26.11.2012 Views

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

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Washington Closure <strong>Hanford</strong> CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST <strong>RC</strong>-<strong>047</strong>-266 g F J or s<br />

(lector<br />

TILLER, B. TR KLINC<br />

Company Contact<br />

JOAN KESSNER<br />

Telephone No.<br />

375-4688<br />

Proled Coordinator<br />

KESSNER, JH Price Cade SIN<br />

Dafa Turnaround M<br />

roieel Designation Sampling Loca tion<br />

<strong>SAF</strong> No.<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 .<strong>100</strong>4f-Iii, OFFAL] ^G O ^^}.Z<br />

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

Ice ChatNo-<br />

^Ae / '<br />

Fid No. COA Method <strong>of</strong> Shiosnenl<br />

EL-1595 BESRAS6520 FED EX<br />

SI Ta Oftyite Properly No. Big <strong>of</strong> Lodinx/Air Bill No.<br />

EBERNE LI<br />

LIONVU.F ^906a33 40<br />

SEE<br />

POS E RAZARDSIREMARKS<br />

POTEMIALRADIOACTIVE DOTLIMITS<br />

SpecialIfandlinganNorStorage<br />

COOL 4C "MATRIX COMPOSED OF MICE"<br />

SAMPLE ANALYSLS<br />

Preatrwlion<br />

Type <strong>of</strong> Container<br />

No. <strong>of</strong> Conlailter(s)<br />

Volume<br />

spry koao_3<br />

c v44C None Ce"I/C C °"1K Gautac I C- 1 4C<br />

AG GIP GIP aG aG aG<br />

( ) o a a a<br />

250& log 15g 306 505 50S<br />

Swean( I) in Sxitem(2) k Sw G)m PCBs -1082 Patietlw- Snoi-VOA-<br />

Sprciw Spxid Spaial SRI 9270A(TCL)<br />

1.<strong>100</strong>. I,wwiow. Immnb"s<br />

A.ir QusRty<br />

Sample No. Mat rix Sample Date Sample Time 4 ._,-I - - , ,• r<br />

b<br />

J11KL5 OTHER SOLID APR 0 5 2006 Ci X h<br />

45 Days m<br />

CHAIN OF POSSESSION Sign/Print Names SPECIAL INSTRUCTIONS<br />

NOTE: Fbedi w. peripm Gamto Spec th<br />

Matrix<br />

Relinquished By/Ringd Fiwn Date/(Imev a y/51ap111n /t^ _ Oy DaleJlitee<br />

en m nship hank b Lionville Lahs, if pwsbk rmimin d C<br />

.6l. 'ms's<br />

O<br />

A LOCKED STO AGE y'<br />

io i(3o coding. Lionville: perform acing. PCB,PESTSVOC is Bds order as snopk is available. Contact loan Kessner upon receipt.<br />

>.^<br />

Rhe4 9nn &.e,# Daternnm Received By/Stored In Date/fme<br />

y/<br />

swsgv'<br />

(1)Gamm Spec-(Pollliag lAmericium yAl, Andmany-125, Be W.W.<br />

rylliuna7,Cesium134,Cesiuml37,<br />

Cobalt-6t1.Fjumpivn•15? rsuo pium154.rar*um155,Pdassium4O.Radhw 226,Radhw 221- o'nl<br />

Relinqu ished By/Re fran.J; Dw sce Received By/St o<br />

Ina<br />

q^ Rulhemun- 106, Undmo-235, Unrliuo-2181<br />

apa,pmsoar<br />

r^ as I ' "N (2) Shonimn89,90 -- Total Sr, Isoto pic Thorium I Thmium2J'_): Isotopic Uranium I UmmInt-233P34, p.an.n ewe,<br />

Unnirwa233, Unnom2J g 1: isdopie Pouor:um<br />

T.T.<br />

Retie d By p d IeT<br />

Received ByfSlmd In Da me<br />

ttO<br />

(3) ICP Mpsk 7I - 60101PWI IJsU ( Aluminum Animoily. Anenk, Buiam Beryllium, Bum FPO ph, Koran,<br />

wl.ww<br />

tx ' Gdmium Calcium, Cnorlwuo Coba lt, Copper. Iran, lend, Ulh)um Magnesiwn Man<br />

I}raeao<br />

Ppar,<br />

v.vam,.<br />

Relirq hed tl /Renaved DatNl'ine Reai B d In Date?ime Molybdenum Nicke l. Phosplmus, Porassivm Selenium Sikcoa Silver, Sodium Stmnims Tlullus, x.oue<br />

QC Tin, lhlftii , Vanadium 2'iwl: Mercury - 7471 - (CV)<br />

Relinquished Byl itemoved From DakTne Reaped By d in Date(fine<br />

S'<br />

azV<br />

^Q 30 3<br />

LABORATORY Rea).ed By Tit le UatoTme<br />

SECTION<br />

FINAL SAMPLE Disposal Me th od Disposed By Danrtime<br />

DISPOSITION<br />

BHI-EE-011 (0812912005)<br />

m<br />

m<br />

m

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!