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Chain-of-CustodyRecord Analytic Listructions Page of00068 <br /> Send all results and invoices to: Vield Log Book#(COC#) � Release# <br /> UAPRK <br /> MOIRA <br /> M. Heaton, 1_LNL Acct. # / , �o Sampling Request# <br /> (please fill in and circle) 1100 INS <br /> Attn: ORAD Data Management Team L-633 •analytical Laboratory Name 5 <br /> Lawrence Livermore National Laboratory P nalytical Laboratory Log# <br /> P.O. Box 808, Livermore,CA 94550 <br /> Analysis&Turnaround Additional Instructions to Lab <br /> .Also Fax copies to: Fax# Required 1 <br /> Project Name: <br /> Sampled By : Sampler's Employer: <br /> Sample Sample Matrix/Type 2 rid/ <br /> #of rid/ <br /> Identification Datefrime Container/Type 3 Cont. Area Remarks <br /> o L L_> <br /> Z �Ct7- <br /> t <br /> Si natu Company Time Date 1. N=normal turnaround, F= I-week turnaround <br /> Relinquished by j L s-p� ..�� R=24-hour turnaround,H=Hold do not analyze unless requested <br /> Received by��� jDwo 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 /> O=Other(specify under remarks) <br /> Relinquished by <br /> Internal Use Only <br /> Received by , ` qc: <br /> Revision 3.3 Whites Laboratory return to ORAD Yellow:Analytical Lab <br /> rink:Sav2pler leaves with ORAD <br /> 29 Oct.93 ORAD <br /> Atte.Data Agana meat Team L-633 ►ttn.0%M Data Mana ement Teach <br />