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Chain-of-Custodv Record and Analytic-.Instructions- - ' Page.-of: _. B .00319' . <br /> Send all maul oitties to: <br /> lbi: eaten, Field Log Book#(COC#) ASE 1 Release#1Z3 0910 <br /> ` le) LLNL Acct.# 1360 Sampling Request# <br /> Attn: ORAD Data Management Team L-633 0 R .RD . AnalyficalLabor'atoryNa e C-L 5. , <br /> Lawrence Livermore National Laboratory Analytical Laboratory Log# I'M 2 7 <br /> P.O.Box 808, Livermore,CA 94550 <br /> Analysis&Turnaround Additional Instructions to Lab <br /> Also Fax copies to: PI1I te�k Fax# R uired 1 <br /> -fit ah SaMPIe. <br /> Project Name: DIV. -�-v b Q Ao'.1a b L <br /> Sampled By : c Sampler's Employer. IX//7/7 f� <br /> Sample Sample Matrix/Type 2 #of SRU ly <br /> Identification Date/Time Container/Type 3 Cont. Area <br /> SoRemarks <br /> T b�- 9-oJ IUI•s0- /.� / SI -T <br /> y <br /> eSainature Com an Time Date <br /> Relinquished by 1. N=normal turnaround, F=1-week turnaround <br /> R=24-hour turnaround,H=Hold do not analyze unless requested <br /> Received by <br /> �G s<7'�7-rj►� 2. Sample Matrix Codes:See list on back of pink copy <br /> Relinquish Isy <br /> ��— �j� _ 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> Received by -51 t G=Glass Bottle,T=Brass Tube, <br /> B=Bag,S=Stainless Steel Tube, <br /> Relinquished by O=Other(specify under remarks) <br /> Received by Internal Use Only <br /> Revision 3.3 White:Laboratory return to ORAD Pink:Sampler leaves with ORAD <br /> 29 Oct.93 ORAD Attu.Data Management Team L-633 Yellow:Analytical Lab Attn.ORAD Data Management Team 1.433 <br />