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Chevron California R^jion Analysis RequestlChain of Curefody <br /> Lancaster Laboratories For Lan r bots sties use only <br /> wht�equaGtytrasoence AW # Sampie# � i a scR#_sg ayO� <br /> 4 <br /> b14 -13 Analyses Requested <br /> Facility# SS#9-6258 G-R#386844 Global ID#TO607700720 Matri Preservation Codes Preservative Codes <br /> NaOH 2409 EAST MAIN @ F STREET, STOCKTON, CA H=HCI T= !fate <br /> Site Address „ N=HNOs 13=NNaOH <br /> Chevron PM RC Lead Consultant SECORRH ,\ S=H2SO4 O=Other <br /> 120 0 <br /> G-R, Inc, 6747 Sierra Court, Suite J, Dublin, Ca 94568 ow c ❑ ©J value reporting needed <br /> ConsulfantlOffice c <br /> Deanna L Hardin deanna nnc corna. z ©Must meet lowest detectlor►Omits <br /> Pq Mgr E �$ ) ❑ ❑ possible for 8280 compounds <br /> Consultant Phone#925-551-7555 Fax# 925-551-7899 0 yr N 8021 MTBE Contimratlon <br /> Confirm highest hit by 8280 <br /> Sampler_ �i2 A��L ,�1�i1 L _� w 'L <br /> #� ©Non SAR � z � Q El Confirm an hits by 8280 <br /> Service Order <br /> `m z 0 Run,oxy s on highest hit <br /> Date Time 0 3 t y� ❑Run oxy s an an hits <br /> Sample identtflcation Collected Collected "i' <br /> a. Comments I Remarks <br /> Mw-1 <br /> w - <br /> U— <br /> A An <br /> Ranrrquished r- 4 EOTIUM <br /> e ate Ti <br /> T rid Time Requested(TAT)(please circle) <br /> tTAT 72 hour 48 hour i or Date Time <br /> 2ur 4 day 5 day D / ef) <br /> Data Package Options(please circle if required) Relinquished by Date Time Received by- ptnzAs <br /> e Time <br /> QC summary Type I—Fun <br /> Type"(Raw Data) ❑Coelt Deliverable not needed Relmqulshed by Commercial Cancer R ed by � i Time <br /> WIP(RWOCB} UPS FedEx other r ►1O�1 ��ao <br /> Disk Temperature Upon Receipt C° Custody Seals M04i esNWf <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Bax 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 7/30101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client. <br />