IGMY D - Hanford Site

Mrl. Sips DSWrme RoommalBy Prh Sips DrWrme Matrix•
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My 7.7 R - c R
Tic
SR - "vve rA.
BtlWgaitbed By Merriam Naeied By DtWllae
Cn - %*A T - Tb v
V. - M." WI - Wie
MNioqu,"By Nwroe
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CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST
_
Rasited BY DmYrme
RAWMCIBy DAWrlme
FINALSAMPLE Dspral ►(e6od(&t.,Rwimmcmb 'E
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DISPOSITION
11\ r^VV ss r/-2
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I07-006-380
rpage 1 of I
et IN oluNteoaeRer deubome No. bmN FAX
SAF No. samunt (Meld ortbare Order/Lbartt Code
ProkM Title
FFNF— ^ufX.—Z
nCben No.^S TMIL
To(Lab) M. dbod *fSblomwt 5111 of fadlv/AIr BIM No.
Protocol
POSSIBLE SAMPLE BAZARDS/R MARKS
•e "roetaioa BadiorUra Matviel at ao¢snrima Ytnar rtpdaed & braporotioapv49 CPRbutme or
laa DO8 Gales 9(oD.d (199WI997)
Frtafty: 45 Days
te Properly No.
SPECIAL INSTRUCTIONS Bald Time Total Activity Exctrotion: Ywb6 No
AMLbaexvpt WSCP: Brtbad PRNLanpluruGW oOmA.G.LS.&AW07Ws WoamSM " Wcuoed SDG
claeeeof II dry&
WSCr+ Brcb v PNNLGW emptn arbnWed bdo an SDG, dayebw
Saopk Na lab ID • Date Tina Norrype Coma w Sample Analysis Pmravalive
BILALI(F) W t '►37 5454BLads• COL(Np,.Tr FLD:Hemvalentchmmium(1) None
AL
v
- naaa t JW
- lva lLd
W - Wry t. - Ihdd
n - (M v - Veeetedm
A - Al, N - caber
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