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Bechtel <strong>Hanford</strong> Inc. I<br />

'olleclor<br />

Il.I ,Iilbcfg<br />

Yo)ttl Iletgnallon<br />

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

cc Chest No.<br />

CHAIN OF POSSESSION<br />

^&.goohcd By<br />

J<br />

T.AIIOI1.51(1111' SVC- I ION<br />

FINAI. SARIPI E<br />

DISPOS1114 ON<br />

Incorporated<br />

POSSIBLE SAMPLE IIAZAHUS/a EMAn6S<br />

Ndloacdva r<br />

fly<br />

CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUES'1<br />

Company ('nnlxrl ,'I el, phon y No. P rolerl Conr.11nxlnr<br />

slevc Mnrske 111 4116 wpISS. 111 ^J<br />

wrpling L oration -- AF NsS_<br />

fT^<br />

100 Arco 1195-1113<br />

Field Logbook No. McOlod of Shipment<br />

_- _ (-' Iland deliver<br />

Offdle Properly No. 1101 of Lading/Air 111<br />

N/ 1T ti /31<br />

Name<br />

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I ,<br />

Preservation<br />

Type of Container P<br />

No. of ConlahrerlQ 2<br />

Special Handling and/or Slonge ^ _ ^<br />

Volume<br />

I'^-•<br />

/^ i M<br />

srr iom 111 in<br />

CSN<br />

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sryctid<br />

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f^ SANIPL E ANALYSIS ^.,.--, cam lyn `li^^<br />

sample NO mairlx Sample [)are Sample 1111 I<br />

Other Sehd- S ^ C^ .^/<br />

I1 ^^ ^,'5)I<br />

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f- l4<br />

ime<br />

(1<br />

i 1)alc/lime<br />

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Dmerime<br />

SPECIAL INSTRUCA IONS Matrix<br />

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s s.,d<br />

l) ICPMdAI - 60101 IS upcnrecel lLcadl; Aicrany-7471-ICV1;Chromiom Ilex-7196;<br />

S[ - s^^^^^.i<br />

PCnr- 110801Arociur 12541. Gamma Spcmmf

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