Laserfiche WebLink
Chevron. C. l �: <br /> or, An <br /> �dnG er For La�'I Q p r 110_11es use only ``",�' ' 3tv�o <br /> - - a — -- - <br /> -... <br /> V0xYe Qcla*is a scretace. <br /> Acrd.#: 1 �-t Sample#: �.�0�� -SCR#:- . <br /> •; Analyses Requested <br /> x'. <br /> _ Preservafion Codes nafive CodesFaality G ��1 <br /> =.1­10 : .T=Thiosultate <br /> Site Address: S7f: � 03 B=NaOH <br /> W S=H2S44 O=Other <br /> Chevron PM:-L:6e'1*'1 ' Lead Consultant; <br /> �. J7 ❑ ❑J value reporting needed <br /> C4nsultant/Office• <br /> 0 Must meet lowest detection limits <br /> Consultant Pd.Mgr.: ;016 ySG— 455�ya.-s o possible for 8260 compounds <br /> Consultant Phone 0? Fax �31��G�-2 �0 o a o ❑ 8021 MTBE Confirmation <br /> ❑Confirm highest hit by 8260 <br /> Sampler: E ❑ ❑Confirm all hits by 8260 <br /> Service Order#: <br /> ❑Mon SAR: - A � ? + � $ � � ❑Run_ox�s an highest.hrt <br /> Field Repeat Top Time lVew E a o ❑Run_oxy's on all hit <br /> Name Sam le DeDth,Year Month Day- Collected Field Pt. 0 ,Q tw <br /> $ r 0_'57 X 2C Comments 1 Remarks <br /> Q 8"TGt7- <br /> i . <br /> Rei' by: Da Time Received by: Date Time <br /> T Time Requested(TAT)(please circle) <br /> TD.TAT 72 hour 48 hour 4Rjnqul$h <br /> ed b : -Received by. Date Time <br /> 24 hour 4 day 5 day 3� <br /> Y. <br /> ate Time Received by: to Time <br /> Data Package Options(please circle If required) <br /> QC Summary Type l--Full <br /> Type VI(Raw Hata) ❑Coelt Deliverable not needed Relinquished merraal a r ,y Re ed by: Date. Time <br /> UPS F x ke H L, �°� <br /> WIP(RWQCB) — <br /> DiskTemperature Upon Recelpt C° Custody Seals I ? <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster, PA 176054425 (717)656-2300 3460 Rev. 10/04/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br /> I <br />