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Historical Pipeline Porffbfid Analysis RequestlChain of Custody <br /> L a aster Lab=Wks O 1 1 5 ,,LL For Lancaster Laboratories use only <br /> K4wequ*yisascience. / Acct.#: 8413 Group# !?'7F'/!50 Sample#: 4 7-3-39 <br /> Please print 0 Z 6 <br /> 4 b —0 Analyses Requested SCR#: <br /> SitelGlobal(D: Vtr-,4iS k *41,.-, SL V G O 77Y2.ff33 Preservation Codes Preservative Codes <br /> Site Address: 3S_00 s-AL LAet k R�a�, Vfr--J+5 I (A a H=HCl T=Thiosulfate <br /> N=HNO3 8=NaOH <br /> Chevron Texaco PM:M.Scott Mansholt Lead Consultant:SAIC S=H2SO4 O=Other <br /> rel U <br /> ConsuttantlOffice: 1:1401 Alberto Way,Suite 8,Los Gatos,CA 95032 ❑J value reporting needed <br /> 3800 Watt Avenue,Suite 210,Sacramento,CA 95821 El in z <br /> ❑HPP Risk Assessment Detection <br /> 0 _ Limits <br /> Consultant Pf.Mgr.: C,kr4S j)e^0'tS ❑ � ❑ a <br /> 1 9 0 ❑ <br /> N N o o Chromatograms <br /> Consultant Phone#: 9Ib Fax#: 22169-7) 3 731 4M m C> � 0!: W <br /> Sampler: Lf —4 Key ��r>a� L t,,4 o D 0 M S <br /> CLC4 C4 Ul) U5 <br /> o <br /> Field Repeat Top Time ++.w o m w z _ w <br /> Point Name Matrix Sample Depth Year Month Day Collected rr"w Ptvie 0 V m a a ~ <br /> D 6 02 1 cf 0-7Z 9 1 }� Comments I Remarks <br /> 0 b OZ 1q 0730 N X X X k Uk S1111CA 4 "{ <br /> ►W FS mvv- N C)6 OZ. t 0710 !o XC��AK`'� v� TM J <br /> W-S' W -- 04 02 I'l 1 000 n1 Xr 3" X X X X <br /> h1— w -- 06 02 t o;c> r, -Lo- X k <br /> 06 v2 IY i 300 N k c k k MSIME 1:21 <br /> S D �a <br /> J <br /> Tumaround Time Requested(TAT)(check box) Relinquished by: Dat ppcTime ived .,D/ate Time <br /> STD.TAT 1124 hour ❑48 hour `�U F f r Date s/Ti <br /> ❑5 day ©72 hour ❑4 day li quish by: l�G !�O Receiv � <br /> Date Time <br /> Matrix Values Repeat Values - Date Time Received-by --- - Date Time <br /> S Soil D Duplicate sample Relinquished by Commercial Carrier: Received by: Date Time <br /> W Surface Water or Groundwater T Triplicate Sample �j <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS FedEx Other }}L 4/`� 1 j <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Tempe rature/pH Upon Receipt�]�C° pH Custody Sea ntact? a No <br /> ; r-1 4324.01 Rev.1114/05 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />