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r r I r r r r r r r r r r r r r r <br /> Chevron Califomia Re ion Analysis RequestlChain of Custody <br /> �..ab{}I GIIOC�$ t For Lancaster taboret es my 249224 <br /> *Lancaster <br /> qutyiSascieb Aad#: 1,Q LQ Sample#r� � f SCRO: <br /> VWM11-71q )) <br /> Analyses Requested <br /> Facility P. 20-a'7 i -W60-767911Sao Preservation Codes Preservative Codes <br /> H=NCI T=Thiosutfate <br /> Site Address: 317 5 6 A _1V id,. g� S-fnt Y-l LACk,�:g N=HNO3 B=NaOH <br /> Chevron PM: m lead Consultant: ; S=1i2SO4 O=Other <br /> car <br /> Consultant/Office- 1!112we.,r D&w- s�..� Is S $:A!r ..,. O it s e OJ value reporting needed <br /> d p Must meet lowest detection limits <br /> Consultant Pry.Mgr.: o " � possible for 8260 compounds <br /> Consultant Phone M 116,%5'.Z47'M r4A.rZ Fax#: c116,11 . Iwo o S Ix p o 8021 MTBE Confirmation <br /> m °o Z1 . - Q Confirm highest hit by 8260 <br /> Sampler. �Crc�,Stil_ E Cl �;w <br /> .2 E t O Confine all hits by 8260 <br /> 0 Non SA : ° z <br /> CL ao <br /> _ RunService Order# oxy's on highest hit <br /> Field Repeat Top Time New m <br /> AD c N D Run oxy's on all hits <br /> Point Nam Matrix S m le De h Year Mon Da ll Field t. ) U F- � z I <br /> w-4._u/-01 it to — yt: Comments/Remarks <br /> w-4.0 - w--�Nl'� h/ .V —' 1 1 Z ��eI.SC �•�Fsld � 'fLtsc <br /> Sc,,.�,rlcs <br /> m y.mo w1 <br /> �3 �t <br /> Relinquished by: Date Time ived by: Date Time <br /> Turnaround Time Requested(TAT)(please circle) IS-00 <br /> Sl'4_TI4T 72 hour 48 hour elfin 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: Da Time <br /> QC Summary Type I—Full Relinquished a 'al Carrier: veo by: Date Time <br /> Type VI(Raw Data) p Coelt Deliverable not needed C� <br /> WIP(RWQCB) UPS FedEx Other Og d q <br /> Disk Temperature Upon Receipt 1-C" Custody Seals Intact? (2!S,---, <br /> es No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.10/04/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />