Laserfiche WebLink
Historical Pipeline PonYolid Analysis RequestlChainof / 1 <br /> LaK?e L""Wz 14 32 For Lancaster Laboratories use only <br /> Kflerequaityisascerm Acct.#: 1Li 13 Group# 1 otc� �Sample#: �► �9 <br /> Please print <br /> Analyses Requested SCR#: <br /> Site/Global ID: t i $LQ rvation Codes Preservative Codes <br /> 550 . V rn H=HCl T=Thiosulfate <br /> Site Address: N=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultan AIC N S=H2SO4 0=Other <br /> Consultant/Office: ❑401 Alberto Way,Suite B,Los Gatos,CA 95032 O ❑J value reporting needed <br /> 03800 Watt Arvenue,Suite 2110,Sacramento,CA 95821 qc ❑ ElHPP Risk Assessment Detection <br /> Consultant P1.Mgr.. /�I �l�lidl U J limits <br /> Consultant Pune#: i�J��)''� ��� 7� Fax#: Q b °I—3 23 5- n ❑Chromatograms <br /> Sampler: y OR <br /> Z t2 <br /> Field Repeat Tap Time NOW m o <br /> Point Name Matrix Sam e Depth Year Month Day Collected Fim ply w 0 U <br /> Ar 0't lI 4 2c( 1610 N N X Comments!Remarks <br /> NA, 01 10 2111 rno IJ X Q5G sI ti ca <br /> Au)-71 VJ Nk >C CA"n—"^ Ufa TvW <br /> �f'I EtJpE0 I_ <br /> �Tt <br /> Turnaround Time Requested(TAT)(check box) R D to Time Recei by: Date Time <br /> 59 S TA ❑24 hour ❑48 hour <br /> ❑ 5 day ❑72 hour ❑4 day Reli uished Date Time Received by: Date <br /> Matrix Values Repeat Values Relinquished by: Date Time Receiv� Date Time <br /> S Soil T Duplicate sample Relinquished by rcJal Carrier: Receiv ate Time <br /> W Surface Water or Groundwater T Triplic�e Sample L}a � <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS edE, Other A. <br /> R Kinsale Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) M�4 <br /> � ���.,o ° <br /> Temperatur Upon Receipt s 10+ Custody Seals Intact? No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1/14/05 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />