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Chevro California " - • • " - • - • ofCustody <br /> �1 R.[37Ler�JI IGJ For lay bora u ly <br /> 0 0 0'� SCR# <br /> Whe►�e rsasaerxt? a d3 vQ # 1 q Sampie <br /> � � <br /> Analyses Requested <br /> Facility# SS 9 2033 G R#386847 Globale ID;3`T06077f�702 Matrix Preservation Codes Preservative Codes <br /> Ll 41 H=HCI T=Thiosulfate <br /> Site Address 508 CHARTER WAY, STOCKTON, CA � N=HNO3 B=NaOH <br /> Chevron PM RC I Lead Consultant SECORRM S=HzSO4 b=other <br /> r <br /> G-R, Inc , 5747 Sierra Court,Suite J, Dublin, Ca 94568 w ❑ .� 4 ❑�value reporting"ceded <br /> Consultant/Office aa. a ❑Must meet lowest detection limits <br /> Consultant Pri Mgr Deanna L Harding (deanna fgnnc conn) ❑0 CIAN possible for 8260 compounds <br /> Consultant Phone# 92.5-551-75t 5 Fax# X25-551-7899 0 ! 8021 MTBE Gonfint�aHon <br /> _ r '1 b a ;9! , ❑Confirm highest flit by 8260 <br /> Sampler LKt��. tltA�N <br /> C] <br /> E S © ❑Confirm au hits by 8260 <br /> Service Order# ❑Non SARi R 7 <br /> � + $ � � � f^ ❑Run_„_oxy s an highest hit <br /> Date <br /> Time E a 1e 0 0 I A s ❑Run_oxy s on all hits <br /> Sample Identification Collected Collected 3 0 m <br /> comments!Remarks <br /> Dlssaa_�t�D VACrL5 <br /> W— 1S F114> FILTSr 41 It <br /> MW—w_ 3 ;�bjl> �Px4 SEO.V9,1>. <br /> I <br /> Y <br /> 111111 I+H <br /> linquish Date Time Received by Dae Time <br /> !D::T7A <br /> nd Time Requested(TAT)(please circle) - - � r 72 hour 48 hour Rel uished by Time Received by Date Time <br /> 4 day 5 day - - - 2.671 <br /> Relinquished byDjft Time Received by D to Time <br /> Data Package Options(please arcl�}if required) f � <br /> QC Summary Type 1—Full <br /> Relinquished by Commercial Zthlelr <br /> v by me <br /> Type VI(Raw Data) I]Coelt Delrve-able not needed <br /> WIP(RWQCB) UPS FedEx ZA <br /> Disk Temperature Upon Receipt C° —S C'J99Zy Seals In 04' Los—) No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 17606.2425 (717)656-2300 0 Rev 7130101 <br /> • Copies While and yakw should accompany samples to LardWaboratories The pink copy should be retained by the client <br />