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Grout Treatment Facility Borehole Summary Report ... - Hanford Site

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r<br />

Batteue<br />

WHC-MR-0203<br />

CHAIN OF CUSTODY<br />

Pacdic Norlhwesr Laborarones<br />

P O Bm 099<br />

R¢h1anA Wa.h,ngton99352 ^-<br />

Company Contact: k^riS O611- Telephone: G" ylly<br />

Samples Collected by: S. S. -Te e f Date: ®- 2.1 -9- 0/ Time: 6 73 a/^S OS<br />

Sample Location: aq9 - E25 - 37 2'M - E zS - 38" Gnov{ St^<br />

Ice Chest No.: P/U(, 7eC CkvS+ Field Logbook Page No.: Geoiog+<br />

Remarks: ^o ho'1' Ey14ot^ on -Fape.<br />

Method of Shipment:<br />

1 -Sooml-G - a49-E2S--n } (00'<br />

1 - SOOmI _ 6-A94 - E25- 32 f200'<br />

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at"r CHAIN OF POSSESSION<br />

Relinquisned by:<br />

I^t^Ta<br />

Relinquished by:<br />

Relinquished by:<br />

I Relinquished by:<br />

Sample Identification<br />

Received by:<br />

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Received by:<br />

Received by:<br />

Received by:<br />

111 1 2 i2t C6g,")Y2<br />

l -^ `6<br />

Date/Time:<br />

^^^Q e?9 iaQs<br />

Date/Time:<br />

Date/Time:<br />

Date/Time<br />

BC•1200.745 (7•85)

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