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A" x7% ID <br /> Chain-of-Cust ecord and Anai.ytilc Instructions Page of B 0,0076 <br /> S Its an invoices to: <br /> 00% 'C <br /> Field Log Book#(COC#)—Zi Release# <br /> Hll <br /> eaton, <br /> S <br /> 71,,ul7tsand AdINVIL <br /> Heaton,n <br /> toease fill in and circle) LLNL Acct. # 136;o-CQ<( Sampling Request# <br /> �trn� ORAD Data Management Team L-633 RR NJ Analytical Laboratory Name C <br /> LivermoreI <br /> Lawrence LiverNational Laboratory <br /> 550 <br /> w <br /> P.O.P7 <br /> 0 Box <br /> ox <br /> x 808 Livermore, Analytical Laboratory Log <br /> 0Box 808, LiCA 94550 <br /> Analysis&Turnaround Additional Instructions to Lab <br /> Also Fax copies to: &,EPAJ Fax Required I <br /> Project Name: ITI 40 <br /> Sampled By :11A 4ten. Sampler's Employer._i'_(_.A'­ <br /> Sample Sample Matrix/Type 2 #of sioid/ <br /> Identification Date/Time Container/Type 3 dy <br /> a <br /> I y____ Con: Av, Remarks <br /> L-5<-7/_CJ f—ry[ <br /> Lo13 <br /> Skmture T Date <br /> Com jr,�[nal turnaround, F= I-week turnaround <br /> Relinquished by11'1't'1_'( C" R=24-pour turnaround,H=Hold do not analyze unless requested <br /> Received by <br /> 2 2. Sample Matrix Codes:See list on back of pink copy <br /> it <br /> Relinquished by l 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> .9P <br /> Received by G=Glass Bottle,T=Brass Tube,B=Bag,S=Stainless Steel Tube, <br /> Relinquished by =Other(specify under remarks) <br /> Received by Internal Use <br /> Revision 3.3 White:Laboratory return to OR�b ------- <br /> f Pink:Sampler leaves with ORAD <br /> 29 Oct.93 ORAD Attn.Data Management Team L-633 Yellow:Analytica!I.;;'" Attn.ORAD Data Management Team L-633 <br />