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wChevronCalifornia Region RequestlChainofCustody <br /> ' w�,, },, ' `� F r Lancaster Laboratorie use only <br /> +LamzterL4UV�Wr��IC 39 `� y lli4�lo� Acct.#: Sampl #: ����3) (o �� SCR#: <br /> 4 #Y i` D 13 3 Analsteu� d~. <br /> Facility#: 9-0557 Job4� 386843 Global IN T0607700391 Matrix Preservation Codes ll --`--P—mserva! Codes <br /> 17 H=HCI T=Thiosulfate <br /> Site Address:_ 139 SOUTH CENTER STREET, STOCKTON. CA _ C N =HNO3 B=NaOH <br /> Chevron PM: Robert Cochran Lead Consultant: S e c o r S=H2SO4 O=Other <br /> U <br /> CD <br /> Consultant/Office: G—R Inc 6747 Sierra Ct 4�I Dublin CA 94568 o c 11Q❑ J value reporting needed <br /> z c o ❑Must meet lowest detection limits <br /> Consultant Prj. Mgr.:_Deanna L Harding (deanna@grinc.com) o co possible for 8260 compounds <br /> U ❑ <br /> Consultant Phone#: 925-551-7555 Fax#: 925-551-7899 ❑❑ o a �� ❑ 8021 MTBE Confirmation <br /> Sampler: /� OY Elw $ c (:1 Confirm highest hit by 6260 <br /> E m 0 ❑ ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: o a z' _ <br /> a + t2 o o v ❑Run oxy s on highest hit <br /> Date Time i� o 'o m o w _ _ � [3 Run_oxy s on all hits <br /> pSample Identification Collected Collected Q U cn O t– m m 3mmennt,$ Remarks'� II nn�'G�- li'�'11f 'CG1 <br /> v3• I Mi R- vo lur+1� <br /> •0,/,p& 10 <br /> II <br /> lit -5 n <br /> II4. <br /> ��- �cnv� eat <br /> o / a o <br /> /c II <br /> 11� LeSQ,� 60+'r 1� <br /> Re' ishe Date Time Received by: II Qatgf Time <br /> Time Requested (TAT)(please circle) IF <br /> c <br /> =STDT 72 hour 48 hour Relinquished by:� ale. Tim Received by: Date Time <br /> 24 hour 4 day 5 day Q <br /> Relinquished by: -•--t'ate-- -Time Received by: ate Time <br /> Data Package Options(please circle if required) _�--•~--' D <br /> � <br /> QC Summary Type I—Full <br /> RelinquisFied by-C'o ercial Carrier: Receiv d ^ Date Ti e <br /> Type Vi(Raw Data) ❑Coelt Deliverable not needed ` Q I '� 1 <br /> WIP(RWQCB) UPS {f FedEx Other <br /> Disk Temperature n Receipt ��° Custody Seak-11'ritad? es No <br /> [ D Rev.7130101 <br /> Lancaster Laboratories,Inc.,2425 Now Holland Pike, x 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies:White and yellow should accompany samples to LancLaboratories. The pink copy should be retained by the client. <br />