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Historical Pipeline Portfolio Analysis R'Lle....elfuestlChain of Custody <br /> Lamaster <br /> des 1432 For Lancaster Laboratories use only <br /> 1A4*eqLakysascLarxe. Acct.M lty}3 Group# 1 o(Q3a�j_7 Sample#: 5 9 99 3 L—3k <br /> Please print Analyses Requested SCR#: ��� <br /> Site/Global ID: !� iSM42f SL'wo Preservation Codes Preservative Codes <br /> Site Address: <br /> �550 W I-. V(rock 0. H=HCI T=Thiosulfate <br /> N=HNO3 8=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant: AIC S=H2SO4 O=Other <br /> ConsultantlOffice: ❑441 Alberto Way,Suite B,Los Gatos,CA 95032 _ _ ❑J value reporting needed <br /> '$'3800 Watt Avenue,Suite 210,Sacramento,CA 95821c ❑ - ElHPP Risk Assessment Detection <br /> U J - Limits <br /> Consultant Pry'.Mgr.: W 1 w _ <br /> rr _ o o� ❑Chromatograms <br /> Consultant Phone#:fb�`� �� Fax#:_ajb "�°�—����� o <br /> 0 <br /> Sampler: J Z C <br /> co <br /> Field Repeat Top Time w E! c <br /> treo = <br /> Point Name Matrix Sample Depth Year Month Day Collected Field rs rna �7 U I-- m a r- <br /> A. " 10 2Q 1610 N x K Comments!Remarks <br /> 1+J— -\,Ij tjR NA, cri do 2I 1J 0s <br /> MU)-71 w NO( N rf nj to <br /> a k M.c,✓ — <br /> Turnaround Time Requested(TAT)(check box) Re' ed D to Time Re cei ed by: IDate Time <br /> S D.TA El 24 hour El 48 hour 1O 1 ' `C' 68` <br /> El 5 day El 72 hour El 4 day Relinquished Date Time Received by: Date e <br /> z� F Sac? <br /> Matrix Values Repeat Values Relinquished by: Date Time Received by: Date Time <br /> S Soil D Duplicate sample Relinquished by rcial Carrier: Reaeiv b ate Time <br /> W Surface Water or Groundwater T Triplicate Sample _ e �Q,3d <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS ed Ex Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample .may �g <br /> M Miscellaneous(e.g.,product sample) Temperatur Upon Receipt r ! y'C VW Custody Seals Intact? s No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717]656-2340 4324.01 Rev.1114105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />