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Bechtel <strong>Hanford</strong> Inc. CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUES T B98-061 -I6 PaRe<br />

Collector/ /<br />

a/t r4 J1 RAld<br />

Project Dealgnation<br />

105 -C Phase 1 R Phase II - Concrete Samples<br />

Conlini ('unlact 7 elepbonr No.<br />

Steve Maroc J7J-4716<br />

ampling Location<br />

I OO Atea<br />

Project Cnordinalnr<br />

W11S. S, lit.<br />

AF No.<br />

1198-061<br />

I" Cheat Na Field Logbook No. .Method of Shipment<br />

Mpped To<br />

Quanterra Incorporate)<br />

POSSIBLE SAMPLE IIAZARDS/REMARKS<br />

Radloaetiv<<br />

peclal Handling and/or Storage<br />

{land deliver<br />

Offsiie Properly No. hill of LadinR/Air hill No.<br />

Prese rvation<br />

T) or of Container<br />

"°^°<br />

No. of Cnnldner( s ) 7<br />

Volume<br />

s^^^ Ce)Da^7S<br />

SAMPLE ANALYSIS<br />

^03a ^'•I m g03X7,)- PC,4<br />

Sample No. Matrix • Sample Date Sample lime<br />

1. O Z Other Solid 3 —/6^ f U<br />

CHAIN OF POSSESSION Sign/Print Names<br />

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