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Chevron CaYfomia Re lionj �,. r y of 1! <br /> Al. r La rf ;��Z a� /- <br /> las#er dies <br /> �ascietice Ctt <br /> 9ARY Sample#: SCR#: <br /> Analyses Requested <br /> Facility.#: — M k O�OJ+1f Preservation Codes rvative'Codes <br /> m HCI' T=Thiosulfate <br /> Site Address:, ` ! '/G� ► a N= B=NaOH <br /> S=H2SO4 O=Other <br /> Chevron PM: C90,4A41 ca+_Lead Consultant: <br /> COFISItltar1t10PftCeiJ 7 '� fYr ! � ❑ 0 ❑J value reporting needed <br /> ❑Must meet lowest detection limits <br /> Consultant Pd.Mgr.: :r _2_�, U ❑ ❑ possible for 8260 compounds <br /> Con <br /> sultantP'hone#: ".�lyx� Fax#:�'��v����� o � ix 0 � 6021 MTBE Confirmation <br /> .�� / p Confirm highest hit by 8260 <br /> Sampler. �.:��Gt.C�� 1 <br /> A"ag carp 5m ii ❑ ❑Confirm all hits by 8260 <br /> Service Order#: "❑Non S .R: e z <br /> Field Repeat To � . 'Gime New � E `�'� x � G � � � CJ Run. oxy's on highest hit <br /> P T a o I ❑Run_ox an alk hits <br /> Matrix am 1 r ollected Field Pt- <br /> Comments o m ! <br /> IS _tom 1 Remarks <br /> LA E �I <br /> Relic Da e Time ceived by: Date_ Time <br /> T d Time Requested(TAT)(please circle) <br /> STD.TAT 72 hour 48 hour /IUte Received by: Date` Time <br /> 4 day 5 day <br /> Data Package Options(please circle If required) Relinquished b . Date Time Received by: Time <br /> OC Summary Type I—Full <br /> Type A(Raw Data) ❑Coelt Deliverable not needed Relinquished byXDglmercial Carrie R rved by: r Date Time <br /> WIP(RWOCS) UPS Other TTi.-- <br /> Disk Temperature Upon Receipt E �^C° Custody Seals In cf� Yes ANf� <br /> 3460 Rev. 10!04101 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 r <br /> Copies:White and yellow should accompany samples to Lan aboratories. The pink copy should be retained by the client. <br /> Cr' r�-• * ��� r [ { ( ( f f r <br /> — <br />