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(03 s `l--5 z 53 <br /> Lawrence Livermore "® Page of 1 pages <br /> Eand <br /> n-of-Custody Record (� h 0 4(D <br /> National Laboratory Chain-of-Custody Doc. Number <br /> ENVIRONMENTAL RESTORATION nalytic Instructions Analytical Laboratory Log Numbe <br /> DIVISION,L-528 1 <br /> P.O.Box 808,Livermore,California 94550 Analytical Laboratory Name <br /> Analysis Requestor/Data ecipient cle one): Analysis &Turnaround <br /> W.Isherwood-I W.Isherwood-2 W. Isherwood-3 A.Lamarre-t .Lamarre-2 A.Lamarre-3 Re uiredl <br /> cc:Dresen cc: Mallon cc: Bcegel cc:.Eecry :Henry cc:Boegel <br /> Wh <br /> Sampled By COPL/`�N D Company Name S (C, <br /> Sample/ Number Z <br /> Site and Technical Sampling Container of Analyze/ Remarks <br /> Information Codes Date T e- Containers Hold <br /> &3 <br /> DILLI—ESP1— 1.6 11-5-RU S T 1 24 W <br /> W5150--Di LLI-6SP-L-3.3r 11-5--90 5 T I 1Z fZUSf-F, <br /> FAY P_ESw,7 Sal„\ <br /> �. ro �y <br /> F-M. -*-- 42-3 <br /> Signature OIJJ Company Date Time <br /> Relinquished l: y S� ICisL5_X�QL �,_JS-y 6_ I. N=Normal Turnaround,F= l-Week Turnaround, <br /> R=24-Hour Turnaround. <br /> Received b � � S LL NL 11 _- D 08� <br /> 2.Sample Type Codes: W=Water,S=Soil,VPR=Vapor, <br /> Relinquished by L- I _o-q® 143 O=Other(specify). <br /> Received - �� ' j� -� / Container Type Codes: V=VOA Bottle,P=Plastic Bottle, <br /> G=Glass Bottle,T=Brass Tube,B=Bag, <br /> Relinquished by r )-( f .c/(t O=Other(specify). <br /> �� <br /> Received by p�J�r i tz { r,p '�d 3. Analyze/Hold:z A=Analyze,HOLD(spell out)_ <br /> Revision 1.7,5 Oct 89 DO NOT ANALYZE UNLESS REQUESTED. <br /> Pink: Leave with ERD Yellow : Analytical Lab White : Return to ERD <br />