Laserfiche WebLink
Chain-of-Custody Record and Analytic Instructions Page of l B 00321 <br /> 77� r .�.s �-pub s w� <br /> Send all resu ts--arld-Invoices to: <br /> Field Log Book#(COC#) t491 h 3 Release# <br /> M'Hoati LLNL Acct. # 1 Rro - to y <br /> !E-2— <br /> ( <br /> ,­,4 <br /> ease fiH trr n circle) ORR <br /> Sampling Request# <br /> Attn: ORAD Data Management Team L-633 Analytical Laboratory Name e - <br /> Lawrence Livermore National Laboratory Analytical Laboratory Log# 1n1-7312 <br /> P.O. Box 808, Livermore,CA 94550 <br /> Analysis &Turnaround Additional Instructions to Lab <br /> Also Fax copies to: Fax# Required t <br /> Project Name: n -JI I <br /> Sampled By : c K Sampler's Employer: L-4 tJ L <br /> Sample Sample Matrix/Type 2 #of Grid/udy <br /> Identification Date rime Container/Type 3 Cont. Area ` Remarks <br /> Teo 5- ", 9.DI 1L)1- .50- 1 <br /> k07-80-61- bl u 1- -o - 17A lazzlbylS� S <br /> Signature Company Time Date 1. N=normal turnaround, F= I-week turnaround <br /> Relinquished by 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 copy <br /> Relinquished bye—� -;^ �y• -- -- `> � T/z 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> G=Glass Bottle,T=Brass Tube, f <br /> Received by *nn G C5- AS Z-2l%�, B=Bag,S=Stainless Steel Tube, '. <br /> Relinquished by O=Other(specify under remarks) <br /> Received by CC: Internal Use Only <br /> White Laboratory return to ORAD " <br /> Revision 3.3 Yellow Analytical Lab <br /> Sampler leaves with ORAD <br /> 29 Oct.93 ORAD- Attn Data Management Team 1633 y Attn.ORAD Data Management Team L-633 <br /> ....a nagcmcn <br />