Laserfiche WebLink
Chain-...of-Custody Record and Analytic Instructions Page__-_of 0 0 0 6 -1 <br /> Send all results and invoices to: <br /> Field Log Book#(COC#) _ Release# <br /> M. Heaton, Mrc <br /> (please fill in and circle) LLNL Acct.# f, ��C_) Sampling Request# <br /> Attn: ORAD Data Management Team L-633 Analytical Laboratory Name�o,z <br /> Lawrence Livermore National Laboratory Analytical Laboratory Log# <br /> P O Box 808, Livermore,CA 94550 <br /> :�,�„,:R;�° .:a .:Via;.,�i..,s`�".i. ':: <v;. ,,ah ...,,. M €''' <br /> Analysis&Turnaround Additional Instructions to Lab <br /> Also Fax copies to: Fax# Required 1 <br /> Project Name: <br /> Sampled By : i -fmN Z CifIfM Sampler's Employer: <br /> Sample .2 Grid/ <br /> SampleMatrix/iY #of <br /> Study \/ <br /> Identification Datefrime Container/Type 3 Cont. Area Remarks <br /> Si natu -Company Time Date 1. N=normal turnaround. F= 1-week turnaround <br /> Relinquished b �sL. R=24-hour turnaround,H=Hold do not analyze unless requested <br /> Received by �js 23, 2. Sample Matrix Codes:See list on back of pink copy <br /> Relinquished by 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> G=Glass Bottle,T=Brass Tube, <br /> Received by B=Bag,S=Stainless Steel Tube, <br /> Relinquished by O=Other(specify under remarks) <br /> Received b Internal Use Only__ <br /> Y F­­ <br /> : <br /> Wh)te 1 aboratory return to ORAD Pink:Sampler Icaves with ORAD _ <br /> ..___._._..._..__ __. .... .. ......_ <br /> Revision 3.3 fellow: Analytical I,:�b <br /> Attn.Data Agana•anent Team L-633 <br /> 29 Oct.9.1 ORAD ,,. �� . Attn.ORAD Data Mana}�cencnt'1'cam I.-6,i3 <br />