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Historical ' • Poftfid Analysis • • ofCustody <br /> +Laxaster Laboratories 0150 For Lancaster Laboratories use only <br /> Where gjaRyisascience. Acct.# 3 Group# 1 58' `V1 Sample#: 96 99 7—9 <br /> Please print o 1 6 Analyses Requested SCR#: <br /> Site/Global ID: 5L0 40'9j-49933 Preservation Codes Preservative Codes <br /> Site Address: VC rhos is S P"VA P51 AA I Z%6 H =HCI T=Thiosulfate <br /> N=HNO3 B= NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC S=H2SO4 O= Other <br /> ` U <br /> Consultant/Office: ❑401 Alberto Way,Suite B,Los Gatos,CA 95032 c0 ^' <br /> ❑J value reporting needed <br /> CU <br /> 00 Wa Avenue,Suite 10,Sacramento,CA 95821 s <br /> /�� ❑ z ❑HPP Risk Assessment Detection <br /> Consultant Prj.Mgr.: �i?llJ yt/lU ❑ > w Limits <br /> C3 U <br /> El Chromatograms o <br /> Consultant Phone#: # o <br /> - <br /> m E ❑ ❑ o o o 0o � <br /> Sampler: 3 to o 2 2 <br /> o Z N � U'> u- U <br /> Field Repeat Top Time New m o ° m = = = `� Q <br /> x <br /> Point Name Matrix Sample Depth Year Month Day Collected Field KYIN 0 U m a <br /> GkA `r A114ea; d l 2.S 52%S' A)A Cam en 1 em ks <br /> N1 <br /> 4 w r Sn x 0 <br /> jmw-.5' Zi 'C , <br /> rAW-G �- v r r 'A <br /> bel LsXy <br /> Turnaround Time Requested (TAT)(check box) Relinquis y at4Dd Time cei ed by Date Time <br /> STD.TAT ❑ 24 hour ❑ 48 hour <br /> El 5 day El 72 hour El 4 day 100 <br /> lin uishe yr ate Time Received b Date Time <br /> � '� aL Sst7 <br /> Matrix Values Repeat Values Refirgmshedbpr---`-- `—`"" __- Date Time Received by: Date Time <br /> S Soil ❑ Duplicate sample Relinquished by Commercial Carrier: Received by: Date Time <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS FedEx Other v" <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt[ic'XI C° pH Custo Is act? es No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike, PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1114105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />