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Page—4—of B 0 0(J 2 4 <br /> Chain-of-Custody Record and Analytic Instructions <br /> Send all results and invoices to. Field Log Book#(COC#) / —•/ Release# <br /> $y <br /> `IVI. Heaton fi z•cr.-� z, - <br /> >N LLNL Acct. # (- � Sampling Request# <br /> (please fill in and circle) w i <br /> Attn: ORAD Data Management Team L-633Analytical Laboratory Name <br /> Lawrence Livermore National Laboratory "`� (_ Analytical Laboratory Log# <br /> kt <br /> P.O. Box 808, Livermore,CA 94550 <br /> Analysis &Turnarouppd- _ Additional Instructions to Lan <br /> �97 , 7`-6 <br /> Also Fax copies to:// i` Fax# %? ? Vay ��- <br /> Re airedProject Name:Sampled By : %f .�;1�^.-'CZ)(� t' Sampler's Employer: :C,,d <br /> Sample Sample Matrix/Type 2 #of �Identification Daterrime Container/Type 3 Cont. ��� Remarks <br /> '03.41• ,-?�-•-(7/// - `� -k� 3�'�"•�<<� %d <br /> Si n Care Company Time Date 1. N=normal turnaround, F= 1-week turnaround <br /> Relinquished by %�yi�-F , i /�. �� �) jG Cit R=24-hour turnaround,H=Hold do not analyze unless requested <br /> Received by ( t' /�:?� ;u 2. Sample Matrix Codes:See list on back of pink copy <br /> Relinquished C?� 5 �J'�� 3Q 3. Container type e codes: V=VOA Bottle,P=Plastic Bottle, <br /> G=Glass Bottle,T=Brass Tube, <br /> Received by " �(�� I� � B=Bag,S=Stainless Steel Tube, <br /> O=Other(specify under remarks) <br /> Relinquished by Internal Use Only <br /> Received by CC: <br /> White I aboratory return to ORAD Pink sampler leaves with ORAD <br /> y <br /> Revision 3.3 Attn.Data Management Team L-633 Yellow Analytic J I ab Attn.ORAD Data Management Team 1 633 s <br /> 29 Oct.93 ORAD ,,.....:. ..." ... w . . <br />