Laserfiche WebLink
Lancaster Laboratories # I U , �p For Lancaster Laboratories use only <br /> Acct <br /> Wheregwbtyisa-science -�1 Sample# Z! " 3U-Ll`� SCR# <br /> U� <br /> Analyses Requested <br /> Fatality# -Z��(r Preservation Codes Preservative Codes <br /> Site Address —Z-5Ul 14(&o `j ti(e H = HCI T=Thiesulfate <br /> CaGi� H= HNO3 B=NaOH <br /> Chevron PM Lead Consultant a CD S = H2SO4 O=Other <br /> N U <br /> Consultant/Office % tif 620 5- r oU ❑ z 0 J value reporting needed <br /> Consultant Pry Mgr G1ErC Hflrr=ri c o " El Must meet lowest detection limits <br /> ° 05 possible for 8260 compounds <br /> Consultant Phone# 'etc. $(,( -a Fax# q(44(-pY oLD oO 8021 MTBE Confirmation <br /> Sampler _ a(o 3'ac[�S�„ m w o o ^ ❑Confirm highest hit by 8260 <br /> 0 0 <br /> Service Order# R° 2 a la 0 <br /> ❑Non SAR a Z Ln W ,� o ❑Confirm all hits by 8260 <br /> Field Repeat Top Tlme New m 5 x m $ 2 ❑Run_oxy's on highest hit <br /> Point Name Matrix Sam le De th Year Month Da Collected Field Pt t7 U t° w � F m � � ❑Run�axy s on all hits <br /> so ` o a z oaf 1 - :ata <br /> Comments!Remarks <br /> oz.or lazeir <br /> w- (9 GY< Yr oz a"tY !!: <br /> W-- r Saf r1r L - dSl <br /> 02(3S( ^`3� <br /> �Z �►1 �4 6Z'.4,[y <br /> 1�11r.1-Z sal 1N z o (5' �2 <br /> Say '7 v ZU�-[ 9 Sb <br /> w •Z sr, zest l /'(0 6> <br /> Turnaround Time Requested (TAT) (please circle) Relinquish y Date Time by Date Time <br /> TA 72 hour 48 hour <br /> quished <br /> 24 hour b Date Time Received by Date Time <br /> 4 day 5 day <br /> Data Package Options (please circle if required) Relinquished by Date Time Received by Date Ti <br /> QC Summary Type I-Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier Re eived by ate Time <br /> W!P(RWQCB) UPS edEx Other '114 <br /> C Ogps <br /> Disk 707, <br /> Temperature Upon Receipt C. <br /> Custody Seals Intact? Yes No <br /> Lancaster Laboratories Inc 2425 New Holland Pike PO 6712425 Lancaster PA 17fn5.7e?,; 17171 AFR llnn 3460 Rev 10/04101 <br />