Laserfiche WebLink
r - <br /> (���NOW <br /> Lancaster Laboratories For Lancaster Laboratories use only <br /> Wherequalltyrsascrence Acct # - 1 Sample# ,4! SCR# <br /> vj <br /> Analyses Requested <br /> Facility# -Z Preservation Codes <br /> Preservative Codes <br /> Site Address ZSCZ—( {GR �at tie H = HCl T=Thiosultate <br /> ` a N = HNO3 B=NaOH <br /> Chevron PM Lead Consultant t L�2 — S = H2SO4 O=Other <br /> V <br /> Consullant(Office t o S4 rf,- a� ❑ <br /> 0 ❑J value reporting needed <br /> Consultant Pr) Mgr m <br /> G rrrz o ❑Must meet lowest detection limits <br /> 0 (� possible for 8260 compounds <br /> Consultant Phone# 4tc. $(,! -o Fax# iL9Lc. ( - o ❑ ❑ <br /> o g a a <br /> " 8021 MTBE Confirmation <br /> Sampler � afa �'�cI�S�,,.! (D o a <br /> m A w o �, " ❑Confirm highest hit by 8260 <br /> Service Order# ❑Non SAR �' 1 o °�' ❑ ❑Confirm all hits by 8260 <br /> ° <br /> Field Repeat Top Time New � E �° C. <br /> X W r° ❑Run i oxy s an highest hit <br /> Point Name Matrix Sam le De th Year Month Da Collected Field Pt CD �j F- w z s <br /> co <br /> ro ❑Run Oxy 5 OR all lilts <br /> r a <br /> N: S — — Comments!Remarks <br /> Y <br /> w- S t ,sd ,�` o'z- os-- 144 <br /> g So s' os"I Y /y o <br /> �"w- e 7!e-S"' Sol Yr` 0 Z isy 9' <br /> 5,. t� L� <br /> h <br /> -z <br /> MW-z 11 �,r l Z �,s S' <br /> Mw-z 4 Sb — <br /> -'z S <br /> Turnaround Time Requested(TAT)(please circle) Relinquish 9 Date Time <br /> by Date Time <br /> TA 72 hour 48 hour ' �'Z-- 1 r <br /> 24 hour 4 day 5 day quished b Date Time Received by Date Time <br /> Data Package Options(please circle if required) Relinquished by Date Time Received by Date -T- <br /> QC Summary Type I-Full <br /> Type VI(Raw Data) OCoelt Deliverable not needed Relinquished by Commercial Carrier Re eived by <br /> WIP(RWQCB) UPS ed>=x Other ate Time <br /> `�� <br /> Disk Temperature Upon Receipt C <br /> Custody Seats In1acE? Yes No <br /> Lancaster Laboratories Inc 2425 New Holland Pike PO Box 12425 Lancaster, PA 17605-2425 (717)656-2300 3460 Rev 10104101 <br /> Copies White and yellow should accompany sahiples to Lancaster Laboratories The pink copy should be retained by the client <br />