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>473 I NP I at l<br />
Collector<br />
Company Conta<br />
TN KLINCKMAN<br />
ct Tel ep hone No. Protect Coordi nator 00<br />
Price Code 9N Data Turnarm-st<br />
TILLER, Bt JOAN KESSNER 375-MBB KESSNER. IH<br />
rolecl Dex^nW on Sawnslin se Location <strong>SAF</strong> No. Air Quality q 45 Day,<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 Ti BORROW PIT 24 OFFAL <strong>RC</strong>-<strong>047</strong> ,D<br />
Field Loabook No. COA Method <strong>of</strong> Shioment - m<br />
Ice Chest No.<br />
xee- ,Z ',3Q,,f^<br />
El, 1595 BESRAS6520 FED EX m<br />
Shipp Ofls1k Property Na / Bi ll orLadiuWAtr Bill No,<br />
ERUNESERVIM UONVILLE 60 ,3 SEEOSPC<br />
POSSIBLE SAMPLE IiAZARDS/REMARKS<br />
POTEN77ALRADIOACTIVE .DOTIJUITS<br />
Preservation<br />
-<br />
Special handling and/or Storage<br />
Type <strong>of</strong> Container<br />
COOL 4C "MATRIX COMPOSED OF MICE"<br />
No. <strong>of</strong> Conlalner(s)<br />
SAMPLEANALYSIS<br />
Volume<br />
Is_r-164 W 3c 3<br />
Samp le No. Mat ri x • Samp le Date Samp le Time - ,; .. 1,. -.<br />
Coal 4C NO. Car14C Cod IC Cwl4C 0ae14C<br />
aG G/P a? aG aG AG<br />
I 1 0 0 0 0<br />
_2509 109 Ise Sells 509 50g<br />
See ram(1)u Seesm(Dsr Saaon(3)1n PIs-1012 Pwkides . sm-VOAsms<br />
W1W Slacbl ant 9270A rTCL)<br />
Inmanbna Inamlim.<br />
J11KM2 OTHER SOLID Q 3 Z5,& X +X '<br />
18W V<br />
. _ V,_ WW lit_<br />
CHAIN OF POSSESSION<br />
Relinquished By/Remwed from,y<br />
E•as L e/<br />
'nnui i C'icw<br />
Doe/17me<br />
GeV-^i 3o<br />
Date/fine<br />
Sisnmrint Nam es<br />
Ell d In<br />
S<br />
eive y/Srared In<br />
Dat^me<br />
p<br />
Dm^nn<br />
w<br />
SPEC IAL INSTRUCTIONS<br />
NOTE: FLerane- perform Gamlm Spec Wen auubip b attle to tionvilk La bs, if pmsible nainam 4 C<br />
cooky. liowilkt patpmneu4.PCB,PFST,SVOC In this ade'aa rxrpleu avaiYIs Caranct Joan<br />
Kaaaaer upon reeeipl.<br />
Matrix<br />
srnhd<br />
1<br />
su<br />
^+•<br />
Relinquished By snowd From<br />
^1 /,TOO<br />
D ae<br />
^EU<br />
ltcciwd By/Sk n<br />
AA<br />
(1)Ganarw Spw-tpulllisi)IAerericiom241,Animooy-125,Berylaum7,Ccsiuw134,Cesium-137,<br />
CaWlt-60.Emapi IS'IEmvpiam154,Evopinm.ISS,Pdmiurn40,Radmm-224,Radim 329.<br />
W.<br />
m'' w li B e dprom -<br />
-^L<br />
clinquisled By/Rcnvwd From<br />
D"^'ne<br />
DatrJFime<br />
Rec ' B<br />
Received By<br />
In<br />
In<br />
y^U<br />
1 7-y.+10<br />
;7<br />
130 ore<br />
.0`<br />
DotHFbre<br />
RulerdurnlOb. Urasawn- 235. (lanum2391<br />
(2) SUmsiu 89.90 - TOW Sr; hmopic; TbrAan ( T7nr unr232); Isotop ic Unnium I Unnium23323J.<br />
Ummuro-235. U sasft -2391: hmpie o ROroaitan<br />
(3) ICP Mwh -6010 tFUR tm) lAlu ii inum. Animooy. Anenk. Barium Beryl) wm Bisnuolt annual<br />
Cadmium. Cakimlt Owoesimn Cobalt Copper. Ivan. Lcad. fidwaR Magnesium Manganese,<br />
Molybdenum Nickel, Plospborus, Patassiorn Seknlum SWCOW, Silt y, Sodium Swmhmt TMl9u 111.<br />
Ten, Unnis m. Vanadium, Zinc); Mercu ry - 7471 - (CV)<br />
MasprsdW<br />
rat u. Lam,<br />
r•TI.^*<br />
WW'.<br />
ubwa<br />
a.V" .a<br />
X.<br />
Relinquished ByrRemaved From Duerr," Received aylSiomd in Dolarkre<br />
S e^/^ -( )c-G ^' C) 7)<br />
LABORATORY<br />
SECTION<br />
Rceived By Title •l'C<br />
Dale/linx,<br />
FINALSAMPLE Dirpaal McdW Disposed By Dare fine<br />
DISPOS IT ION<br />
SHI-EE-0 11 (08129/2005)
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