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Bechtel <strong>Hanford</strong> Inc. CHAIN Or CUSTODY/SAMPLE ANALYSIS, REQUEST B98-061-11 fare or<br />

Collector "^<br />

.o _c,.. 6jh"'<br />

pjV Ikn+ {^gsrAl<br />

Project Designation<br />

105-C Phase I & Phase 11 - Concrete Samples<br />

Campion) Contact 'Telephone No.<br />

Steve Merskc 077-4316<br />

n m pling Luution<br />

100 Area l OS -C 1\P 4('^d 3<br />

Project Courdinalnr<br />

WIBSS, III.<br />

AF No.<br />

B98-061<br />

Ice Chest No. Field Logbook No. Niched of Shipment<br />

" L- I3U( — U7/<br />

Iland deliver<br />

hipped'To<br />

Quen lcna Incorporated<br />

POSSIBLE SAMPLE I IAZARDS/REIIIARKS<br />

Radioactive<br />

Special I landling and/or Storage<br />

SAMPLE ANALYSIS<br />

1Rdte Property Na.<br />

w 1l<br />

Preservatlon<br />

None<br />

Type of Container P<br />

NB. of Coniainer(s) (<br />

Volume<br />

S!X G()/ s^<br />

/,-)h^l7<br />

d D3,;24^'2r- -C"w, 96<br />

Sample No. - 'mo nts etrix • Sample Date Sample Time<br />

I L<br />

Seelmmlll in<br />

i.e.(l<br />

In,smcli.n,<br />

hill of La li /Air Bill No.<br />

^ ^.<br />

Data 'I urnarouod<br />

21 Days<br />

BON690 01 Other Solid MA2g6 IS c 1XI /<br />

CIIAIN OF POSSESSION SIg ntPrint Names<br />

Rellnquidr D.N?hna Red Dala i<br />

p<br />

iaNgT+B /O J S ^/T A<br />

inquhhcJ BY Dete/rim. Received By OD emlfln^c<br />

lingwshcd BY UalJrime Received BY DatefTimc<br />

elinquith

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