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• • Pipeline ' • AnalysisR.equestlChain1 • <br /> *Lfficasler 1 2 2 O (� y P P <br /> For Lancaster Laboratories use only <br /> Kfee lafrlfyisa� Acct.#: + 1 S Grou # 101 q 2.5l7_Sample <br /> Please print Analyses Requested SCR#: <br /> SitelGlobal ID: a �. Preservation Codes Preservative Codes <br /> H=HC1 T=Thiosulfate <br /> Site Address: �}w 3 Wt1� �CJITy�f ti S► � N=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIL m S=H2SO4 O=Other <br /> ` U <br /> Consuttant/Office: ❑401 Alberto Way,Suite B,Los Gatos,CA 95032 ^lI value reporting needed <br /> ro a <br /> 3800 Watt Avenue,Suite 210,Sacramento,CA 95821 a �;, z %HPP Risk Assessment Detection <br /> Pd. g j4.�� t W V _ Limits <br /> Consultant P'.M r.: W s ` V ❑_ ❑_ � � ' - <br /> II 4 ❑Chromatograms <br /> Consultant Phone#: 510 -yob 7 17 S Fax#: 5 to-y�a - 71) (D cO co 2o . N ❑ R & U <br /> Sampler: Jf a M Fto C� rt11akc-) S m, 4IN - o M C> M M M <br /> 0o cn <br /> co O O J <br /> Field Repeat Top Time New m S , m s = _ _ <br /> CL <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YIN C7 U m 2 a � F <br /> Q A •• j' -• GS- O t-ZS Sao 2 Comments t Remarks <br /> (SIA-Ttw 'n R '_ 8- 02-2 ! O `I 7 IT�x AMt�s�s-cn�,1 <br /> 5 MI P -' g-0Z-2 5 111S -7 �er #f;� ww%U, <br /> 5 S-3Z- P — -02-ZG Cn4o l5 • 5►1►c. 14 l t ►k <br /> % - 1000 X . -T o+,t d+R ►^s <br /> I G- 3 I -WJ? `NJ 1? — rot-� Ips— y X 7 ov�� �4,��S <br /> Turnaround Time Requested(TAT)(check box) Re' e---- t Time Receiv by: D to Time <br /> TD.TAT El24 hour ❑48 hour 2ks <br /> 5 day El 72 hour El 4 day Relinquis ed y: at Time Received by: Date Time <br /> 00 <br /> Matrix Values Repeat Values Relinquishe y: Time Received Date Time <br /> S Soll D Duplicate sample Relinquished by Commercial Carrier: Re i byi Date Time <br /> W Surface Water or Groundwater T Triplicate Sample arag' <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS e Other <br /> tMtej6D <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipte -off. C° pH 75ustody Seals Intact? es No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 [717]656-2300 4324.01 Rev.1114/05 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />