Laserfiche WebLink
Chevron California RegionAnalysis' <br /> • RequestIC • of • • <br /> I � <br /> +,, . For Lancaster Laboratories use only <br /> ��WHe Acct # Sample# ' � L) 1 y y — � SCR# <br /> +Lamwter <br /> tMie►equ�a!►iycsasc>Ience � *— � <br /> 1 62,—oQ S Analyses Requested � 6 3 / <br /> Matrix Preservation Codes Preservative Codes <br /> Facility# H =HCl T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> Site Address ty <br /> .! S=H2SO4 O=Other <br /> Chevron PM RC: _ Lead Consultant Carer _ 12 v <br /> m m 9 - <br /> Consu <br /> ❑1 value reporting needed <br /> ItantlOffice --G R, G-6i� m OWN oft <br /> a ❑ /'1 ❑Must meet lowest detection limits <br /> Consultant Pri Mgr �W r U ❑ N S possible for 8260 compounds <br /> Consultant Phone# ro _ Fax#. .� rc� �Qnn o $00 <br /> cr N QA Q $021 MTBE Coritlnnation <br /> .9�- '�?T'T � m m o m ; ❑Confirm highest hit by 8260 <br /> Sampler _ V r—&—Wools,_ E m 7 d ❑ ,�, h ❑Confimr all hits by 8260 <br /> Service Order# I ❑Non SAR c az <br /> CL + $ $ , 4 • ❑Run oxy s on highest hit <br /> Date Time o o ca o a I � [3 Run_ axy s on all hits <br /> Sample Identification Collected Collected C) m z O m s- F- I <br /> •13 1 Comments 1 Remarks <br /> I D4SsD;tna� !1€T�3 <br /> A- <br /> F-AW-1 0 I X I&Wz SEW F!tup <br /> �_, ti, 2. 0 qSD I & FWTfdo r" <br /> N +� •3 <br /> I <br />� I <br /> Relinquis d by Date Time ved ;1Date Thm <br /> Turnaround Time Requested(TAI')(please circle) <br /> TAT 72 hour 48 houri Date Time by Date Time <br /> 4 day 5 day <br /> Data Package Options(please circle if required) elm wish ly M VDat Time Received by Date Time <br /> /42D r f x-15 <br /> QC Summary Type I—Full <br /> Relinquished by Commercial Ca er , ( Rece ed by Date Time <br /> Type VI(Raw Data) [3Coeft Dellverable not needed UPS FedEx e 1 + \ �4I1110 014 - <br /> W1P(RWQCB) <br /> Disk Temperature Upon Receipt_ Custody Seats Intact? Yes No <br /> Rev 7130l01 <br /> 0Lancaster Laboratories,Inc,2425 New Holland Pike, 12425,Lancaster,PA 17665-2425 (717)656-2300 <br /> Copies White and yellow should accompany samples to La ncaLaboratorias The pink copy should be retained by the diem <br />