Laserfiche WebLink
in of Custody <br /> Chevron r r. Region , r r r r <br /> 1�LQn aster' -koratOri� For Lancaster Laboratories use only <br /> I.QJL L.AU Acct.#: Sample#: SCR#: <br /> Where quality is a science. <br /> Analyses Requested <br /> Facility#: <br /> �(,��a Preservation Codes Preservative Codes <br /> - - H =HCI T=Thiosulfate .- <br /> Site Address: 33 qQ_ n 6 I'a.vl � j N= HNO3 B= NaOH <br /> Chevron PM:;j D�_(S #,64 v1 Lead Consultant: e_0 V C S=H2SO4 O=Other <br /> ConsultantlO#iice: U G r'G� r/ti.LQ ❑ ❑J value reporting needed <br /> 06 <br /> �;, ❑Must meet lowest detection limits <br /> Consultant Prj. Mgr.: lJaVpr VGt V7 T o cc v5 possible for 8260 compounds <br /> Consultant Phone*�g�(��t3�d f'-04/01V Fax#:-(C)/ } 11l!F 1 W 3 0 0 8 = o❑ ❑ 8021 MTBE Confirmation <br /> Q v� !� ( m ❑Ganfirrn highest hit by 8260 <br /> Sampler: 7 +1 0 0cc <br /> .75 5 a ❑ ❑Confirm all hits by 6260 <br /> Service Order* ❑Non SAR o z �2_ 2 V �2 x N <br /> CL + F. o ❑Run___oxy's on highest hit <br /> Field Repeat Top Time New o `� w r z ro ❑Run,oxy's on all hits <br /> Point Name Matrix Sam le Depth Year Month Da Collected Field Pt. v m °' W °l <br /> Comments!Remarks <br /> AP,V1in> og p / ,&- _ <br /> T <br /> Relinqui b 9ate + Time Received by: Date Time <br /> Turnaround Time Requested (TAT)(please circle) ,,� G,' f <br /> STD.TAT 72 hour 48 hour Ry1inquihed Date Time Received by: Date Time <br /> 24 hour - 4 day 5 dayData Package Options(please circle if required) d b : y, Date Time Received by: Date_ ' : Time <br /> QC Summary- Type,I-Full ...�-.. ... ..... <br /> Type VI(Raw Data) ElCoelt Deliverable not needed Relinquished by Commercial Carrier: Received by: Date Time <br /> WIP(RWQCB) UPS FedEx Other <br /> Disk [Temperature Upon Receipt c° Custody Seals Intact? Yes No <br /> ' 9 Rev. 10/04/01 <br /> 'r <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike, P �12425, Lancaster,PA 17605-2425 (717)656-2300 a <br /> (_, Copies:White and yellow should accomoanv.samples to Lan °�abo tnripc. Th nick copy ahold be rateinad by ra-Ii4nt. <br />