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Chevron <br /> r <br /> Laboratories F",,r <br /> r La caster Laboratories use only (��L 13O <br /> +Lancaster <br /> VVherequalrtysasaence Acd # (pg6q Sam # Cr7 tea` SCRl� �� ((�� t <br /> Analyses Requested <br /> Facility# g 1 y J Z Preservation Codes Preservabve Codes <br /> ,rteI H=HCI T=Thiosulfate <br /> Site Address 3330 44—�- �4 t� �� ?�1�ar+, Cwt _ CLN=HNO3 B=NaOH <br /> Chevron PM Oo4b Lead Consultant5 ��d y S=H2SO4 O=Other <br /> Consultant/Office -3.W'7 /�dJ 5f/OL7C� c ❑ a ❑J value reporting needed <br /> �(:�gQ.� �+ C <br /> ❑Must meet lowest detection limits <br /> Consultant Pr) Mgr o °O poss>ble for 8260 compounds <br /> w <br /> o ❑ ❑ <br /> Consultant Phone#91G-s�J-l�yG� Fax# �,� I-1�'S�3d o ac o 8021 MTBE Confirmation <br /> 04 W <br /> Sampler S �vrC� t�MaSQ'r ,, o o [1 Confirm highest lid by 8260 <br /> Service Order# ❑Non SAR a z �i ❑Confirm all hits by 8260 <br /> Field Repeat Top Time New c E x o b ❑Run_oxy s on highest hit <br /> Point Nam Matrix Sam le De th Year Month Da Collected Feld Pt C7 s) � m a [I Run oxy s on all lids <br /> X $ X 1X Comments!Remarks <br /> L3Y .111111111 <br /> LvS' t � s•ys K S x <br /> l X <br /> R cashed by ate liReceived by Date Time <br /> Turn Time Requested(TAT)(please circle) L�� J <br /> TD TAT 72 hour 48 hour lin Date Time Received by Date Time <br /> 4hour 4 day 5 day <br /> Data Package Options(please circle if required) 1he R in u a Time Received by Date Time <br /> QC Summary Type I—Fut! 7W(34 a 50 <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by a mercia Carrier R raved by Date Time <br /> WIP(RWQCB) UPS Fed -T <br /> Bak Temperature Upon Receipt t�, _C. Custody Seals Int acf7 Y s No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO x 12425,Lancaster,PA 17605-2425 {717)656-23Q�, 3460 Rev 14/04/01 <br /> J'" Copies i4—e and yellow should accompany samples to Lancaster Laboraton s The pink copy should be retained by the client �Y <br />