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Chevron California Region Analysis RequestlChain of Custody <br /> Lancaster Laboratories For Lanwste7r L� wait''u7-n�dv <br /> `v Acct.#: 1K <br /> Sample#: 3 /� A 10 (— �/ SCR#: <br /> ! Wheiequaftyisascience. <br /> �1 I I Analyses Requested <br /> Facility#: Q0 d !�P t Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: N=HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> Chevron PM. Lead Consultant: <br /> dm ❑J value reporting needed <br /> Consultant/Office: S ° c <br /> 'm 14 ❑Must meet lowest detection limits <br /> Consultant Pd- Mgr.: 1 a z c m rn possible for 8260 compounds <br /> CIO <br /> onsultant Phone#�V1�� ��— Fax 8021 MTBE Confirmation <br /> {� m ❑Confirm highest hit by 8260 <br /> Sampler: "-t=�-}Z �? � E 1° 0 0 m ❑ ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: o ¢ z' 112 % R <br /> ME a + io m ,2 o a ❑Run_oxy s on highest hit <br /> Date Time m o '0 m o F s N I m ❑Run_oxy s on all hits <br /> Sam le Identification Collected Collected C7 0 rr1 13: O ft m <br /> Comments/Remarks <br /> t <br /> b <br /> l 1 , <br /> i 0 <br /> C t 1 1ti'.Lib <br /> Ak <br /> eli b : a Time R 'ved by: 4DateTimeound Time Requested (TAT)(please circle) ITD.TAT 72 hour 48 hour Re DaaReceived by:24 hour 4 day 5 dayRelinquished by: Date Time Received by:Data Package Options(please circle'rf required)QC Summary Type I—Full Relinquished mercial Cartier: a ived by: <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed " <br /> UPS FedEx Other <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt C. Custody Seal Int ct? Yes N <br /> • Lancaster Laboratories,Inc.,2425 New Holland Pike, x 12425,Lancaster,PA 17605-2425 (717)656-2300 �0 Rev.7/30/01 <br /> Copies:White and yellow should accompany samples to Lan3WLaboratories. The pink copy should be retained by the client. <br />