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Chain-of—CustodyRecord ! c i s Page of H 00018 <br /> Send all results and invoices to / <br /> _ Release# 4J G <br /> __.._.__. _.___. . . ..._... Field Log Book#(COC#)_; <br /> M. Heaton, OR HD <br /> (please fill in and circle) LLNI. Acct.# Sampling Request# <br /> Attn: ORAD Data Management Team L-633 Analytical Laboratory Name �- <br /> Lawrence Livermore National Laboratory zA C_) Analytical Laboratory Log# <br /> P.O. Box 808, Livermore, CA 94550 <br /> - -- Analysis &Turnaround Additional Instructions to Lab <br /> Also Fax copies to: Fax#- 7"lc Required I <br /> Project Name: ��:'' <br /> Sampled By : � '' 'c � - Sampler's Employer: ' _ <br /> Sample Sample Matrixrl'ype #of Grid/ <br /> I� J � l� <br /> IdentlflCatlon Date/Time Container/Type 3 Cont. Area <br /> r Remarks <br /> � Lt <br /> Signature Corn2any Time Date 1. N=normal turnaround, F= 1-week turnaround <br /> Relinquished by L /C <br /> < �' _-� 2� fi R=24-hour turnaround, 11=Hold do not analyze unless requested <br /> Received by � . � 146 2-3- � 2. Sample Matrix Codes:See list on back of pink copyY <br /> Relinquished b ' ._ /' ® 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> q YL-/'AGS _ L-`� i� <br /> G=Glass Bottle,T=Brass Tube, <br /> Received by r tet' ( �L�/ B=Bag,S=Stainless Steel Tube, <br /> O=Other(specify under remarks) <br /> Relinquished by <br /> _ Internal Use <br /> Received by <br /> Revision 3.3 Attn.Data Management Team l,_AD Pink:Sampler leaves with ORAD <br /> White:Laboratory return to OR <br /> Yellow: Analytical Lab <br /> 29 Oct.93 ORAD b 633 Attn.0 g cam L-633 <br /> - RAD Data Management T <br />