ._. q preservation Codes five Codes <br /> Site Address: 1190,�., t ��' -H T=Thiosulfate <br /> ,� ■ �— <br /> r.3 - s t3=NaOH <br /> her <br /> Chevron PM:�, � a �-..� Lead Consultant. � � S=H2SO4 O=Other <br /> U <br /> Consultant/Office. a��' �/ JG� �„ c car © cq' ❑J value reporting needed <br /> ,{� N , EJ Must meet lowest detection limits <br /> Consultant Pr(.Mgr.. ��. U © j - possible for 8260 compounds <br /> - -= <br /> ConsultantPhone#: ='Sv�">ry' Fax Y 8021 MTBE <br /> Confirmation <br /> ` m 0 O v <br /> Sampler: 'L—'f%Y� C� ' o F ❑Confirm highest hit by 8260 <br /> Service Order#: 0 � 8 © ❑Confirm all hits by 8260 <br /> Non SAR: ''E r y N ❑Run_oxy's on highest hit <br /> Field Repeat Top Time Naw o m . <br /> P ' t Name atri a De r ntt�pa Col ailed Id 0 h. m � ; ❑Run oxyfs on all tilts <br /> rte` W / rI t7s }gyp >e Comments I Remarks <br /> i <br /> - <br /> x <br /> Date _ <br /> T Time Requested(TAT)(please circle) elfin y: Time Received by: Date Time <br /> STD. 72 hour 48 hour Re ed by; <br /> r 4daydaya Time Received by: Date Time <br /> i .. 5 <br /> Datil Package Options(please circle if required) Relinquished by: Date Time Received by_ " Date Time <br /> .� . . . <br /> QC Summary Type I-Full T <br /> Type VI(Raw Data) QCOett Deliverable not needed Relinquished by Commercial Carrier: Rte• <br /> Y= Date Time <br /> WIP(RWQCB) UPS cS <br /> Disk Temperature Upon Receipt_3.-.? C° Ca Seals Intact? Yes Na <br /> Lancaster Laboratories Inc 425.NOA Rolland Pike � '�4244aaGalw,PA 17605- 21 = ---3450 F' ' <br /> "` 'Copies:While,and ye ow s o�u accompany samples to Lantaste :stories. The pink copy should be retained by the client. <br />