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Chevron California Region sis RequestlChainofCustody <br /> +Laxaster Laboratories For Lancaster Laboratories use only <br /> Acct # f b 6� 5ample# '��b�'�..�"�Q-4Zi SCR# Lr _ <br /> Where gBUty is a science <br /> Analyses Requested <br /> Matrix Preservation Codes Preservative Codes <br /> Facility# - H=HCl T=Thlosulfate <br /> Site Address fs CAL N =HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> Chevron PM'--?-),A) Lead Consultant <br /> w L❑ 5- ❑J value reporting needed <br /> 70 Consultant/Office -f M ❑ ❑Must meet lowest detection limits <br /> Consultant Pry Mgr iii�.h ,lt� __ ___ a- Z o y p possible for 8260 compounds <br /> El ❑ UO ❑ ❑ 6021 MTBE Confirmation <br /> Consultant Phone# iii -fir-o ylx) _ Fax# 91W r-o c1 o g = o <br /> - m � ch ao d , n ❑Confirm highest hit by 6260 <br /> ❑ M O O <br /> 5ampl n i t iC- L- L ❑ <br /> o Q Z [1Confirm all hits by 8260 <br /> Service Order# ❑Nan SAR a b o ❑Run_oxy s on highest hit <br /> co <br /> Date Time T o o m o = = M ❑Run oxy s on all hits <br /> Sample Identification Collected Collected c5 v US O m � c <br /> _-7,9I I I Xx X i IComments!Remarks <br /> i <br /> XX <br /> U <br /> U 3 <br /> Relinquished by Date Time R ived by Date Time <br /> Turnaround Time Requested(TAT)(please circle) <br /> TD TA 72 hour 48 hour Relinquished by Date Time Received by Date Time <br /> 24 hour 4 day 5 day o� 7 <br /> Data Package Options(please circle if required) Relinquished b Date Time Received by Time <br /> QC Summary Type I—Full <br /> Type Vi(Raw Data) C3Coelt Deliverable not needed Relinquished ercial Carney Time <br /> eived b Da <br /> UPS FedEx Other <br /> ;WEP(RWQCB) <br /> a Disk Temperature Upon Receipt Co Custody Sea I ct? Yes N <br /> + Lancaster Laboratories,Inc,2425 New Holland Pike ox 12425,Lancaster,PA 17605-2425 (717)656-2300 60 Rev 7130101 <br /> 0 Copies White and yellow should accompany samples to Lr Laboratories The pink copy should be retained by the client <br />