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Chevron California Region Analysis Request/Chain of Custody <br /> For Lan t orotorias use only ro V <br /> p )-75()-7 <br /> jjoLancwter Laboratories � I d Sampfa0 44 I (D - 1 C�_ _ SCR# <br /> Analyses Requested <br /> Preservation Codes Preservative Codes <br /> Facility# SS#9-1848 trRlT386392 Global I[l>ZTa607700493 Matrix H=HCI T=Thiosulfete <br /> 57 W YOSEMITE AVENUE, MANTECA,CA <br /> Site Add N=HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> ' Chevron PjRC Lead ConsuttafiECORSS <br /> 8747 Sierra Court. e N 0 J value reporting needed <br /> Consuitant/OHicG-R,Inc, Suite J. Dublin,Co.945% <br /> 0. c 0 Must meet lowest detection limits <br /> Consultant Pri Mg�nna L Herding (deanneognnc com) z 130 v ❑ possible for also compounds <br /> Consultant Phone llE15�— Fax '68021 MTBE Confirmation <br /> -" <br /> Q Confirm highest hit by 8280 <br /> Sampler O © 0 Confirm all hits by 8260 <br /> Service Order# (]Non SAR a z $ W p stun oxy s on highest hit <br /> Date Timep Run_- _Oxy s on all hits <br /> Sam le Identification Collected Collected <br /> O,Zo- Comments!Remarks <br /> ILO <br /> G— <br /> 1 <br /> i <br /> i <br /> a <br /> Relinquished Date Time Received by Date Time <br /> Tum round Time Requested(TAT)(please circle) E-2-0-14 <br /> kTITTAT 72 hour 48 hour Rel fished by Data Time Received bon y Da Time <br /> 24 our 4 day 5 day 1I <br /> Rel shed at Time Received Date Time <br /> Data Package Options(please drele ilrequlred) <br /> a I S3a <br /> OC Summery Type I—Full Relinquished by Commercial Carrie lived by Date Time <br /> Type VI(Raw Data) ©Cosh Deliverable not needed <br /> L1P r <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt 1,50. Custody Seats Intact? Yee No <br /> Lancaster Laboratories,Inc.,2425 Now Holland Pike,PO Box 12425,Lancaster,PA 17805.2425 (717)858.2300 3460 Rev 7130101 <br /> Copies Whfle and yellow shotod acoanpany samples to Lancaster Laboratistf33 The 01nk copy should be retained by the client <br /> i <br />