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Chain-of-Custody Record. and Analytic InstructionsPage. of : B 00318 <br /> Send all resp <br /> M-IieaEen; <br /> Field Log Book#(cou)�{ �l03 Release#J Z I-09 C3 <br /> '61casi-0 in e) LLNL.Acct.# 13 Go-L•y Sampling Request#. <br /> Attn: ORAD Data Management Team L-633 Analytical Laboratory Name GL-s <br /> Lawrence Livermore National Laboratory Analytical Laboratory Log# )-n-72 74l , <br /> P.O. Box 808, Livermore,CA 94550 <br /> Analysis&Turnaround Additional lnstrucuons to Lob <br /> Also Fax copies to: C Fax# Required 1 <br /> Project Name: cZ0 I U( <br /> Sampled By : Sampler's Employer._i'-LA)1_ <br /> .o, l� <br /> Sample Sample Matrixll ype 23 #of Study L <br /> Identification Date/1'ime ContainedType Cont. Area Remarks <br /> 9-o i-b1 LSO 17 'Yw2il sd s <br /> Si nature Company Time Date <br /> EReceived <br /> shed by 1. N=normal turnaround, F=1-week turnaround <br /> LgAge L4 -�-4/,#,— S!•d e R=24-hour turnaround,H=Hold do not analyze unless requested <br /> b L� /bEi�+ <br /> �-' '/�.c) 2. Sample Matrix Codes:See list on back of pink copy <br /> Relinquishe y Q� - n 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> Received by/l,. ,� C L �De �r G=Glass Bottle,T=Brass Tube, <br /> S �2 B=Bag,S=Stainless Steel Tube, <br /> Relinquished by 0=Other(specify under remarks) <br /> Received by EA14mal Use Only <br /> CC: <br /> Revision 3.3 Whites ory return to ORAD pink;Sampler leaves with ORAD <br /> 29 Oct.93 ORAD Attn.Dsta Management Team L-633 Yellow:Analytical Lab Attn.ORAD Data Mans ement Team L-633 <br />