Laserfiche WebLink
Historical • • • / AnalysisRequestlChainofCustody <br /> *Laxaster Laborato es 1231 For Lancaster Laboratories use only <br /> Mae Acct.#:�� � Grou QRr <br /> # 1 Sample#: <br /> tltjt <br /> nS p 3 <br /> Please print Analyses Requested SCR#: <br /> SitelGlobal ID: M Q U NTT W IRA)5-a (7 Preservation Codes Preservative Codes <br /> Site Address: <br /> TRAC Y. C A CL <br /> H=HCI T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> ChevronTexaoo PM:M.Scott Mansholt Lead Consultant:SAICS=H2SO4 O=Other <br /> :n U <br /> ConsultantlOffioe: El 401 Alb o Wa ,Suite B,Los Gatos,CA9 3 c� ❑J value reporting needed <br /> 1000 D R0#%0WAr'9a Orl, (s1+ w8A KL W01 U g400� �u a <br /> 38 OA ` ,..., Log A�:e o ❑ U, Z PP Risk Assessment Detection <br /> Consultant Pry.Mgr.: F WHIM 0 ❑ ❑ Limits <br /> U ? ❑ o v <br /> t, 0 - � 0 0 ri ❑Chromatograms <br /> Consultant Phone#: o Fax#: 5I0-AP&•7111 a) CD.� � � � 0 � <br /> Sampler: ��kLKF , 3o g a <br /> Z m m r <br /> co co <br /> Feld Repeat Top Time New o 0 ixu m =co <br /> _ a <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YIN a 0 0 <br /> 513" $' S 111 <br /> 737'20W-51—jzl 10467 y' I X X Comments t Remarks <br /> SB-�5 S ►� Uq 2- 1216' `� X X <br /> 34 2OM13 12.4 Q2$ I `f 1 7, )c <br /> 5 8—!6 5 ►V 5 20001,512-4 If-46 `f' ) <br /> 159-1.1 S S 20001324 1-7 4C4Y f X X X <br /> 58-11 S N Lc,I zLX)t) 3 e30 Y X X <br /> se - 16 5 N S' 2. 091 3 as 01S- X <br /> B- JLP S fJ 23 21068 3 25 I31 X Ix <br /> 5 - 1110 S N 33 5 20 130 `r <br /> sg- S All ts'1 x <br /> Turnaround Time Requested(TAT)(check box) Relinq is by: ate Time Received by: Date Ti <br /> STD.TAT El 24 hour El 48 hour 10 <br /> ❑ 5 day El 72 hour ❑4 day Relinquishe Date a Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Receiv Date Time <br /> S soil D Duplicate sample RelinquishenFedE m ercaal Carrier: Re ived by: Date Time <br /> W Surface Water or Groundwater T Triplicate Sample Time <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS Other f, <br /> R Rin sate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperature/pH Upon Receipt)' ��- C° pH Custody Seals Intact? es No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425,Lancaster, PA 17605-24;/ (717)658-2300 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 />