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Histofical Pipeline PorfiblidAnalysisRequestlChain1Custody <br /> *LamasterLaboratodW 1 O 4 4ff For Lancaster <br /> Laboratories use only } <br /> Mmwalrtyrsascience. Acct.#: U !l� Group# 1 JOS Q- Sample#: rJ 7,�g -7 - 17 <br /> Please print tc Analyses Requested SCR#: <br /> Site/Global ID: US 007/1 — 4 f Preservation Codes Preservative Codes <br /> -�-75- Vdf-7- f�rOO V{rn°l 11S C� H= HCI T=Thiosulfate <br /> Site Address: � � N=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC S=H2SO4 O=Other <br /> >n U <br /> Consultant/Offlce: ® z ❑J value reporting needed <br /> 000 r , 7. 41*_ C7 fy�a �i4 q� '! o <br /> ❑3800 Watt Avenue,Suite 210,Sacramerfo, A 95821` © z HPP Risk Assessment Detection <br /> ►,f_ C Limits <br /> Consultant Prj.Mgr.: Wf t3 1 ❑ El <br /> + _ 0 N �, o o ❑Chromatograms <br /> Er <br /> Consultant Phone#: 16— +� `30�� Fax#: a`) � o 2 0 <br /> J!- /S"1-0 <br /> ' ` -0 rK ❑ vs o 0 0 <br /> Sampler: Sea-, I�1 4 S"1 0 SCA irr,pot N = 2 a <br /> 0 Z m m N LO LO � 0 <br /> aco 0 I'S o N <br /> Field Repeat Top Time New o m = co co _ <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YM C7 U F m a <br /> S — 5- 2 _a8—J{ 4 � �( X Comments 1 Remarks <br /> se-19 5 2 -oS-!� lots- K �C <br /> 91Y 2n-(T-It 45- Y )C X k <br /> �.S boa D8'-If 1200 Y ?C 1 r k <br /> ..1g 37 20()U(W- I( 6 Y X a k 1c <br /> O-Zo S -_27s' -a-r,2 1 t ao x ?c k <br /> -1v - 1401 200 -a3-li 111S_ [ X <br /> st 'Z04 or!z 09 Zo x K <br /> S-1 x-09-fZ `Y3 <br /> S — !r 2W9._rg-�Z 1zoo k <br /> Turnaround Time Requested(TAT)(check box) Relinquished by: n Date Time Received by: Date Time <br /> STD.TAT ❑24 hour ❑48 hour <br /> 5 day ❑ 72 hour ❑4 day Relinquished by: Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Rec ived by: Date Time <br /> 5 Soil <br /> Water or Groundwater T Triplicate Sample D Duplicate sample <br /> W Surface Relinquished by Commercial Carrier: ecei a by: Date Time <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS 'F94C-K-� Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt 24--IJ-1 C° pH Cust dy Seals Intact? No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.61 Rev.1/14105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />