Laserfiche WebLink
Chevron C <br /> 1 uestlChain of Custody <br /> I . Analysis -• <br /> � Lancaster LaW1'dtones A f�� For Lancaster Laboratories use only r �� °x(04 qa <br /> . VOXf1?gWfityisasoi? c . a: `� Sample#: SCR#: <br /> Analyses Requested <br /> Facilily#: -- �}��_ Preservation Codes rvative Codes <br /> Site Address3 Lm� 4a; �� CL HCI T=Thiosulfate <br /> Chevron PM:. ja� C,O=AS-Lead Consultant: s S=HZSO4 O=NaOH <br /> Lo <br /> Consultant/Office: .; f� # r.c ❑ ❑J value reporting needed <br /> Consultant Pd.Mgr.: �-a v� I �nS U ❑ ❑Must meet lowest detection limits <br /> possible for 8260 compounds <br /> Consultant Phone#: !/r ���` Fax#: f a o oCl <br /> --�^ 8024 MTBE Confirmation <br /> Sampler: �e� 7 E ❑Confirm highest hit by 8260 <br /> Service Order#: ©Non SAR: z g. 9k" o. R C1 Confirm all hits by 8260 <br /> r Field Repeat Top Time New R o c ❑Run oxy's on highest hit <br /> Point Nam " Sa D ear on 1 I C7 U. H- Q Run oxy s exm all hits <br /> S iln/m r Comments!Remarks <br /> =20- <br /> y <br /> ,< <br /> Reli <br /> gTuWavQqnd Time Requested(TAT){please circle) Date Tune ived by: Date Time <br /> 72 hour 48 hour <br /> 4 day 5 day <br /> Relinquished by: ata Time Received by: Date Time <br /> � <br /> KRelinquis <br /> Date Time Received b <br /> Data Package Options(please circle If required) y. Date Time <br /> QC Summary Type 1—Full O <br /> Type Ill(Raw Data) p Coelt Deliverable not needed rcial,Carrier. [Re . ed by: Date Ti <br /> WIP ptWQCB) UPS FedEx Other - <br /> DlskTemperature Upon Receipt ~ C. Custody Seals In Yes <br /> Lancas�fatories,l .Box.1242254 Lan.ow N-PA t 760fm-2426--ff47)6B64"9g , <br /> �' M...•�.. Copies:White'and yellow should accompany samplOs to"La»caste-".. <br /> (1\/ oratories. The pink copy should he retained by the client. I- <br />