Laserfiche WebLink
levrorl Laliforni'a : • • Analysis cil., <br /> +Lancaster <br /> 1 ..b,,,, tries For caster Laboratorle use only / <br /> YV It? aasaierl[t~ a� Acct.M Sample#: )fi 9-CC 4 " t0, _ SCR#:_ <br /> Analyses Requested <br /> Matrix Preservation Codes Preservative Codes <br /> Facility#: �a� q� -- 1 1H=HCI T=Thiosuifate <br /> Site Address: S4 a N=HNO3 B=NaOH <br /> M S=H2SO4 O=Other <br /> Chevron PM: Lead Consultant: m G t ❑J value reporting needed <br /> � a w c ❑ 8 <br /> Consultant/Office:, g—2 8 Y�9,t1`F am ❑ <br /> o n M - 8 ❑Must meet lowest detection limits <br /> Consultant Pd.Mgt.: ❑❑ U ❑ ❑ possible for 8260 compounds <br /> Consultant Phone#: f' Fax#: 3b a W t 8021 MTBE Confirmation <br /> Sampler r E o o ~ Confirm highest hit by 8260 <br /> E m 0 0 ❑ ❑Confirm all Bits by 8260 <br /> Service Order#: ❑Non SAR: oQ z Ln LO _ R <br /> Q + o ©Run_oxy s on highest hit <br /> Date Time ro p 'o o = s I m [1 Run_oxy s on all hits <br /> Sample Identification Co ie 3:ed Collected 0 L) u) 0 r COf L- I1 � ! <br /> �pComments!Remarks <br /> 19/b rUaR'f-� PEQvk5r <br />� S�iH�f fWflt-y3lS Fes: <br /> 7PN'317 7P#Hoy <br /> 2 WOW MM M41eW <br /> 7f-Vt 6zOCA�NM <br /> i <br /> i <br /> Relinquished by: Date Time Imceivied gate Time <br /> Turnaround Time Requested(TAT)(please circle) z3b pA �"o '&gm <br /> Vhou <br /> 72 hour 48 hour R quis edb Date Time Receiv d by: Date Time <br /> 4 day 5 day Uft <br /> Data Package Options(please circle H required) Fknquishdd by: Date Time Received by: Da Time <br /> QC Summary Type I—l=ull <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier: R d by: Date Time <br /> WlP(RWQCg) <br /> UPS - ed Other lok_" LLW1 <br /> Disk Temperatu Receipt ^CD C° Cus als Intact? No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.7130101 <br /> Copies:White and yellow should accompany samples to Lancaster laboratories. The pink copy should be retained by the client. <br />