Laserfiche WebLink
t <br /> r� For Lancaster Laboratories use onlyUn=erLaboVrWdeW <br /> Acct.#: �J�. Sample#:•a�,�'S7N��-�-1 a— scR#: <br /> IN1>ere quality it a science, <br /> Analyses Requested <br /> Facility#: �' 1 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: N=HNO3 B=NaOH <br /> Chevron PM. Lead Consultant; S=H2SO4 O=Other <br /> m m ❑ ❑J value reporting needed <br /> ConsultanVOIfice; L ca 0 <br /> 0 0. 8 ❑Must meet lowest detection limits <br /> Consultant Pd.Mgr.: o m possible for 8260 compounds <br />� U ❑ <br /> Consultant Phone# "� Faxallo g o ❑ 8021 MTBE Confirmation <br /> m p m <br /> Sampler; ❑ w g o ❑ ❑Confirm highest hit by 8260 <br /> L 0 m ❑Confirm all hits by 82601 <br /> Service Order#: ❑Non SAR: o a z <br /> C y ❑ + $ o ^ ❑Run_oxy s on highest hit <br /> ., -: cc <br /> Date ..,; Time, o •o m._: = d x x. <br /> �, ,. r ❑Run Oxy s on all hits <br /> Sam le Identification _ Collected Collected O U +nO i— m � m <br /> ! f Comments i Remarks <br /> r. n1 I 1i D <br /> r <br /> i f 6 <br /> i tI - i �+ <br /> 1 L ��'l .� <br /> she Dat Time Received by: Date <br /> Turnaround Time Requested(TAT)(please circle) <br /> STD.TAT 72 hour 48 hour a in a e Time Received by: Date Time <br /> 2 our 4 day 5 day <br /> Data Package Options(please circle it required) Relinquishe Time Received b . Date Time <br /> QC Summary Type I—Full <br /> Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relin uishad al Carrier: ece' <br /> WIP RWQCB UPS FedEx Other <br />`- Disk Temperature Upon Receipt Co Custody Seals Intact LYes No to <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev.7130101 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client, <br /> I <br />