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1<br />

Bechtel <strong>Hanford</strong> Inc. CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />

Collec tor<br />

R. 1'ahlhera<br />

Project Design ation<br />

105-C Ph ase I R Phase 11 - Concrete Samples<br />

Ice Chesl No.<br />

Shipped To<br />

Quanleres Incorporaled<br />

POSSIBLE SAMPLE IIAZARDS/REIIIARKS<br />

Radioactive<br />

Con+pany /'u ntact '1 e""'eNo.<br />

Alcvc 1,10,4C:171-4716<br />

Sampling Location<br />

100 Aren<br />

Field Lagbooh No.<br />

L: -- L — l r ,. `<br />

I<br />

Project (bnrdin ldw<br />

wFlxs. Ill.<br />

SA F No.<br />

I19 9 -01" 1<br />

Nlethad of Shipment<br />

(land deliver<br />

Offislic Properly No.. BIII of lading/Alr Bill Nn.<br />

il.i<br />

Prtacnalion<br />

I ype of fbnlRiner<br />

No. of Conlalner(s)<br />

Special llandlag end/or Storage<br />

go3a^ ^ &YPU oa<br />

SAMPLE ANALYSIS<br />

Volume<br />

Q^<br />

L<br />

BOA) 89<br />

%^I LL I r 1 UIL41--1 ID 11 1\-LUll<br />

p<br />

2<br />

IL<br />

a«^ Ii5 in<br />

063<br />

u9x-Iwt o4 i ' ' ye !n' !<br />

DAN 'l urnnnnmd<br />

'n'l^o'•a' +<br />

Sample No. Ma (rla• Semple Date Sample IIme N .. } vTe!.^. CVas , jl+^:n,tl ;]'-;a1 tf+ l! p^ ' sn-^<br />

Othar6eRd-<br />

1)<br />

^- /Q " 9 cT<br />

IAIN OF POSSESSION SIgNPrint Names<br />

R npuhhed ^<br />

/ '<br />

S O<br />

aldflm^ R ived By Daleyl irne<br />

el uished8 By DnNllme<br />

ReceNed0By Dat ime -G /<br />

Impoished By Wicnime Received By Wlerlime<br />

npuished By Dalerlime Received By Dale/lime<br />

BORATORY<br />

SECTION<br />

FINAL SA pIP1.E<br />

DISPOSITION<br />

21 Days<br />

Oft ^l y y^ x.,^%.- "7 _ +<br />

SPECIAL INSI RUCTIONS<br />

O ICP McWk 60104 S.. ( Pubacel lLeaJ), Mvcuq-7471-(CVI. Chromium tic.-7196,<br />

PCI]s; 1100.0 254 1. Omnma Speetrnscq, ICesimn-117, COWL-60. r:uropium 157,<br />

L.,.pmm . 134, Ellropium-1511, Amtpcitim-24 I', Isowrie Phllnili mn, knlnplc Upnnim, 5ele<br />

Q n+hc/ -^ 9 /l/r-l.Kel (o3 Sf -&'9 50-- yp,^ /jr•<br />

fi2o1299 ' Ci rbo t ^¢ ' 4c -iVr SCaot<br />

/<br />

Retsived By title Dam/lout<br />

Disposal Mtlhod UispuuJ Uy<br />

(^<br />

_—_—___<br />

Ualc/Iona<br />

hSAllli<br />

s s...l<br />

to o,6,1<br />

11 bade[<br />

u - ol<br />

4<br />

Ill<br />

WI<br />

u,<br />

q',re<br />

\, \f4' r<br />

^<br />

..

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