SAF-RC- 107 100-H Remaining Sites Burial Grounds ... - Hanford Site
SAF-RC- 107 100-H Remaining Sites Burial Grounds ... - Hanford Site
SAF-RC- 107 100-H Remaining Sites Burial Grounds ... - Hanford Site
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TestAmerica<br />
TH7L7ER IN ENVIRONMENTAL TESTINO<br />
-a:v6-to. Sample Check-in List. i nta~<br />
Thatclrirne Received:______________ GM Screen Results (out) c in<br />
Client<br />
SD #5bD<br />
7 C NAf] SAP ~NA<br />
Work Order Number: 4 Chain of Custody # .&K }<br />
Shipping Container ID:N<br />
r Bill Ai~N~ #<br />
Itemn 1 through 5 for shipping container only. 1ntAl appropriate response,<br />
I Custody Seals on shipping container intact? Ye~ No [ J No Custody Seal<br />
2. Custody Seals dated and signed? Yesi No E ) No Custody Seal<br />
3. Chain of Custody recir ursent? Ye~~ NoC ]J<br />
4. C ooler temperature: . NA 3 .Ven-mculitpacking materials is NAC 3 Wet ( 3<br />
Item 6 through 10 for samples. Initia appropriate response,<br />
6. Number of sam~les in shipping container (Each sample may contain multiple bottles);<br />
7. Sample holding times exceeded?.<br />
8. Samples havr.:<br />
tape<br />
~custody seals<br />
NA C y. Ye I T -.,Z<br />
hazard labels<br />
-? Iappropriate sample labels<br />
Ory416.<br />
garod condition<br />
____laking<br />
__ broken<br />
-_have air bubbles<br />
rd(9 L) (Only for samples requiring head<br />
10.<br />
space)<br />
Sample pH- taken?- NA p
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