IGMY D - Hanford Site
IGMY D - Hanford Site
IGMY D - Hanford Site
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G<br />
' rY<br />
BIG)Q.E<br />
CIIAiI\r OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C.<br />
—412<br />
I07-006<br />
Gatac(/Reooealer eleoheae No. SLSIN FAX<br />
No. R Origin Purchase OrdwiCbarae Code<br />
Proied Ti tle<br />
NN F - 1 ' — v ^Z-<br />
Ice CbeN Ns. ^ $<br />
' eed 1fe(Lab) Meted ofShiomeet Bid ofLadins/Ale&B Ne.<br />
Protocol<br />
CFRMA<br />
POSSIBLESAMPLE BAZARDS RDIARKS<br />
•^ "coaaka Reicod"matMd of mreaodom setae a ecaullad far lnmparabo per 49 OR big am got<br />
rakasattle pr DOE War 5100.5 (19907997)<br />
Priority. 45 Days<br />
[Bole Pr overb Ne.<br />
Temp.a<br />
Pap 1 of 1<br />
SPECIAL INSTRUCTIONS Held Time Total Activity FYenotim: Yes No<br />
Asla6rmapt WSM. DwhoMPNNL"Insvba"Wd LerA.aLS.ad WO7SAPa boom SDQootbexxN SDO<br />
clown of 14 days.<br />
WSJ: Batch a11PM& GW marks mbeiaed bm one Or, da ily closes.<br />
Sortpk No, tab ID a Date Tim Norl'ype Gotaiw Sa"ic Analysis Prexrvative<br />
B1LON2(F) W tl rL 092Sr 1a40- nL aGs' COLOR_Tl(RD: Mexavalent ChmnWm(1)<br />
Itclm lowled By bow «eleW DY Sipe Darllime btattis<br />
Retioq y<br />
RaboVitbed By<br />
NOV 2 2 2 6<br />
/7/a<br />
4Mrav<br />
Dm3Ime<br />
n<br />
Rem"d By<br />
Recaed By<br />
NOV 2 2 2008 121U<br />
drffima<br />
D%Wrbs<br />
R . as<br />
RR - RMtnar<br />
R() - RnSd<br />
V hm<br />
W Weer<br />
O - (aR<br />
A - Air<br />
rA<br />
TV. - n..^llos<br />
T - Te.<br />
vn - Wbr<br />
I. - Ihi/<br />
V - vve the<br />
R - Other<br />
ReOtgdeMday DaM6m By Daldreua<br />
FLAIALSAMPLE DapoaJ Mcdrd(e.g. Reba b caul mu. per `^sn<br />
DISPOSITION<br />
&H ROCESS z-^<br />
^^ z Z 'clef<br />
MIN<br />
O Q<br />
O<br />
O<br />
O<br />
0<br />
y<br />
W
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