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Chevron 1 Region Request/Chain ofCustody <br /> �Lancaster Laboratories Forn ter Laborato es use only <br /> Wherequalityisascrence Acct # to236R Sampled 1- O SCR* fi� 7 <br /> Analyses Requested <br /> Facility# Preservation Codes Preservative Codes <br /> Site Address -33 � i*. =.1 STk 224.0^ H=HCl T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> Chevron PM >5�26 Cali%,{ Lead Consultant S=H2SO4 O=Other <br /> Consultant/Office .3471"7 <br /> c ❑ ❑ !value reporting needed <br /> n ❑Must meet lowest detection limits <br /> � o <br /> Consultant Pr) Mgr p v.`d o u, <br /> possible for 82611 compounds <br /> Consultant Phone# ElCl S cc o 8021 MTBE Confirmation <br /> CN <br /> —._. —yam-- <br /> ❑Con{rim highest hit by 8260Sam ler o o 0m <br /> ❑ <br /> Service Order# ❑Non SAR o 5 �_, _ �° N ❑Confirm all hits by 8260 <br /> Field Re eat To E W X +�- ❑Run_oxys on highest hit <br /> p p Time New -- o a <br /> Point Name Ma rix Sample De th Year Month Da Collected Fi Id t7 U r°- m ti N oxy s on all hits❑Run <br /> I SIX X I X X Comments I Remarks <br /> Tx X <br /> 9-VMS <br /> 3�2.a1a <br /> T Time Requested A Relinquished by Date Time Received by Date Time <br /> ewl q (TAT)(please circle) �t f 0 <br /> STD T 72 hour 48 hour Relin b Da Time Received by <br /> 4�oa Time <br /> our 4 day 5 day <br /> IData Package Options(please circle if required) ngwshed by Date Time Received by Date Time <br /> QC Summary Type I—Full <br /> Type A(flaw Data) p Coelt Deliverable not needed Relinquished by Commercial eceived by Date Time <br /> WIP(RWQCB) UPS---- —•F-ed Other <br /> Disk Temperature upon Receipt {f i _—�C° Custody Seals Intact Yes No r <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,Nli&x 12425,Lancaster,PA 17605-2425 (717)656-2300 346 10/04/01 <br /> Copies White and yellow should accompany samples to Lanboratories The pink copy should be retained by the client <br />