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Laboratory: Z5 6 <br />Network/Group: w <br />Sampler: -&k�✓ /f°� -�-- <br />LLNL Analyst: <br />ALL. <br />U <br />d <br />c <br />Sample Identifier <br />Sample <br />Date &Time <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />Release Number or nicard: ' <br />TR Signature: <br />DISPOSITION OF COPIES afte natures <br />o : Returne to TSG DMT By sampiervAin courier signature or alrbill no <br />Pink: Signed and returned to TSG DMT by laboratory upon receipt of samples. <br />Canary: Retained by laboratory. <br />Green: Retained and tiled by analyst. <br />White: Archived with data by TSG DMT. <br />ALL SIGNATURES MUST BE MADE ON WHITE COPY <br />ORAD: WGMG/TAMMfTSG/EOG <br />Lawrence Livermore National Laboratory <br />P.O. Box 808, L-629 <br />Livermore, CA 94551 <br />Form QAP-8 <br />Rev. 12 <br />Nov 2001 <br />Chain -of -Custody <br />108;1 <br />_of_ <br />G) <br />v1 <br />