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

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WHC-MR-0203<br />

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40,T^ BalteuP<br />

Pauisc %oqhwest Lahorarones CHAIN OF CUSTODY 6 Z/o 09 rs<br />

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Company Contact: kkri's Qke4'1 Telephone:<br />

Samples Collected by: 9-feue Tee ( Date: (0 126 11119t Time:<br />

Sample Location: 2`29 -629- 17 Gryv-F Trtatmcrt+ aci l14a<br />

Ice Chest No.: PA) .,1Ce et!tESF Field Logbook Page No.: Geo/alzirr<br />

Remarks: no h 64 {N-Fnr an 4a . ScNd resulfs-Fai k^,rt's 0(seni Yb-4b.<br />

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Method of Shipment:,<br />

Sample Identification<br />

t" (- Soo ml - G - 2`t^ - E 2S - 34 2C!' 6l^^ 2/2^C65^ 7eFZ<br />

CHAIN OF POSSESSION<br />

Relinquished by:<br />

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Relinquished by:<br />

Relinquished by:<br />

Relinquished by:<br />

Received by:<br />

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Date/Time:<br />

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Date/Time:<br />

Date/T'ime:<br />

Date/Time<br />

I ^JQ ea12006346 (7•85)<br />

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