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Bechtel Hanford Inc. CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST B98-061-01 page I of
Collector Company Contact 'Telephone No. Project Coordinator Data Turnaround
R. Fahlberg Steve Marske 373-4316 WEISS, RI.
Project Designation
105C Phase I k Phase If -Conc
Sampling Location AF No.
21 Days
re te Samples 100 A re a B98-061
fee Chest No. Field Logbook No. Melbod of Shipment
_ 3 [land deliver
Shipped To
Quanteria Incorporated
POSSIBLE SAMPLE HAZARDSIREMARKS
0.adiasetive
Special Handling exciter Storage
31 LD
SAMPLE ANALYSIS
T . to I
U^V
Bslte Property No.
N /.^
Preservation
Type of Container
No. of( onlainer(s) 2
^
21
Volume
l^
IL
See item(I)in
Sp«ial
Waiom
SOI[^
^I
Bill of fading/Air illll No.
Ali /!,J
Sample No. Metric • Sample Dale Samplc'1lme *,5^ e
ON680 D I Other Solid -^ y-^ e 10 3 J LCC44 0N k 4 0 1
rI b
x^So r, l- /+ Ce, Fws^ 7wbo
SPECIAL INSTRUCTIONS / _- / Malris-
CHAIN OF POSSESSION Sign/Print Names s
s.,,i
(1)ICP Metals- 6010A(Sigxi 1race) l l-eadl, Mvauy-7471- ( CV) , Chmmiom 11, 7196. '1 t..i.^,ra
ehnquisbedB DalNrime ei By 1^ I Time PCB, X080 JArocl°r-1254 J, Gamma SpecnoscopY ((^"noo 117,C, ,hA60,Furapiuo M, 5p - c°hd
3^ 'a l Aril ^'-7 ( Europium-154, Europium-1551: Amencium- 2 41, Iso topic Plutonium, Isotopic Uranium: Sele sl. - o"J"
9 ^P.^CRIw I-.-t -l9
e q Mime R edBY 1 f Datc/T^me
NI alff -^03 Sf^ 1,9 - j7j/za 5 o wl•
teJ — a I'9( T^t^
y9 mot, ^o I l¢ Av; S^ IJ, 111 opt lnlida
in wished By Daleffime Recei ed By Dalc/linen ] n1 u . 1 .pinr
Nl Wipe
inquished By Dale/rime Received By Date/rim, I I " z
-J
^.eeiau„
nme,
LABORATORY Received By
SECTION
—'lisle
-__ _.. Uatu lime
FINAI.SMIPLE
DISPOSITION
IXsptnal Method - U sposed Bs --------
_
Uatclllme
__
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