Laserfiche WebLink
• • • • • rejj7Ar • <br /> 'tilt. <br /> _ • • • • • <br /> Lancaster Laboratories For Laa-nrcraste L boretorias use only <br /> 9�nYisascfence acct.#: I Ufslo� Sample#1/�9L�3� �� <br /> lw�}.}. , lMre7e SCR#:_ �_ s�1 <br /> Analyses Requested <br /> Facility#: - 0-7 (p Matrix Preservation Codes <br /> Site Address: qT L . j vi �}�-�ya�0 -qpy� I Preservative Codes <br /> ��� � I a H=HCI T=Thiosulfate <br /> Chevron PM: K' !L( Lead Consultant: 2 N=HNO3 B=NaOH <br /> Consultant/Office: m m <br /> S=H2SO4 O=Other <br /> B o c ❑ ❑J value reporting needed <br /> Consultant Prj.Mgr.: a° z c <br /> rr�� � I � 1 o y ❑Must meet lowest detection limits <br /> Consultant Phones. (tea✓-t Fax r�i ❑❑ 0 o ❑ ❑ possible for 8260 compounds <br /> / o <br /> Sampler. � � � o N 8021 MTBE Confirmation <br /> a <br /> Service Order#: .o m ❑ ❑Confirm highest hit by 8260 <br /> Non SAR: ❑Confirm all hits by 8260 <br /> Date Timem E - « ❑ m .z o A <br /> Sample Identification Collected Collected O v rn 3" - o w x o ❑Run_oxy s on highest hit <br /> ti n o <br /> ❑Run_oxy s on all hits <br /> dD l§ Comments/Remarks <br /> umaround Time Requested (TAT)(please circle) Relinquished b /��to Time Received <br /> STD.TAT /'v o Date Time <br /> 72 hour 48 hour <br /> 24 hour 4 day 5 day Relinquished by: Date Time Received by: <br /> 1500 Date Time <br /> Data Package Options(please circle if required) Relinguiiibed by- <br /> QC Summary Type I—Full Time Received by: Date <br /> e <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquishe memial Carrier: <br /> WIP(RWQCB) UPS FedFx Other Received by: Date Time <br /> Disk —(b l <br /> TemperatureUpon Receipt C" <br /> Custody Seals nt t7 Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (7 7)656-2300 3460 Rev.7/30/01 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />