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Chevron California Regi nknalysis RequestlChain rf Custody <br /> �tOrleS For Lancaster Labo tortesuse onlyW2 9+LancwterAcct # � Sample# QQ6 1 �(O I <br /> Whey gw1ity a a science <br /> Dt) � Analyses Requested <br /> 9-8632 .fob#386855 Global ID#T0607700670 Matrix Preservation Codes Preservative Codes <br /> Facility# I I H=HCl T=Thiosulfate <br /> Site Address 575 GRANT LINE ROAD, TRACY, CA n N=HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> ca <br /> RC Lead Consultar5ecor y <br /> Chevron PM ❑J value reporting needed <br /> Consultantl0ffice G-R Inc , 6747 Sierra Court Dublin Ca 94568 M o = <br /> o a- : � ©Must meet lowest detection limits <br /> Deanna t_ Harden Deanna rinC coin a z possible for 8260 compounds <br /> Consultant Pre Mgr ❑❑ ❑ <br /> w o 8021 MTBE Confirmation <br /> Consultant Phone#��8++25-551-7555 Fax# 925-551-7599 ° C4 N <br /> _ m � O <br /> E]Confirm highest hit by 8260 <br /> Sampler ~ n R ^ <br /> Confirm all hits by 8260 <br /> o Q Z M %2 N ❑Run,oxy s on highest hit <br /> Service Order# Non SAR a + o a Z o <br /> Date Timeco <br /> o o M o FM n ❑Run_oxy s on all hits <br /> Sample Identification Collected Collected v m 3: O 1- m +- m 21 <br /> ---. Comments 1 Remarks <br /> Y <br /> IA W- 10 <br /> AA — 0 <br /> t• <br /> MLW- <br /> T <br /> i <br /> r� <br /> R +n fished Date Time Received by Date Time <br /> Tumaround Time Requested(TAT)(please circle) I t <br /> STD TAT j 72 hour 48 hour Relinquished by Date Time Received by Date Time <br /> 24 hour 4 day 5 day 31 b �' >'/d ,? S <br /> Relinquished by Date Time Received by DPW Time <br /> Data Package Options(please circle if required) /S�p �r I <br /> QC Summary Type I—Full Relinquished by Commercial C Receryj,,, Date Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed 2 l <br /> WIP{RWQCB) UPS FedEx Che -191 <br /> r /r ` l/' 1 <br /> Disk Temperature upon Receipt S C. Custody Seals Intact? es No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P x 12425 Lancaster PA 17605-2425 (717)656-2300 <br /> 3460 Rev 7130101 <br /> iCopies White and yellow should accompany samples to LanWaboratories The pink copy should be retained by the client <br />