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Historical PipelineP1 1 d Analysis RequestlChain1 Custody <br /> L.anaster Labor&eies 2232 <br /> For Lancaster Laboratories use only Q <br /> VW-regaftyisascier- Acct.M Group# I I a 1309 Sample#: 55 3 Le I c 3� <br /> Please print Analyses Requested SCR#: <br /> 5itelGioballD: <br /> Ca r� _ WtOAZPreservation Codes Preservative Codes <br /> _J H=HCI T=Thiosulfate <br /> Site Address: G� N =HNO3 B=NaOH <br /> ChevronTexaco PM:M.Sco an holt Lead Consultant:SAIC S= H2SO4 O=Other <br /> Consultant/Office: en+ ❑ih�..,i"' a o�l� �❑o�_nd�a�"� (D m N <br /> da eer c c� . ❑J value reporting needed <br /> El3804 Watt Avenue,Suite 210,Sacramento,CA 95821 c ❑ z HPP Risk Assessment Detection <br /> J!r} C U E] J a Limits <br /> Consultant Prj.Mgr.: / ►il/t /11 J ®L/�1 o o ❑Chromatograms <br /> Consultant Phone#: i 'r_V 1_V—�(�r7�Fax#:(- m CD or <br /> m <br /> Sampler: Gco <br /> � NZcoco <br /> Q co _CD <br /> O <br /> Field Repeat Top Time New 2 o w m = = _ = <br /> Lu <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YIN U F- m a 23 p� <br /> Comments I Remarks <br /> act, W 0-5 Q 0a <br /> PUP— — r tl .�J <br /> Turnaround Time Requested(TAT)(check box) Rquished by: Q to Time Received Date Time <br /> STD.TAS-- 0241iour -$-48-hour - <br /> ❑5 day ❑72 hour ❑4 day elinqui e •d b D to Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: - Date Time ce4by: Date Time <br /> S Soil D Duplicate sample Relinquished by Commercial Carrier: Rec a Time <br /> W Surface Water or Groundwater T Triplicate SampleT Trip Blank-QA Sample N Pre-Purge Sample UPS F� Other R Rinsate Blank-QA Sample P Post-Purge SampleM Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt ' C° pH CuO Y Na <br /> Lancaster Laboratories, fnc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1114/05 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />