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Bechtel <strong>Hanford</strong> Inc. CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUE'S1' B98- 061 -16 rase ! "' !<br />

ollector^5/ Q4r.4 ., ,/ /<br />

KAIU f<br />

Company C'nnlecl 'I'tlrydmnr No.<br />

Steve Mnrskc ,171-4114<br />

Project Coordlnalur<br />

WP]SS, R1,<br />

Project D esignallon unpling Location 'AP Nn.<br />

105C Pha se I & Phase 11 - Concrete Samples 100 Area 1598-001<br />

Ire Cheat No. Field Logbook No. Method of Shipment<br />

I land deliver<br />

Shipped To<br />

Quanlcr ts Incorpo rated<br />

Offailc Property No. 15111 ur Ladin g/Air 0111 No.<br />

POSSIBLE SAMPLE IIA7ARDS/REMARKS<br />

Radlosclive<br />

Preservation<br />

"""•<br />

Special Handling and/or Storage<br />

SAMPLE ANALYSIS<br />

I y'pe of Con tamer<br />

Nu. o(l'0nleiner ( s)<br />

volume<br />

S06- tooa^7S<br />

IL<br />

S. in<br />

sr«id<br />

momuiom<br />

Data 'Turnaround<br />

21 D21yS<br />

^03a I CIS m gD3^ r1 (Zc^c<<br />

Sample No. Matrix • Sample Dale Sample Time 1<br />

I' os•...'•' j '^V<br />

^•^..<br />

1. O 2 Other Solid 3 -/6-^8 (^ 3 -^ e, o -<br />

SPECIAL INS"TRIK-1 IONS<br />

CIIAIN OF POSSESSION Sign/Print Names<br />

(II ICI• MeW,-6010A (S.patmce) 11.< ad), hlercwy-7471 (CV), C1. ....mm Ilse 7196,<br />

di<br />

Q.e ,<br />

Relinquished By<br />

Dats?ims<br />

^6 f{A ?9>3 /2 / S<br />

Ualdfime<br />

R e By<br />

Recei) ve Y ^I<br />

imc<br />

`<br />

Uale imc<br />

I'CBs,1080(Aivd,)rr 12541, Gainu Spccouv

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