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CaliforniaChevron <br /> master L rWJLIi(liova��or la es <br /> � 1MAcct.equakyisasaence. #� Sample#: sCR#: <br /> Analyses Requested <br /> •� A Preservation Codes . ve Codes <br /> 1=aality#: - , d6 77 �.�� /L =ZrE =Thiosulfate <br /> Site Address:� 7 L. Aa . � � g _ =NaOH <br /> Chevron PM:.%r}rl _ crX¢� .Lead Consultant: . CQ� S=H2SO4. O=Other <br /> ConsultanVOffiee• 7 /�,�I „$�/f> e ❑ c Q J value reporting needed <br /> ©Must rra�lowest deflection limits <br /> 4i <br /> Consultant Pry.Mgr.: aa►✓,r+� i/o�.t�s _ o possible for 8260 compounds <br /> Consultant Phone#:g/ r"��} 3 Fax#: /��'. J o ri <br /> © 8021 MTBE Confirmation <br /> Sampler G y . .. �' �. g Cortfirtn highest hit by 8260 <br /> 0 qt m ❑ ❑Confirm all hits by 8260 <br /> Service Order#-. -0 Non SA A Q z o p Run oxy's on highest hit <br /> Field Repeal Top Tone New T � c Uj a. a N ❑Run�oxy s on all hits <br /> Point Name M m le De th Year M I 0 V }- m f- m -m5 <br /> p y�G .rte Comments 1 Remarks <br /> Time Requested A jin <br /> by: pate Time Received by: T ., Date Time <br /> eq R.-T}(please circle) ` 6: ' <br /> STD-TAT 72 hour 48 hour ed by: Date Time Received Date Time <br /> 2a hour4 day 5 day; jjj ') a.Data Package Options(please circle irrequired) �y: Date' Time Received by hate Time <br /> QC SummaryType I-Full „ <br /> Type VI(Raw Data) ❑Coen Deliverable not needed RelinquisheFF� <br /> ercial Carrier: R d by: Da Time <br /> WP(RWQCB) UPS F Other Q <br /> Disk Temperature Upon Receipt_ ^�C° u tody Seals I a Yes <br /> 3460 Rev-10/04101 <br /> a Lancaster Laboratories,Inc.,2425.New Holland Pike,PO,t34x 12425,Lancaster,PA 17605.2425 (717)656-2300 , <br /> Copies:White and yellow should accompany samples to LanS.aboratories. The pink copy should be retained by the client. ! <br /> I1/`y <br />