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Bechtel Hanford Inc. CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST B98-061-05 Page 1 of i
Collector
R. Fahlberg
Company Contact
Steve Marske
Telephone No.
373 -0316
Project Coordinator
WEISS, RL
Data Turnaround
Project Designation Sampling Location SAF No.
21 Days
105-C Phase I & Phase 11 - Concrete Samples 100 Area B98-061
Ice Chest No. Field Logbook No. Method of Shipment
4- L — / 3 2 [land deliver
'hipped "I o Offske Property No. Bill of Lading/Air Bill No.
Quanterra Incorporated
POSSIBLE SAMPLE IIAZARDS/REMARKS
Radioactive
S pecial Handling and/or Storage
SAMPLE ANALYSIS
Preservation
Type of Container
No. of Container(s)
Volume
r+o^e
p
IL
See Item ( 1) in
Speaal
Io:nom"'^`
803183 ^^ gc^31^'4 ^^d
Sample No Mavis Sample Date Sample Iime n^ 1L .E--;t' ry aii v`; ;/!
BON684 3 Other Solid S/`/ `.r ^, `. '^ V
CHAIN OF POSSESSIO N
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Sign/
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Remi.eJ Hp
int Names
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SPECIAL INSTRUCTIONS Ma tr ix
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