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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Was1iini:lon Closure <strong>Hanford</strong> (CHAIN OF CUSTODY/SAMPLE ATIA LYSIS REQUEST <strong>RC</strong>-<strong>047</strong>.330 Pnta 1 <strong>of</strong> I<br />
Collector<br />
TTLLER, B. TR KLINCKMAN<br />
elect Deslanalion<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 Tt<br />
Ice Chest No. A2 -^pSJ<br />
Af kC<br />
Company ContactTelephone No.<br />
JOAN KESSNER 375.4688<br />
SomBline Loca tion<br />
BORROW PIT 23 OFFAL<br />
Field El 1595 is No.<br />
BESRAS6520<br />
Proied Coordinator<br />
KESSNER, III<br />
SAP No.<br />
<strong>RC</strong>-<strong>047</strong><br />
Method Shinment<br />
FED F-X<br />
Price Code 9N<br />
Air Quality q<br />
Data Turnarou"<br />
N<br />
45 Days"<br />
0<br />
m<br />
CD<br />
m<br />
^^ D 3 3 D<br />
SB Offsite Prooertr No. 2 Big Sdi B Air IB No.<br />
EBERLINE SERVICES L.IONVRLE<br />
POSSIBLE SAMPLE IIAZARDB/REMARKS<br />
POTEIIMAL RADIOACTIVE cDOTLIMf1S<br />
Special IIandling and/or Storage<br />
COOL 4C 'MATRIX COMPOSED OF MICE'<br />
SAMPLE ANALYSIS<br />
Preselvotion<br />
Type <strong>of</strong> Container<br />
No. <strong>of</strong> Contain er(s)<br />
Volume<br />
s^Gs^- KA3U'^<br />
Sample No. Matrix • Sample Date Somple Time<br />
cw14c Nan o,w 4C cow 4[ Coot 4C coni 4c<br />
aG GIP GIP aG sG a0<br />
I 1 a o 0 0<br />
250mL log 15S SOS S0g 568<br />
Switun Min Sn Nnm(ne ICPMmuh- PWiidn• PM-1011 Smni-VOA-<br />
SP.M SpmYl 6010(&l Poor 8770A 1T'CU<br />
1<br />
Imnue ont. Imt n Lin);<br />
M__y -<br />
7471 -(M<br />
JIIL23 OTHER SOLID R Q 3 /3frJ X K<br />
CHAIN OF POSSESSION Sign/Print Names SPECIAL INSTRUCTIONS<br />
Matrix<br />
NOTE: FLer6au-p erfm Gump Spec does baml tip boale to Lionville<br />
Relinquished BY/Retnossd<br />
laba, Upon" nisimain 4 C<br />
e•vl<br />
From /^ Daadfirre vy<br />
Dmrjme<br />
In ow—_<br />
coo ling. L2umole: parum mls, ea PCBPS ,PTSVOC in sus urdcr as samplele<br />
EAS LOCKED STO C y -(a'jv aniu Conran Con Jean<br />
O r7<br />
slit d.s<br />
Kusrty upon mgip[. so-sda<br />
us As4elrtored' (,..IeA/ Dame<br />
ReeeisM BY/Smned In Datelrinrc sasu4s<br />
UU<br />
y - G (1) Game Spec- (Full Usti (Americium,241. Aadmony-1 25, BerYl ium7, Cfth m 134, Cesiurrv137, 01<br />
v<br />
Cebali-60, Eaapbu 152, FAt Wk p 154, Eaopium 155, Paarsium-40, Radinm226, Radiumng, wdi<br />
Rclinquis dB etmeed Front DaWI'mx<br />
Recdred By N ^rc<br />
Raheahan106,Unnho 235,Uranium^23 11 ) ^os.pun,r,m,<br />
(2)Sooai.49,90 - Total Sr, lsotopie Thorium JT7wrium-232 1 : Isotopic Ura ni um(Urariltm!33PU, ol.Oam L npw<br />
Dmtda M. Umwum-251 1; hsnayie Pusonium<br />
T•T ..<br />
Rel i d B e eve From<br />
Retzived B d In. none<br />
h ex e$cw*^ y^r^ 6 ^Ei^)<br />
- Fv r.P..<br />
Reli wahe /Re Rpm Datertine B In<br />
^( a^3o<br />
•<br />
Relinquished By/Rennrcd From L1areTime Received By d In 132MMW<br />
^GiuL (^C 3G^<br />
LABORATORY Received By Title DrteMvne<br />
SECTION<br />
FINAL SAMPLE Disposal Method IRspucd By DatelTime<br />
DISPOSITION<br />
RHI-EE-011 (08/29/2005)<br />
% Ono
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