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I <br /> Chevron • • • AegionAMIsis • • I • • • <br /> Lancaster Laboratories ���,�Q�� For Lancaster Laboratories use only <br /> 1 �a Acct # � Sample iP , � 7 SCR# <br /> 4�nY <br /> Analyses Requested <br /> 9-6171 Job#385121 Globel ID#T0607700035 Matrix Preservation Codes Preservative Codes <br /> Facility# <br /> 633 PACIFIC AVE , STOCKTON, CA H=HCI T=Thiosulfate <br /> Site Addres906 N=HNO3 B=NaOH <br /> Chevron PM Bob Cochran Lead Consultant Secor 5=H2SO4 O=Other <br /> 0 ❑J val i e reporting needed <br /> Consultant/Of ice G-R, Inc , 6747 Sierra Court, Dublin, Ca 94568 aw c c <br /> c a. 2 N Is ❑Must meet lowest detection limits <br /> Consultant Pq Mgr Deanna L Harding (Deannagnnc cam} ❑ possible for 8260 compounds <br /> 110 0 <br /> Consultant Phone#925-551-7555 Fax# 925-551-78990 $ a o 8021 MTBE Confirmation <br /> co <br /> Sampler �► IQ��( �ER>Rt �N(1 w ❑ a Lu o o 04 0 Confirm highest hit by$260 <br /> a E m ❑ ❑Confirm all hits by 8260 <br /> Service Order# [3 Non SAR o z <br /> a a + $ n [3 Run oxy s on highest hit <br /> Date Time 2 o o too E]Run oxy s on all hits <br /> Sample Identification Collected Collected (0 v rn � O m No <br /> k Comni ants 1 Remarks <br /> r w-I X <br /> p �Plealsc aan�d <br /> •t <br /> I G04t4wr Cdliec s Gv <br /> W-to 11 t .-I)t-0.1 no}- <br /> W-I Wirt X, alm Y.vow., <br /> Ar , <br /> lto ° <br /> Kw- t,2 t�to 24 k <br /> Relinquished by Date Time Received by I Date Time <br /> Turnaround Time Requested(TAT)(please arcle) <br /> KS D TAT 72 hour i 48 hour Relinq ,shed by Time Re,*X w 4 X I e Time <br /> 24 ur 4 day 5 day 'o i <br /> ,Data Package Options(please circle If required) Re sh y Date Time R i Date Time <br /> 'Y�o,r>� <br /> -01 <br /> QC Summary Type I—Full elinquished by Commercial er Received by Date Time <br /> Type VI(Raw Data) ❑Coeft Deliverable not needed 1 f� <br /> WIP(RWaCB) UPS FedEx 7 <br /> Disk Temperature Upon Receipt r4 C° cus y Seats I w Yes I No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 17605.2425 (717')656-2300 3460 Rev 7130/01= <br /> Copies White and yellow should accompany samples to Lanclaboratories The pink copy should be retained by the client <br />