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Chevron California Region Analysis RequestlChain of Custody <br /> Far <br /> Lancaster Uorat�ories Acct # � L �stLr Labara� tories�e only <br /> Sample# 1 [7 j i -•~~- SCR# / <br /> Wxte%alayisascience0 3Z <br /> Analyses RequestedI T I , <br /> C� Matrix Preservation Codes Preservative Codes <br /> Facility# H=HCl T=Thiosulfate <br /> Site Address 334 FAST MAIN ST .-RIP—ON, CA _ N=H2SONO3 B=NaOH <br /> S=HxSO< O=Other <br /> co <br /> Chevron PM Lead Consultant ❑J value reporting needed <br /> Consultant/,Office (g ❑Must meet lowest detection limits <br /> '6 z c v, possible for 8260 compounds <br /> j Consultant Pq MgrDeaRna ) ❑❑ d ❑ <br /> Consultant Phone# Fax# o 8021 MTBE Confirmation <br /> 26-651 a ti ❑Confirm highest hit by 8260 <br /> ❑ S co <br /> Uj 0 ❑ ❑Confirm all hits by 8260 <br /> Sampler._ �''/ - :: o C <br /> Service Order# ❑Non SAR y L Z 5 �' �' R ❑Run,oxy s on highest hit <br /> & + 2 0 <br /> Date Tune T o q o s ❑Run_oxy s on all hits <br /> Sample identification Collected Collected U 3 O 1-- <br /> m J <br /> ID 10 <br /> Comments!Remarks <br /> + y' <br /> t <br /> 1 <br /> w-e:5 x <br /> A, X <br /> ReHn Date Time Date e <br /> n Time Requested (TAT)(please circle) �/• <br /> STD 72 hour 48 hour Relinquis by R to Time RRJ Ily Date <br /> 24 hour 4 day 5 day Data Aackage Options(please drde if required) inquis d by Dat Time R i ed t Date <br /> 11- 1s �� 1- <br /> oC Summary Type I—Full Relinquished by Commercial Ce e5- f ReceivDate Time <br /> Type Vl(Raw Data) ❑Coelt Deliverable not needed C <br /> ed%�w <br /> WIP(RWQCB) UPS FedEx e5- <br /> Disk Temperature Upon Receipt C° Custody Seals Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike, 12425,Lancaster,PA 17605-2425 (717)656-2300 1W <br /> Rev 7/30101 <br /> Copies White and yellow should accompany samples to LanLaborstortes The pink Dopy should be retained by the client <br />