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Historical I Poinfolio AndysisRequestlChain 1 Custody <br /> +Lamastler 0930 For Lancaster Laboratories use only <br /> ��S Acct.#: Group# Coa9 S37 Sample#: �d�(o b S <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: Preservation Codes Preservative Codes <br /> Site Address: 3 H=HCl T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mans.hott Lead CSAIC S=H2SO4 O=Other <br /> �sOo "4*f OAKtAMD CA '"t O'7 L <br /> Consultant/Office: El 401 Alberto Way,Suite Los Gatos,CA 95032 0 .6 ❑J value reporting needed <br /> El3800 Watt Avenue,Suite 210,Sacramento,CA 95821 0 ❑ u, z ❑HPP Risk Assessment Detection <br /> Consultant Prj.Mgr.: ��� U El El ❑ _ Limits <br /> Lu U <br /> �� �� � � o � � ❑Chromatograms <br /> � <br /> Consultant Phone#: S 9 Fax#: SI !7I• <br /> �fI- a; E 3 © "' o o 00 M <br /> Sampler: A�'� 0) N N g <br /> oZ t y <br /> Q co m o G <br /> Field Repeat Top Time stewE o LU co co co <br /> � <br /> Point Name Matrix Sample Depth Year Month Day Collected Field R YIN c7 U H m a <br /> a 2Comments t Remarks <br /> _5S 07 03 13 <br /> _S-0 S — 7 03 13 / 4 <br /> Turnaround Time Requested (TAT)(deck box) Relinquis Datq Time Received by: Date Time <br /> JS , gg �Scl ax <br /> STD.TAT ❑ 24 hour ❑ 48 hour <br /> ❑ day El 72 hour E3 4 day Relinquished by: Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Received by: Date Time <br /> S Soil D Duplicate sample Relinquished b m rcial Carrier: c ived by: a _Ii Me <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS FedEx Other ! 67 <br /> R Rin sate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt C° pH I ustody S Intact? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1114/05 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />