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SAF-RC-047 100 & 300 Area Component of the ... - Hanford Site

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Washington Closure <strong>Hanford</strong> CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST <strong>RC</strong>-<strong>047</strong>-267 Pw 1 <strong>of</strong> I<br />

Collector Com pa ny Conta ct<br />

TILLER, B. TN KLINCKMAN JOAN KFESSNER<br />

Telephone No,<br />

375-4688<br />

Pro ieet Coordirulor<br />

KESSNER, IH Price Code 9N Data T7lrnarsund00<br />

It<br />

Protect factiona lism<br />

<strong>100</strong> & <strong>300</strong> Ara Compooeul <strong>of</strong> <strong>the</strong> <strong>RC</strong>BRA Sediment and Ti<br />

Stmmline Locaflon<br />

110-N-3 OFFAL<br />

<strong>SAF</strong> No.<br />

<strong>RC</strong>-<strong>047</strong><br />

Air Quality q 45 Days m<br />

0<br />

Ice Chat No. Field Logbook No. COA Method <strong>of</strong> SWnmeat<br />

^i ^^-- ." -'IjOJT EL, 1595 BESRAS6520 FED EX m<br />

Shin Olraite Property No.<br />

/J /l<br />

<strong>of</strong> Lad hWAtr Bi ll • ERI.iNE SERVICES LIONVILLE O^v 6K13 6)<br />

No.<br />

SEE OSPC<br />

POSSIBLE SAMPLE AAZARDS(REMARKS<br />

POTENTIAL RADIOACTIVE k;'"I"<br />

Bill<br />

AG G/P G/P eG aG aG<br />

1<br />

I B a 0 0<br />

250g log 155 505 mg 50g<br />

Seek—Win Seeite-Ml- SeehenMi. PCB.- 31182 Pw& _ SmaFVOA-<br />

Spaiol Sp..:, Spnial 1011 9270A(7CLI<br />

humwkau Iwrrmum. me,sener, ,<br />

-.";_ _<br />

J71KL6 OTHER SOLID APR 01 <strong>100</strong>6 IVLCJ Al X x<br />

,.»+s `1:s` ,,, "f-`*"^'`^ a.t.:^'un 1`'' ,s, â4 _'^' ti':,' - ^` t'`3--"<br />

CHAIN OF POSSESSION Si6n/Prinl Names SPECIAL INSTRUC`nONS<br />

Matrix •<br />

8tquidcd By/Removed Tom rose NOTE: Rwrlfim- ^^<br />

vamo paWTIimr<br />

perfam Genera Spec Nee vaaship bottle to 1]otrville Labs, if p ossible maintain 4 C<br />

EAS LOCKED STOR GE •Y- °"<br />

Got++* cooling. n& LAWnille: pmferm secants, this is surykis available. Canon Joan<br />

s6seAnmt<br />

Kessler upon receipt. _ a^J<br />

' s A Aw Dawelriroe iwd By/Stored In<br />

V Flo<br />

d B lRenloved t Dame Remived B r/Slarxd<br />

N<br />

t*iA 04<br />

DoaelFnrtr<br />

tr<br />

D!<br />

me<br />

;<br />

(1)Gao nnSpec-(Full<br />

Us t) l Anrcm io241, Aveissmy-127, Be Beryllium-7, 7, Cesium- 134, Cesium 137.<br />

Cobak-60.Erro0uml52,EmoO 154, Ewapiw 155,Pa sim 40, RaAium226. Radium?g,<br />

- Ru1hmmmlo6, Uranium2i5. Urariwn2381<br />

l'-)SaaMm iu89,90--To<br />

msaw,<br />

0'a<br />

ta .—<br />

B<br />

b<br />

emgved Rpn I)aieTmr Reccived 5 din<br />

/,<br />

7 /i I^.UO F^l^<br />

b<br />

ime<br />

l Sr Isotopic lnon lThm m t2321: Isatlpit Utiure m l Urary um233f274,<br />

Unoin235. m L4 n 2381; Is otopic nonlinu<br />

Month<br />

Ma - 6010 (Full Lisa) I Aluminum num Antimony. A rsenic, Ba rium, Beryl<br />

os.d,..s,s,a.<br />

m.o,.eLws :<br />

T•T<br />

li<br />

X<br />

nonli<br />

(3) ICP<br />

um, Bistauk Boron<br />

Cadmi CadmiumCalcium Calcium Llnmium.<br />

Cobal4 Coypuron<br />

Manganese.<br />

. I I:ad, lithium Magnesiumq Mangaae.<br />

Molybdenum Nickel, Phosphorus. Pa sion Se lenium Silicon. Silver. So di she y/R Flop O+te/fitrc Received<br />

x 3<br />

Dote?inc<br />

um Strontium Thallium<br />

T^&Llmnium Vandium7iml:Mem y-7471-(CV)<br />

x"a<br />

Relirpuishe y/Renpved From Da¢Tnx ived By/Swr4i TA Dale/rine<br />

LABORATORY Received By Tide Date/rime<br />

SECTION<br />

FINALSAMPLE Disposal Method Disposed By Daterrine<br />

DISPOSiTiON<br />

BHI-EE-011 (08/2912005)

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