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P evron California vion Analysis RequestlChain of r Stojy <br /> +LaxiLaboratoriesFor La caster Laboratories ase only <br /> ster <br /> Woe isascrence ® Acct Sample# ) SCR# <br /> yuabky <br /> I b t 0z —vs Analyses Requested <br /> Facility# 9-6171 ,lob#385121 Global ID#T0607700035 Matrix Preervabon Codes Preservative Codes <br /> H=HCI T=Thiosuffate <br /> Site Address!6633 PACIFIC AVE STOCKTON CA a N=HNO3 B=NaOH <br /> Chevron PM Robert Cochran Lead Consultant SeCOr 5=H2SO4 O=Other <br /> ConsultantlOffice a w c c g <br /> La ❑J value re n needed <br /> d <br /> Consultant Pr Mgr a° z c � � 0 ❑Must meet lowest detection limas <br /> 1 9 Q�3nrNarding_ (f)p rrnrot ❑❑ U © possible for 8260 compounds <br /> Consultant Phone#925.551--7955 Fax# o g W a © 8021 MTBE Confirmation <br /> Sampler &1a> � 6ArLu o ".onfirm highest hit by 8260 <br /> Service Order# []Non SAR o Z 9 kn ❑Confirm <br /> all hits by 6260 <br /> 1 -0 <br /> Date Time E — _❑ x CO, 2 ©Run _oxy s on highest hit <br /> Sample Identification Collected Collected O 0 3: O r° ❑Run oxy s on all hits <br /> 1'�' �� °�( Comments I Remarks <br /> I <br /> I <br /> F <br /> Reli hed bya e Time eke fl-'R <br /> =TAT <br /> eRequested(TAT)(please circle) fief e( Irsv 141� <br /> ;STD72 hour 48 hour ell b IDate <br /> at Q �re d ' e Time <br /> 4da 5da <br /> Data Package Options(please circle if required) R=shed y Date TimeW UX , <br /> a ved by Date f Tilme <br /> QC Summa �fl 0 15 D r -t <br /> rY Type I—Full Relinquished by Commercial R iv by to Ti <br /> Type VI(Raw Data) [I Coen Deliverable not needed <br /> WIP(RWQCB) <br /> UPS FedEx Other /J <br /> Disk Temperature Upon Receipt--- CO Custody Seals 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 />