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Chevron California <br /> For Lanc$�t�Laboratories use gnhl <br /> 1Lancaster Laboratories Acct # Q yo Sample# LL-([ SCR# <br /> . Where%dityis a saence <br /> 0 t4-2. (�?� bl S� Analyses Requested <br /> SS#9-1848 G-R#386392 Global iD#T0607700493 Matrix Preservation Codes Preservative Codes <br /> Facility# H=HCI T=Thiosulfate <br /> Site Address 1257 W YOSEMITE AVE , MANTECA, CA C N=HNO3 8=NaOH <br /> SECORRH S=H2SO4 O=Other <br /> RC Lead Consultant u <br /> Chevron PM _ 84568 �' ❑J value reporting Headed <br /> G-R, Inc , 6747 Sterna Court, Suite J. Dublin, a w ❑ <br /> Consultantf0ffice c C w n t4 ❑Must meet lowest compounds limits <br /> k Consultant Pr) Mgr <br /> Deanna L Harding (deannaggnnc corn) a z o possible for 8260 compounds <br /> ❑❑ 0 tk o ❑ 8021 MTBE Confirmation <br /> 925-551-7555 Fax# 925-551-7899 0 0 N <br /> a Consultant Phone# cc c ❑Confirm highest hit by 8260 <br /> Sampler r^"1 C2 +r'� m ? $ m [I Confirm all hits by 8260 <br /> ¢ `� = ` <br /> Service Order# [I Non SAR ° z [3 Run oxy s on highest hita as C1 + ;s <br /> Date Time 2 o oes = o FL F d ❑Run_oxy s on all hits <br /> Sample Identification Collected Collected t7 v rn o �- m 1-- <br /> co j cl �� v7 � `y Comments!Remarks <br /> C <br /> OT—r �� !1 <br /> G l;Lid <br /> i 1 <br /> iZ! 6 <br /> I <br /> Relinquished t' 'a qTlmReived by Dat Time E <br /> Turna and Time Requested(TAT)(please circle) 7 I`�+ <br /> STD TA 72 hour 48 hour Rel by t j e ed Date Time 4 <br /> 24 hour 4 day 5 day ��, f <br /> Relinquished by Data eived by Date Time <br /> Data Package Options(please circle if required) <br /> QC Summary Type I—FullRet�ngwshed by Commercial Cam eived by ate TI <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed <br /> UPS FedEx Other 1 t�JT Z� <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt SC° Custody Sea Intact? es No <br /> _ I <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 Lan*Laboratories The pink copy should be retained by the client � � <br />