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Chevron California '--egion Analysis • • ofistody <br /> Lancaster LaboratoriesFor Lancaster abpra of}es use my D <br /> �VOwequahtyisaxence Acct # � Sample# �� (o �3-Z SC <br /> R# G 7�r7 <br /> Analyses Requested <br /> Matrix Preservation Codes Preservative Codes <br /> Faculty# ��1�7s H=HCl T=Thiosulfate <br /> Site Address 0105-_ �r trii r 4&�r Dit _ C N=HNO3 B=NaOH <br /> Chevron PM '4&6 GC &ft Lead Consultant S�a�CCQ <br /> S=H2SO4 O=Other <br /> 0) m ;-i <br /> Consultant/office 3N 7 L � 4 :7-t 043 cc o c ❑ c [I J value reporting needed <br /> 6 0_ c o ❑Must meet lowest detection limits <br /> v, <br /> Consultant Pry Mgr �,Q.GC+s_��sr�r� IL Z o m D possible for 8260 compounds <br /> Yr Consultant Phone# ��ta�[al- lG� e--A,-7 Fax# ctGlo-5b 1-O`{3Z, o g 0 0 8021 MTBE Confirmation <br /> C14 <br /> ❑Confirm highest hit by 8260 <br /> m o <br /> 5ample� ;, •t/t N ❑ ? v ❑ ❑Confirm all hits by 8260 <br /> Service Order# []Non SAR 0 ¢ z � o o o <br /> y n ❑Run oxy s on highest hit <br /> Date Time m o o c� © a w x = m N <br /> Sam le Identification Collected C d 0 v W 3 O � m � � � J ❑Run� oxy s on all hits <br /> u17 �G�/ X I ,L Comments 1 Remarks <br /> x 't <br /> Relinquished b Date Time Received by Date <br /> rid Time Requested (TAT)(please circle) <br /> 72 hour 48 hour Relinquished by Date Ti a Received by Date Time <br /> 4 hou 4 day 5 day � <br /> Data Package Options(please circle if required) Relinquished by Date Time Received b Date Time <br /> QC Summary Type I—Full <br /> Type A(Raw Data) E]Coelt Deliverable not needed Relinquished by C rcial Carrier Received by `Date Time <br /> WIP(RWQCB) <br /> UPS FedEx Other <br /> Disk Temperature Upon Receipt—C r_C. Custody eal <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 Lancaster Laboratories The pink copy should be retained by the client <br />