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Lawrence Livermore Page—L of—/—Pages <br /> National LaboratoryChain-of-Custody Record 017-/ <br /> and Analytic Instructions Chain-of-Custody Doc. Number <br /> ENVIRONMENTAL RESTORATIONRoo r3 t 72 <br /> DIVISION,L-528 Analytical Laboratory Log Number <br /> P.O. Box 808,Livermore,California 94550 Analytical Laboratory Name ®W'y n• 740wE-4111 <br /> Analysis Requestor/D nt(circle one): Analysis &Turnaround GROSS AL <br /> W.Isherwood-I W.Isherwood-2 W.Isherwood-3 A.Lamarre-1 .Lamarre-2 A.Lamarre-3 Required t <br /> cc:Dtesen cc:Mallon cc:Boegel cc:McIlvride cc:Henry cc:Boegel <br /> Sampled By Company Name <br /> F�6 n <br /> Sample/ Number <br /> Site and Technical Sampling Container of Analyze/ Remarks <br /> Information Codes Date Type2 Containers Hold3 '�' <br /> s ,/ <br /> _2--7-90 '^' G '4 ✓ S <br /> ton, Now V <br /> w-850- 8-7-90 ,� <br /> 4 90 <br /> ,Wn4ure ComEany Date Time .y <br /> Relinquished by 1. N=Normal Turnaround,F=1-W <br /> Received by 8_�-PD �'S3 <br /> PROM",� <br /> R=24-Hour Turnaround. EW TM DIV. <br /> 2.Sample Type Codes: W=Water,S=Soil,VPR=Vapor, <br /> Relinquished s 9—Q•-?O 11 <br /> (i(7 O=Other(specify). <br /> Received by 6Container Type Codes: V=VOA Bottle,P=Plastic Bottle, <br /> G=Glass Bottle,T=Brass Tube,B=Bag, <br /> Relinquished by O=Other(specify). <br /> cxxived t� <br /> by , ®/g/yam .,pd 3.Analyze/Hold:A=Analyze,HOLD(spell out)_ <br /> Revision 1.7,5 Oct 9 <br /> DO NOT ANALYZE UNLESS REQUESTED. <br /> 8 <br /> Pink: Leave with ERD Yellow : Analytical Lab White : Return to ERD <br />