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Chevron California Region RequiestlChainofCustody <br /> +LancLaboratories For La castar Laboratories use only <br /> wter <br /> 144mgiAtyisasoerx�e i I Acct # Q Sample# T c� ?R Z'110) 9(P SCR# <br /> Analyses Requested r 5-7:!'y <br /> o i 3d3 71 <br /> k u Matrix Preservation Codes Preservative Codes <br /> Facility# 9-9840 Job#386846 Global ID# 70607700716f H=HCl ' T=Thlosulfate <br /> Site Address 4344 Waterloo Road, Stockton, CA IE N=HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> cc <br /> Chevron PM Robert Cochran Lead Consultant Secor'/Ho�ffmo�re <br /> C{A 44'568 w c ❑ c ❑3 value reporting needed <br /> Consultant/Office G-R Inc, 6747 5�erra Ct, Dublin, II ❑ m g Q ❑must meet lowest detectionlimits <br /> Z EL Consultant Prt Mgr Deanna L. Hardin Deanna@ rine�com'l d❑„ Z U Z - possible for 8280 compounds- <br /> o ❑ 8021 MTBE Confirmation <br /> Consultant Ph e 925-55 J-7 5 Fax# 925-551 7899, o g W °� N D <br /> I; I m coo ❑Confirm highest hit by 8260 <br /> Sampler C'/ 5 '' l ❑ m o o a El Confirm all hits by 8260 <br /> I <br /> Service Order# ❑Non SAR [ o ¢ z t ❑Run_oxy s onhighest hit <br /> Dale Time�j Mr= o ca � o 1.- x €€ t ❑Run_oxy s on all hits <br /> Sample Identification Collected Collected 0 U U) O i-- � m I <br /> _/ n1, 11V Vix I IComments 1 Remarks <br /> 1 O 1 l <br /> , <br /> a� I - <br /> ,, _ <br /> S -7 359 11 b Y - <br /> Ik - - <br /> -1 Al A "114- <br /> 1f II <br /> Re" ed by ate Time Date Time <br /> Turn and Time Requested (TAT)(please circle)) �� 1 'Sh <br /> STD TAT 72 hour 48 hour t Time Re iv d byJ. Date Time <br /> 24 hour 4 day 5 day - MVP Vdw� 1Y� (Jw� - (-(313 <br /> Data Package Options(please circle if required) R n uish i� y Date Time Recei d by Date Time <br /> OC Summa t�164v—c <br /> iY Type I—Full Rehnquished by Commercial Camer Received - r Date Time <br /> Type VI(Raw Data) ❑Coeit Deliverable not needed i �� «,� �K4 <br /> WIP{RWpCB) UP5 1� FedEx Othe 11 �(} ti <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Yes No <br /> �E 0 Rev 7!30/01 <br /> Lancaster Laboratories,Inc 2425,New Holland Pike,PqW12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> . Copies White and yellow-should accompany samples to LanoWaboratones The pink copy should be retained by the client <br />