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Chain-of-Custoo Record and Ana�yt;lc Instructions Page ))I B 00016 <br /> Sults and invoices to: <br /> �. Ilut O HCH I III! li))A)L�! <br /> �� (please fill in and circle) IT.NI—Acct 11.- / ��[-> C-1 f( <br /> Sanlltlinl; Ilx tlurslll -_.--- <br /> -Ali"n: ORAD Data Management Team L-633 OF11filD Analytical I ;Ilutrmmy Name__ <br /> Lawrence Livermore National Laboratory <br /> VO. Box8ft Livermore,CA 94550 Analytical I .IIIIn;ttttry Log III <br /> n/��/ Allal tits & I tunarotlnll AJJihunaf lusuuchun,L.I ab <br /> Also Fax copies to: �l� rc -, Fax #--Z _1 _ Re aired 1 <br /> Proicct Name:_ - <br /> Sampled By : Sampler's Fnlpltrycr._' <br /> sample Mall )c 2 c; id/ � (AO <br /> ` I Sample >I ,�dy <br /> Identification Dale rime Container/Type 3 Con: - \) 'a 'VJ �` L� - <br /> 1 Remarks <br /> - ----- ----- <br /> -_-- or_auuc Coal paln T I Date <br /> Rclinynishal by - � i1al turnaround. F= I-��cc{ Iunlaluuml <br /> /' R - 2.1- nut lunt:uound. 11 = Ilnitl ii() Irilnr IL,I <br /> Received by <br /> _ -.-. j- - 2 S.nnple I\Llllix Cudrs: tics list ou back of pink copy <br /> Rclinynishcd by - <br /> GLS �/�to, ` 7-z7 gN 3. ( I)I,Iincr 1)�pc cndcs: V - VOA 110111x.1'- I'Luli) 11(1111C,Received by �� r✓Ls.i G=Glass Houle,T=Hrass"rube, <br /> B=Bag,S=Stainless Sled Tuhe, <br /> Relinquished by 0=Other(specify under remarks) <br /> Received by - huxnu11(kc(fid <br /> Rc%kimn i ► while:Laboratory return to ORAD <br /> 21)Oct )I t tl(AU Alin.Data Management Team L-633 1'clloxx: Anal)1i.;.'i ::�, Pink:Sampler leaves x.ith ORAD <br /> Alin.ORAD Data Management Tcam L-633 <br />