Laserfiche WebLink
+Lanca&Lkoraol es J For Lanc ser Laboratories use oni �7 n��'" <br /> Wee gdalityi5asaLe Le. O Acct.#: '! Grou # Q pp 5 3 <br /> p 0�� Sample#: g7�UJ <br /> Please print Analyses Requested SCR#: <br /> Site/Global ID: us on —t Preservation Codes Preservative Codes <br /> Site Address: CA- a H=HCI T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC TO S=H2SO4 O=Other <br /> ` U <br /> Consultant/Office: O� r� a ❑J value reporting needed <br /> 63-7 f <br /> ❑3800 Waft Avenue,7Suite 210,Sacramen o,CA 958211o ❑ Z XHPP Risk Assessment Detection <br /> Consultant Pd.Mgr.: 1l+ll i S)O,l k ❑ ❑ O O = Limits <br /> ❑ p U <br /> N ❑Chromatograms <br /> r U <br /> Consultant Phone#: / ii �ia3 {�7Ct �^ Fax#: ) � ° M 0 0 0 �; <br /> p SPot� [ I.}C'� it1 JC�ilYrF3O1 W � o o U <br /> Sampler: o <br /> p Z to m N n <br /> CL m m o o <br /> Field Repeat Top Time New o o w m = to to w <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YM 0 U <br /> 2,3T-If— 1-7 7 330 Comments 1 Remarks <br /> Z ' Zags- It- 17 G d� <br /> Sia - 3l S 5 axe- tl - f7 jI30 J ?< k <br /> 11 - 1b X <br /> Sp-zC1 s - -df- lS 1115- Y 5< 1 Y )c <br /> s 2'tp'g- _ 7 6-zo -f I X X <br /> 2x I X <br /> 152S Y k 1 h <br /> S — Y <br /> Z,009-It— !7 1 S; Y x <br /> Turnaround Time Requested(TAT)(check box) Relinquished by: Date Time Received by: Date Time <br /> fO <br /> STE).TAT - —B-24-hour --EJ 4ahour - - - - - -- <br /> ❑ 5 day ❑72 hour ❑4 day Relinquished b";_. <br /> • Date Time Received by: Date Time <br /> Matrix Values Repeat Values Relinquished by: Date Time <br /> JRedSb y: Date Time <br /> S Soil D Duplicate sample Relinquished by Commercial Carrier: b Date Time <br /> W Surface Water or Groundwater T Triplicate Sample <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS OtherR Rinsate Blank-QA Sample P Post-Purge SampleLLM Miscellaneous(e.g.,product sample) TemperaturelpH Upon Receipt 1-7 C° pH eals Inta ? No <br /> Lancaster Laboratories, Inc.,2425 New Hoiland Pike,PO Box 12425,Lancaster,PA 17805-2425 (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 />