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Chevron California .Pingionsis RequestlChainofdu'stody <br /> +Lancaster Laboratories For Lancaster Laboratories use only <br /> vVhereglualnyuasaence Acct � `�(�lo Sample# 3 �I °� (�bZ2 `� _scR# <br /> 0Z L3 Z) 3 ��s"- Analyses Requested l' f3y I )7 2 <br /> Facility <br /> o a Matrix Preservation Codes Preservative Codes <br /> # <br /> H=HCI T=Thiosulfate <br /> Site Address 334 EASI MAIN ST RIPON, CA a N= HNO3 B=NaOH <br /> SECORRH S=H2SO4 O=Other <br /> Chevron PM Lead Consultant 61 <br /> G-R, Inc , 6747 Sierra Court, Suite J, Dublin, Ca 94568 2 in 0 ❑J value reporting needed <br /> Consultant/Office <br /> ❑ <br /> Deanna L Harding (deannagnnc coin) El Must meet lowest detection limits <br /> Consultant Pry Mgr Z o rn / possible for 8260 compounds <br /> 925-551-7555 925-551-7899 ❑❑ o ❑ ❑ 8021 MTBE Confirmation <br /> Consultant Phone# Fax# "I C9 o N o <br /> a ❑Confirm highest hit by 8260 <br /> Sampler r �? ©_ E m 0 0 - ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR o Q z R <br /> a + m m o A ❑Run oxy s on highest hit <br /> Dake Time 0 0 1° o w = . J [(Run_oxy s on all hits <br /> Sam le Identification Collected Collected C7 V rn 3: O m a F J <br /> A 2-11-03 X Comments l Remarks <br /> rnw- a-,a.-o-j ]q s x <br /> 1�a <br /> 16 <br /> mU•- -1�-a3 Lt x <br /> �.✓ - Ss 03 o IS5 <br /> Nl W - :k-12-A-6 11 s0 aF <br /> i <br /> Relinquished Date Time Received by D to Ac' <br /> Tunnaround Time Requested(TAT)(please circle) ':v/.1* 1730 <br /> TD TAT 72 hour 48 hour Rel+ cashed by to Ti e R ed by <br /> ate Time <br /> 24 hour 4 day 5 day L j <br /> li quishe by at Time Rece ed by Date Time <br /> Data Package Options(please circle it required) _� I53� - { z <br /> QC Summary Type I--Full <br /> Relinquished by Commercial Ca Received Date Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed f 1( � ) <br /> UPS FedEx ,Other <br /> W1P(RWQCB) `7 <br /> Disk Temperature Upon Receipt Co Custody Intact? Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster PA 17605-2425 (717)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />