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Chevron Califomia Region Ana Re <br /> lysis questlChain of Custody <br /> Lancaster Laboratories For Lancaster Laboratories use only <br /> Wherequal• isascienc2 v Acct. Sample#: SCR#: <br /> n � <br /> Analyses Requested . <br /> Facility#:_ j J, Preservation Codes <br /> Preservative Codes <br /> } Site Address:_ j�1 � `" y ' J({ n y - H = HCI T=Thiosulfate <br /> LL N= HNO3 B= NaOH <br /> Chevron PM:_ .4� 0Ck'V KI Lead Consultant: � ('t, �. ` `� S= H2SO4 O= Other <br /> -� y L d <br /> U <br /> Consultant/Office: c ❑ - El value reporting needed <br /> Consultant Prj. Mgr.: •, o , <br /> EJMust meet lowest detection limits <br /> �-- possible for 8260 compounds <br /> 0 40 <br /> Consultant Phone#: -Il{r� L"�_ C1G�; ax#: �"/l v fir A-_(,(-rY; {� o i El <br /> El�_r � 0 8021 MTBE Confirmation <br /> N N <br /> Sampler: f: I r'i �'j; / - o ❑Confirm highest hit by 8260 <br /> Service Order#: No SAR:.— 0 3 m � � � ❑ ❑Confirm all hits by 8260 <br /> Field z o CD <br /> ❑Run_ `o s on highest hit <br /> Repeat Top Time New ca o c° W = "�` g <br /> Point Name Matrix Sample a th Year Month Da Collected Field Pt. v m m J ❑Run oxy's on all hits <br /> f r Comments l Remarks <br /> f Relinquished by: D to Time Received by: l - Date Time <br /> T round Time Requested (TAT)(please circle) � <br /> TD.T 72 hour 48 hour R quished b to Received by: <br /> 24 hour A 4 day 5 day' Da Time Date Time <br /> p ( b <br /> Relinquh d by: Date Time Received tr r Date' Time <br /> Data Package Options(please circle if required) �. y: <br /> QC Summary . .Type I-Full . .v - .. .... ., - ... .. # <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier: Received by:Y Date Time <br /> WIP(RWQCB) UPS FedEx Other - <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Yes No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO E X425, Lancaster,PA 17505-2425 (717)656-2300 3 'ev. 10104!01 <br /> � 1 <br /> 1 Copies:White and yellow should accompany samples to Lances#erl_aooratorPc The pi k^nny sh �+�9 reta'��a� �°- <br /> �.,...�, [_� [..,...�• - L..._ n lM�- (..._..�� � �.y �-��y the <br />