Laserfiche WebLink
I <br /> a <br /> Chevron California Region Analysis Request/Chain of Custody <br /> .,�..,�.} ' ��^,..,}1 For Lancaster Laboratories use only <br /> �La1 Ler C�1LJlli�1Ltlrles Acct # _ Sample# 96iM_ <br /> 1. Voxrpqualrryisasoence <br /> 03 Analyses Requested <br /> SS#9-6171 G-R#385121 Global ID#T0607700035 4 I Matrix Preservation Codes Preservative Codes <br /> Facility# � H=HCl T=Ttliosuliate <br /> 6633 PACIFIC AVE, STOCKTON, CA X=HNO3 8=NaOH <br /> Site Address <br /> } SECORRH s=H2SO4 0=other <br /> Chevron PM RC I Lead Consultant1 � N � p,t value raporting needed <br /> G-R. Inc , 6747 Sierra Court, Suite J, Dublin,Ca.94568 <br /> Consultant/Office ` tu ❑Must mast lowest detection kmhs <br /> & possible for 8260 compounds <br /> Consultant Piz Mgr Deanna L Herding (deanna@gnnc conn) �, a z 0 <br /> ' 0❑ V 9 o ❑ � ❑ 8021 MTBE Confirmation <br /> Consultant Pho e# 925-551-7555 Fax# 925-551-7899 , o r <br /> �;, J i <br /> ` I ❑ ^ o ©Confirm highest hit by 8260 <br /> I, <br /> Sampler 1,e �I� S w ❑ ,❑Confirm all hits by 8260 <br /> Service order# i ❑Non SAR ' 13 <br /> ¢ z �' "' ❑Run oxy s on highest hit <br /> a <br /> !]ate Tim a c M o w 0 Run_I oxy s on all hits <br /> Collected Collect C`� , rn 3 O i- m m <br /> Sample Idendfica ion Comments 1 Remarks <br /> A X <br /> uJ- 1330 i X <br /> /,;too J x <br /> -s /;L,/S- r <br /> _'� ffq Y <br /> Inul. & <br /> I'f x <br /> mw- <br /> o o <br /> 9 /3J <br /> ull- 0- <br /> 110 <br /> io 1 <br /> t Re fished by Date Time Received by a Time <br /> Tumaround Time Requested(TAT)(please circle) y�� �16r�S"oA A01 J1 <br /> TD TAT 72 hour ; 48 hour Relinquished by a Time R iv by I Date Time <br /> 24 hour 4 day 4 5 day q /7 1 <br /> i ui Date a Receiv 4y ttttD�ate,,rr�� Time <br /> Data Package Options(please circle If required) I '1 1� LiD{`y-9, T r!•> <br /> QC Summary Type I—Full Relinquished,by Commeraal Carrieriv Recal Date Time <br /> Type A(Raw Data) ❑Cook aehverabie root needed DPS I II FedEx er �b�f\-L r" <br /> WIP(RWQCB) l <br /> Disk jTemperature Upon Receipt - 2•SC° Custody s Intact? Yes I No <br /> 3460 Rev 7130/04 <br /> I Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster.PA 17605-2425 (717)656-2300 <br /> Copies White and yellow should accompariy samples to Lancastatones The pink copy should be retained by the client <br /> , I 1 0 <br />