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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>-330 [ P -P 1 « 1<br />

Collector<br />

TILLER, B.<br />

TR KLINCKMAN<br />

'rolat Designation<br />

<strong>100</strong> & <strong>300</strong> Atha <strong>Component</strong> <strong>of</strong> <strong>the</strong> <strong>RC</strong>BRA Sediment and Ti<br />

lee Chest No.pp<br />

2 see e.2 -,sly Jam'<br />

Company Contact Te lephone No.<br />

JOAN KESSNER 375-4688<br />

Samp ling Loca ti on<br />

BORROW PIT 23 OFFAL<br />

Field Losbook No.<br />

EL-1595<br />

A06033a<br />

COA<br />

BESRAS6520<br />

Sh OfEdtc Properly No.<br />

Bi ll <strong>of</strong> Ladins/Air Bill No.<br />

EBERLINESERVICES LIONVILLE SEE OSPC<br />

POSSIBLE SAMPLE HAZARDMU MARKS<br />

POTENTIAL RADIOACTIVE Tne ,04<br />

EM LOCJ(ED STORAG E<br />

R^li vep^ y ^^^<br />

s<br />

m b-4eH Dakrtirm<br />

/ ^(/aU<br />

U {^ bG ^.S-O p<br />

elirquis 8 eoved m Fmm Dak?nz<br />

SigulPrint Names<br />

fn :^^<br />

eceived BylStded In<br />

^(' ,d Cx<br />

Received B n<br />

SPECIAL INSTRUCTIONS<br />

Dn^me<br />

NOTE: aeffee-perform Gamma Spec 0sentranshipbottle toUm•ilk Labs, ifpossible rtsinaio4C<br />

caa ft limrilk: perform an PCB.PEST,SVOC in this 0 as sa yk is anilable. Cod t loan<br />

y0 (J<br />

R<br />

ICesnrr upm receipt.<br />

Datemme<br />

(1) Omani Spec - (Full Liso 1 Americium241, Andmany-13. Bnyllium7, Cesium134. Ceaium137.<br />

Cobdt-60, FLmpitn.152, Euopium154, BvWium155, Pomsiu1r1d0. Radii 226, Radior 228,<br />

'Dal ^'m 1^ Rudica u e, 106. Urmhm-235, Undom2381<br />

Relin sbedd c Fmm a Unt<br />

t1A 9,<br />

Received B In Iku<br />

(n<br />

me<br />

s/U (2) Stmndu n39.90- Toad Sr. holopie T hmium I Thork m2321:<br />

IsdWk Urtmsm l Uranimu233/r_34,<br />

Umniom235. Uamimt-2381: hdapie P lutonium<br />

Reli quisle y/Re ed From<br />

Relinquished BY/Remmed Fwn,<br />

De nse<br />

Datefftme<br />

Recei B<br />

Received BY<br />

InDndfine<br />

A ck 0730<br />

d In Outeflihm<br />

^G^ul (E^ 50-t.<br />

LABORATORY Received By Tit leDate?rte<br />

SECTION<br />

FINAL SAMPLE Dispmal Method Disposed By Dale/rim<br />

DISPOSITION<br />

13 HI-EE-011 (08/2912005)<br />

Matrix<br />

s .<br />

soaeta<br />

sasaw.<br />

W. W.<br />

°'O^<br />

'yp A. e+ w<br />

1a.a t.q. n<br />

T-Tiwe<br />

4LpuY<br />

v"vga°n.<br />

xon<br />

-

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