Laserfiche WebLink
I NINE! <br /> �Lanq6ter Wmtones <br /> 12 1 <br /> For Lancaster Laboratories use only <br /> Vvfiere quality isa science, Acct.#: Group# Sample#; <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: _ n , N Preservation Codes Preservative Codes <br /> H = HCI T=Thiosuifate <br /> Site Address: N =HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott MansholtLeadConsultant:SAIC m S= H2SO4 O=Other <br /> i U <br /> Consultant/Office: El 401 Alberto Way,Suite B, Los Gatos,CA 95032 0 ❑J value reporting needed <br /> v <br /> 0- <br /> 0-3800 <br /> ❑-3800 Watt Avenue,Suite 210,Sacramento,CA 95821 �-, z ❑HPP Risk Assessment Detection <br /> ❑ ❑ � Limits <br /> Consultant Prj,Mgr.: �- J v <br /> 1 g o N ❑ ❑Chromatograms <br /> Consultant Phone#: Fax#: , c� a o a <br /> F Elo o < <br /> Sampler: U) :n (o <br /> ti c 2 :E `r <br /> 0 z <br /> Q W O O J - <br /> Field Repeat Top Time New CU o o W m = _ _ a. � <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YIN CD cv I— m 0- ° °_ <br /> Comments l Remarks <br /> Turnaround Time Requested(TAT)(check box) Rdtinquished by: Date Time Received by: Date Time <br /> STD,TAT El 24 hour 1:148 hour <br /> n 5 day EJ 72 hour El 4 day ielm fished by: Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Received by: Date Time <br /> S Soil D Duplicate sample Relinquished by Commercial Carrier: Received by: Date Time <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS FedEx Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous is g.,product sample) Temperature/pH Upon Receipt C° pH Custody Seals Intact? Yes No <br /> Lancaster Laboratories, Inc.,2425 New Holland Pike,PO Box 12425:Lancaster, PA 17605-2425 (717)656-2300 4324.01 Rev. 1%141015 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />