Laserfiche WebLink
+LancRr Laboratories For Lancaster Laboratones use only <br /> Wheregwktyrsasoence Acct # Sample# SCR# <br /> Analyses Requested <br /> Facility# Preservation Codes Preservative Codes <br /> H= HCl T=Th3osulfate <br /> Site Address L a N =HNO3 B=NaOH <br /> co <br /> y S=H2SO4 O=Other <br /> Chevron PM Lead Consultant _5�<<�� 0 <br /> Consultant/Office �] t .11� s�Q� c ❑ cD J value reporting needed <br /> Consultant Pia Mgr o ❑Must meet lowest detection limits <br /> U © w possible for 8260 compounds <br /> Consultant Phone# c�ii ;�` } Fax# . qi�, ,� o a o E:18021 MTBE Confirmation <br /> �Y ._.. <br /> Go <br /> Sampler n Q 9 - g y <br /> ❑Confirm highest hit b 8260 <br /> y 5 m 2 �, ❑ 0 Confirm all hits by 8260 <br /> Service Order# r N �. <br /> Non SAR o Z � <br /> 0- x E)Run oxy's on highest hit <br /> Field Repeat Top Time New o o w a a N ❑Run oxys on all hits <br /> Point Name Matrix Sample Depth Year Month Da Collected Field Pt U U m W <br /> _OL"'- Comments/Remarks <br /> D <br /> rouTime Requested(TAT)(please circle) Relinquished by Date Time Received by Date Time <br /> nrna <br /> T��u ��nd <br /> ,.,��,-+�,) 72 hour 48 hour Relinquished by Date Time Received by Date Time <br /> 24 hour 4 day 5 day <br /> Relinquished by Date Time Received by Date Time <br /> Data Package Options(please circle if required) <br /> QC Summary Type I-Full <br /> Relinquished by Commercial Carrier Received b <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Y Date Time <br /> WIP(RWQCB) UPS FedEx Other <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Yes No <br /> Lancaster Laboratories, Inc,2425 New Holland Pike,PO Box 12425 Lancaster, PA 17605-2425 (717)656-2300 3460 Rev 10/04/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />