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Chevron California Region Analysis RequestlChain or' CU- stody <br /> Lancaster Laboratories Q�,�[� For La c ste Lebo tones use my <br /> Acet # ��� s, ,^ Gs SCR# <br /> �iMx're gtk�lrtyrsasoerxp sample# ._ <br /> Analyses Requested <br /> Facility# fVJ o,,, - 52 641 Matrix Preservation Codes preservative Codes <br /> Site Address 3 '/ C 44 1 CL I H=HCI T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> Chevron PM B 4 A 01a EA Lead Consultant S=H2SO4 O=Other <br /> 411 J U <br /> Consultant/Office j G� k 9d o ❑ ❑J value reporting needed <br /> Consultant Pq Mgr '- a° z c ©Must meet lowest detection limits <br /> 1:10 <br /> © 0 possible for 6260 compounds <br /> Consultant Phone# S1 Al- Q yp0 Fax# / O o 8 o 138021 MTBE Confirmation <br /> th <br /> Sampler akrzek AirA @& m Ll 0 S o c W .- ❑Confirm highest hit by 8260 <br /> Service Order# ❑Non SAR cQ m ❑Confirm all hrts by 8260 <br /> CL LO [3Run <br /> Date Time E — _❑ .3 ??+�� § ~ oxy s on highest hit <br /> Sam le Identification Collected Collected C7 C� ton O I° m � I 1�� ❑Run oxy s on all hits <br /> S-6-b Z / r o /Q Comments 1 Remarks <br /> S, i7 <br /> 1:3 0 V xX, IJ <br /> Z,S' ' ;0 O (9Jf�•ff�+4TPJ S�f71� <br /> CET-3 <br /> ' D D l PF, ';4M F/ ,r Pj <br /> � 701 <br /> r w <br /> ���� j�2-Dt�}I/N'7? r <br /> W 7f `>~�if Kole ►y, ljYttaJ <br /> r�8'•02 /3oX X n <br /> C '_ I '00 ` <br /> � X x <br /> y calved by <br /> Turnaround Time Requested(TAT)(please circle) <br /> Date Time Data Timele) T^ OZ <br /> TD TAT 72 hour 48 hour fished b <br /> 4 hour 4 day 5 day y Date Time Received by Date Time <br /> Data Package Options(please Gree if required) Relinquished by Date Time Received by Date e <br /> QC Summary Type I—Ful! <br /> Type VI(Raw Data) ❑Coeit Deliverable not needed Relinquished b rdal Camer R iv ed by Date Time <br /> WIP(RWQCB) UPS FedEx Other <br /> Disk Temperature Upon Receipt—42:t--C° Custody Seals Intact? Yes No <br /> } <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P12425,Lancaster,PA 17605-2425 (717)656.2300 Rev 7130101 <br /> ` Copies Whtte and yalknv should accompany samples to <br /> La <br /> Copies The pink copy should be retained by the dierrt <br /> i <br />