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FH-Central Plateau Project CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST F03-006-65 Pam 1 a i<br />

Collector<br />

Johansen/Pope/Pfister<br />

Project Designation<br />

200-PW-]1200-PW4 OU - Borehole Soil Sampling<br />

Ice Chest No. G O O<br />

Shipped To<br />

EBERLAIE SERVICES (Formerly TMA)<br />

POSSIBLE SAMPLE HAZARDS/REMARKS<br />

Special Handling and/or Storage<br />

SAMPLE ANALYSIS<br />

Company Contact Telephone No.<br />

LC HuWMm 373-3928<br />

Sampling Location 0 G 1 r q 'r,1 ^7tn1<br />

216-A-37 (C4106); (37.5'-40) 4! °I pt l T ^.^ V T<br />

Field Logbook No.<br />

HNF-N-3361<br />

Offsite Property No.<br />

/ ,<br />

Preservation<br />

Type of Container<br />

3 O Z<br />

COA<br />

117504ES10<br />

Project Coordinator<br />

TRENT, S7<br />

SAP No.<br />

F03-006<br />

Method of Shipment<br />

Federal Eximm;<br />

Cod M: Cod IC Nape Nape<br />

aG<br />

No. of Contaiaer(s) I 1<br />

Volume<br />

- a<br />

Sample No. Ma tr ne • Sample Daft Sample Time<br />

B16IN82 SOIL O1}<br />

aG<br />

aG aG aG<br />

I 1 1<br />

120mL 67 120mL 60ML Wool,<br />

cema:oo N621HO3 . aanrent. S iU.(I) m Tdtk. -In<br />

Hax- 7196 3532<br />

4 13.1<br />

Special<br />

^',<br />

^a<br />

tamaaam.<br />

•.CBAIN OF POSSESSION AR<br />

Sign/Print Nam" SPECIAL INSTRUCTIONS<br />

- B Reeeiwd By/SOmed la E^►G.L DaWT<br />

eriG^J' 1<br />

kdmqmsw By From<br />

e QLA<br />

l It tad<br />

it , EQ<br />

veal Byrs<br />

$ ^L<br />

Z<br />

®e I<br />

y<br />

Reliar ved From<br />

F7z SI 03<br />

Datdr=<br />

eezved By/Slomd In<br />

Datdf®e<br />

1160 C^ ^ e C" _ "V<br />

Relioqmshed By/Removed From I)atdrime Received By/Stomd In Date/fine<br />

LABORATORY<br />

SECTION<br />

price Code $N<br />

Air Quality E]<br />

B01 of Lading/Air Bi ll No.sO,<br />

.<br />

/I --<br />

I u<br />

r<br />

Data Turnaround<br />

45 Days<br />

t<br />

C/<br />

CD<br />

•• ILe labmmory is to achieve a detection I®it of 50.0 pCi/g f br Cart o 14. *4^ b/ j<br />

La. G<br />

()) 7echaetium-99; Strwtmn-99,90 - Tolel Sr, Lmtopic 1Lrxiom ('ILoriam-732); Cazbm-14; Iodise-<br />

129; Nickel-63; Neptunium-237<br />

Personnel not available to<br />

relinquish samples from the 3728<br />

Ref #<br />

Reaived By - Tide Datefrime<br />

FINAL SAMPLE Dnponl Mtrhod Disposed By Dardrane<br />

DISPOSITION<br />

BHI-EE-011 (031012002)<br />

M atrix<br />

sa^,ar<br />

so-sda<br />

9-seas<br />

W.W.<br />

a<br />

vmwye<br />

u am3<br />

v-v.w+m<br />

x^

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