Laserfiche WebLink
Chevron Califomia Re n Analysis Request/Chain of Custody <br /> gio <br /> W Lancaster Laboratories SampleFor i��CT i"'y SCR : 249225 <br /> �Where%dityisasoerlce. Acct.# Sample#:. <br /> Analyses Requested <br /> Facility#: '�g0"iS 1�b0'7'11450 <br /> Preservation Codes Preservative Codes <br /> H=HCl T=Thiosulfate <br /> Site Address: 36—)% '� � ���+ N=HNO3 B=NaOH <br /> Chevron PM: ,.:�Me4t�.we. S=H2SO4 O=Other <br /> Lead onsultant: �9s�- In 2 <br /> Consultant/Office: tso role" t)'t«t 5�.� Its itarSnr� CA- c ❑ c`� � IN <br /> ❑Jvalue reporting needed <br /> i c c ❑Must meet lowest detection limits <br /> Consultant Pr).Mgr.: 'a.-A 5V--+s o N possible for 8260 compounds <br /> U ❑ <br /> Consultant Phone#: aI(..4YS •7�'t4 C*4.jL Fax4t qAy- 9frs ZM3 0 Al 8 � o0 0 � 8021 MTBE Confirmation <br /> co 13 0 ❑Confirm highest hit by 8260 <br /> Sampler. SrbM4 �Cr�.to-`e)1 E $ ❑ ;i ❑Confirm all hits by 8260 <br /> Service Order#: C]Non SAR: o z 'r' N t D• <br /> CL + o 6 ^ ry r- ❑Run_oxy's on highest hit <br /> Field Repeat Top Time New 2 0 0 " = x _ f <br /> Point Name Matrix Sample De th Year Month D Collected Feld v m I ❑Run_oxy's on all hits <br /> Mi„�� „pgtt h p,J 1 Comments/Remarks <br /> Mw—Vb-w, ll W A/ 0 <br /> W 4s$* ,vw wr$.0 3—^90 /L <br /> Relinquished by. Date Time R ved by: DateTime <br /> T ound Time Requested(TAT)(please circle) <br /> TD_ T 72 hour 48 hour 7Rellinquished <br /> ed by: Date Time Received by: Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) ed by: Date Time Received by: Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) 0 Coelt Deliverable not needed omm r ial Carrier: Re ed by: Date Time <br /> FedEx Other <( <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt[Tye Z 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 />