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I <br /> Chevron California Region Analysis RequestlChain of Custody <br /> L!R.Cfs&�n� }J�)1 ht _ Far LaP r rat^ aas only (� <br /> VNleregva�ryaasnencF <br /> Ac <br /> d # L (Jl�Sam LL SCR# ��a( 7 <br /> 0`723 0 --off` Analyses Requested <br /> Fwlcty# SUg-1848 GR03813392 Global IM0007700493 Maul: Preservation Codes i Preservative Coda <br /> Site AddreSJ257 W YOSEMITE AVENUE, MANTECA,CA H=HCA 8- tilos Irate <br /> Chevron Pfd Lead Consultanl�CORRN <br /> 8=H2SO4 O=Other <br /> 3-R,Inc.6747 Sierra Court,Sutte J,Dublin,Ca 94588 ❑J value reporm,s needed <br /> ConsultantlD]ffi _ � � ❑Mast meet��datsdbn�� <br /> Consultant Pij Mg trtnri L Handing (deannaognnc com) 0❑ 0 p possible for MO oompounds <br /> Consultant Phone 925-551-75W Fax A925-551-7899 8 8021 MTBE Confirmation <br /> Sampler E:rZAMV. TE&Li Ibu t p [3 Confirm hlghesl Nt by OM <br /> Service Order AR -----DNon SAR E3❑ ❑Confirm all his by 8280 <br /> Date Time g <br /> � as � Run_pxy a Gonhighest hit <br /> sampleIdentification Collect N 3 O t- 0 Rte..._oxy a on al hgs <br /> 2l- Comments l Remarks <br /> I <br /> C�1 1 <br /> r <br /> 1 <br /> I <br /> Tnd Time Requested(TAT)(please cirde) Relk gcdahed Date Time Received by Doe Time <br /> ` 2i•D <br /> MTAT 72 hour 48 hour ulahed Time R by Dow Time <br /> 24 hour 4 day 5 day riQ <br /> Data Package Options(plessa drole If required) �O Received by � Date Time <br /> QG Summary Type I—Fut <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished b7 Com mardd Carter � Time <br /> WIP(RWOCS) UPS F � �� �Fpp <br /> Disk Temperatw+e Upon Receipt C =CA" <br /> Beals Intacx7 No <br /> Lancaster Labomkwles,Inc.,2425 New Hd11W Puce,PO Box 425,Lwoester,PA i?W5-242gL_(H7)8w23oo 3480 Rev.7130101 <br /> — 'Copise While and yellow should acoompany samples to Lancasmr Laboratories The punk copy atwufd be retained by the dlent <br /> I <br />