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' ChevronCalifornia s • • • r " • • of <br /> i +Lancaster Laboratories �� For Laster LaboratorJa use only = <br /> �� � Acct.#: I/}9 J� Sample#:� �S1�3�(�� SCR#: <br /> �oaz- <br /> Z Analyses Requested �Di1(J•�$'�74� <br /> Matrix Preservation Codes Preservative Codes <br /> Facility#: jeb #386843 1 H=HCI T=Thiosulfate <br /> Site Address: N=HNO3 B=NaOH <br /> Chevron PM: drt ST., <br /> Lead ConsuiiAt...-EKT91N, GA <br /> S=Fi250a 0=Other <br /> U <br /> w c ❑ y� ❑J value reporting needed <br /> Consultant/Office: igo <br /> - � o a N ❑Must meet lowest detection limits <br /> possible for 8260 compounds <br /> Consultant Pry. Mgr.: U m ❑ p° <br /> Consultant Phone#: Fax#: o 8021 MTBE Confirmation <br /> Sampler: %es✓[11 �'i¢rs9/�]�.D/� ❑ a o o925--551-7555 925--551--n <br /> l]Confirm highest hit by 8260 <br /> E 0 0 ❑ ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: a Q z <br /> CL $ o []Run oxy s an highest hit <br /> Date Time 2 oo m ❑Run oxy s an all hits <br /> Sample Identification Collected Collected O U (n o m ,- <br /> W- IL )L yLA X- Comments!Remarks <br /> -9A 1 5" 10 F - <br /> AV- 9S j9 0 <br /> - 1( I4161 )C x <br /> Mw- IL <br /> jWU 13 >> z i <br /> Relin ulshed by; ' Date Time Received b . Date Time <br /> Tumar d Time Requested(TAT)(please circle) <br /> STD.TA 72 hour 48 hour tinqui ed by D to Time N by: ate Time <br /> 24 hour 4 day 5 day t} <br /> Data Package Options(please circle if required) in uish by: a,, /6-72-a 10 0 ate Time R rved10 Av� Time <br /> QC Summary Type I—Full <br /> Type Vi(Raw Data) p Coelt Deliverable not needed Relinquished by Commercial Ca ' r, Receive Date Time <br /> UPS FedEx ther ^ Il� C <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt — r C° Custody Steals Intact? f Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holtand Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.7130101 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />