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I! 1 <br /> Chevron California Region Analysis Requ6stlChain of Custody <br /> �C1I1Cagff Ut0� For Lancast¢ T� <br /> tLaboratodes use only <br /> N (>r 3 7 9(p <br /> Vt�erequalfryaasnerrcts Acct # IIND Sample _�311dyo�— 51 SCR# <br /> 0 1 I g 0 Analyses Requested <br /> Facility# SSI9-6171 G11#385121 Global IXT060770003511 I' Matrix Preservation Codes Preservative Codes <br /> 33 PACIFIC AVENUE, STOCKTQN, CA € wt 14 Hi H=HCI T=Thiosuifate <br /> Site Address I u N=HNO3 0=NaOH <br /> Chevron POC Lead Consultart$ECORW 11 IIS=H2SO4 0=Other <br /> Consultant/OfficeG- <br /> R, Inc, 6747 Sierra qourt, Suite J, Dublin,Ce 94568 W 0 p [2J value repor4ng needed <br /> Consultant Pry ( ea <br /> Mgpmnna L Harding nnafgnnc.com) I I a N ❑Must meet lowest detection limits <br /> I ❑ 0 possible for 8260 compounds <br /> Consultant Phone 925-551-7555 Fax$825-551-78% �4 0 o 0 8021 MTBE Confirmation <br /> Sampler — f� 0 W o ❑Confirm highest hit by 8260 <br /> i' � ❑Confirm all hits by 8264 <br /> Service order# [I Non SAR I �I = a z to I <br /> Date Time _0 �?+,5� [I Run_oxy s on highest hit <br /> Sam le Identification Collected Collected 0 is � � w m � � N I � CI "oxy s on all Wits <br /> Comments I Remarks <br /> W!t F <br /> i <br /> to <br /> io <br /> MW—G0 <br /> I <br /> I <br /> W11 F <br /> - <br /> 1 <br /> q <br /> Tumaround Time Requested A R <br /> T} <br /> q (T (please ar�Cla) ate Time Received by Date f Time <br /> � I <br /> STD TAT 72 haw 48 hour I <br /> Relinquished try t3/4 <br /> y to <br /> 4 hour 4 day 5 day � I, � e Received by � i Time I <br /> fZ <br /> Data Package OPtlons(please circle if required) Rellnqu�sited by to" Time Received by D to Time <br /> QC Summary Type I—Full 4 "�?L <br /> Type VI(Raw Data) ❑Coeft Deliverable not needed Relinquished by Comml :Received by <br /> WIP(RWQCB) UPS FedEx Other 1 <br /> Disk TemperetureUpon Recelpt Custody Seals In ? Yes o J <br /> 1 <br /> F <br /> Lancaster Laboratories,Inc,2425 New Holland Pik PO Box 12425,Lancaster.PA 17605.2425 (717)656-2300, _ 8440 Rev 7(3Q101 <br /> ` Copies Wh{bg and yellow should accompany saples to LaTicaboratories The pink Dopy should be retained by the client I <br />