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Chevron California Region Analysis RequestlChain of CuStodY- ---""""` <br /> Lancaster Laboratories For Lancaster Laboratories use onl <br /> Where quality is ax>ence Acct # Sample# O S y�7 SCR# i <br /> Analyses Requested g 5 7 <br /> Facility#_ ___ _ Matrix Preservation Codes Preservative Codes <br /> L ,,II11 H=HCI T=Thiosulfate <br /> Site Address o1y0 as�(V1c��n 5�. YOGA (°w7 a N=HNO3 B=NaOH <br /> Chevron PM Nb 0.oc1yw%.— Lead Consultant 7COrZ S=H2SO4 O=Other <br /> m E2 <br /> ConsultantlOffice '30/7 �, L 0)wo ❑ ❑J value reporting needed <br /> o a o !� ❑Must meet lowest detection limits <br /> Consultant Prj Mgr ►�"� p.- a o co Cn possible for 8260 compounds <br /> p ❑ ❑ CJ ❑ ❑ <br /> Consultant Phone# __ ly �(1�- Qq&) Fax# __ //6-<jl-090 o " E o ❑ 8021 MTBE Confirmation <br /> L N v, v <br /> co <br /> Sampler {,� Lu <br /> _____ El a n o ❑Confirm highest hit by 8260 <br /> Service Order# - N ¢ E 0 0 [1 Confirm all hits by 8260 <br /> ❑Non SAR o z 2 U'> x <br /> a + o o o ti ❑Run oxy s on highest hit <br /> Date Time c� o o a a N W ❑Run_oxy s on all hits <br /> Sam le Identification Collected Collected 0 U (0 O m <br /> k) L4- J� -�$- ID3$ f Comments I Remarks <br /> E+ac , }n,r`1 011E <br /> nqu lied by <br /> Turnaround Time Requested (TAT)(please circle) ReliDate Time Received by Date Time5• �� <br /> TAT 72 hour 48 hour Relinquished by Date Time Received by Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by Date Time Received by Time <br /> QC Summary Type I—Full <br /> T Vi Raw Data Relinquished b mesal Carrier R ei ed by D Time <br /> Type ( ) El Deliverable not needed DPS FedEx Other ,�I �� t <br /> WfP(RWQCa) <br /> Disk Temperature Upon Receipt r3 C° Custody Seals l Yes No <br /> Lancaster Laboratories,Inc 2425 Now Holland Pikex 12425,Lancaster PA 17605-2425 (717)656-23000 Rev 7130101 <br /> . Copies White and yellow should accompany samples to Lan4Laboratories The pink copy should be retained by the client <br />