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Chevron California Region RequestlChainofCustody <br /> La <br /> ' i <br /> La er[ • boratodes r\t1 f� For Lan�a$t �Oratori s use only SCR# .71 <br /> LL1UV Acct # V17q Sample#_,` ,t If �fc <br /> Where quality is a soerrce 2 c� <br /> J 1 <br /> Z Z' c) -'Q Analyses Requested <br /> Facility# 9-1848 Job#386392 GlobalMatrix Preservation Codes Preservative Codes <br /> i 1257 W YOSEMITE AVE , MANTECA, CA H CI T = hioslfate <br /> Site Address =H <br /> Chevron PM RC Lead Consults scar c S=H2SO4 O=Other <br /> Consultantloffrce G-R, Inc , 6747 Sierra Court, Dublin, Ca 94568 <br /> w © ❑J value reporting needed <br /> a a J ❑Must meet lowest defection limits <br /> Deanna L Hardin Deanna rtnc com Q in possible for 8260 compounds <br /> Consultant Pry Mgr 9 � •9_____ <br /> I> Consultant Phone#925-5/51-7555 Fax# 925-551-7899 6 N a © C] 8021 MTBE Confirmation <br /> Sampler _ S (7 efzRr�rt_/ �, ❑ . co 8 o [1Confirmhighest hit by 8260 <br /> m E U0 ❑ ❑Confirm all hits by 8260 <br /> Lo <br /> Service Order# ❑Non SAR o a z to <br /> Q a m + o ❑Run axy s on highest hit <br /> Date Time ° E o @ a j El Run oxy s on all hits <br /> Sam le Identification Collected Collected (9 - 8 01) O m C ! <br /> 1--17-03 Comments 1 Remarks <br /> G- 3 1 2S X. <br /> Relinquished ba,., <br /> Date Time Received by at Time <br /> Turnaround Time Requested(TAT)(please circle) } <br /> STD TAT 72 hour 48 hour Relinquishodiiy PatTime R ed b to Time <br /> 24 hour 4 day 5 day I I L" /tom <br /> d b <br /> Data Package Options(please circle rf required) !in uished ate Time ReDate Timei <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier i Re Date T`'! i <br /> UPS FedEx 0the l J 4 / 111 <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt C° Custy 3�als Intact Yes No <br /> O Lancaster Laboratories,Inc,2425 New Holland Pike,�x 12425,Lancaster,PA 17605-2425 (717)656-23000 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lan Laboratones The pink copy should be retained by the client <br />