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Chevron Califomia Region Analysis Request/Chain of Custody <br /> I. <br /> �" _—" AWL# Sample r , MEQ 07 p�es use only SCR#: !1 1 W <br /> where guakty is a science. <br /> Analyses Requested <br /> Preservation Codes <br /> Facility#: L Preservative Codes <br /> Site Address: <br /> J3(� j�, H=HCl T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> Chevron PM: &ham ?•-t,14 Lead Consultant: C S=HzsOa O=Other <br /> 12 <br /> ConsultantlOffice: tor- c O ❑J value repotting needed <br /> I .SO ❑ Must n lowest detection limitsG✓' cConsultant Pd.Mgr.: EVQ CC-7 0 possible for 8260 compounds <br /> Consultant Phone#:/Il IOr700 Xz ax# PAP iD&10 2 <br /> o o 8021 MTBE Confirmation <br /> Sampler: i7rw �Fh # O ❑ConTi►ns highest hit by 8260 <br /> Service Order#: ❑Non SAR: �_, R O Confirm all hits by 8260 <br /> Field Repeat Top Time New a 4 Rum oxs on highest hit. <br /> P in N I 17 ear Mon D Coil Fleid t`9 .0 E°- 'm f Run Ws on au hits <br /> Yp .J <br /> —� W oOK ot 2 I Zt d Comments!Remarks_ <br /> F r <br /> Relinquished by: pate 1, T'xoe Received by: Date Time <br /> Turnaround Time Requested(TAT)(please circle) q ILg04 <br /> STD,TAT 72 hour 48 hour Relinquished by: Date Time . Received by: Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) C <br /> qui by baOt+ ( � Received bY: Date Time <br /> QC Summary Type I—Full <br /> Type A(Raw Data) ❑Coelt Deliverable not needed Relinquished o mercial Carrier. ived by: V` D Time <br /> P(RWQCB) UPS Other <br /> WP <br /> Disk 1 Temperature Upon Receipt—k C° Custody Seals Intact? Yes <br /> Lancaster laboratories,Inc„2425 New Rolland Pike,PO 13ox 12425,Lancaster,PA 17605-2425 17 656-2300, 3460 Rev.1 WM1 <br /> Copies:White and yellow should accompany samples fo Lancastr�;oratories, The pink copy should be retained by the Giem <br />