Laserfiche WebLink
r � <br /> Historical Pipeline Poiffolid Analysis RequestlChain of Custody <br /> Lancaster Laboratories e i For Lancaster Laboratories use only y <br /> Wxregtfy6aSCier" Acct.#: •{ Group# 1 lJ I a.3 l Sample#: 514 1 8 1 L+j— -1 <br /> Please print <br /> 5 LO b b 7- 4 8 3 3 Analyses Requested SCR#: <br /> Site/Global ID: 11,v-[ 5 -�- �' �.� ! Preservation Codes Preservative Codes <br /> Site Address: COC- 4y a C1 T = hiosulfate <br /> N=H <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIL v S=H2SO4 O=Other <br /> U1 U <br /> Consultant/Office: F-1401 Alberto Way,Suite B,Los Gatos,CA 95032 at °' N <br /> �C1 b 0 1'2>v t< 6- C-.4 Ile- � .� a ❑J value reporting needed <br /> El a888 c + �,n c. 21 ❑ z ❑HPP Risk Assessment Detection <br /> Limits <br /> Consultant Pd.Mgr.: �,t' y J _S�CL��.t /4 t, vcl6— < -�Lt °U L] F] ? o U <br /> ❑Chromatograms <br /> Consultant Phone#: -57a -;`66^-712 Pax#: 5ZO _�Cr[, -}q(� v o m CCD 0 <br /> ASampler: - f <br /> O- 00 p Q O J <br /> Field Repeat Top Time New � o 2 w m = _ = x <br /> Point Name Matrix Sample Depth Year Monih Day Collected Field Pt YIN 0 U m a a a- LLI <br /> ` VV — — O Ib U } Iv N Z Comments/Remarks <br /> vac st1� cq `�el <br /> 5 <br /> Ll�J�� <br /> I Ll <br /> Turnaround Time Requested(TAT)(check box) Relinquished by: gate Time Received by: Date Time <br /> ❑rSTD.TAT ❑ 24 hour El 48 hour 7 1 C` j L`Lv FEP�7X 7 t� <br /> 5 day El 11 <br /> hour ❑ 4 day Relinquished by: Date Tim Received by: Date Time <br /> Matrix Values Repeat Values Relinquished b : Date Time Received by: Date Time <br /> S Soil D Duplicate sample <br /> W Surface Water or Groundwater T Triplicate Sample Relinquished byjQemmercial Carrier: eceived by: Date Time <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS FedEx Other ( � ) <br /> R Rinsate Blank-QA Sample P Post-Purge Sample " aW Iv <br /> Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt [-2✓ C° pH Cust dy Se Intact? es No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike, PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1114105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />