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I - - Instructions Page of ^ B 00023 <br /> Sen esults and invoices to: <br /> Field Log Book#(coc#) Z Release# 1 'yYy l <br /> . H81tOII, <br /> (Please fin;n and circle) LLNL Acct.# Sampling Request# <br /> D Data Management Team L-633 Analytical Laboratory Name <br /> Lawrence Livermore National Laboratory Analytical Laboratory Log# <br /> P.O.Box 808, Livermore,CA 94550 3 <br /> Analysis&Turnaround Additional Instructions to Lab <br /> Also Fax copies to: Fax# u—L e uired 1 <br /> Project Name: 0 ,Q <br /> Sampled By : YN6LQU C Sampler's Employer: 40,4 0 <br /> 10 <br /> Sample Sample Matrixllype23 #of S udy <br /> Identification Date rime ontainer/Type Cont. Area f� v1 N, > <br /> �4. <br /> am z <br /> 44 50 <br /> LT &z, 7 <br /> - fl - l 7s- ✓ 1 Y-56 z - <br /> 7 <br /> o - <br /> SAM PLE #TK-05-01-879-G 1 U 1-36-5 <br /> IS REPORTED <br /> 71 SAMPLE # TK-03 01-879-G 1 U 1-36-SO <br /> Sin re Company Time Date 1. N=norma — — — — — — — — — — — — — <br /> Relinquished by �� S® R=24-hoi <br /> Received by / S l,6 3(,J 13r, 2. Sample M; <br /> SAMPLE #TK-06-01-879-G1 U 1-SP-SO 1 <br /> Relinquished b � 3. Container IS REPORTED AS <br /> Received by QS (� <br /> SAMPLE # TK-05-01-879-G1U1-SP-SO-1 <br /> Relinquished by <br /> Received by <br /> Revision 3.3 White:Laboratory return to ORAD Ptnk."Sampler leaves with ORAD <br /> Attn.Data Management <br /> ana ementt Team L-633 fellow:Analytical Lab <br /> 29 Oct.93 ORAD g , Attn.ORAD Data Management'Team L-633 <br />