Laserfiche WebLink
I <br /> For cater LabO ries use only <br /> +Lancwterwe%akysascerimL&or&6es �a D _ 0-0,2X__ Acct # INO(� Sam-pie t f6 SCO -FL _SCR# <br /> Analyses Requested <br /> Facility# 9-1848 30B 4386392 Matrix Preservation Codes Preservative Codes <br /> H=HCl T=Thiosuifate <br /> Site Address 1.257 W. Yosemite Ave. . Manteca, CA _.� Ck. N=HNO3 B=NaOH <br /> Chevron PM Robert: Cochran Lead Consultant Secor 5 r H2SO4 O-Other <br /> aco ❑J value reporting needed <br /> ConsultanVOfflceG-R Inc. 6747 Sierra Ct. Dublin, CA_94568 <br /> o ❑Must meet kowestdatedion limits <br /> d N <br /> Consultant Prt Mgr _Deanna L._Harding Deanua@grinc.com o ul possible for 8260 compounds <br /> Consultant Phone* 925-551-7555 __ Fax# 925-551-7899 o g & 8021 MTBE Confirmation <br /> m <br /> ZI o <br /> Sampler Tony Camarda _ m ❑ 0 w g o ;z XCor>firm highest hit by 8280 <br /> Service Order# ❑Non SAR ¢ z � � � � ❑Confirm all hits by 8260 <br /> + v [3 Run oxy s on highest hit <br /> Date Time U a O ° 0 = I [3 Run_Dory s on all hits <br /> Sample Identification Collected Collected <br /> A X Comments 1 Remarks <br /> x <br /> G�3 b <br /> Relinquished by D Time Received by Da Time <br /> Tu and Time Requested(TAT){please arde} li Q <br /> 72 hour 48 hour ei ish ate Time R d by Date Time <br /> 24 hour 4 day 5 day IN 1 3 Lf <br /> Data Package Options(please circle It required) 'Fllinquished by D Time by plomrs <br /> QC Summary T I—Full <br /> Y>� Re1i i R by <br /> Type Vi(Raw Data) ❑Coelt Deliverable not needed UPS Fedi=x Other <br /> WIP(RWQCB) <br /> Disk Temperature Upon RecaEp&.S ^ � C° Custody Seals Intact? Yes No/'-71r/- <br /> _!;_ <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605`2425 (7M65&2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />