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Historical Pipeline Porffolid Analysis RequestlChain of Custody <br /> Lafo&[ Lk=Wles 0929 J (� For Lancaster Laboratories use only <br /> Where cuatityisasd?rm Acct.#: 1 r 1 Group# /05.531 Sample#: _S__d <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: ty i �'� Preservation Codes Preservative Codes <br /> H=HCl T=Thiosulfate <br /> SiteAddress: 'J + 42 CLN=HNO3 B= NaOH <br /> ChevronTexaco PM:M.Scott Magsholt ead Consultant:SAIC m S=H2SO4 D=Other <br /> C71'S m U <br /> ConsuItant/Ofce: 401 Alberto Way,Sui a B,'Los Gatos,CA 9 032 Gh q 4�a <br /> flEl ^' ❑J value reporting needed <br /> ca EL <br /> ❑ HPP Risk Assessment Detection <br /> 3800 Watt AveAvenue,Suite 210,Sacramento,CA 95821 c ❑ 05z <br /> ow Limits <br /> Consultant Pry.Mgr.: '.mac: i/V ' 0 © El > <br /> J o <br /> o N & ❑ 00 00 ❑Chromatograms <br /> Consultant Ph ne#: Jr 10 -[ Fax#: SI o -4�d 91` 0 co I=> <br /> t c T r E ❑ U O 0 <br /> pler: O <br /> SamI �j l t df 5 �j+go ciw �n � ¢ <br /> O N N ti U') U') US' L) <br /> Z po co N <br /> Oco <br /> O J <br /> Field Repeat Top Time New o 0 o w m i x = _ <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt rrH C7 U m g <br /> cvLtov-W-44 -- 07 03 13, (o% Comments I Remarks <br /> Sg_ — — b7l 03 13 <br /> 03 1 <br /> T rnaround Time Requested(TAT)(check box) Relinquis ate Time Received by: Date I <br /> STD.TAT ❑ 24 hour ❑ 48 hour .00 <br /> rY <br /> ❑ 5 day ❑ 72 hour ❑ 4 day ed by: Date Time eived by: Date <br /> Matrix Values Repeat Values Relinquished by: Date Time Received ny: Date Time <br /> 5 Soil D Duplicate sample Relinquished b ercial Carrier: ec hied by: D to Time <br /> W Surface Water or Groundwater T Triplicate Sample �! <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS FedEx Other <br /> 30 <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt . a C° pH ustody Seal act? Yes No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev.1/14105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />