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Chevron California Region Analysis RequestlChain of Custody <br /> 1� I For Lancaster Laboratories use only <br /> Lagmter Laboratories Sample#: 4jg); (y—' SCRM <br /> 1. wr>e►�gt�c,,���i�rt� <br /> Analyses Requested Gr.44 0--7,-�5­71 <br /> Facility#: SS#9-6171 G-R#385121 Global 10 T0607700035 Matrix Preservation Codes Preservative Codes <br /> tic H=HCl T=Thlosulfate <br /> Site Address: 6633 Pacific Avenue,Stockton, CA _ CN=HNO3 B=NaOH <br /> Chevron PM: Robert Cochran Lead Consultant: SecorRRH 3=H2SO4 O=Other <br /> d m m ❑J value reporting needed <br /> Consultant/Ofiice:G—R Inc, 6747 Sierra Ct, St. J Dublin 9456 i o c ❑ chi <br /> ;? a iq ❑Must meet lowest detection limits <br /> Consultant Pr).Mgr.: Deanna L. Hardin deanna@grine.com ©O o possible for 8260 compounds <br /> Consultant PZJ�IIWJ <br /> ne M 925-551-7555 Fax#: 925-551-7899 6 8021 MTBE Confirmation <br /> ❑ n o ,� d Q Confirm highest hit by 8260 <br /> Sampler: r w 4 F �u $ ❑ <br /> .1 ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: " ¢ z + U") r -4-+ $ S d ;t ❑Run oxy s on highest hit <br /> 11) <br /> Date Time w E a m 0 c 6 x � � [3 Run_oxy s on all hits <br /> Sample Identification Collected Collected N O m <br /> ie(2�(�3 � }� Comments I Remarks <br /> Mw �. o lzy a� i t►�5 x <br /> Mw la-1 x`!103 10450 <br /> IQ(Z31o3 1y 4� <br /> Id 12NI 0 9 ad x <br /> • <br /> �0 Vz WO) 415 . [ <br /> /►mow to 2 13SD �C . X <br /> Relinquish Date Time Received by: Da Time <br /> Tu around Time Requested(TAT)(please circle) <br /> STD.TAT 72 hour 48 hour Relinquished by: ate -Time Received by: a Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) Reiin h b . r3 e Time Receiv by. to Time <br /> QC Summary Type I—Full i � <br /> T VI Raw Data Relln ulshed b Commercial Carrie• Recei by: Dat Time <br /> Type ( ) ❑Coelt Deliverable not needed . r+ <br /> WIP(RWQCB) UPS FedEx er <br /> Disk - Temperature Upon Receipt co Cust y Seats Intact Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO anx 12425,Lancaster,PA 17605-2425 (717)6W2300 3460 Rev.7130101 <br /> (� Copies:White and yellow should accompany samples to Lan _aboratodes. The pink copy should be retained by the client. <br />