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i <br /> Chevron California • • 1 RequestlChainOfCL Ddy <br /> l ..L,,,..•,#„ I For L caster La�Oratorio use only q o <br /> +Laraster <br /> V&ae�►h�rsasaerxP- GUJ Amt.# Sam pie#42)M I 1 0 -N -SCR# <br /> 0-7 1Z 0 Analyses Requested <br /> Facility#- SSrx9-3232 G-R#385463 Global IDIVT0607700658 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site AddreAT LWR. SACRAMENTO ROAD, STOCKTON, CA Q N=HNO3 8=NaOH <br /> Chevron P18C Lead Consuitar$ECORRH S=HzSO4 O=Other <br /> G-R Inc ,6747 Sierra Court, Suite J, Dublin,Ca 94568 w ❑ (3 J value reporting needed <br /> ConsultanUOffice � . <br /> ❑Must meet muIlimits <br /> Consultant PrM9peanna L Herding (deannaftnnc corn) aaz possible for 8260 compounds <br /> Consultant Phone 925-551-7555 Fax 11925-551-7899 ❑ o o� 8021 MTBE Conflnn ition <br /> t <br /> Sampler ❑ , ❑Confirm highest hit by 8260 <br /> w a ❑Confirm all We by 8260 <br /> Service Order# ❑Non SAR z' <br /> Date Time S Q _❑ 9 g ❑Run axy s an highest hit <br /> Sample ldenttflca Cole Collected O i° m 1L �� ❑ '" oxy s on all hits <br /> 'j pt Z yr Comments J Remarks <br /> Mi✓- 0 7'J~ <br /> !�w- a7ry <br /> w-41D 1 07 <br /> OW <br /> tea- G 9th <br /> !mow-'7 <br /> Relinquished by Doe, Time Received by- Date Time <br /> Turnaround Time Requested(TAT)(please circle) / 1 Ire <br /> :VD—T-A-:5 72 hour 48 hour RelinquishedTime R v by Date Time <br /> 4 day 5 day l ' A �� <br /> Data Package Options(please circle if requrrad) I uish e Time R ed b Date Time <br /> lat <br /> e <br /> OC Summary Type I—Full Relinquished by Commeraal Receiv Date Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed <br /> WIP(RWQCB) UPS FedEx Other �5 <br /> Disk Temperature Upon Receipt ° Custody Seals In No <br /> Lancaster Laboratones,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)6562300 3460 Rev 7130101 f <br /> Copies White and yellow should accompany a@... to Lancaster t aboretorteb The pttftopy should be riitalned by the cfteff— _ - r <br />