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Chain- - Page Of 0 <br /> Send a ults and invoices to 1 <br /> �" --- Field Log Book#(COC#) Release# <br /> . Heaton <br /> (please fill in and circle) LLNL Acct. # / Sampling Request# ,! <br /> Attn: ORAD Data Management Team L-633 Analytical Laboratory Name s <br /> Lawrence Livermore National Laboratory <br /> 7 <br /> Analytical Laboratory Log#_ �1S�S5 <br /> P.O. Box 808, Livermore,CA 9455012 b <br /> ~•.•... ?::.: N..w.sa •. �. •;::•.•. _. Analysis &Turnaround Additional Instractions to 1.a <br /> t) <br /> Fax copies to: h'ax# Required I <br /> Project Name: Cf <br /> Sampled By : f-'7 e5 Sampler's Employer: L6ly <br /> Q� J 41 V <br /> Sample Sample Matrix/Type` #of Study <br /> Q, <br /> Identification Date rime Container/Type 3 Cont. Area V QJ Remarks <br /> � 43/cry <br /> Z/{uG ' <br /> R fZ <br /> I _J= <br /> SignAture Company Time Date t, N=normal turnaround, F= I-week turnaround <br /> Relinquished b lC t GG,�j� j�e� R=24-hour turnaround,H=Hold do not analyze unless requested <br /> Received by <br /> ?`! 2. Sample Matrix Codes:See list on back of pink`oPY <br /> Relinquished b D 7�i� 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> C� ..5 g y YP <br /> G=Glass Bottle,T=Brass Tube, <br /> Received by ✓ l� S yJ�) _ cjL B=Bag,S=Stainless Steel Tube, <br /> Relinquished by O=Other(specify under remarks) <br /> Received b Internal Use Only <br /> Y ..__...... <br /> CCc <br /> White:Laboratory return to ORAD Pink:Sampler leaves with ORAD <br /> Revision 3.3 Yellow: Analytical Lah <br /> 29 Oct 93 ORAD Attn.Data Management'ream L-633 y Attn.ORAD Data Management Team L-633 <br />