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ChAin-of-Custodv Recordand Analytic Instructions Page!—of i 0 0 O 1 7 <br /> Send all rest!lts and invoices to: <br /> Field Log Book#(COC#)�� _ Release# 1.4 <br /> M. Heaton, ���� <br /> _ - ( lease fill in and circle) no E <br /> LLNL Acct. # f--, P Sampling Request# <br /> Attn: ORAD Data Management Team L-633 Analytical Laboratory Name l� <br /> Lawrence Livermore National Laboratory ��/} <br /> P.Q. Box 808, Livermore,CA 94550 r ''� �p'" J� Analytical Laboratory Log# <br /> Analysis &Turnaround Additional Instructions to Lab <br /> aired T <br /> Sampled By : Sampler's Employer: <br /> ti <br /> Sample 2 Grid/ r <br /> i <br /> Sample Matrix/Type #of dy <br /> Identification Date/Time Container/Type 3 Cont. Area Remarks <br /> _n� �!cam. '�:�l / -'•�'� -. il,� �G' �� � G t � <br /> X17 /Q <br /> Signature Company Titne Date <br /> 1. N=normal turnaround, F= 1-week turnaround <br /> Relinquished b ;"6 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 by �l S �'�.,- E/1 <br /> 3. Container type codes: V=VOA Bottle,P=Plastic Bottle, <br /> Received by 1�- G=Glass Bottle,T=Brass Tube, <br /> _ B=Bag,S=Stainless Steel Tube, <br /> Relinquished by O=Other(specify under remarks) <br /> Received by <br /> Internal Use Onl <br /> CC: <br /> Revision 3.3 Whtte laboratory return to ORAD <br /> Yellow Anal Ptnk Sampler leaves with ORAD <br /> 29 Oct.93 ORAD + <br /> Attn.Data Management Team 1633 Analytical Lab„tea.. ,, ,,., Attn ORAD Data Man a ement Team 1633 <br />