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r7 r—, QBE: r-7 rte, �', r-7r" i' r, � i -1"-i � r -7 r-7 " L" <br /> ChevronCalifornia S egion Anaiysis RequestlChain of Custody <br /> .T_-� +Lander Laboratories - - - cL - <br /> _ Far <br /> _.. Sample �l ."J _. <br /> La star Latwrato us on <br /> - tNherer#r.rafityis asdence. _ ._.. r...- -- t�l��t o -00�s �scR# 1�X173 . <br /> � 11 Analyses Requested <br /> Facility#: /`7 Preservation Codes. Preservative Codes <br /> Site Address: '7 &- _ � •✓l H HT=Thiosulfate <br /> 5� N=HNOs I3=NaOH <br /> Chevron PM: - b Ya"7 Lead Consultant: V S=H2SO4 U=Other <br /> i to 7� V <br /> rp ❑J value reporting needed <br /> ConsultantfOff'ice: U✓ l re c ❑ <br /> ;4 N Z ❑Must meet lowest detection limits <br /> Consultant Pd.Mgr.: �� Gvj cc00 © y❑ possible for 8260 compounds <br /> Consultant Phone#:NW 9(.0/—Ogo0 axm (W RW— C.5 0 � � � ❑ 8021 MTBE Confirmation <br /> o ❑Confirm highest hit by 8260 <br /> Sam pler. ^ ^ E .. M ❑ ❑Confirm all hits by 8260 <br /> Service Order#: Non SAR: ' <br /> ❑ Z } $ ❑Run_oxy's on highest hit <br /> Feld Repeat TOP . Time New X o <br /> PN rix Ye D 1 1 ' t? ❑Run_oxy's on all hits <br /> MVV Comments 1 Remarks <br /> YYl N1 - ?✓� W Z$ �P <br /> Turnarpund rime Requested <br /> by: Date Time Received by: Date Time <br /> Requested(TAT)(please circle) <br /> STD-TAT 72 hour 48 hour Relinquished by: F Date Time Received by: Time <br /> 24 hour 4 day 5 day +- <br /> Data Package Options(please circle If required) �e{m. by: at 1T3¢ Received by: Date Time <br /> u Pef� fr <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished merd4l Carrier. R ived by: Date Time <br /> tfVIP(RWQCB) UPS Other <br /> Disk Temperature Upon Reoeipt- _ C° Custody Seals Intal? Yes No <br /> AUAr <br /> Lancaster Laboratories,Inc..2425 New Holland Pike, . _ .t3a�r 12425 Lancaster,PA 17605 2425 717 656-2300 3460 Rev.10/04101 <br /> Coplas:INti'rTe:aniryel o should.accompany samples to Lang `Laboratorles- The pink copy should be retained by the client. <br />