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Chevron California Region Analysis RequestlChain of Custody <br /> GO <br /> Lancaster Laboratories Acct.#: iO Sample#: �lOO1Z,L7..b— 4 For Lancaster Laboratories use only <br /> : S1r1roby <br /> Where quality is a science. <br /> Analyses Requested <br /> Facility#: Cf76VRon BuGK rrKM trvf L 10n—/&Z / <br /> Matrix Preservation Codes Preservative Codes <br /> I d H=HCl T=Thiosulfate <br /> Site Address: 22.883 K4S o►a o NTf1 CA C N=HNO3 B=NaOH <br /> W��ut, �rr1 S=H2SO4 O=Other <br /> Chevron PM: Lead Consultant: 3EC012 ❑ 1 value reporting needed <br /> a� <br /> Consultant/Office: SEC®P, - �AC"MENTb 4 -7-7 B o c ❑ c� <br /> o a w o 8 f„ ❑Must meet lowest detection limits <br /> Consultant Prj. Mgr.: �cLn-T GAS LE �� 0 co U3 � v p possible for 8260 compounds <br /> U ❑ ❑ <br /> Consultant Phone#: (q 10 3 -O`1 Uo Fax#: (q Ib\1 -Tiq t-0'tso o g o El 8021 MTBE Confirmation <br /> � Of <br /> N <br /> Sampler: D 14A P- P ❑ w o o " O ❑Confirm highest hit by 8260 <br /> Service order#: T3/ 77y� o z <br /> U' Q m oN Confirm all hits by 8260 <br /> ❑Non SAR: <br /> n + 0 0 0 ❑Run <br /> oxy s on highest hit <br /> CU <br /> Date Time f° 0 0 �° o w _ _ c' m ❑Run oxy s on all hits <br /> Sample Identification Collected Collected 0 U W 0 0 m a C <br /> TW- ( 3 5 03 JZ 0 A Comments/Remarks <br /> f - <br /> 1300 X I X f''CZL�JATi:K -,ArKPLFs- <br /> TS-2 @ 8r 130S x X X X X PI�,ase A,.,nwzE Foe <br /> �' i315 X X x DIESWL Fres-r 056- <br /> EMIq IND�"7Z 0,- wATF7- <br /> ror, LE 41 aNwiYs�S" <br /> Foal TW-1 SArnW <br /> Oxy enaiu = &r=W In & J <br /> �t6��T3a,TArnt, DI P>r, <br /> — SOIL $At0P1_CS ARE LV. <br /> 4S "SANTA'; PLEASEPe 01Z IbZS <br /> CNCvQ4N 8��X TCRJn <br /> Rel q ishe y: Dto Time Received by: Date Time <br /> Turnaround Time Requested (TAT)(please circle) <br /> TD.TAT 72 hour 48 hour Relinquished by: Date Time Received by: Date Time <br /> 24 our 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by: Date Received by: Date Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished b dEx Commercial Carrier: Recei d Dat Time <br /> WIP(RWQCB) UPS FeOther 1J <br /> Disk Temperature-p pon Receipt co Custody als Intact. Yes No <br /> 1 Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.7/30/01 <br />