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Chevron California Region sis RequestlChainofCustody <br /> (� Lancaster Laboratories p7.," °�� /�G For ter bo tortes use only <br /> I Where r isasdence. 1k�q Acct.#: V f�� Sample#: � �?`�— SCR#: <br /> Analyses Requested <br /> Facility#: 9-8264 Job#386854 Globel ID#T0607700627 Matrix Preservation Codes Preservative Codes <br /> 775 TRACY BLVD. TRACY CA H=HCl T=Thiosuifate <br /> Site Addres : F 4 N=HNO3 B=NaOH <br /> Chevron PM: <br /> Bob Cochran Secor 7 S=H2804 O=Other <br /> Lead Consultant: <br /> Consultant/Office: -R, Inc., 6747 Sierra Court, Dublin, Ca 94568 3 CD ❑J value reporting needed <br /> o 2 <br /> S a N 8 Q r ❑Must meet lowest detection limits <br /> Consultant Prj.Mgr.:Deanna L. Harding (Deanna@grinc.com) a Z o , <br /> �' ts1 lr possible for 8260 compounds <br /> Consultant Phone#:925-551-7555 Fax#: 925-55'1-7899 1311 o g a © o 8021 MTBE Confirmation <br /> N [9 N <br /> Sampler:._ ��v1 _IgPj, ❑ a °' Q v� �f Alto rm highest hit by 8260 <br /> Service Order#: -T ❑Non SAR: Q Q Z $ O ❑Confirm all hits by 8260 <br /> m - ❑Run oxy s on highest hit <br /> Date Time 0 E Q m 0 0 = 4 <br /> Sample Identification Collected Collected 0 rn O m !�l [3 Run oxy s on all hits <br /> I glol— � L Comments/Remarks <br /> MW— <br /> 1135' l� X l7�SSoLVfD <br /> MW rL LL3�f X $ x M"LS <br /> MW-3 ���J g NF� T-rQp <br /> MW - t3 a ic <br /> Relinquished by: Date Time Received by: D to Time <br /> Turnaround Time Requested(TAT}(please circle} �fi118[� IS10 i <br /> STD. A72 hour 48 hour RelAquisTime R d by: Date Time <br /> 24 hour 4 day 5 day I 1Ti y <br /> all <br /> Data Package Options(please circle if required) Reli ed by: Dat Time Rete' d by Date Time <br /> QC Summary Type I—Full - <br /> Av,/'_1 �ilrg,42a 411 <br /> Type VI(Raw Date), <br /> Q Coen Deliverable not.needed R d by: D e Ti <br /> elinquis by mmerciai Receive <br /> -UPS FedEx — - - --= <br /> WIP(R{NQCB} _ Other _ �� <br /> C)7Q <br /> Disk <br /> —Temperature Upon Receipt C° Custody Seals Intact? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)fi56 2300 3460 Rev.7130/01 . <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />