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Chevron California Rogion AnalysisRequestlChainofCi is, • • <br /> Lancaster Laboratories sY <br /> Laboratories use cn —SCR# <br /> _. ..... Acct # fjj/�(}/� Sample#�U,�(�� �2 �� <br /> V0xYe quality rs a sc ence <br /> Z j 0 D06 Analyses Requested <br /> SS#9-3232 G-R#386463 Global ID#T0607700658 Matrix Preservation Codes Preservative Codes <br /> Facility# H =HCl T=Thiosulfate <br /> Site Address 8660 LWR SACRAMENTO RD , STOCKTON, CA 4 N =HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> Chevron PM RC Lead Consultant SECORRH <br /> m cnQ ❑J value reporting needed <br /> ConsultaConsultant/OfficeG-R, Inc , 6747 Sierra Court, Suite J, Dublin, Ca 94568 a w c El8 [jMust meet lowest detection limits <br /> o °a JN 8 <br /> Consultant Fri Mgr Deanna L Harding (deanna@gnnc cord) a z o copossible for 82fiD compounds <br /> ❑❑ 0 <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7899 o g a 8421 MTBE Confirmation <br /> l] 0co <br /> a o '` q []Confirm highest hit by 8260 <br /> Sampler S 0 0 ❑ D []Confirm all hits by 8260 <br /> Service Order# ❑Non SAR — + � & v ❑Run_oxy s on highest hit <br /> Date Time o o M — o u� _ _ $ ❑Run!oxy s on all hits <br /> 0 <br /> Sample Identification C lected Collected U O � m f� m <br /> � � Comments 1 Remarks <br /> t SJ <br /> MW- -2 m cf- X. <br /> M - ` J <br /> Yf?W- J X >< -- <br /> Mw- t13o <br /> m pv- T6sS` <br /> Relinquishe Dpte, Timet Received by to Time <br /> Turnaround Time Requested(TAT)(please circle) <br /> STD T 72 hour 48 hour Relin ed by D Time c ved by Dat }Time <br /> 24 hour 4 day 5 day +� <br /> Data Package Options(please circle if required) nquis ed by Dat Time Received by Date Time <br /> 14h,3;f1530 \oc 4/7-5/6A <br /> QC.Summary Type I--Full Relinquished by Commercial CaMer Receive Date Time <br /> TypQ VI(Raw Data) ❑Coelt Deliverable not needed <br /> W!P{RWQCB} UPS FedEx ther Z' a� <br /> Disk Temperature Upon Receipt LtC. Custody Seas Intact? Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />