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Bechtel HanforJ Inc. CHAIN OF CUSTODY/SAMI'Lle ANALYSIS REQUEST' 119A ^ 111 • 1•"e I d I<br />

Collector longsanp ('onlaC( 'Velephone Nu, Project Coordlnalor Ilala 'Fonurnund<br />

R. Foblbcrg<br />

Project D esignation<br />

105 .0 Phase 1 k Phase 11 - Concrete Samples<br />

Steve Marskc<br />

SamplingLocation<br />

100 Area<br />

1373-4316<br />

-<br />

WEISS, RI.<br />

SAF Nn.<br />

IIUR-11(/-g<br />

21 Days<br />

let Chest No. Field Logbou l, No. Method of Shipment<br />

.133 _Z (land deliver<br />

Mpped'i a<br />

Quanlerra Incorporated<br />

Ilfraile 1•roprrly Nu. But of L..il It1A Ir 11111 Nu.<br />

•OSSIIII.E SAMPLE IIA%ARDS110:141ARKS<br />

RWltsacllve<br />

1're.ervalnn<br />

7)penf Conbiner<br />

N"ne<br />

P<br />

Special Ilandling and/or Storage<br />

1/<br />

7(03^^' ► L/1`-

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