IGMY D - Hanford Site
IGMY D - Hanford Site
IGMY D - Hanford Site
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PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector<br />
t<br />
W.O.<br />
^-1<br />
autUltaoueeter etavhone No. b1S 1114 FAX<br />
tiAF No.<br />
1074)06<br />
Pre fect nue<br />
ma#as Orkin<br />
Si^<br />
'<br />
t F —<br />
Porch&" Order/Char e, Code<br />
Ice C►eat - • ^C._1<br />
^W l<br />
Tam<br />
Shiand To (l.ab) Method if Shlomcat Bill of L adin plAIr BW No.<br />
P"t"<br />
CIMMA<br />
POSSIBLE SAMPLE IW.AftMR6.NARKS<br />
« "Cowan Radiac ti e MaoaWa carcmnlim e blare oar resuhtd fa lrampertWon per 49 CFR but as as<br />
pa DOB Order 5/00.5 (199(V79DS)<br />
Priority: 45 Days<br />
Delta Prwerty No-<br />
C.<br />
I07-006-100<br />
Page 1 Of 1<br />
SPIKA3AL INSTRUMONS Hold nr ToW Activitv Fiem ucci: Yet VJ No<br />
Aslaheacepl WSM Both @0 PNNLamwin Pbrioedoda A.G.LS. eadW 07 SAFI mesa SDO r oabeaaed SDO<br />
c:beae of 14 dayL<br />
W8CF1 BemaOP-tt1LGwmgAtsubmimdiab a SDG ddyeb..a.<br />
Sample No. Lab ID • Date Time NWTypc Ctntaina Samph: Analysis Prcdemdve<br />
81KYN5(F) W U40-ml. aGa' COLOR TKYLD: NewMant Chmmkwn(1) NonO<br />
cz<br />
Re4oquhhedxi Pray<br />
D.Wri. 14V5 Rye; C.<br />
Hier g"°<br />
Matrix ^<br />
_<br />
NOY 2 7 0<br />
NOY 2 7 1006 NY v—<br />
It - Xa#<br />
rl..asun<br />
tP. _ ReBrisr DI. - Ilrra lln,i<br />
AeWquuhedBy DnNCmo Raeivedey DaWIhm<br />
AO - Add<br />
T - TWe<br />
M. - tbdre WI - Wine<br />
W - war<br />
I. - 110 nl<br />
ReiNalsied By Dab?ioe Rectind By Dael/tbe 0 - (M<br />
V Veaaaliw<br />
A - Air<br />
X - now<br />
Rehngauhad BY D+INfnw Reoerved By Dowrine<br />
FINAL SA-MPLE Doped MetlrflEE:f oraac M P^•Jrti pp^giP4 nd Yproaaa Diy^med By Dawrine<br />
^^:..^/UU<br />
DISPOSITION<br />
I^L ^\GLJ f^/ V^J
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