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Chevron Califd,miaRegionli AnglysisRequestlChainofCustody <br /> + For Lancaster Laboratories use only <br /> Lancaster Acct tSample# <br /> Laboratories # (� 3 Q 0�3-(0 1`o SCR# <br /> 1. Mee qjdity nam �_ � � b� �' _ <br /> - Analyses Requested ),,-�, 3 5 3 g 9 Z <br /> r - � 0� <br /> Preservation Codes Preservative Codes i <br /> Facility# 9-2396 Job�6 3$6960 i Global ID�� T0607700639 Matrix _ H=HCl T=Thiosulfate <br /> 1 N=HNO3 B=NaOH <br /> Site Address 25651 HIGHWAY 99 NORTH ACAM1'0 CA r a <br /> S=H2SO4 O=Other <br /> Chevron PM Robert Cochran Lead Consultant Se`cor c ❑ l value reporting needed <br /> Consultant/Office G-R Inc 6747 Sierra Ct ��J Dublin CA 94568 o _ c ❑ <br /> ❑Mist meet lowest detection limits <br /> + z a possible for 8260 compounds <br /> Consultant Pry Mgr Deanna L Hardin (deanrinc.com) 0w <br /> 8021 MTBE Confirmation <br /> 925- 5i-7555 Fax# 925=551-7$99 oo <br /> _ Confirm highest hit by 8 <br /> 2Consultant Phon # 60 <br /> w m ❑ [1 Confirm all hits by 8260 <br /> Sampler // - m F <br /> Service Order# ❑iNon SAR I I- _ a ? V o - ❑Run oxy s on highest hit _ <br /> m a <br /> 1 Date Timer 0 O o F I ❑Run oxy s an all hits <br /> (D 0Sample Identification Collected Collected <br /> XComments 1 Remarks <br /> �' - <br /> t <br /> _ r <br /> I <br /> i S ` <br /> II <br /> l i <br /> i <br /> , , I <br /> J <br /> RI e by Date Time Received by Date Time <br /> Time Requested (TAT)(please circle) _ - _ <br /> STD TAT 72 flour 48 hour inquished by Date Time Received by ate Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please urcle if required) Relinquished by D to Time Received by Date Time <br /> i � <br /> QC Summary /�� lidr hR� <br /> rY Type i—Full I Relinquished by CommerciI.nth.r <br /> , Re ed D to Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed �. ; �1'�� <br /> { UPS FedEx <br /> WIP(RWQCB) <br /> VY <br /> Disk I Temperature Upon Receipt : C. Custody als lntact es _ No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 17605.2425 (717)65&2300 0 Rev 7/30/01 <br /> . Copies White and yellow should accompany samples to Lanc� 6 <br /> aboratones The pink copy should be retained by the client <br />