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Chain-of-CustodvRecor isInstructions Page ofdB 00302 <br /> 405=1.0 <br /> r Send all results and invoices to: ��O (p Release# I S o 7 <br /> Field Log Book#(COC#) <br /> �� TT <br /> Mir in RIF_-In <br /> f <br /> �+r-rieawit ( lease fill in and etre a LLNL Acct.# 1 31<'U' (a t-f Sampling Request# <br /> Attn: ORAD Data Management Team L-633 U Analytical Laboratory Name C--IS <br /> Lawrence Livermore National Laboratory I Analytical Laboratory Log# M ta(N1 <br /> P.O. Box 808, Livermore,CA 94550 2 <br /> Analysis &Turnaround Additional Instructions to Lab <br /> Also Fax copies o: Fax# (5,0) (1 ,2)L 470 Required t <br /> Project Name: U P <br /> ao <br /> Sampled By : Sampler's Employer: <br /> . � W <br /> Sample Sample 2 yy#of Cud <br /> o <br /> Identification Date/Time Container/Type 3 Cont. Area b Remarks <br /> d <br /> T S° S <br /> KO-Bo--01, `LCA(Itn - U z <br /> ature Company Time Date _ al turnaround, F= 1-week turnaround <br /> Relinquished by �� lQ R=24-hou turnaround,H=Hold do not analyze unless requested <br /> Received b � <br /> �S 2. Sample Matrix Codes:See list on back of pink copy <br /> Relinquished _4- � 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> Received by G=Glass Bottle,T=Brass Tube, <br /> B=Bag,S=Stainless Steel Tube, <br /> Relinquished by O=Other(specify under remarks) <br /> Internal Use <br /> Received by CC: <br /> White:Laboratory return to ORAD <br /> Revision 3.3 Y Pink:Sampler leaves with ORAD <br /> Attn.Data Management Team L-633 Yellow:Analytical Lab <br /> 29 Oct.93 ORAD ,. g . Attn.ORAD Data Management Team L-633 <br />