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Bechtel Hanforfl Inc. CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST B98-061 -10 Page i nr<br />

Collector Company Contact 7 elephone No. Project Coordinator Data Turnaround<br />

R. Fahlberg Steve Marske 3734316 WEISS, RL<br />

Project Designation Sampling Location 'AF No.<br />

105-C Phase I & Phase II -Concrete Samples 100 Area B98-061<br />

Ice Chest No. Field Logbook No. 7<br />

Method of Shipment<br />

/ 7 / —/3 (D _ Z Iland deliver<br />

'hipped lo Offsite Property No.. Bill of Lading/Air Bill No.<br />

Quanterra Incorporated<br />

POSSIBLE SAMPLE IIALARDS/RENIARKS<br />

Radioactive<br />

Special Handling and/or Storage<br />

Preservation<br />

'type of Container<br />

No, of Container(s)<br />

Volume<br />

SANII'LE AN.U.\'SIS I^<br />

Sa ucm fIl n<br />

Speual<br />

Innmciinns<br />

3<br />

r<br />

II.<br />

a^<br />

21 Days<br />

0 L, ''- G2<br />

Sample Nn. Matrix ' Sample Date Sample Time ° ;, i u a ,, d; • '.J: ,.:. t'd. ."f .'^rtA`. `Ht :.Sr yB lkl . , :`° C' ' . + y rr_ ' . :' '..<br />

BON689 V Other Solid -12 - 131S<br />

SPECIAL INSTRUCTIONS Ma trix'<br />

CIIAIN OF POSSESSION Sign/1' it][ Names S - s,,,1<br />

(1) CPMemis- 6010A ISupnoxcl lLcedlMcraoy-/4/1-(CV), Chraniwn lien-/196. S[ - 5

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