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Chevron Califomia Region Analysis RequestlChain of ,.�.ustody� <br /> 1\.ttL7{Jbronly <br /> For Lanceslsr Labomarles use ,. <br /> . Laix�rabries 0��Aq f.-05 A I d3 Aoct.#: a g) Sample 1113 - Grouprtk 00 9.�10 <br /> Analyses Requested �U 1 r}o�739(� <br /> Facility# a Matrix Pceservallon Codes I Preservative Codes <br /> H=HCI T=Thiosuilate <br /> Siie Address- H=HNO3 8=NaOH <br /> 5t- LNZSRJJ p S=H2SO4 O=Other <br /> Chevron PM: <br /> � ,s �^rDublin, eA 94 re <br /> o <br /> uy c 134 [IJ walue reporting needed <br /> Consullant/OffiCe: 0. + Muss mess lowest detection lion <br /> Consultant Prj.Mgr.: a.D U 13 ❑ possible for 8260 compounds <br /> 925-551-7555 <br /> Consultant Ptlone#: Fax#-925-551-7899 S r 8021 MTBE CartFmtatbn <br /> Sampler. �., S "P S 9 [3 Confirm Nowt hill by 8260 <br /> m <br /> j hit <br /> — a a Lo I <br /> S M a ❑coConfirmConfirmmeA hits try 8290 <br /> Date Timm D x D — cys on highest <br /> m — c a $ _ ❑Run— <br /> Sample oxye on all hits <br /> Identification Coaled Collected C7 L) v3 m m r <br /> 11710-q I Comments I Rernar'lts <br /> Mtr-t Oire >r >rif4ju )c6 <br /> -2 I <br /> - ld <br /> M G!-to gas <br /> D iNY* <br /> w-it Iv <br /> Mto=Rs 13gf <br /> RWM - <br /> : . Dale Tlme Receir id by �: `< ••' Date 71me <br /> TU oU Time Rlsqu6sb6i!(TA'if��pleesedd,) u _ <br /> 72 hour 48 hour <br /> 24 hour 4�y b�,y Rel' ul hed Date Time ed py Date Time <br /> Data Package Options{please circle ff required) D e Tune fl Date Time <br /> QC Summery Type I-Full <br /> © jE Reinq by CCS tal Carrier. ceiv Dale Time <br /> f Type VI(Raw Data) ❑Coen Delivers�a Pat t_ �" <br /> WIP(RWQCB)• UPS F Oher G A00,,14 <br /> Disk 7emperaNre Upon Receipt '��- C Cu y Sestet l i 1 No <br /> LSnbaii r Laboralories,ft.;'2425'New Haltsrid Pike.PO Box 12425;'Lancaster,PA 57605-2425 (717)65&2300;` 480 .01{mast Rev.t W12M <br /> :+ew +,itetve�., :n uv,a,aartpatri�asew;r� xr/yae+Lb : ess'YYhitaand Grrrwshoutd <br /> ye '.l:aecaster:t:aboratorles..The pink-copy s+'buid 4e00ed pr�he.client< - <br />