Laserfiche WebLink
Historical Pipeline Poftfio Analysis <br /> • ofCustody <br /> LamerLab(OWN—K 0367 z - <br /> vvheref1jECSdSCier3C@ <br /> For Lancaster Laboratone use onl <br /> ii Acct.#: q Group ff mple#: <br /> Please print 1 SC <br /> Analyses Requested <br /> Site/Global ID:Ver-kA1 t'S F.S. SLO60'7"t 14 9 b 33 <br /> Preservation Codes Preservative Codes <br /> Site Address: 3S'5'00 W t.l `t Rad �/�.1v,��S C H=HCI T=Thiosulfate <br /> rL <br /> ChevronTexaco PSN:M.Scott Mansholt Lead Consultant:SAIC N= HNO3 B=NaOH <br /> Q S=H2SO4 O=Other <br /> E2 U <br /> Consultant/Office: El 401 Alberto Way,Suite B,Los Gatos,CA 95032 v <br /> ❑J value reporting needed <br /> X3800 Watt Avenue,Suite 210,Sacramento,CA 95821 <br /> D in Z ElHPP Risk Assessment Detection <br /> Consultant Pry.Mgr.: Ckri S NAA.VS U [I ❑ ? LU Limits <br /> Consultant Phone#: �91e� 9Z 9 � -�3 S - o o �C , 0 _ ❑Chromatograms <br /> Fax#: 7l G 913 0 <br /> Sampler: Go rrtAk �a 5� © 0 0 00 <br /> V) 7 CD <br /> N N� g �[y U <br /> Q Z co ca W U <br /> Field Repeat Top Time New m o 0 W m _ CO Uj <br /> _ Uj <br /> Paint Name Matrix Sample Depth Year Month Day Collected field rt YiN C7 U F- ; a <br /> Comments!Remarks <br /> mw -3 W 26�s ro E8 i5uS 14► <br /> mow- w iS [� d8 3d N X4a X k X R�v�S� e. keel <br /> x 'a <br /> 2 X o-�"zr �rioa�yc5 <br /> h15 i 6 N k ;a XG X )C X <br /> 'All t&W.5- f+�9T� <br /> w_, 19 o��t N x o X x x <br /> FOOD 1,J [0 X �' V 6i t0 Cyr, <br /> W 1 g a+O SO X r 6 k X r] <br /> N Xif <br /> iv x x an �Qr�al7s <br /> Irp+."f' <br /> N[W—�j=BKasamp�� <br /> Pir. GQeD I <br /> Turnaround Time Requested(TAT)(check box) Relinquished by: -A^ Date Time ived Date Time <br /> fiSTD.TAT 0 24 hour ❑ 48 hour 'Wi°,(1 g 1 S 30 <br /> El day El 72 hour ❑4 day Rel qui hed Date Jhne1 Receive,d,J,iy:� � r�Date Time <br /> Matrix Values Repeat Values RelingUi&hed by: Date Time Received by: /Date Time <br /> S Soil D Duplicate sample <br /> W Surface Water or Groundwater T Triplicate Sample Relinquished by,,Cornmercial Carrier: ` Received`by: Date Tim <br /> T Trip Blank-Q4 Sample N Pre-Purge Sample UPS fedg Other „C <br /> R Rinsate Blank-QA Sample P Post-Purge Sample (f� <br /> M Miscellaneous(e.g.,product sample) <br /> Temperature/pH Upon Receipt :6ed o pH Cust ntact? 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 />