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Chevron 1 I • • R • • / "fC 4ody <br /> t� <br /> Lancaster Laboratories For L atories use star Labore only _ <br /> +Kfoequakyssasomm <br /> acct # Sample# �7�-- '1 SCR#' 1 hh , <br /> a <br /> ©t 1-7 V� ,j D Analyses Requested 3 <br /> 9-6171 JOB;#3$5121 Global ID#T0607700035 Matrix Preservation Codes Preservative Codes <br /> Facility# 1 N I H =HCl' T=Th+osulfate <br /> Site Address 6633 PACIFIC AVE , STOCKTON, CA h jk N=HNO3 B=NaOH <br /> RC Lead ConsulianCof 5=NzSOa O=Other <br /> Chevron PM I N Lo m ❑J value reporting needed <br /> Consultant(Office —G-R, Inc 6747 Sierra Court Dublin i'Ca 94568 <br /> o Lu w ' ❑Must meet lowest detection limits <br /> 0. <br /> Consultant Pr] Mgr Deanna L,Harding (Deannal)grinc com <br /> a z c , possible for 8260 compounds <br /> O db ❑ 8021 MTBE Confirmation <br /> a <br /> Consultant Phone#925-551-7555 Fax# 925-551-7899P o o <br /> iy °o �' o ^ ❑Confirm highest hit by 8260 <br /> Sampler /rG2i m d E �' _ 9 ❑ ❑Confirm all hits by 8260 <br /> Service Order# ' ❑Non SAR I� Q o a o ❑Run oxy s on highest hit, <br /> CL +p ❑ x w CO <br /> Date <br /> Time�� a o m — o w = F 1�1N ❑Run oxy s on all hits <br /> Sample Identification + Collected Collected [0 V 0 3 O �- m m <br /> 14'Q3 OA ��, � '� �� � XX <br /> Comments!Remarks <br /> _ ,f K <br /> IX <br /> 1l _ <br /> l � <br /> I <br /> y y - <br /> uT1///0Il E <br /> l <br /> f <br /> Re6` by' Date Time Received by to Time <br /> Turnaround Time Requested(TAT)(please circle) <br /> =TPA , 72 hour 48 hour luiqu�shed by Date Time R ce ed by ate Time <br /> Y6t�4 day 5 day l <br /> R in uishe by D e +me Re ived b Date Time <br /> Data Package Options(please circle if required) ,+ � - <br /> QC Summary Type I—Full Relinquished by Commercial Cp r Receiv ate Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed 3t I+ " �� ? <br /> WiP{RWQCB) <br /> UPS 1' FedEx Cher f I r <br /> Disk Temperature Upon Receipt C° Custody s Intact Yes No <br /> i <br /> Lancaster Laboratories,Inc,2425'New Holland Pike,P 12425,Lancaster,PA 17605-2425 (717)656-2300 Rev 7130101 <br /> Copies White and yellow should accomp i ny samples to LanclWaboratones The pink copy should be retained by the client <br />