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Historical 1 ' 1 1 Analysis • Custody <br /> +Lancaster LaWaWi IGJ 0973 f For Lancaster Laboratories use only {f c <br /> lAftyequaRyisa scibnc Acct.#: 1 Group# 101 U S7 Sample#: 5 2 00 Q 7t-11 ! r <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: ( % _z_ Preservation Codes Preservative Codes <br /> Site Address: V 33 of t3r� �� . . '/C� I�fnf ] H=HCI T=Thiosulfate <br /> V N=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC S=H2SO4 O=Other <br /> E221 <br /> CJ <br /> Consultant/Office: ❑401 Alberto Way,Suite B,Los Gatos,CA 95032 ❑J value reporting needed <br /> 080,0`W�att Aven jue,Suite`,210,Sacramento,CA 95821 c U, z ;} �HPP Risk Assessment Detection <br /> Consultant Pry.Mgr.: V c 4- W A I�Tc ❑ ❑ J w0 .- Limits <br /> © ) 5 ❑Chromatograms <br /> Consultant Phone#: SAO t((�(� _ 7179 Fax#: $lo-X166 •-79« a`) ° 2 c9 a 0 <br /> I Yr�R �1 D �Sampler: /A_/t. e oN M Mn 2C 'n U <br /> Z " u,pm a <br /> °O o 0 o J7 <br /> Field Repeat Top Time new o o w m = _ _ _ 9 <br /> Point Name Matrix Sample Depth Year Month Day Collected Fiera Pe YIN [7 U o a Lu <br /> F- F- <br /> A --r T �-- — 0%-OZ-26 Z Comments 1 Remarks <br /> Screen R — — 0 -oz-7.� 2 X 7 • ti' - �elCfCAA(4e <br /> A — n R — — %-o2-2 1042. <br /> of%lj e de kr As <br /> 5%_Z9 VC — 01-07--26 IL-1 IS 21 r "• ' ' <br /> Sa- Zg — 0%-oz-2 Is10v X 7 <br /> 513, -2-7 — 0'%-O-Z-2-7 o 5 y 1� MS/Ms c®r tee sed <br /> Zoo 0%'CL-2� 117-0 r 53 T�9 <br /> Tumar'ound Time Requested(TAT)(check box) Relinquished by: ate Time Received by: Date Time <br /> T� Z/Z7 1700 <br /> �+s.STD.TAT El 24 hour EJ 48 hour <br /> ❑ 5 day ❑72 hour 114 day Relinquished by. Date Time Received by: Time. <br /> Matrix Values Repeat Values Relinquished by: Date Time Received b Date Time <br /> S Soil D Duplicate sample Relinquished b mercial Carrier: Re Date Time <br /> W Surface Water or Groundwater T Triplicate Sample a <br /> T TripBlank-QASamp€e N Pre-Purge Sample UPS FedE Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample ,l <br /> M Miscellaneous(e.g.,product sample) Temperate Upon Receipt O,"- 2C° pH Custody 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 /> I <br />