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Bechtel Hanford Inc. CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST B98-061-14 Page 1 of !
Collector company Contact Telephone No. Project Coordinator Data 'turnaround
to o+Mhrr 3 A!11 /1 Steve Marske 3734316 WEISS. RI.
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Project Designation /'\,
Sampling Location SAF No.
105-0 Phase 1 & Phase 11 - Concrete Samples 100 Area B98-061
Ice Chest No. Field Logbook No. Method of Shipment
Hand deliver
- hipped To Offske Property No. Bill of Lading/Air Bill No.
Quanterm Incorporated
POSSIBLE SAMPLE HAZARDS/REMARKS
Radioactive
S pecial Handling and/or Storage
S.-vNIPLE AN'AIA SIS
Preservation
Nape
T) pe of Container P
No. of Container(s1
A'olume
u.
sec eem al i ^^
Special
Inswnlo^.
Sample No. Matrix Sample Date Sample How .. .»r a __ .., ^
BON693 02 Other Solid ._ 6 p
21 Days
CII N OF P SS.FSS ON
R
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y D
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I?/ C
Sign/Print Names
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SPECL%L INST] tIONS
fll lU'Meia6-bU1041Jupenrao 1, 1.cad;-Memw.-74-1- ICVL Chronmunlie'- 71 96.
PCBs roscopv Q,smm-137_ Cobalt-60, Lawtalim-152.
Furop um I ^1 Cumpwm I n Ai enaum-?GI Imtopie Plwmuum. Isotopic lJrann lm_ Sale
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Si
Matrix
Snit S.Emc^
-- Solid
= Sluay.^
6v Relinquished By Ua le71lnc Rece . ced B1 ^ryVL'^
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)ale.Time l
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