SAF-RC-047 100 & 300 Area Component of the ... - Hanford Site
SAF-RC-047 100 & 300 Area Component of the ... - Hanford Site
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 j pxv 1. d I<br />
Collector<br />
TILLER, B. TH KLINCKMAN<br />
C[mmanv Cantact<br />
JOAN KESSNER<br />
Teletsbone No.<br />
375-4688<br />
Prolect Coordinator<br />
KESSNER, JH Price Code 9N<br />
Protect DesienaGon<br />
<strong>100</strong> & <strong>300</strong> <strong>Area</strong> <strong>Component</strong> <strong>of</strong> <strong>the</strong> <strong>RC</strong>BRA Sediment and n<br />
Ice Chest No.r<br />
y j^(J -- ^^<br />
Satnpbne Location<br />
1 I6-N-3 OFFAL<br />
Field Logbook No.<br />
FL-1595<br />
COA<br />
BESRAS6520<br />
<strong>SAF</strong> No.<br />
<strong>RC</strong>-<strong>047</strong><br />
Method <strong>of</strong> Shipment<br />
FED EX<br />
Air Quality<br />
Data Trrrnarourssm<br />
V<br />
45 Days m<br />
CD<br />
m—<br />
m<br />
m<br />
CD<br />
Ship<br />
L•RLINE SERVICES LIONVILLE _<br />
ORsile Pronety No. / p<br />
Q(/Q J^L/<br />
Bib <strong>of</strong> Ladlisit/A ir BIB No.<br />
SEEOSPC<br />
POSSIBLE SAMPLE HAZARD6/ItEMARKS<br />
POTENTIAL RADIOACTIVE eDOTUMITS<br />
Special Handling and/or Storage<br />
COOL 4C "MATRIX COMPOSED OF MICE"<br />
SAMPLE ANALYSIS<br />
S ^, 41<br />
Presevauon<br />
Type <strong>of</strong> Container<br />
No. <strong>of</strong> Contalaer(s)<br />
Volume<br />
Iw ® 3<br />
Sample No. Max Matrix •<br />
Sam Date Sample Time<br />
J11KL6 OTHER SOLID APR 0 3 2006 Wo k<br />
Coal Node Cu l 4C Goes 4C eu4C m Cu,d4C<br />
aG<br />
GIP G/P aG aG aG<br />
1 I 0 0 0 0<br />
25% log 158 30s 508 508<br />
Seeias(11n Seeinn(21in<br />
Speid Spew<br />
Seelam(3)in<br />
speew<br />
Porn-tion Peabides.<br />
anal<br />
SeriVOA-<br />
IMA (TCL)<br />
Ihharahfom Inamnbna I.urununa.<br />
_ r r<br />
k x<br />
r` £<br />
CHAIN OF POSSESSION Sign/Print Name SPECIAL INSTRUCTIONS<br />
Matrix'<br />
Re6nryished By/Remond From /K smc<br />
EAS LOCKED STOR ts^ ey'°,.^<br />
Dalefrime<br />
-<br />
NOTE: Ebalme. Perform Gaorna Spec *am baa+hp book I01Jomil le Labs, if possib le maintain 4 C<br />
Gong. <strong>of</strong>i L'omil le.Pulorm me ta Nk/V DalHnme<br />
NOW<br />
7h C)<br />
ell uis d B /Rmnuved F s Daemme<br />
aq<br />
Rttt^i ved By/5[aed In<br />
!<br />
r".<br />
Received B Y/Sward N<br />
Date/rime<br />
IeT^<br />
Z<br />
ls, FCBXEST,SVOC in order as simp le is avai lable. Contract Coact Joan<br />
Kessocr salon macipa. _<br />
(1) Gamma Spa-(Full lisp lAmencima:fl, Anrirraay-125. Be rylinm7, Cesitmn134-Cesium137,<br />
Cobalt-60. Europiuml52. Europium-154, Etaopiam155, P erassiu -40, Radium22 ( , Radlam226.<br />
•sa<br />
f^s E.s 4ma<br />
so-ASw<br />
sksh hs.<br />
W. W.<br />
OcO 1<br />
A.A.<br />
O/ RurlcniumlOO.Unoium235,Uracium23s) Relic 'hed e F DotNrmle<br />
X Yt^ ^! 6 OG ^G 17/7<br />
eGuquishe By/R Hued From Dame<br />
x<br />
4linqui 5hc y/Removedroom Daerfacc<br />
T*TA<br />
Received /S din<br />
D^—<br />
rived<br />
Received By/Stonfl 14<br />
_<br />
b<br />
)me<br />
DdeTme<br />
Durerring<br />
l^ (2) ShootinmB9.90--Tarsi Sr. lsaopk Tho ium(Tnaiwsr23?); Isotopic U ranium l Uranium-233834,<br />
Uranium235,Unomm238);lsouocPlalonium<br />
(3) ICP Meala-60101Fu11 IJsq lAlurhiaam Antieay.rse n Anic• Barium 8cryllium Bismank aca B.<br />
Cadmium Ca lcium, Chromium Cabal, Copper, bra, lead. IAtdum Magnesium Manganese,<br />
Molybdenum L ybdenum Nickel. Phosphdos, Po pnium Seleainm Silicon. Silver, Sodium Strontium Thallium<br />
Uranium. Vanadium Zinc ): Mercu ry - 7471 - (CV)<br />
uM<br />
sK.o, &"<br />
a.ne.,,ugy<br />
T.Ta..<br />
wr.w^l.<br />
'd<br />
z.alh.<br />
LAAORATORY Received By TitleDateTme<br />
`^+VS<br />
SECTION<br />
FINAL SAMPLE Disposal Method Disposed By D+INfime<br />
UISPOtiI'I'ION<br />
SHI-EE-011 (08/29/2005)