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i <br /> Chevron California " • � " • • • • <br /> 0, <br /> lKancaqer Laboratories }},J For Lancaster Laboratories use only (� <br /> Acct # I Sample# 3 Z! 30 Tg'iSCR# <br /> heregualrtyisascience 0 <br /> Analyses Requested <br /> Facility# <br /> Preservation Codes Preservabve Codes <br /> �2'-�-3`!L .. .....__ <br /> H=HCI T=Thiosulfate <br /> Site Address ZSGS"l I[�lf `� Q N = HNO3 B= NaOH <br /> ' W C9 S= H2SO4 O=Other <br /> Chevron PM Lead Consultant 5E.00tt. <br /> (D °' E-1J value reporting needed <br /> ConsultanVOffice <br /> _U12 . &11604* �Dsu(TTer(4? _....,_. 9 ❑ c� <br /> ❑Must meet lowest detection limits <br /> Consultant Pq Mgr — X0 r-%A- H69 rtt'm o "> possible for 8260 compounds <br /> Consultant Phone#(4 IQ -a Fax# �qt4� ?f at-0 Cf o � � � © 8021 MTBE Confirmation <br /> C4 <br /> Sampler SO(* �".e►c kS+a-f LU in o ❑Confirm highest hit by$260 <br /> — = m M M [] ❑Confirm all hits by 8260 <br /> Service Order# C1 Non SAR CL +Z m m n p Run oxy's on highest hit <br /> 75 <br /> Field RepeatVDepth <br /> Time New ro E w = = a <br /> Point Name Matrix Sample Year Month Da Collected Field Pt 0 ©Run oxys an all hits <br /> dL aS A` Comments l Remarks <br /> n 10 - os' r y ra N-tic <br /> w- S sf' o z ar" I�f to z n <br /> q- t So S' bL 017Y 0'0 1 <br /> ++W" '7y-s' Sod its' <br /> it ' eL Za,rSl�`y� r�=3�!z0 <br /> M,4-z@ &Y's, ( S ( (I <br /> �S <br /> �C <br /> a 2 oi-( - s'3Z j <br /> ,Z aim OZ 001 -1--140 <br /> (AW-7-IE -i-11 sot L ~z z (5' <br /> W z 112-19-s: �t 7 - azar[ 9 S8 t <br /> w - Soq zat'r 0,03 <br /> X1 y <br /> nquish by Date Time <br /> Turnaround Time Requested(TAT)(please circle) ReliDate Time <br /> dZ l p <br /> TA 72 hour 48 hour cashed b Date Time Received by Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by Date Time Received by Date Ti <br /> OC Summary Type I-Full <br /> Type VI(Raw Data) p Coelt Deliverable not needed Relinquished by Commercial Carrier Re ived by ate Time <br /> WIP(RWQCB) UPS edEx Other C D)QS <br /> Disk Temperature Upon Receipt Co Custody Seats Intact es No <br /> Lancaster Laboratories, Inc 2425 New Holland Pike PO Box 12425 Lancaster, PA 17605-2425 (717)656-2300 3460 Rev 10/04/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />