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Chevron <br /> f • Region ! RequestlChain • 1,ustod , <br /> Z- <br /> t r+ mlGr 1.. tnn For Lancaster L,abo torte use only <br /> U19�ere gtdtya a s°erlceAcci # 10kf Sample# 47 <br /> I V " V V Analyses Requested <br /> Facility# 9-863 Job i�3$6855 Glob@! 1D#T060770067a Matrix Preservation Codes <br /> Preservative Codes <br /> Site Address 575 GRANT LINE ROAD, TRACY, CA H= HCI <br /> 1CL T=Throsulfate <br /> .� <br /> Chevron pm RC Lead Cansultan�eCOr N=HNO3 B= NaDH5=H2SO4 O=Other 3 <br /> ConsultanUDffice, G-R, Inc , 6747 Sierra Court, Dublin, Ca 94568 a ❑ ❑4value reporting needed <br /> Consullani P►f Mgr Deanna �. Hardin Deanna f1rtG CDm a z o $ ❑Must meet lowest detaclion llmll <br /> possible for 8260 compounds <br /> Conzultant Phone#925-559-7555 Fax# 925-551-7699 o ° G 0 <br /> ac ° 6021 MTSE Conrirmallon <br /> M <br /> Sampler m` a <br /> m ❑ a w g a R ❑ConArm highoul fill by 0280 <br /> Service Order#• E W ❑ ❑Carrflrm all hits by 6264 " <br /> ❑Non SAR a z <br /> PM <br /> Date = <br /> .3 ❑ x m $ o : ❑Run oxy a on highest hal <br /> Sample fd$ntificatiort20 Cofffecled Collected 0 U ul 3 O 12m [:1 Run axy s on all fills <br /> . . . . .............. I W <br /> Comments 1 Remarks <br /> i <br /> w O <br /> - F t <br /> f <br /> CA <br /> R m <br /> N <br /> (11 <br /> F� <br /> [Ti <br /> cc <br /> OO <br /> m <br /> fC <br /> Tumaround Time Requested(TAT)(please circle) R lin i h Date Time Recolved by Date Time <br /> STD TAT 72 <br /> 24 hour 4 d&iii 48 hour Relinquished by IDate Time Reserved h 11 <br /> f t [ <br /> Y 5 day Y ate 'Flute � <br /> Data Package Options(please circle If required) Relinquished by Date Mine Recelvad by D to Time o <br /> QC Summary Type I—Full .I/a /SjD 90 <br /> Type Vl(Raw Data( ❑Goeft OeWerable not needed Relinquished by Commardalr Race y Date Time -r+ <br /> WIP(RWCICB) UPS FedEx1311 <br /> "(5 A <br /> Disk Temperature Upon Reoetpt a, C. <br /> Cuskady Seals lntact7 as bio _T_ <br /> Lancaster Laborstodes,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)6W-2300 3460 Rev, MOM <br /> Cop1e8 While and yellow should accompanysampias to Lancaster Laboratories The pink copy should be retained by the client <br />