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Chevron California Region Analysis RequestlChain of Custody <br /> For star Lab <br /> +LarxasterMemV is a Acct y IIJ�J Sample ��,��/ o� useOnty 5CR# 10 <br /> O 1 Z3 V ti — r Analyses Requested <br /> 1 1 <br /> Facility# SSI#9-1848 G-RJ 386392 Global ID#TO607700-4k93 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address 1 257 W.YOSEMITE AVENUE, MANTECA, CA ,° 4 N=HNO3 B=NaOH <br /> � <br /> Chevron PM RC Lead Consultant SECORRH S=1-12SO4 O=OtherB <br /> Consultant/Office G-R, Inc, 6747 Sierra Court, Suite J, Dublin, Ca 94568 0 c D ❑Must meet lowestd etectlon Emtts <br /> Deanna L Hardin (deenna@grtnc com) z possible for 8260 compounds <br /> Consultant PI Mgr g ❑❑ U ❑ <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7899 0 a BOz1 MTBE Confimwtion <br /> Sampler Ica 11►3 D 1U� ,L " ©Confirm highest hit by 8260 <br /> � Service Order#� ❑Non SAR a � � � � � (3 Confirm all hits by 82fi0 <br /> ?�+55 $ $ ❑Run_oxy s on highest hit <br /> Sam le Identlfica on Collected C Date T ted (�7 v 8 9 � m � � � I � ❑Run�oxy s on all hits <br /> Comments!Remarks <br /> V <br /> -3Al <br /> I F <br /> 1 <br /> I <br /> inquish by g' Ae <br /> Time to 1 <br /> Turnaround Time Requested(TAT)(please circle) 1 3 L <br /> D TAT 72 hour 48 hour R ` Time R ived b to Time <br /> r 4 day 5 day 1Da I'l/w <br /> Data Package Options(please circle if required) <br /> Relinquished by Time Receivby to Time <br /> OC Summary Type I—Full L 2 p <br /> Relinquished by Commeraal Re by a Time <br /> Type VI(Raw Data) ❑Coelt Dellograble not needed UPS FedEx �ft- r n �4'7' l tf �r <br /> WIP(RWOCB} <br /> Disk Temperature Upon Receipt CO Custody Seals ? Y s No <br /> Lancaster Laboratories,Inc,2425 New Holland>�ke,PO 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> 3Rev 7130101 <br /> Copies White and yellow should accompany samples to Lance bondones The pink copy should be retained by the client <br /> 4 - <br />