Laserfiche WebLink
Historical ' peline PorfiblidAnalysisAcquestlChainof Custody <br /> Lwaster ULb1GJ 1221 For Lancaster Laboratories use only <br /> KhnquaFtylsasdaxe. Acct.#:_ �� , Group# 101 Q Z 5 5 Sample#: S ZSR-7?-7— 7,32- <br /> Please print Analyses Requested SCBM <br /> Site/Global ID: 7TEf t')aJ.' <br /> Preservation Codes Preservative Codes <br /> Site Address: } � g, W o rr\& Sa. H=HCl T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC a S=H2SO4 O=Other <br /> In U <br /> ConsultantlOffice: ❑401 Alberto Way,Suite B,Los Gatos,CA 95432 c� J value reporting needed <br /> *800 Watt Avenue,Suite 210,Sacramento,CA 95821 ❑ z 29HPP Risk Assessment Detection <br /> + ` ° Limits <br /> Consultant Pr}.Mgr.: i1QF W�i El El J © o <br /> � 0 0 0 0 <D D -6 ❑Chromatograms <br /> Consultant Phone#: �j Q—y(,� — g Fax#: S IQ ' (4 G(. '79 101 m co 1 0 a 0 <br /> !� o <br /> Sampler: Ttr1 �� � „d�ffz.J S�►,'�r1�, y = � o M M M <br /> Z " m I'— <br /> L0 UA d] C <br /> CL coco O O 20 m ; J <br /> Field Repeat Top Time New E2 o o m _ _ _ = w <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YIN 0 U F- to m a <br /> log -t -25 pA42 Comments J Remarks <br /> 5 C3-33 5 — ' 006 -01- 25 1 1 1 2 XI <br /> S -32 -- 5• M1-01- ZS 1 <br /> o$- OL-25 4IM t <br /> S - — 0$- 02-i S 1 0-7 <br /> Q - i 5 - no, - oz- 26 X11 <br /> Turnaround Time Requested(TAT)(check box) Relinquished by, gate, Time Received by: Date Time <br /> )<STD.TAT ❑24 hour ❑48 hour in <br /> ❑ 5 day ❑ 72 hour ❑4 day Relinquished by: Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time Received Date Time <br /> S Sail D Duplicate sample <br /> W Relinquishe;- e�dE <br /> byercial Carrier: Re i Date Time <br /> Surface Water or Groundwater T Triplicate Sample ar <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) Temperaturelp Upon Receipto-4:4-11kc. pH Custody Seals 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 />