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Waste Type:<br />

Solidification Size:<br />

Specimen Label:<br />

Leachant Solution:<br />

WHC-SD-W100-TI-003 Rev. 0<br />

SPECIMEN DATA SHEET<br />

gallon<br />

PROCEDURE 90110-0<br />

Leachant<br />

Heieht (cm) Diameter (cm) Surface Area (em2) Volume(ml) Time Point<br />

Record Additional Observations on Rcserve<br />

Technician Date Technician Date<br />

Stock Eouipment Company<br />

A Unit of General Signal<br />

va.. 6.ve•so•siea C-26<br />

Pa_e ISA ofi<br />

,:,;

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