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Chevron Califomia R( ion Analysis RequestlChain of Cr 'tody `W-aruster Laboratories j q For La]r�caste3 Laboratories use only �Ityis ascenC2. Acct.#: U Sample#: r'7`J /�/�,� �a��!! SCR#: Where Analyses Requested Facility#: (ice aoV1 r966'7(n4 Preservation Codes Preservative Codes Site Address: 4747 N , L� Lin `;14- V% C a H=HCI T=Thiosulfate +4 N= HNO3 B= NaOH Chevron PM.4—R n1a r,Ccrk fN Lead Consultant: Sego 2, S= H2SO4 O=Other N U Consultant/Office: 3Q kiL(F�66L 2d. 5-L Z� c ❑ c9❑ J value reporting needed �° N ❑Must meet lowest detection limits Consultant Pd. Mgr.:�r a.-r o rn possible for 8260 compounds U Consultant Phone#: q//o-OXO/-a/On Fax#: c///&-,S2L-cWOD `o ¢ o ❑ 8021 MTBE Confirmation ID Sampler.�oa� ,��/..�av«G. o m o o " ❑Confirm highest hit by 8260. Service Order#: .N E o, ❑ ❑Confirm all hits by 8260 ❑Non SAR: o Z a o. + m m ❑Run_oxy's on highest hit Field Repeat Top Time New m o :° w s = m ❑Run_oxt/s on all has Point Name Matrix Semple De th Year Month Day Collected Field Pt. (D U m m I-10-0z- /. Comments(Remarks oZ- i Relinquished by: Date Tim Received by: Date Time Turnaround Time Requested(TAT)(please circle) STD.T 72 hour 48 hour Relinquished by: Date eceived by: Date Time 24 hour 4 day 5 day Data Package Options (please circle if required) Relinquished b Date Time Received by: Date Time QC Summary Type I-Full Type VI(Raw Data) ❑Coelt Deliverable not needed Reli she y Co tial vS r - Q-r�,r Re y: p e Time WIP(RWQCB) UPS FedEx Oth Disk - Temperature Upon feceipt C° Custody Seals Intal. No Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10/04/01 Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client.