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Chevron71 <br /> • ReAn Analysis Request/Chain of • # <br /> ,IF <br /> ��I IL.QsIerJllnes �. f(�Qt.(Z For ante La arlgs se only. :=SCR#: -I 1� �9 w ._ , <br /> WherequaGtyisasder c . _aaxxrV:w <br /> _ -_ ._ -Sam-ple# <br /> Analyses Requested <br /> Facility#: 1 j Preservation Codes Preservative Codes <br /> H HCl= T=Thiosulfate <br /> Site Address: n •✓� a N=HNO3 B NaOH <br /> Chevron PM: L)b Por ✓+m Lead Consultant: t3 S=H2SO4 0=Other <br /> — n U <br /> Consultant/Office: t� !^ ❑ ❑J value reporting needed <br /> �° �" -9 Must meet lowest detection limits <br /> Consultant Pd.Mgr.: V- o 53 <br /> El 11�n possible for 8260 compounds <br /> Consultant Phone#:�a111J ��_1-- DyJ1T ' Fax#: IgILf� T1—Dy xxp :; o ❑ <br /> cJ 2 0 N 8021 MTBE Confirmation <br /> Sampler: >> c V h 0 W 12-s avi_ -- mf s '- ❑Confirm highest hit by 8260 <br /> Service Order#: 0, � w, ❑ ❑Confirm all hits by 8260 <br /> ❑Non SAR: o: z � � <br /> Field g, ❑Run_oxy's on highest hit <br /> Repeat Tap Time thew i o `-� '� Q [Q Run_oxy s on all hits <br /> Point Na Matnk Sam le Det a nth Da Golfected Fie,d CO 0 m W <br /> ... _ ; ... d1 (3 Grp _ <br /> Comments 1 Remarks <br /> +i_F <br /> Turnaround Time Requested(TAT)(please circle) Re by: �te Time Received by: Date Time <br /> �3 <br /> TD.TAT 72 hour 48 hour <br /> 24 hour 4 day 5 day linqu ate Time IReceived by: Date Time <br /> 0-�- N <br /> Data Package Options{Please circe if required) elin ued y: Date TIA Receivedby:Y: Time <br /> QC Summary Type I-Full <br /> Relin uishe merciai Carrier; <br /> Type W(Raw Data) ❑Caelt Deliverable not needed 4 Re v by: Date Time <br /> WIP(RWQCS) UPS Fed Other (tS <br /> b O <br /> Disk Temperature Upon Receipt a C° Custody Seals in Yes o <br /> -.- <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,P0.,B=12425,Lancaster,PA 17605-24U (717)566-23DO-- . 3460.Rev.-1Q,W/01 <br /> Copies:Waite and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />