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Chevron Califomia Region Analysis RequestlChain of Custody <br /> Lancaster Laboratories For Lancaster Laboratories use only <br /> Ilk <br /> Wherequalityisascience. Acct.#: Sample#: SCR* <br /> q Analyses Requested <br /> Facility#:_ ! 1 L/� __ Preservation Codes Preservative Codes <br /> //�� H= HCI T=Thiosulfate <br /> Site Address: ?>nt-.' lZ;t L 4 N= HNO3 B= NaOH <br /> L <br /> S=H2SO4 O=Other <br /> Chevron PM: !/ �� r4c<<y1Lead Gonsulta/nt: aPC � u, .- <br /> ConsultanttOffioe: e ' �JC�G>''G.v"�� c ❑ CD <br /> ❑J value reporting needed <br /> C]Must meet lowest detection limits <br /> Consultant Prj. Mgr.: y`�-e-`/ ,�(/rC,�r�✓t S _Q� �o ° possible for 8250 compounds <br /> Consultant Phone#:{��01 c i t"-Otl0U Fax#O/U) t�U 1-04_5D o C © 8021 MTBE Confirmation <br /> >� `m Q ©Confirm highest hit by 8260 <br /> Sampler: Q �Vi[�✓Wt�SU✓7 o © m <br /> E m 0 ❑ "* ❑Confirm all hits by 8260 <br /> Lo to Run oxy's on highest hit <br /> Service Order#: El Non SAR: a z M ' o 0 <br /> 0 x CO <br /> Field Repeat Top Time New o oLU Q ❑Run oxy's on all hits <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt, 0 1 U co <br /> w ON 1 D it f&Y 4 (Q Comments.I Remarks <br /> _ <br /> W <br /> ii 1 L <br /> Relin � h y - -Date Time Received by: - : Date Time <br /> T and Time Requested(TAT)(please circle) a 1-730 <br /> STD.T 72 hour 48 hour ��d Date Time Received by: Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by: Date Time Received by: Date Time <br /> QC Summary Type I-Full <br /> Type V[(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier: Received by: Date Time <br /> UPS ' FedEx Other <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Yes No <br /> Rev. 10/04/01 <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,P12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> C. Copies:White and yellow should accompany samples to Lancaste,-i_aboratories- The pink.copy should be retained by the client. y <br />