Laserfiche WebLink
• 1 A # <br /> L master takwatories a F r t aboratortes use only �o �'3 2S9 q <br /> ( -f Semple#: � �} <br /> ye�a(ltyisBS�AE?li[Z? _ P �G���IJ ^ bl9-r SCR# <br /> ... Analyses Requested <br /> Facility#: `-!*5"z T0.lp 7-z�,o y� /„� Preservation Codes <br /> r Site Address t tive Codes <br /> ' L - <br /> '.HC <br /> I T= Codes <br /> Chevron PM: Le Consultant: - 3 B=NaOH <br /> Q <br />! S=H2SO4 O=Other <br /> Consultantf0f e.-AW Eldw� ❑ <br /> ❑J value reporting needed <br /> Consultant Pr].Mgr.; �e�y f N <br /> . 011 Must meet lowest detection limits <br /> possible for 8250 compounds <br /> I <br /> Consultant Phone#:21 ` L-. js� .Fax#_ r .,. f�� 0 Cl <br /> Sampler: �� L 0 �:+ 8021 MTBE Confirmation <br /> p ❑Confirm highest hit by 8260 <br /> Service Ordermon <br /> Field d Non AR:. rg xn ❑Confirm all hits by 8260 <br /> P -nNarne Repeal TopTime New o X z W o �. ❑Run_oxy's on highest hit <br /> matnx De YeaL Month Da .9-011 2.q I d Field 0 v t•°. <br /> S W [1 Run_oxy's on all hits <br /> S�3 7C Comments!Remarks <br /> ro d Time Requested(TAT)(please circil Relin D to Time eceived by: <br /> `f �S Date Time <br /> STD.-fAT 72 hour 48 hour <br /> It <br /> 24 4 day 5 day Re d Date Tune Rec' K-ed by: Date Time <br /> Data Package Options(please circle H required) I€nqui Date Irr by: <br /> OC SummaryReceived by: <br /> Type 1—Full Tme <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquish <br /> WIP(12WgCB) U1 a Ca R ved b <br /> F Ex ��'� ` y' a Time <br /> D€sk <br /> Temperature Upon Receipt�,��G° Custod els Intact? Yes No <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 Ghent. 3460 Rev. 10/04101 <br />