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Historical Pipeline • • Analysis RequestlChain of Custody <br /> Lamer Uw&des 1823 / For Lancaster Laboratories use only � <br /> K4Weq 4QYfSaScienM Acct#: f t I Group# f/-7-7'7 e'2 _ Satnple#: 5 K7 t! 9Y6 <br /> Please print Analyses Requested <br /> 5GR#: <br /> SitelGlobal 10: z`^ c-`r Preservation Codes Preservative Codes <br /> - T� a L_-A H=HCl Y=Thiosu fate <br /> Site Address: Y _ , N=HNO3 8=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIL d S=HZSp4 O=Other <br /> Consultant/Office: 441 Alberto Way,Suite 13,Los Gatos,CA 95032 c c°� Q J value reporting needed <br /> 800 Watt Avenue,Suite 210,Sacramento,CA 95821 PR Risk Assessment Detection <br /> Z Limits <br /> °' <br /> Consultant Pr1'.Mgr.: ��C M I3 v/►� ❑ ❑9 / pQ a U ❑Chromatograms <br /> El <br /> Consultant Ph a#: J��r �T/ _ `+�� Fax#: m m a UD <br /> cEl ❑ us po <br /> Sampler: . G a�o � n ti <br /> m pp c4 <br /> 2 CL oo <br /> E "' <br /> Field Repeat Top Time M. r i <br /> 22 o <br /> Point Name Matrix Sample Depth Year Month Day Collected FIeId Pt YIN 0 c7 M a F ~ <br /> \ Comments I Remarks <br /> of cc? Lk <br /> 224 <br /> 340 <br /> IL 0s, I <br /> Imo - 5 `\ '� i � aha % 07-4 <br /> t;3>h--T���.r --r� 3 <br /> S <br /> Turnaround Time Requested(TAT)(check box} Relinquished by: to Time Received by. D Tune <br /> STD.TAT ❑24 hour ❑48 hour <br /> ❑ day ❑72 hour E3 4 day Relinqui Date Time IecLpy__ tete Time <br /> Matrix Values Repeat Values Relinquished by: to Time Received by Time <br /> S Sort D Duplicate sample Date Time <br /> W Surface Water or Groundwater T Triplicate Sample Relinquished b ommerd Carrier: Received by'. (�,f <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS Fed Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipts i-?A C° pH Custody eats Intact? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)556-2300 4324.41 Rev. 111445 <br /> Copies.White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />