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Chevron Califomia Re ion Analysis Request/Chain of Custody <br /> For Lan' if}� ly <br /> Lal.abora#Dries Ate.V P6 Sample#: `��w fnd �UpI SCRS: <br /> V0*re qua4ty is a saer►ae <br /> Analyses Requested <br /> ,� _ - Preservation Codes rvative Codes <br /> Facility#: . <br /> {. t ii=WCl T=Thiosulfate <br /> Site Address: ''/ '� N= Oa B=NaOH <br /> Chevron PM:.aak ZLead Consultant: 5=H2SO4 O=Other <br /> m ❑ 6 ❑J value reporting needed <br /> Consultantlbffice: 0D/7 :lT�.�-" /�e� .$` /t'� /�o•� a_ -9 <br /> ❑Must meet lowest detection limits <br /> CD Consultant Pd.Mgr.: ,pa v .� - __-. - o W y possible for 8260 compounds <br /> f 4&4 o a ❑ 8021 MTBE Confirmation <br /> Consultant Phone#:9'/�i /� �Fax#: <br /> °'° ❑Confirm highest hit by 8260 <br /> Sampler m _ <br /> 14 ❑ ❑Confirm all hits by 8264 <br /> Service Order It O Non SAR: <br /> + z X .0 Run_oWs on highest hit i <br /> Field Repeat Top Time -New.' � c c , $ � t. � p Run_oxy*s on all hits <br /> Point Name le t ar o a C i �" U m �- <br /> 5 !•✓ i/ :4�S Comments I Remarks <br /> -S ° <br /> .5 <br /> Relinqul _..._..- -- p -Time ' eceived by ate -" une <br /> Time Requested(TAT)(please circle) f tea' <br /> StD.TA 72 hour 48 hour Re Dale Time Received"by Date Time <br /> 24 our 4 day 5 day 3Y <br /> R kinq i edDate Tame Received by: Date Time <br /> Data Package Options(please circle if required) <br /> QC Summary Type I-Full Relinquished by.9an%nercial Carrier: Re¢e*d by: t Data ime <br /> Type VI(Raw Data) p Coelt Deliverable not needed K n <br /> UPS . .. edEx Other �� (0 - <br /> WIP(RW QCB)" <br /> p;gk Temperature Upon Receipt ° C° Custody Seals I Yes <br /> _ Lancaster Laboratories,Inc.,2.425.New Holland.Pike,PQBox 1242.5;Lancaster,PA 17605-2425. .(71716W2300 _- -_ � R� 14!04!41 <br /> Caples:White and yellow should accompany samples to Lancaster Laboratories.The pink copy should be retained by the client <br />