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Historical Pipeline ' • • • Analysis i ' 1 of • <br /> +LancaSter�ibl� 0371 a o i al��� 9 tae L4 to 30-3(0;3L—CO 9 <br /> �^ For Lanca ter r ones use only <br /> Wf graWisascL _ _ [, Acct.#: Group# Sample#: <br /> Please print D ( D, -11 SCR#: /2) <br /> Analyses Requested <br /> Site/Global ID: �� LAN Preservation Codes Preservative Codes <br /> Site Address: V VAo l.lS G� Q N=HCl T -hiios (fate <br /> ! <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC S=H2SO4 O=Other <br /> L <br /> Ccnsultant(Offrce: El 401 Alberto Way,Suite B,Los Gatos,CA 95032 ❑J value reporting needed <br /> sa ° a <br /> X3800 Watt Avenue,Suite 210,Sacra menta,CA 95821 c ❑ U) z El HPP Risk Assessment Detection <br /> Consultant Pry.Mgr.: Lt 1S D¢nr~ S U El ElJ ❑ o Limits <br /> Consultant Phone#: (3I�) 9-79 3ES6� [ 4b `j79 3735 ° C' `� ❑ El Chromatograms <br /> Fax#: m m co a <br /> n i, i �/ n Elm o 0 0 <br /> Sampler: i?�tf� f c G��Q �` no 0 <br /> .° Z CD co eco N in U <br /> Q °D o 0 0 <br /> Field Repeat Top Time NM o S �° w m = _ = x � <br /> Point Name Matrix Sample Depth Year Month Day Collected Field R YIN 0 U m a - W <br /> l NA 2a-s Io 4 S' N A 11 X X X I Comments I Remarks <br /> M W- ) 1 4, <br /> 1' � Sb ►►^J5IZ3bAMD k x JC Kc�p �l � <br /> Q IN T + zJ-S- 1" 19 l N k 2 X v{ktr o•��[YS.cS <br /> WIP514W- I W -t--'s !�> 11 (1©J 4 k to X k X <br /> I"M1 W-?i W ZPJJ i o (9 1310 N X to 'k X X <br /> 10 i] /You N X t� <br /> 4-- <br /> Ail _L_ I I I I I _j I I I _1�1 <br /> C,tSCAS� <br /> Mw-5per c.Ti¢w f '941W <br /> Turnaround Time Requested(TAT)(check box) Relinquished by: Date Time Received byy- Date Time <br /> 107 <br /> 0 I Ohm <br /> - STD.TAT EJ 24 hour El 48 hour <br /> ❑ 5 day ❑ 72 hour ❑ 4 day Relinquished by: D to Time R c ved b Date Time <br /> fie, (0 13 15-30 16 ISO <br /> Matrix Values Repeat Values R nq fished Date T� Receiv�by: + Date Time <br /> ° -e C�!! 4 <br /> S Soil T Duplicate sample Relinquished b ommercial Carri Received by: Date Time <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS ed E> Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) [Temperature/pH Upon ReceiptACooa4n/i C° pH Custody Kals Intact? a No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Sox 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1/14105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />