Laserfiche WebLink
Hislotical Pipeline ' / • • AnalysisRequestlChain1Custody <br /> +L-ar �LabOraLQ�Ies /� �[ '� For Lancaster Laboratories use only p �/ <br /> Vt9x�recialrtYisaxkyxe. ) I '�? Acct.#: Group# f J S 3�p O Sample#: <br /> Please print Analyses Requested SCR#: <br /> Site/Global!D: e <br /> Preservation Codes Preservative Codes <br /> H =HCl T=Thiosulfate <br /> Site Address � a N =HNO3 8=NaOH <br /> 2 <br /> ChevronTexaco PM:M.Scott Mansholt Lead onsultant:SAIC m S=H2SO4 O=Other <br /> 75 <br /> CcnsultanUOffice: ❑//401 Alberto Way,Suite B,Los Gatos,CA 95032 r a ❑J value reporting needed <br /> C?G800 Watt Avenue,Suite 210,Sacramento,CA 95821HPP Risk Assessment Detection <br /> O imits <br /> Consultant Pry.Mgr.: 1 CZf w ❑ ❑ o <br /> o ❑Chromatograinn s <br /> 0 0 <br /> Consultant Phone#: — 38—_7�T, 5 Fax#: aO a 04 El <br /> Q) E = f000m <br /> Sampler: '�i�b—VIA _ S (-��L L f K-J, cn N g 0 <br /> Q Z co co N m <br /> oo O O c J <br /> Field Repeat Top Time New m w m w x o <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YIN O U la m d <br /> 77— - — b 7 157 f - AJ 7 Comments!Remarks <br /> Turnaround Time Requested (TAT)(check box) Relinquished by: Date Timeecei by: ate Time <br /> y( TD.TAT El 24 hour El 48 hour �1rdf 131 <br /> El 5 day ❑ 72 hour El 4 day Relin uishe y: Date Time Rec d b Date Time <br /> � Q <br /> Matrix Values Repeat Values Relinquis by_ Date Time c Date Time <br /> S Soil D Duplicate sample Relinquished by C mercial Carrier: Recei I by: Date Time <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS dE Other <br /> R Rinsate Blank-QA Sample P Post-Purge Sample <br /> M Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt ti`�i C° pH Cu dy Seals 4lnta No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 4324.01 Rev. 1!14105 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />