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Chevron California <br /> For+Umwter LabOrar�e5 Acct# samv� t.a s r Laboratories n a only <br /> SCR# <br /> VjXwegk?Ryrsa93erxe `7 7l0 d I <br /> 012-100-- 10 Analyses Requested <br /> Preservation Codes Preservative Codes <br /> Facility# SS#9 3232-OML G Rri3$64fi3 Globale iD T06Q7700658 Matrix H=HCI T=ThlosuHate <br /> Sile Address 8560 LW` SACRAMENTO ROAD, STOCKTON, CA a H=HNO3 8=NaOH <br /> S=H2SO4 0=Other <br /> ro <br /> Chevn PM DR Lead Consultant SECORGI= 0p ❑d value reporting needed <br /> CansuRanUOFrrce �' R, Inc , 6747 Sierra Court, Suite J, Dublin, Ca 94568 o M ❑N Aust meet lowest deteClion emits <br /> a o 8 <br /> Deanna L Harding (deanna@gnnc com) a x <br /> Consultant Prj Mgr � � eo posslMe for 13260 oornpo,lnds <br /> CIO U o 0 0 8021 MTBE Conflmtatitm <br /> Consultant Phone$1925-551-7555 Fax* 925-551-7899 15N r <br /> m m o Confirm highest lid by 8250 <br /> Sampler 'kms © E '� g O E3 Confirm an hits by 8260 <br /> H a z "' '^ Run^oxy s on highest hit <br /> Service Order# ❑Non SAR �, m ❑ $ $ 0 <br /> Date Time T o S c o ' W V 1 ❑Run-oxy a an 811 hits <br /> Sample Identification Collected Collected 3 i- m F +- '1 <br /> Comments!Remarks <br /> -06 <br /> !c1- 13J/5 X X <br /> leap X <br /> ID.ss <br /> A W- ogad <br /> /0w ors x 6 cc x <br /> /sw- A3— <br /> —LLLL, <br /> Date Time Received by to Time <br /> Relinquished by i <br /> Turnaround Time Requesled(TAT)(please circle) I�IrRi 1$� � I <br /> Alij <br /> TD T 72 tour 48 hour Relinquished by to Time Received Data Time <br /> 24 tour 4 day S day p 12 <br /> Reflnquished by Act Time Received by pate Tkne <br /> Data Package Options(please circle if required) f/•� , --50 <br /> OC Summary Type I—Ful4Received by Date Time <br /> Type VI(Raw Data) C1Coe*Deliverable not needENpUPS FeddEE FIEDD Relinqulst,ed by at Cartier <br /> FedEx other -- � 10� <br /> WAP(RWOC13) <br /> Disk Temperature Upon Receipt C°1,Z'-�r 1j Custod Seal n18ct? a No <br /> 3460 Rev 7130101 <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Ce0es White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br /> I <br />