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I <br /> Chevron California e • • • sis RequestlChainofCustody <br /> , <br /> For o L b orisa a only <br /> +LawalerLaboia� des a 2scierxe # � Q� S{m�e11 b ' - SCR#94 W�o <br /> Analyses Requested <br /> Fafcility# SS#9-4275 CrR#3868+5 Global IM0607700257 Matrix ii f Preservation Codes Preservative Codes <br /> �HCl T=Thiosulfate <br /> Site Addre5 W BENJAMIN HOLT, STOCK7ON, CA I a N H`=HNO3 e=NaOH <br /> Chevron PIRC Lead Consul REMRGM S=H2SO4 0=Other <br /> Consultant/OtficP-R, Inc, 6747 Sierra Court,Suite J, Dublin,Ca. 94568 $ �❑ r, ❑J value reporting needed <br /> a a sy N ❑Must meet lowest detection limas <br /> Consultant Prl Mrine L Harding (deanneognnc eom) a. U 0 possible for 8260 compounds <br /> Consultant Phone92`5-551-7555 Fax @25-551-7Mo ENS <br /> o 8021 MTBE Confirmation <br /> Sampler TF,.R iLl g og i ❑ ❑Confirm highest hit by 8260 <br /> - E ❑Conffrm all hits by 8260 <br /> w <br /> Service Order# � <br /> I ❑Na SAR _ <br /> 2 ❑ 2 a <br /> bate,> Tim $ $ [3 Run_Oxy s on highest hit <br /> I � � W <br /> Sam le Identifleation liected Collected D rR 3 O_ co 117� [3 Run_oxy s an all hits <br /> OVA (d �'�, X X 11 Comments 1 Remarks <br /> •y11, J11 <br /> MO— � l <br /> V10w- 1 Ktaw-s X i <br /> w-L <br /> w- x <br /> i <br /> { I <br /> 1l <br /> Relinquished b l f Date Time Received by Date Time <br /> Tamar unci Time Requested(TAT){please circle) li 11� <br /> ST TAT 72 hour 46 hour Reli uished by I t Time Received by Date <br /> 2 ole <br /> r 4 day 5 day � g <br /> Data Package options(piease circle if required) Relinquished try- j Time Received by 401D to Time <br /> QC Summa it �rlld L 2 <br /> ry Type!—Full Relinquished by Commercial Carrier– <br /> Type Recei <br /> Type VI(Raw Data) ❑Coen Deliverable not needed ate T <br /> WIP(RWOCB) UPS FedEx r i n 7 <br /> Duk Temperature Upon Receipt Coll �I Custody Seals ct? NO <br /> 111 11 <br /> Lancaster Laboratories,Inc.2425 New Holland Pike,PQ Box 12425,Lancaster,PA 117605-242545-2M12b (717)656-2300 3460 Rev 7130101 <br /> Copiee4yoft and yeliarrahoufd acConriwovy wr I to Lancasterlabaatoneii 7.?WMTTopy should bg'rWneYby the dr of <br />