IGMY D - Hanford Site
IGMY D - Hanford Site
IGMY D - Hanford Site
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FIELD SCREENING<br />
FINAL DATA DELIVERABLE COVER SHEET<br />
Date: Tuesday, December 5, 2006<br />
Sample Authorization Form (SAF) Number: I07-006<br />
SDG Number (assigned by Sample Management): F<br />
Attacbments (check all that apply or N/A):<br />
X Test Results<br />
N/A Narrative Summa ry<br />
X Chain of Custody(s)<br />
X Logbook Pages<br />
N/A Anomaly Repo rt<br />
Total number of pages ('including cover sheet):'S<br />
Comments: wo<br />
100-UR-3 JAM - Hezavalent Chromium — Sulfate-Water<br />
THESE TESTS WERE CONDUCTED USING QC-1<br />
Distribution: CPP Sample Management A0-21<br />
Project(Spccify)<br />
ot^ f ^O fo<br />
^^34837as^^^<br />
'^ D<br />
GQV^D<br />
Requires distribution to listed project personnel by Sample Managem ent (check if applicable)<br />
<strong>IGMY</strong> D<br />
MAR 2 1 200<br />
EDMC<br />
0072478<br />
00000001
On-<strong>Site</strong> Measurement of Cr1$<br />
100-HR3 Groundwater<br />
SAF. 107-006<br />
Procedure: GRP-EE-05-1.17<br />
Logbook HNF-N-2957 Page73<br />
1lmnnna<br />
Location HEIS I<br />
Number i<br />
SAF Date I Time<br />
Collected I Collected<br />
Sampler I Sample I Date<br />
IntuaLs Media I Analyzed<br />
Time<br />
Ana<br />
I AnaW<br />
(initials)<br />
Cr+6<br />
)<br />
Conductivity<br />
an)<br />
Water Level<br />
m TOC<br />
199-0 B B1KYJ9 107-006 11!82008 11:53 RTS Water 11/82006 16: JDM 0. 444 1 .<br />
1994)855 I BIL099 1 107.006 1102006 1 12:35 RTS Water 1 11182006 16:00 JDM 0.028 220 19.52B<br />
199-D8-70 B1KYK5 1 107.008 11/812006 9:00 RTS Water I 111812008 16:00 JDM 0.098 453 15.860<br />
199-D8.70 B1KYK8 1 107-006 11182008 9:00 RTS Water 11 182006 16:00 JDM 0.095 453 15.860<br />
199438.71 1 81KYL2 107.006 11182008 10:28 RTS Water 11/82006 16:00 JDM 0.173 531 17.748<br />
199-D8.88 SIKYL8 1 107-006 111812006 13:49 RTS Water 11182008 16:00 JDM 0.078 299 24.452<br />
199.43.4 B1KYM4 I 107.008 11182006 12:43 DEP Water 1118/2008 16:00 JDM 0.021 488 10.701<br />
199444-10 B1KYN0 107.006 1 11 182006 9:53 DEP Water 11/8120013 18:00 JDM 0.024 397 9.299<br />
199.44-128 81 KYN4 107-006 11182006 12:43 1 RB Water 11/8/2006 16:00 JDM 0.037 385 12219<br />
199-14-12B BIKYNS 107-0013 11/82008 12:43 DRB Water 11182006 18:00 JDM 0.030 385 12.219<br />
199-H4-13 81 KYN9 107-006 11182006 10:57 DRB Water 11/82008 16:00 JDM 0.019 518 13.940<br />
81 107.008 11/82006 Water 11182008 16:00 JDM<br />
Logbook HNF-14-2967 Page75<br />
11192006<br />
Location HEIS SAF Date I Time Sampler Sam ple Date Time Mal Cr+6 Conductivity Water Level<br />
Number Collected I Collected (Initials) Media Analyzed Analyzed (InlUals) ( ) s/cm) (inTic)<br />
199-08.69 B1KYK7 1 107-008 11/92 12:44 DRB Water 11/920 15:08 JDM 0.060 359 14.4<br />
199444-5 B1 KYR7 I 107-M 11192 9:20 RTS Water 11/92 15:08 JDM 0.013 296 12.916<br />
1 99TWI I B1 107-006 1: R Water 11/92 15:08 JDM 1 44<br />
1994W15CS B1KYP3 107-008 1119rAM 8:44 RTS Water 11/92006I 15:08 JDM 0.105 244 10.351<br />
161FTB B1KYP7 107-006 11/91200 912 DRB Water 1119200 15:08 JDM 0.009 371 14.831<br />
107-008 11191100& DRB Water 111912 15:08 JDM<br />
Logbook FOJFN-296 7 Page S0<br />
1111 4 2 0 0 6<br />
Location HEIS SAF Date Time Sampler Sample Data Time Ana Cr+6 Conductive Water Level<br />
Number Collected I Collected (Initials) Media I Analyzed Analyzed Initials (m ) Wslcm) (m TOC<br />
199-03 B1KYV7 107-008 11114200 1022 LDW Water 1 11/142 15:22 JDM 0.023 477 25.988<br />
199-D4.13 B1KYW2 107-006 1111420 9:41 FMH Water 1111412008 15:22 JDM X0.005 709 26.075<br />
19904-14 BIKYW7 107-006 111142 111.46 FMH Water 11/142006 1 15:22 JDM 0.045 654 26.535<br />
199-134-19 B1KYYI 107-006 11/14200 11:46 FMH Water 1111" 15:22 JDM W.005 1083 26.098<br />
FTS/199434.<br />
199-D4-<br />
BIL003 107-008 11 11 7:30 DEP Water 11/1 15:22 JDM
On-<strong>Site</strong> Measurement of Ceo<br />
100-HR3 Groundwater<br />
SAF: 107-008<br />
Procedure: GRP-EE-05-1.17<br />
Logbook HNF-N-2967 Pape 91<br />
112272006<br />
Location HEI3 I SAF Date I Time<br />
I Sampler<br />
Sample Date Time Aneven Cr +6<br />
Conductivity<br />
Water Level<br />
Number Collected I Collected Initials Media Artatyzed I Analyzed Initials alas) (m TOC<br />
199-05.13 BILD13 I 107-M I 11 Q22M 8:34 FMH Water 11 11:45 JDM 0.506 750 27.125<br />
199.05.14 611018 1 107-008 11 9:23 FMH I Water 11 11:45 JDM 0.450 656 27.064<br />
1994)5.16 BiL031' 107-006 =0061 10:06 FMH Water 11rZ2120061 11:45 JDM 1.172 62D 27.467<br />
199-05.40 BlLO75 107-006 11 10:08 RRF Water 11 11:45 JDM 0225 588 26.725<br />
199-05 .41 01 LOBO 107.006 112272 8:53 RRF Wa ter 11 11:45 JDM 0.512 435 26.221<br />
199-05-44 B1 L085 107-0OB 11/212 8:03 RRF Water 11 11:45 JDM
On-<strong>Site</strong> Measurement Of SO4<br />
100-HR3 Groundwater<br />
SAM 107-006<br />
Procedure: GRP-EE-05-1.17<br />
Logbook: HNF-N-296 7 Page 82<br />
11/15/2006<br />
Location HEIS SAF Date Time Sampler Sample Date Time Analyst SO4<br />
Number Collected Collected (Initials) Media Analyzed Analyzed (Initials) (mg/L)<br />
199-D3-2 B1KYV8 107-006 11/1412006 10:22 LDW Water 11/1512006 13:00 JDM 86•<br />
199•D4-13 B1KYW3 107-006 11/1412006 9:41 FMH Water 11/1512006 13:00 JDM 164"<br />
199-D4-14 B1KYW8 107-006 11/14/2006 10:46 FMH Water 11/15/2006 13:00 JDM I 92•<br />
199-D4-19 B1KYY2 107-006 11114/2006 11:46 FMH Water 11/15/2006 13:00 JDM 360••'<br />
FTB/199-0422 B1L004 107-006 11/14/2006 7:30 DEP Water 11/15/2006 13:00 JDM 0<br />
199-D4-22/FTB B11_000 107-006 11/14/2006 9:00 DEP Water 11/152006 13:00 JDM 144"<br />
199-D4.23 BIL009 107-006 11/14/2006 12:01 DEP Water 11/15/2006 13:00 JDM 300'"<br />
199 DS38<br />
199 DS 39<br />
B1L066 107-0OB<br />
81L007 71 1 -006<br />
11/14/2006<br />
11/14/2008<br />
8:20<br />
8:45<br />
ITS<br />
LDW<br />
Water<br />
Water<br />
11/152008<br />
11/15/2006<br />
13:00<br />
13:00<br />
JDM<br />
JDM<br />
76'<br />
90•<br />
- 2x auuuon -- 4x auuuon °- 1 ux alWtion<br />
Logbook: HNF-N-2967 Page87<br />
1121/2006<br />
Location HEIS SAF Date Time Sampler Sample Date Time Analyst SO4<br />
Number Collected Collected (Ini tials) Media Analyzed Analyzed (Initials) (mglL)<br />
199-D4-15<br />
• 4X dilution<br />
B1KYX3 107-006 11/202006 13:28 FMH Water 112112006 13:20 JDM 104•,<br />
Logbook: HNF-N-296 7 Page 101<br />
1128/2006<br />
Location HEIS<br />
Number<br />
SAF Date<br />
122llected<br />
Time<br />
Collected<br />
Sam ler iSample<br />
(Initials) Media<br />
Date<br />
Analyzed<br />
Time<br />
Analyzed<br />
Anall t<br />
(Initials)<br />
SO4<br />
(mglL)<br />
199 05 40 B1L076 107-006 11/22/2006 10:08 1 RRF Water 11/28/2006 11:06 JDM 130•<br />
199-DS-41<br />
199-D5.44<br />
cn uuuuw1<br />
BlLO81<br />
B1 L086<br />
107-008<br />
107-006<br />
11/222006<br />
11112712nMi<br />
8:53<br />
8:03<br />
1 RRF<br />
RRF<br />
I Water<br />
Water<br />
11282006<br />
11/282006<br />
11:06<br />
11:06<br />
JDM<br />
JDM<br />
66•<br />
15<br />
Logbook: HNF-N-296 7 Page 94<br />
Number Collected Collected (Initials) Media Analyzed Analyzed (Initials) (mg/L)<br />
199-D2-6 B1KYV3 107-006 11272006 9:31 LW/MW Water 112812006 11:06 JDM 168•<br />
199-D2-6 B1KYT9 107-006 11272006 9:31 LW/MW Water 11/282006 11:06 JDM 156•<br />
199-D5-36 B1L056 107-0 06 11272006 12:22 LW/MW Water 11/282006 11:06 JDM 17<br />
- 9X dilutinn<br />
Analyst(s): JD Mehrer / LC Petersen Date: 1214/06<br />
Page 1 of 1<br />
00000004
T--<br />
i<br />
Hexavalent Chromium Daily Activi ty Log<br />
Project: 100-HR3 / SAF I07-006<br />
Logbook HNF-N-296 7<br />
►i<br />
)V Late: 11/08/06<br />
1350 J.D. Mehrcr arrived on-site at 200W, MO -612 field laboratory. Set up to analyze samples for<br />
hexavalent chromium using a HACH DR 2010 spect rophotometer, SIN 980600009425, Method<br />
951, low range hexavalent chromium.<br />
1405 Prepared 0.10 mg/L standard by adding 240 pl. of 12.5 mg/L IIACH hexavalent chromium<br />
standard, lot # , to 29.76 mL of deionized water.<br />
1600 Analyzed samples. rvwP 1} v . ( ,Q .ZO/O<br />
pat<br />
(mg/L) I Sampled<br />
I Sampled I (µs/cm) I Dep1b-<br />
Sample # Well # SAF # I Concentration e Time Sampler Conductivity water<br />
Blank 0.005 I<br />
0.10 mg/L<br />
std.<br />
—<br />
—<br />
0.104<br />
BIL099 199-D8-55 I07-006 0.028 11/08/06 12 :25 RTS<br />
220<br />
—<br />
19.528<br />
B1KYJ9 19594-B8 I07-006 0.009 11108106 11:53 RTS 444 18.658<br />
BIKYL2 199-D8-71 I07-006 0. 173 11/08/06 10:28 RTS 531 17.748<br />
B1KYK5 199-D8-70 I07-006 0.096 11 /08106 9:00 1 RTS 453 i 15.860_<br />
BIKYK6 199-D8-70 I07-006 0.095 11/08/06 9:00 RTS 453 15.860<br />
B1KYL8 199-D8-88 I07-006 0.078 11/08/06 13:49 RTS 299 24.452<br />
B1KYN0 i 199114- 10 107-006 0.024 11 /08/06 7<br />
9:53 DEP 397 9.299<br />
BiKYM4 1994 134 I07-006 0.021 11 08/06 12:43 DEP 488 10.701<br />
B1KYN9 199-H4-13 I07-006 0.019 11 /08/06 10:57 DRB 518 13.940<br />
BiKYPI 1915B4 , I07-006 0.035 11108106 11 :48 DRB 410 10.190<br />
D1KYN4 1 12B<br />
BIKYN5<br />
I07-006 0.037 11/08/06 12:43 DRB 385 12.219<br />
19' 4 I07-006 0.030 11108106 12 :43 DRB 385 12.219<br />
0.10 mg/L<br />
std.<br />
—<br />
—'<br />
0.105<br />
Blank 1 — — 0.005<br />
ill'J7,1'l.^h^• Il[i!i^'r.'if. ^•_' ^ 1C'^Jfi^ ^ ' ° -<br />
I I d l<br />
WETS- "EMUTSUS<br />
73
Y^<br />
Hexavalent Chromium Daily Activity Log<br />
Project: 100-HR3 / SAF IO7-006<br />
Logbook HNF-N-296 7<br />
Date: 11/09/06<br />
1400 J.D. Mehra arrived on-site at 200W, MO-612 field laboratory. S et up to analyze samples for<br />
hexavalent cbromium using a HACH DR 2010 sp ectrophotometer, SIN 980600009425, Method<br />
951 low range hexavalent chromium<br />
1420 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L HACH hexavalent chromium<br />
standard, lot # to 29.76 mL of deionized water.<br />
1508 Anal samples. AV70 la 41av . 11319010O<br />
Sample # Well # SAF # Concentration Date Time ' Sampler ' Conduc tltdty w'emr<br />
(mg/L) I Sampled I Sampled I<br />
I<br />
I (Us/cm)<br />
I mfro h-<br />
Blank 0.005 I<br />
0.10 mg/L<br />
std.<br />
— — 0.107 — — — — —<br />
I07-006 1 H1KYP7 I9&M 0.009 11109106 0912 DRB 371 14.831<br />
B1KYR3 199-H4-48 I07-0061 0.018 11/09/06 0952 DRB 380 14.090<br />
BiKYKI 199-Dg-69 I07-006 ' 0.060 11 109/06 DRI 359 14.499<br />
B1KYR7 199-114-5 107-006 0.013 11/09/06 RTS 296 12.916<br />
B 199-H4-<br />
KYP3<br />
I07-006<br />
11109106<br />
0.105<br />
0844<br />
15CS<br />
RTS 244 10.351<br />
BIKYN2 199-H4.11 107-006 0.018 11 109/06 1151 RTS 1 448 13.202<br />
0.10 mg/L — — 0.108<br />
std.—<br />
Blank — 0.005 — — —<br />
•• Y=<br />
mr^^<br />
W;<br />
_iiuirrir^►f^^r^i:^^rrrl^n^•nn^r^i^^#iu,^<br />
-<br />
a<br />
I<br />
00000006<br />
75
o]^<br />
A<br />
10(7-M3 &LOIAoM^or't ^r^6<br />
W. ZOCL<br />
Hezavalent Chromium Daily Activity Log<br />
Project: 100-BM GW Monitoring/ SAF I07-006<br />
Logbook HNF-N-296 7<br />
Date: 11/14/06<br />
J.D. MRRER<br />
.1231 J.D. Mehra strived on-site at 200W, MO-612 field laboratory. Set up to analyze samples fir<br />
hexavalent chromium using a HACH DR 2010 spectrophotometer, SIN 980600009425, Method<br />
951; low range hexavalent chromium:<br />
1237 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L IiACH hexavalent ch romium<br />
standard, lot Al A5354 Exp. December 2010, to 29.76 mL of deionized water.<br />
1522 Analvzed samples.<br />
1546 Samples B 1 KYY9 and B lL070 were over range. Diluted samples 2X by adding 10-m l. sample to<br />
10-mL deionized water. Re-anal sam les.<br />
Sample 0 Well M SAF Al Concentration •<br />
(mall.)<br />
Blank 0.006<br />
0.10 mg/L<br />
std.<br />
Date<br />
I S"Ied<br />
1Tme<br />
Sampled<br />
I<br />
Sampler<br />
Conduc tivity<br />
I (ps/cm)<br />
Water<br />
I Depth.<br />
— — 0. 109 — — — — —<br />
B1L003 FTB/199-D4-22 I07-006 0.002 11/14/06 0730 DEP NA NA<br />
B1KYY9 199-D4-22/FIB 107-006 0.9400 11114106 0900 1 DEP 691 26.983<br />
BIL008 199-D4-23 I07-006 0.016 .11/14/06 1201 DEP 847 1 23.376<br />
BIKYW7 199-D4.14 107-006 0.045 11/14/06 1046 FMH 554 26.535<br />
B1KYW2 199-D4-13 107-006 1 0.003 11/14/06 1 0941 FMII 709 26.075<br />
B1KYY1 199-D4-19 107-006 0.002 11 114/06 1146 FMII 1083 26.096<br />
BIL065 199-D5-38 107-006 0.392 11/14/06 0820 RTS 461 26.736<br />
BIL070 199-D5-39 107-006 1.734 0 11/14/06 0845 LDW 1 479 NA<br />
B1KYV7 199-D3-2 107-006 0.023 11/14/06 1022 LDW 477 25.986<br />
0.10 mg/L<br />
std.<br />
0.108<br />
—<br />
Blank 1 0.004 — — —<br />
* 2x dilution<br />
WIFE i<br />
1/ i.-:.:011: 1. 1<br />
It-<br />
..a<br />
7' ;—<br />
WIN
100 k23 G-lJ tVlorj^^jr:w^ Grab<br />
82 1 ` M64. zoos '<br />
Logbook HNF-N-296 7 _ ..`"<br />
Date: 11115106<br />
1155 J.D. Mehrer arrived on-site at 200W. MO-612 field laboratory. Set up to analyze<br />
samples for sulfate using a HACH DR 2010 sp ectrophotometer, SIN 980600009425,<br />
:°y<br />
1230<br />
Method 952 sulfate.<br />
Prepared 50 mg/L standard by adding 1 .5 mL of 1000 mg/L HACH sulfate standard, lot<br />
4Al214 no expiration, to 28.50 mL of deionized water.<br />
1300 Diluted samples 2X by adding 10-mL sample to 10-mL deionized water, except sample<br />
BIL004 (which was not diluted), samples B1L066, BIKYW3, and BIL000 (which we re<br />
diluted 4X by adding 5-mL sample to 15-mL deionized water), sample B1KYY2 (which<br />
was diluted l OX by adding 2-m l. sample to I9-mL deionized water), and sample i"' t.- ,<br />
BIL009 (which was diluted 2OX by adding I-mL sample to 19-mL deionized water).<br />
Anal ed samples.<br />
1320 Samples B1 L066 and B1 L009 were low range. D iluted sample B 1 L066 2X by adding<br />
10-mL sample to 10-mL deionized water. Diluted sample B1L009 IOX by adding 2-mL ..<br />
sample to I8-mL deionized water. Re-analyied samples.<br />
Semple# wen# SAF# Concentratiou Date Time Sampler '-<br />
(MZIL) Sampled Sampled , Y, • ,<br />
Blank — — 0<br />
50 mg/L std. — — 49 — —<br />
BIL004 FTB/199-D4-22 I07-006 0 11/14/06 0730 DEP l'<br />
B1L000 199-134-217TB 107-006 144•• 11114106 0900 DEP<br />
3 1L)09 199-D4-23 107-006 300••• 11/14/06 1201 1 DEP ! _<br />
— B1KYW8 199-134-14 107-006 92• 11/14/06 1046 1 FMH<br />
B1KYW3 199-D4-13 107-006 164 0• 11114106 0941 1 FMH<br />
B1KYY2 199-134-19 107-006 360••• 11/14/06 1146F71H^<br />
BIL066 199-D5-38 I I07-006 76011/14/060820 MRTS<br />
BIL071 199-D5-39 107-006 90• 11/14/06 0845<br />
B1KYV8 199-D3-2 107-OM 86• 11/14/06 1022<br />
50 m std. — 48<br />
Blank0—<br />
• 2X dilution<br />
4X dilution _^!<br />
IOX dilu ti on<br />
Jam..<br />
AyiAwed<br />
WWIOV^<br />
/ Sulfate Daily Activity Log<br />
Project: 100-HR3 GW Monitoring / SAF I07-006<br />
DEC 0 5 2006<br />
DECA a'<br />
:a<br />
J
loo-A43-&-WrA..» A%.r, C.*6<br />
NDV. Zocb<br />
^-<br />
Hexavalent Chromium Daily Activity Log<br />
Project: 100-IiR3 GW Monitoring/ SAF I07-006<br />
-^ Logbook E NF-N-296 7<br />
Date: 11/20/06<br />
h<br />
s<br />
J.D. MEHRER 85<br />
1200 J.D. Meh= arrived on-site at 200W, M0-612 field laboratory. Set up to analyze samples for<br />
hexavalent chromium using a HACH DR 2010 spec trophotometer, S/N 980600009425, Method<br />
951 low range hexavalent chromium.<br />
1220 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L HACH hexavalent chromium<br />
standard lot # A5354 Exp. December 2010 to 29.76 mL of deionized water.<br />
1540 Analyzed samples.<br />
1546 Sample B1KYX2 was over range. D iluted samples 2X by adding 10-mL sample to 10-mL<br />
deienized water. Re-analyzed samples.<br />
S^P le wen<br />
SAF #Conecntra tioo<br />
( 109!1.)<br />
Blank 1 0.002<br />
Date<br />
I Sampled<br />
Time<br />
I Sampled<br />
I<br />
Sampler<br />
Conductivity<br />
I (µr/a^ r<br />
ater<br />
l nm<br />
O.l stdm.^<br />
i<br />
— 0.110 — — — — —<br />
BIL050 199-DS-33 I07-006 0.006 11/20/06 1301 RRF 192 27.044<br />
B1L051 . 199-D5-33 107-006 0.004 11/20/06 1301 RRF 192 27.044<br />
BIL053 199-DS-34 .I07-006 0.622 11/20/06 1138 RRF 457 27.041<br />
B1KYJ6 199-135-92 107-006 1 0.210 11/20106 1100 RTS 291 NA<br />
BIKYT4 199-H4-8 107-006 1 0.009 1 11/20/06 1216 1 RTS 410 13.503<br />
B1KYX2 199-D4-15 107-006 1.4624 11 120/06 1328 FMH 672 26.573<br />
0.10 mg/L<br />
std.<br />
—<br />
0.110 — — — — —<br />
Blank — — 0.003 1 — — — — —<br />
e 2x dilution<br />
0<br />
5<br />
000009
GR46<br />
loo H23 G-:W MDw^
I<br />
loo!}Q3 l,w•^ {^-^ Sb ^^ J.D.MEHRER<br />
I Nov. ZoaL<br />
t'iIfAM T.fI<br />
Sulfate Daily Activi ty Log '-<br />
Project: 100-IM GW Monitoring / SAF I07-006<br />
Logbook HNF-N-296 7 {`"<br />
0 520 . Date: 11/21/06<br />
1100 1 J.D. Mchrer arrived on-site at 200W, b10-612 field laboratory. Set up 0 analyze<br />
samples for sulfate using a HACH DR 2010 spect rophotometer, SIN 980600009425,<br />
Method 952. sulfate.<br />
1300 Prepared 50 mg/L standard by adding 1.5 mL of 1000 mg/L HACH sulfate standard, lot<br />
#Al214, no expiration, to 28 .50 mL of dcionized water.<br />
1310 ed sample.<br />
1320 Samples was over range.' Diluted sample 4X by adding 5-mL sample to 15-m l,<br />
deionizcd water. Re-analyzed sample.<br />
Sample # well # SAF # Concentra tion<br />
(mY/L)<br />
Date<br />
Sampled<br />
Time<br />
Sampled<br />
Sampler<br />
Blank — — 0 — — —<br />
50 mg/L std. — — 48 — — —<br />
BIKYX3 199-D4-15 )07-006 104* 11 120/06 1328 RNM<br />
50 m std. 47<br />
Blank 1 0 —<br />
•• 4X dilution --<br />
00000011<br />
87
100 AG GIO Nw,,%I A_)<br />
Nov. -40% -.°-•----- J.D. MMEHRER<br />
DEC o 5 2006<br />
Hezavalent Chromium Daily Activity Log<br />
Project: 100-HM GW Monitoring/ SAF I07-006<br />
Logbook HNF-N-296 7<br />
Date: 11/22/06<br />
1045 J.D. Mehra arrived on-site at 20OW, MO-612 field laboratory. Set up to analyze samples for<br />
hexavalent chromium using a HACH DR 2010 spectrophotometer, SIN 980600009425, Method<br />
95l low ran ehexavalentchromium.<br />
1115 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L HACH hexavaltast chromium<br />
standard lot k A5354 Exp. December 2010 to 29.76 m1, ofdeionized water.<br />
1145 Analyzed samples.<br />
1215 Sample BI1,031 was over range. Diluted sample 2X by adding 10-mL sample to 10-nlL<br />
deionized water. Re-analvzod sample.<br />
Sample<br />
P I Well I SAF# Concentration<br />
(mgA)<br />
Blank 0.002<br />
0.10 mg/L<br />
std.<br />
—<br />
—<br />
0.107<br />
Date<br />
Sampled<br />
—<br />
Time<br />
Sampled<br />
Sampler amp Coodncftvl 4<br />
I (palam)<br />
— —'<br />
Water<br />
I Depthmrroo<br />
B1L085 199-D5-44 107-006 0.002 11/22/06 0803 RRF 209 25.711<br />
DIL080 199-D5-41 I07-006 0.512 11/22/06 0853 RRF 435 26.221<br />
BIL075 199-D540 I07-OM 0.225 11/22106 1008 RRF 588 26.725<br />
BIL013 199-D5-13 107-006 0.506 11/22/06 0834 FMH 750 27.125<br />
B1L018 199-D5-14 I07-006 1 0.450 11/22/06 0923 F7VI)I 656 27.064<br />
BIL031 199-DS-16 I07-006 1.172* 11/22/06 1006 FMH 620 27.467<br />
B1KYM8 199-H3-5 I07-006 0.045 11/22/06 1149 RTS 491 1 10.427<br />
B1LON3 FTB/699-98-49A 107-006 0.003 11/22/06 0700 RTS NA NA<br />
BILON2 699-98-49A/Fi'B 107-006 0.003 11/22106 0826 RTS 385 6.352<br />
BILOLI 699-91-46A 107-006 0.010 11/22/06 0937 RTS 371 10.311<br />
B1LOL3 699-93-48A 107-006 0.013 1122/06 0906 RTS 541 16.823<br />
B1LOL4 699-93-48A 107-006 0.016 11/22/06 0906 RTS 541 16.823<br />
BILOK9 699-90-45 107-006 1 0.008 11/22/06 1014 RTS 408 11.668<br />
BIKYM2 199-143-3 I07-006 1 0.020 11=06 1058 RTS 492 12.410<br />
0.10 mg/L<br />
std.<br />
— — 0.109 — —<br />
-- — —<br />
Blank — 0.002' 1 1 —<br />
7X dUution<br />
• MI..<br />
—<br />
00000012<br />
91
t<br />
92<br />
!DO kR3 (r.0• ar\.M^..:^ Grt^<br />
Nov. Z00(o R<br />
—_ Hexavalent Chromium Daily Activity Log<br />
Project: 100-EM GW Monitoring/ SAF 107-006.<br />
_ Vx 05 2 0 Logbook HNF-N=296 7<br />
- ^- — Date:' 11/27/06<br />
1250 L.C. Petersen arrived on-site at 200W, MO-612 field laboratory. Set up to analyze samples for<br />
hexavalent chromium using a IIACH DR 2010 spect rophotometer, SIN 980600009425, Method<br />
951 low range hexavalent chromium.<br />
1305 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L HACH hexavalcnt chromium<br />
standard, lot # A5354 exp. December 2010 to 29.76 mL of d eionized water.<br />
1620 After pulling standard, blank, and sample fluids into hexavalent ch romium ampules (lot # A6215,<br />
May 2009 analyzed samples.<br />
1630 Re-analvzod samples BIKYHS & BIKYH6 (o riginal result for B1KYH5 was low).<br />
S le #<br />
^P Well # S" # Concentration<br />
I (tt^/L)<br />
Date<br />
I Sampled<br />
Blank 0.002 1 _-<br />
0.10 mg/L<br />
std.<br />
77ma<br />
I Sampled<br />
(<br />
S ler<br />
Cooductivit<br />
I CWCM) Y Water :.<br />
Depth-<br />
— — 0.105 — — — —<br />
B1KYV2 199-D2-6 I07-006 0.040 1127/06 0931 LWR" 701 26.054<br />
BIKYT8 199-D2-6 107-006 0.037 1127106 0931 LW^iW 701 26.054<br />
BlLO55 199-D5-36 I07-006 0.003 1127106 1222 LW/MW 219 26.011<br />
B1KYH5 199-DS-20 107-006 0.424• 11/27/06 1259 LW/IvIW 374 NA<br />
B1KYH6 I99-DS-20 I07-006 0.425 1127/06 1259 LW/MW 374 NA<br />
B1KYL4 199-D8-73 I07-006 208 11/27/06 1341 LW/MW 350 25.230<br />
B1KYN7 199-H4-12C 1107-0061 0.092 1127/06 0947 DEP 267 12.335'<br />
BILBL8 199-H4-9 107-006 0.009 1127106 1051 DEP 436 13.331<br />
B1KYT6 199-H5-IA 107-006 0.008 1127/06 1131 DEP. 449 13.067<br />
B1KYT2 199-H4-6 107-006 0.011 1127/06 1256 DEP 446 13.139<br />
0.10 mg/L<br />
std.<br />
— — 0.105 — __ _ — —<br />
Blank — 0.003 — — —<br />
' result reported is from re-analysis. m WO W lVp<br />
NN<br />
C<br />
r-
94<br />
I boo Has rr.w, Ag;4c,l.' 5041<br />
gm 2DVL<br />
a ,-t ICS<br />
J.D. .:1.., TER<br />
^6Sulfate Daily Activi ty Log T<br />
Project: 100-HR3 GW Monitoring / SAF I07-006<br />
Logbook HNF-N-296 7 r,;, r ; r ; —^<br />
Date: 11/28/06 -°<br />
1030 J .D. Mehrer arrived on-site at 200W,110-612 field laboratory. Set up to analyze<br />
samples for sulfate using a HACH DR 2010 spect rophotometer, SIN 980600009425,<br />
Method 952, sulfate.<br />
1040 Prepared 50 mg/L standard by adding 1.5 ml. of 1000 mg/L HACH sulfate standard, lot<br />
#A 1214 no expiration, to 28.50 mL of dcionized water.<br />
1106 Diluted samples B1KYV3 & BIKY19 2X by adding 10-ml. sample to 10-mL deionized<br />
water. Sample B 1L056 was not diluted. A fter pulling standard, blank, and sample fluids<br />
into sulfate ampules 9A6249 expiration September 201 1), analyzed samples.<br />
1118 1 Samples B 1KYV3 & B 1KYT9 were ov er range. D iluted 4X by adding 5-mL sample to<br />
15-mL• deionized water. Re—anal yzed sample.<br />
Sample # Well # SAF # Cmcm tratiou<br />
(MVP<br />
Date<br />
Samp led<br />
Time<br />
Sampled<br />
Sampler<br />
Blank -- — 0 — — —<br />
50 mg/L std. — — 50 — — —<br />
B1KYV3 199-D2-6 I07-006 168•* 11/27/06 1 0931 LW/MW<br />
B1KYT9 199-D2-6 107-006 156** 11/27106 0931 LWI W<br />
B1L056 199-D5-36 I07-006 17 11/27/06 1222 LWMW<br />
50 m std. 48<br />
Blank — — -0 — —<br />
" 4X Q11LLnOn<br />
S<br />
u<br />
. '.1
l<br />
I loo<br />
Woruker.^ So `,<br />
Nov)ki o^ '<br />
J.D. MEHRER 101<br />
GQ^R.H _TNC..<br />
_._ Sulfate Daily Activity Log —<br />
--- Project: 100-HR3 GW Monitoring / SAF I07-006<br />
Logbook HNF-N-296 7<br />
—.._ Date: 11/28/06<br />
--<br />
1030 J.D. Mehrer arrived on-site at 200 W, MO-612 field laboratory. Set up to analyze<br />
samples for sulfate using a HACH DR 2010 spcctrophotomcter, SIN 980600009425,<br />
Method 952, sulfate.<br />
---- 1040 Prepared 50 mg/L standard by adding 1.5 mL of 1000 mg/L HACH sulfate standard, lot<br />
#Al214 no erpiration, to 28.50 mL of deionized water.<br />
1106 After pulling standard, blank, and sample fluids into sulfate ampules (#A6249,<br />
expiration September 2011 analyzed samples.<br />
-- 1135 Samples B1L081 & B1L076 were over-range. Diluted 2X by adding 10-mL sample to<br />
— -- I 10-mL deionized water. Re-analyzed sample.<br />
Samp le # Well # SAF # Concentra tion<br />
(mg/l.)<br />
Date<br />
Samp led<br />
Time<br />
I Sampled<br />
Sampler<br />
Blank — — 0 --<br />
50 mg/L std. — — 50 — — —<br />
BIL086 199-DS-44 107-006 15 11/27/06 0803 RRF<br />
BILO81 199-DS4 1 I07-006 66" 11/22/06 0853 RRF<br />
BIL076 199-DS-40 107-006 130• 11/22/06 1008 RRF<br />
50 m std. — 48<br />
Blank — — 0 — —<br />
zx cuuuoa<br />
.vt.<br />
00000015
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector<br />
t<br />
W.O.<br />
^-1<br />
autUltaoueeter etavhone No. b1S 1114 FAX<br />
tiAF No.<br />
1074)06<br />
Pre fect nue<br />
ma#as Orkin<br />
Si^<br />
'<br />
t F —<br />
Porch&" Order/Char e, Code<br />
Ice C►eat - • ^C._1<br />
^W l<br />
Tam<br />
Shiand To (l.ab) Method if Shlomcat Bill of L adin plAIr BW No.<br />
P"t"<br />
CIMMA<br />
POSSIBLE SAMPLE IW.AftMR6.NARKS<br />
« "Cowan Radiac ti e MaoaWa carcmnlim e blare oar resuhtd fa lrampertWon per 49 CFR but as as<br />
pa DOB Order 5/00.5 (199(V79DS)<br />
Priority: 45 Days<br />
Delta Prwerty No-<br />
C.<br />
I07-006-100<br />
Page 1 Of 1<br />
SPIKA3AL INSTRUMONS Hold nr ToW Activitv Fiem ucci: Yet VJ No<br />
Aslaheacepl WSM Both @0 PNNLamwin Pbrioedoda A.G.LS. eadW 07 SAFI mesa SDO r oabeaaed SDO<br />
c:beae of 14 dayL<br />
W8CF1 BemaOP-tt1LGwmgAtsubmimdiab a SDG ddyeb..a.<br />
Sample No. Lab ID • Date Time NWTypc Ctntaina Samph: Analysis Prcdemdve<br />
81KYN5(F) W U40-ml. aGa' COLOR TKYLD: NewMant Chmmkwn(1) NonO<br />
cz<br />
Re4oquhhedxi Pray<br />
D.Wri. 14V5 Rye; C.<br />
Hier g"°<br />
Matrix ^<br />
_<br />
NOY 2 7 0<br />
NOY 2 7 1006 NY v—<br />
It - Xa#<br />
rl..asun<br />
tP. _ ReBrisr DI. - Ilrra lln,i<br />
AeWquuhedBy DnNCmo Raeivedey DaWIhm<br />
AO - Add<br />
T - TWe<br />
M. - tbdre WI - Wine<br />
W - war<br />
I. - 110 nl<br />
ReiNalsied By Dab?ioe Rectind By Dael/tbe 0 - (M<br />
V Veaaaliw<br />
A - Air<br />
X - now<br />
Rehngauhad BY D+INfnw Reoerved By Dowrine<br />
FINAL SA-MPLE Doped MetlrflEE:f oraac M P^•Jrti pp^giP4 nd Yproaaa Diy^med By Dawrine<br />
^^:..^/UU<br />
DISPOSITION<br />
I^L ^\GLJ f^/ V^J
0<br />
0<br />
0<br />
0<br />
0<br />
0<br />
I'NNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
O.C. d<br />
107-006-101<br />
Pogo I of 1<br />
Co Ilector<br />
AP No.<br />
r r..gypt<br />
C^^^<br />
alaet/Rtoamur<br />
mplins Orlaie<br />
eiephoaeNa. hISIN<br />
Pumbaae Ordu/(lame Code<br />
FAX<br />
Pniect Tius r<br />
r O F—N—<br />
—' ke Cheat Ne. f Temp.<br />
Shipped To (Lab) Method if Shloamt BW of Ladina/AR OW Na<br />
Protocol<br />
Kr-&BLE SAMPLE HAZARB&REHARKS<br />
•• « Cwhiim R",mdm Mawdeldoorreovatiem malmmregumled forbrmpeNdonpeeN Mbulam m<br />
bk per DDSOidw §4003 (199(VI993)<br />
PrWty. 45 Days<br />
ifeite Proom tv No,<br />
SPECtALLNSTRUCTIONS Hold Time Total Activity Fxemol {m: Yea 0 No<br />
AB tabs amep1WSCF: Bath aB PNNLsmVM&ubmited weer A. G.LS, and W07SAFs boom SDG,mmoaead SDG<br />
elmeroof Id days<br />
WSCP: Da ha0PNNLGWmopka Bbmmdrb9w SDG,ddycbsra<br />
Sample No. Lab ID • Date Tum NolType Cmltaumr Semple Aeaiysia Prexrvarive<br />
B)KYH6(F) W (( Z7 WO-mL aGe COLOR TK FLD. NeuvWent Chromium (I<br />
aeBgwsb" By Prim DaYfI'<br />
l<br />
Y<br />
Rcs ved ay Prue Sifo<br />
Dawi. M ahia •<br />
NOV 2 7 20 1 NOV 7 4_ s a ,^ _ „am ^,:,<br />
sn _ feMbnw M. . r9 1"d<br />
aeliquimed By Dowrim Received By Datdlm<br />
SO - 9dld T . Tuna<br />
V. - "A. Wl - Wim<br />
W - Wab I. - lL.id<br />
Beliayui•bedBy D&Wrlme ltmcteed By DaWT&m O - cm v - v~alir<br />
A - Air X _ (slur<br />
Bebqui$bWBy Dam7om KwnwdBy lagwrtima<br />
FLYAL SAMPLE Dmp9WMa ^NE!j Frpq.Jybpp[ra. nod<br />
DnpmedBy DRWTkm<br />
DISPOSITIGN<br />
cIJ 'v (J^J
PNNL<br />
Rcla9•ahFk<br />
10^tioe Received By Print Nnv 7 n DuM(me Matrix<br />
)<br />
HY Y [ SZ<br />
1f<br />
RdiagitlndBy I Dahyritr Received By Dar/yioa<br />
Rdogubbcd By Dat*Tmx Raeetwd By Daayflme<br />
Rdipuiamday DYM5m0<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Received By Dowrm<br />
V - W IK - Ilnm Wid<br />
cN -<br />
rx. - ILmalfaai<br />
sn - saw T - Yreme<br />
m. - Rhaba WI - Wine<br />
W - Wm, I. - ILmit<br />
O - (hi<br />
V - VWawm<br />
A - AY x - orw<br />
iTNALSAMPLE DiyaulMahod (a.p, RCl000namme(, py+ Nue.uwd6pxae) Diryacd By Al /<br />
DISPOSITION u tkA<br />
O.c. r<br />
107-006-166<br />
Page 1 of 1<br />
a- t ZZ ' atoculteaaemer eletthoae Na A N PAX<br />
F Kw Samust Ortola Parchaee Order/Charts Coda<br />
Pr IMBR IA<br />
Ice Chest Na.d65 Tema<br />
44NF— N -w. -Z_<br />
IoOCd TO (fAlh) Method of Shlataeat But of LedlodAlr Bill Na<br />
Protocol<br />
POSSIBLE SAMPLES<br />
"Camiaa Rsdineow 11 0"W N msxmabuDi&MWrA te{Wrod for tmW0oad0aPW49 CFRbt an a at<br />
pwDOE OVdcrdeoad (199W199))<br />
PrlorBy; wS Days<br />
16IteP mi, Nw<br />
'PEQAL WSTRUCrIONS flow lima ToW Ac tivity Ewwdan: Yes bd No<br />
ABLabsesayt WSW: DarbWP.NNLeuootubnwtkd omdwA. (XL%&dw07SAFs hwp SDG.ealnecaed SDG<br />
el0caeof N days<br />
WSW: Bari aS PN'NL GW ntplrs taboimd ion aae SDG. dWy ckO<br />
Sample No. Iah B) • Not Time NoType C9aWmr Sample Amlysis Pretcrn tiw<br />
B1KYJ6(F) W tjtCjr0 4 IlC7d 1x4WnL aGr COLOR TK_FLD: Hwwvafent Chmmiun(1) NOW<br />
O<br />
O<br />
O<br />
O<br />
0
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector HmINrt1 ComtacVP e toter Irtleahome No. MSLN FAX<br />
F No. Sumlina Oriala Po rcham Order/Charxe Code<br />
ProlcctTWe<br />
V<br />
let Cheat No. Teaw<br />
Ipoed To (Lab) Method ofShiomeal BW atIA&aWAlr Bill No.<br />
Pro(ocel<br />
POSSIBLE SAMPLE IIAIARD.SIPS.MARKS<br />
w w Cad9iM Rod:actiw MtaxW acowembua Oat are as rtg*W it uwpwmim pa 49 CFR but m iwt<br />
m paD0B 0 da740M(1990'1997)<br />
Psi«By. 45 Days<br />
IWto Prowty No.<br />
OX— B<br />
107-006-180<br />
Page 1 of 1<br />
SPECIAL INSTRUCTIONS 1191 11 TIme Tout ANi"ty Piatotm Yes bd No<br />
Alllabaaaq WSCF. Br haUPNhlmpbai4 mwda4a A.QL&md W07SAP9 bmoomcSMMbe amd SDO<br />
el a of 14<br />
WSCF. Bacbe n PNNLCwaaopWabmmd obw SDn.ddy do<br />
Semp le No. tab ID • Date Time: NoIM*Cmtaiw Sample Aaalytia Peuava4m<br />
BIKYJS(F) W > lxdPmL BOh' COLOFZ—Trr FLM Hexatalent Chrottdum(1)<br />
05 Fi'<br />
Ralip^ $•w By Silo D wr. Matrix<br />
R&ugw,Wd By<br />
Rdbnw* d By<br />
NO r n A ^iip000 y rp<br />
1341ITwm<br />
Dowil"m<br />
^;w^<br />
By<br />
By<br />
NOV 0 8 2006<br />
Damerne<br />
D WTJ M<br />
R<br />
RR<br />
Rn<br />
RI.<br />
W<br />
/t<br />
A<br />
_ ^.,<br />
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- RNid<br />
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_ W-<br />
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FA<br />
M.<br />
T<br />
WI<br />
I.<br />
V<br />
x<br />
_ ,,,_ .%44<br />
- 7hamlfwi<br />
- Wow<br />
_ IAade<br />
- v..awiw<br />
— (hhw<br />
Rebquired By Dahvlhm Romved By Dawrim<br />
FLYALSAMPLE D1yMal hklbod(e.a.. Rdimm @4M YhdfoM4}hy1FQ qTi DWo^B abT^ 0 0 0 C<br />
DISPOSITION GLd 1tr f"1'io%jL• N °^<br />
v `<br />
Q<br />
O OQ<br />
O Q<br />
.Q
nx L<br />
colle ct or<br />
0.R. Bf1EYfIfIGfON<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C.O.C. 0<br />
coataet/Rtooester Teltaboate No. DISIN PAX.<br />
SAF No. Saaardat Orle)a Part"" Urdalchs"o Code<br />
Pealed Tltk • t\F^ N_<br />
Iv<br />
Is. Gat Nw C^ _60 I Ttmo.<br />
loped To (Lob) Nfcdwd of Sklaumat BIR of LodltdAlr LW No.<br />
Protwl<br />
POSSIBLE SAMPLE. 11A7ARDSIREbfARKS<br />
« w C,yd pdicoctiN M&wW atmamp.lima am we mt agd.rd for ptmppudm per/9 QR but oa mt<br />
bM pmDOD• ONa 5400! (199or199d)<br />
Priority-. 45 Days<br />
UBale Prootrtr No. .<br />
107-006-192<br />
Page 1 of 1<br />
SPECIAL INSTRUCIIONS Ildd Tim Total Ac tivity &ctimten: Ya h6 No<br />
A ll tabeemep WSM.B.kdtall PNNLaaepka abpdttN tuts A,0.4SoadWOISAFs Moose SDO.mlbercadSDO<br />
ektra of 14 days.<br />
WSU. Bleb all Pf84. OW oeapW ab iaed loo an SDO. da ilyckm<br />
Samp le No. Lab ID • Date Tyre Ndlype contains. Smnple Analysis Praava tive<br />
SIKYKI (F) W p 1x4NnL aGBe C0L0fZTK_JFW: hlexavalent Chromlum(1) None<br />
/7 11 i w^l it Y7<br />
^aaeREww'GTON<br />
Rdmga&W By<br />
RdiagefrkedBy<br />
Sip D.Wt-<br />
OV 0 U 9nna<br />
D.WCapa<br />
DstNfmre<br />
ieedey<br />
.ntslu.•-<br />
Rmcied By<br />
RecebedBy<br />
Pm sree<br />
Nov 0<br />
Uwrl<br />
9 2006<br />
Dowrmr<br />
Dmdf®e<br />
R<br />
.en<br />
Pel<br />
W<br />
O<br />
A<br />
Matrix•<br />
_ ca Ili<br />
- ndbedt DI.<br />
- mule T<br />
Bleats WI<br />
- w.kx<br />
T.<br />
- (N<br />
V<br />
- Air X<br />
_ TkmRMd<br />
- Tits.<br />
- Wim<br />
- wo<br />
- IhM<br />
- Vereak.<br />
- (kW<br />
Rc*u6bed By DaWrMe Raeiwd By O.rTtem<br />
FINAL SAMPLE Deposit Medmd(e.g., Rory m emroma, pr l.b pmxdre.sd ipscar) Diepoaod By DsWCma:<br />
DISPOSf170N ^ 1 11 0,5-10<br />
O OOOOONO
PNNL<br />
CIIAIN OF CUSTODY/SAMPLE •; ANALYSIS REQUEST<br />
Uccawc Hantora MIaeVResaester lekpbou No. MIN FAR<br />
AF No. •<br />
M7-<br />
samfist Orwa<br />
CIO<br />
Pmkct Title ' t,' CD b +L<br />
Pvmbase OrdcrlCharae Code<br />
Shipped To Qab) N' ct/boddo/f'ShiDDmeet :/<br />
BIB tI Ladlat/Alr&B Ne.<br />
Protocol<br />
POSSIBLE SAMPLE IIAZARDS(REMARKS<br />
"Cpaaim Red'mecm Meredd a cace"imr*Mem ootagda3M Br kMpMtkdop per49 CFR We"but<br />
M pa DOB Ordw 5400 3 (19901993)<br />
Pdori(y. 45 Days<br />
.C. d<br />
In Chest No. Temp.<br />
Ile Prosertr No.<br />
107-006-200<br />
gage 1 oI ]<br />
PECIAL INSTRUCTIONS hold Time Total" iw Exereotiun: Yes No<br />
All Labe cuMt WSCR Beth N FNKL uvpb ru6mi 0td udaA.4LS. Met W 07 SAFs baow SM ant b eaorod SDG<br />
elepxee/le days.<br />
WSCF: BabbaBPNNLGW u p0lea Wedged W one SM daily cimm<br />
Sanpk Ns. Lab ID • Date Tbm NaJlype Container Souk Ana lysis Ptcwvative<br />
BI KYK5 (F) W 7x404nL aGs• COLOP TK_FLD: Hexavalent Chrtxllium(1)<br />
^M<br />
5'p Fkbor NOV 0 8 2086"I""^51D Received<br />
<strong>Hanford</strong><br />
By<br />
^` NOV 0 8 2008 x` 15<br />
S S _ Rnl TA - nnan SnF<br />
M. - Itnan l Lod<br />
RdaquNed ey Daerlbm Rectind By DMdlme<br />
W) . MIA T _ Time<br />
p . - Rk m WI - Wba<br />
W - W~ I. - Ihiid<br />
RdcgWed n flit<br />
V Va wk.<br />
BY Dawrm Repriwd By Deaerrce<br />
A - A ir x _ rxha<br />
Relmquided By Detdlhm Rwdvcd By DaWlbm<br />
FLYAL SA.IIPLE U>pmd Me" (e t. + !9^©/sl ^atllU<br />
DISPOSMON<br />
F^fl VGvI>t7<br />
Map;x•<br />
'<br />
WbT _ a _;<br />
D<br />
N
PNN,<br />
BMor FL T. SIC"<br />
CHAIN Or CUSTODY/SAMPLE ANALYSIS REQUEST<br />
U.C. d<br />
Coolaculteaueoter Telcobese No. MSIN FAX<br />
AF Ns. SamAlng OrWe . Pertbase order/Cbaree Cods<br />
Protect TIW ^^ „'^<br />
Mooed To (Lab) Metbod orSWumentt v<br />
&B of LedledAlr BW Ns.<br />
prwocel<br />
rrRrIA<br />
POSSIBLE SAMPLE HA7ARDS/REMARKS<br />
" Cousin Radiewive uernW sl ooroesostioru dotsrs an n :sobtcd for lmeporudiopr49 ffR bit am oa<br />
mkouble per DOE Ordo 540D.9 (1990'1993)<br />
Q<br />
Prlarily: 45 Days<br />
I ce Chest Na. Tema.<br />
(ralto Pneerty Na.<br />
I07-006-201<br />
Page I of I<br />
PECIAL VnRUCUONS 1414 Time Tomi Aedvity Excorution: YcsWJ No<br />
AN laM ew%q WSCF: B$Wb sO PNNL cmpin nbWioed oiler A,G.I.S. rod W Or SAFe has ooe SDO. oat Is Camel SDO<br />
clone or 14 dsya<br />
WSM Bobo s0 PNNL GW ssnpbs swbmaed how one SDO. daffy cone<br />
Sampk Na Lab ID • Date Time No?ype C ximiner Samp le Analysis Pteutvetive<br />
RiKYKB (F) W V Q 1R4041L aGs• COLOR TK_FLD: Hexavalent Ct=Wun(1)<br />
R. T.SICI4E<br />
%/I<br />
site<br />
NOV<br />
0 8<br />
06°m<br />
ved By sip DoWl<br />
r<br />
NOV 0 8 2006<br />
1,tdBy DAWFhm By DNdrim<br />
Rehn"abed By DoMrim RaccivedBy DrdFae<br />
RAWgd3w By 1)errraw<br />
e^<br />
By<br />
ro<br />
Marna •<br />
R _ W rK . IIn-.&"<br />
- F.AA -• T - Men<br />
An - lv i T -l. w .<br />
A.<br />
- G-he 1. - ljd<br />
W - Wir 1. - Ihil<br />
O - CA v - wmiMbn<br />
A - A ir X - rblrr<br />
FINAL S MPL.E w9•d Mesod Lea. Relem gq^pc pq l^ '<br />
+<br />
u1srOSrr10.V ^Je7C1./ 1 1V F^FlilkfC S DbP^B C:—r-- / •• ^^^'e " ^ r' r C<br />
G'<br />
Drsrte o<br />
0<br />
O OOOONN
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Coomer<br />
FhrtX H3ItdtNd<br />
CoalactlReaYwer "home Na MSIN FAX<br />
AF Na molio[ Oriole Pumbave Ordcr/Charoe Code<br />
Proied TiUO f•^O Ice CheA No. Temp.<br />
hipped To OAb) M ethod of Shipmest BW of Ladler/Air BIB No.<br />
Protocol<br />
POSSIBLE SAMPLE UAZARnyREMARKS<br />
« « Coddm Radodire ►4 l N oomomxa s Wt am ac rxaWed far beop"dm per 49 CTR but rs re<br />
rdeamblepor DOB Oidcr"W3 (199tY1993)<br />
Prlorlty: 45 Days<br />
oudle Pro perty No.<br />
C O.G0<br />
I07-006-208<br />
Page 1 of 1<br />
SPECLAL L`ISTRUGTIONS Ho ld Tbne Tolel Activity Function. Yubd No<br />
ARIaMexmp WS(F: Baxbs2n4NLrryfnwbmitkd edn A.G.4Sad WO7SAFs irsem SDGmkccadSDG<br />
close of 14 day&<br />
WSOF: Beech an Ph'NLGW a pples "mimed ss one sm dalycimra<br />
Sample Na lab ID • Dale Time Nolfype Cmtaincr Sample Analysis Pr eservati ve<br />
81KYL2 (F) W /075 lx40mL BGs a CAIOR TK_FLD: HBxavalent Chromium (1)<br />
Rdi°°d'tfHwftd<br />
gip<br />
eve Rece ived By<br />
Matrix<br />
NOV 0 8<br />
sip NOV $` 2<br />
R. T. `<br />
W - GrR<br />
as _ Timm G,B1<br />
Reiqualedsy Da larfhne RceiodBy DoWTbm<br />
RR - F.%i nl. - Oren llnd<br />
W) - W 'd<br />
T - Tier<br />
M. - m dae WI - Wim<br />
W - W~<br />
1. - liaaid<br />
ReigWSd By DalWThm RceiredBy DabTma O _ eN<br />
V _ Vesawim<br />
A - Ai ate<br />
""wow ay<br />
^Reed od By Dudfime<br />
FINALSAMPLE Devwd ►kecd (ag.Raml0t QrQ^^•ybj^g0.dW^fineQ7y^i' DISPOSITION<br />
jS / 1'RCti/^iTSS By<br />
OewRhm^<br />
u /^<br />
8066<br />
)<br />
J<br />
J J<br />
y,
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C*Ucdor ntacttRcusaW rdenbese No. MSLN FAX<br />
FNa<br />
10.0<br />
Prolect Tole<br />
seventies Origin<br />
ll..f4dq4tc<br />
1 F_ I<br />
Pemba" OrdertCharte Code<br />
lce CheatN<br />
-t)<br />
IRoed To(lab) Method fShidateat ' 801 of Lsdiar/Alr&B No,<br />
Prolocol<br />
POSSIBLE SAMPIE H"ARDS tRMARKS<br />
« «Copbip Radkacd"Materiel daaamaliow 661 Meta apteled Is mupmodes Pa49 CFRW a a 001<br />
xbubbpa DOBadvstood(199WlM)<br />
Priority: 45 Days<br />
offskeprowtvNe.<br />
OGN<br />
Tmo.<br />
107-006-212<br />
Page 1 of 1<br />
SPECIAL INSTRUCTIONS Hold TIM ToWActivity Exemotion: YabO No<br />
ARLAs"crOWStP:Bakh&UFML=Wlnubmiftdud=A.%I.S.Nd W07SAFa hADa SMMeD xtedSDO<br />
cl a of 14 day&<br />
WSCF: BariWPNNLOWaanprsaabnicdebe SDO,dAyehnua<br />
Sample No. Lab ID • Date 'rim Noflype Container Sample Analysis Pecacmapve<br />
BIKYL4(F) W 1x4OmL. aGa' 00L0f TK FLD: Hexevalent Mwgum(1)<br />
Rdi.WWOvd By Pdo1 Sip DwrnA47 Reamed By Psis Sip Daadl'me Matrix<br />
Nov 2 12c96 14y aRR<br />
Regaqudxd By D&kftqkm Rweited By ate/Iimo<br />
RcWgwikd By altnime Recakol By DOWTim<br />
Rduap"dBy Daa/iioa Rectimd By DakOTM<br />
FINALSA.MPLE<br />
DISPOSITION<br />
Uipwlhtt Pep wed is /W'4oaed BY<br />
_ W Its _ I>nm Cntil<br />
- gedfoiva ell. _ tl llad<br />
RO - Fnha T _ Tb.<br />
C. - Rbdae WI - Wk<br />
W _ Wa I. - Ikdd<br />
O - na V - Vaa lthn<br />
A - Air x - OUw<br />
atteTima<br />
0<br />
0<br />
O<br />
O<br />
O<br />
O<br />
N<br />
JS
1'NN)' CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
CoUtdor Fklor <strong>Hanford</strong> Coatacf/Reaseater ekoboee No. NSIN FAX<br />
SAF No. SamDRas Orlela Parcham Order/Cbame Code<br />
Prolect Ilue I^ Ire Chem No. Tcmo.<br />
Ippa Ta lllb) Afebodo(SOismest BWo(Lsdlse/ rBWNw<br />
Pro«ed<br />
POSSIBLE SAMPLE ALA ARDSRtEMARKS<br />
" •• CawAim Rodlwcdw MaaaW a eaoeaealkm dat m m wSubW L4 Danpm deu per4908 bm art as<br />
mJaobbpm DOB Oeda540 4.5(IMJ997)<br />
Priority: 45 Days<br />
Prolwnv Ne.<br />
rlh4e<br />
C O.C.F<br />
107-006-220<br />
Psge 1 of 1<br />
SPECIAL INSTRCCFIONS Ileld Tbae Toad Aeuvity Eacumom: Yu hd No<br />
As labs eurpt WSCF:BaabaBPtaiL"asvbw"duederA.GX&"dWa7L%Fs Ldo<br />
etm of 14 days<br />
WS F; Balch W PNNL OW ample ubmmd boo am SDO, dray edays.<br />
SD(lw1wueed MG<br />
SiDgde No. Lb W • Time W rype Caaainer Sample AMlysie PtcsmatiVO<br />
DIKYLB(F) W p 7X404nL aGse C.OLOP TK FLD: Hexavalent Civ nduln(1)<br />
on<br />
Rdi^y<br />
►a HwftdAiP1<br />
Ibb?' tteeiwa By<br />
g'O'NOV Q 8 t80U ID ?A "'<br />
p.LSICi4E<br />
OV 8 00 Sri<br />
R - W<br />
n.A _ rM Rnlit<br />
- ttm:ar N. - Daan lied<br />
Rdwgm"dBy Dam?me By Daarime<br />
Sf) NOW T _ Tle.a<br />
RMbe WI _ Wi.<br />
W _ Web<br />
1. 1J.,W<br />
Rtlio"WWBy DsWfbw Raeiwd By 0"Ti a f) _ 07 v vacwiw<br />
A _ Ai, X (aMr<br />
RtiquisbW By<br />
FINAL SAMPLE<br />
DLSP415 .4<br />
Di+pmlMdnd (cg, p^a^,^ q^^pr {P^oDVWT<br />
V8GLJ 1(\ f ^F1VCESS<br />
? Kood"dBy DssaTba<br />
Dbp osN Br<br />
u<br />
Daedliee<br />
Ul
PN'NL<br />
CIiAIN Or CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector P" H&Oxd c9stactip4quester relephose No. MSLY PAX<br />
SAF No. smawfinvOrwo Purchase(NderlCbarae Code<br />
Prmied Title<br />
ee Chert NoonS Temp.<br />
414 r- _ SOU — Z-<br />
Shipped To aAb) Method orshlowat gill of Iadloo/Alr BW No.<br />
Protocal<br />
POSSIBLE SAMPLE HAZARBSIREMARKS<br />
'• •• Caoaiw Rediowdve Matrrid a oxwemriom del<br />
Per DDapdar 54MS(1990'1995)<br />
wep wgWawd in Weagwsudmpae9 CER but w mot<br />
Priority: 45 Days<br />
Baste Property No.<br />
O.c. 9<br />
107-006-232<br />
Page 1 of 1<br />
'PECIAL 114MUCFIONS Hold Time Total Activity fammtkm: Yes No<br />
An Lobs "c"WSCF: 8otma ll PWL mnOb wbndueduaA. tl Q LS. ad W 07 SAPO kw<br />
om SDD. tot to cued SDO<br />
cia of le days<br />
wscx: Balchop PNNLCwwvghewauiedloom SDD.doRyckesa<br />
Sample No. lab ID • Date Time NolrypeCWWW Saupk Analysis Ptuavadro<br />
DIKYM2 (F) -7-FINK17 (O WOML 8W COLOFZ—TKJLD: HexaysleM Chrmnium(1)<br />
F<br />
FW.ndb u 'p atdlne Recelmd By sip U*Wtnw Matrix<br />
R.i NOV 2 2 20M 04 NOV 2 2 2008 I>o o R _ SO nit _ nn.a RnGA<br />
RR • Radimeis Ill. - ILvmll.ad<br />
Rc*uhhd By amrrnw ReoNved By DWOTM<br />
sa _ CrFd T - rw<br />
A. _ sw" WI - Wk,<br />
W Wetw I. _ lk w<br />
Reru4sis ed by DYdlnw Received By Datums n flit v _ vemadm<br />
A _ Ale x - nrkw<br />
Relegichd BY awrrnw itwel,,ed By awrim<br />
FBVALSMIPLE<br />
DLSPOStTW .N<br />
DbpanlMdwd (ey,Remmbpwtmcr, PahblbfsElyii ,<br />
V ^^•L/ PROCESS<br />
^--z o^<br />
10<br />
O ON
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
cADeebr matblteoucga ekoboasN w<br />
ALSLY FAX<br />
Q^<br />
F No, samussociala Percb.at Order/Chant Cede<br />
rMled Tide<br />
NNF - o(. q Cheat<br />
k tL f` 1 Temp.<br />
ShippedToil4b) method of SYlomeet BB! of Ladie alAdr BIII No.<br />
Protecel<br />
Inrlorh)r 45 Days<br />
(Wto Pmonly No.<br />
COX-1<br />
107-006-236<br />
Page I of I<br />
POSSIBLE SA.N1PL611ATAKDSIR pXARKS FECIAL LNSTRUCI IONS 11•Id Time Total Acdyiw Fsecto6w: Ya bd No<br />
" •• Cusim Radioadiw MataW as omnaeratim dot am ace atxuWod for eateputadmpac9 CFR ba mod AdLobsnot%WS(F:Baehao PNNLaaepks-buinOuadaA,QLSasdWO75AFa Wow SDQ.nttoeuc0dSW<br />
mku "pa D0Rtk4ad400.S(L"Wl99d) ckewofd4dya<br />
WSff: BwA a0 PNNLGW tmpW nbmkW Wo ao SOG,dady c61aa.<br />
Saogb 140. Lab m • Dew Ti. Nalfypt Cmtabta S"Ic ArWysis Preeavadw<br />
B1KYM4(F) W /( -.pL ay7 lx404BL aGe•G0L09L,TK_FLD: HBxara*d 0 (onkm(1)<br />
R.4W By . Ptol Sip B4Mf-^ \_ Rtabed By<br />
Matrix •<br />
^°0<br />
NOV<br />
M e. ARCH NOV 0 8 ZO 6 R: ^r r F - Fal rs. - rtwa find<br />
RdiqukatdBy Dowtims By Qete'fixe FA - F•ii ea M. - 1lam lied<br />
F() - F.dM T - Ttaae<br />
M. - PW. WI - Wine<br />
W - Wu 1. - 1A.nid<br />
Rdiogabhed By DsWThae Received By Dawn" 0 - C0 V - Vcas.4n<br />
A - AY X - r.der<br />
Rdoq^W"By Dawrhna had By Date'TM<br />
F7NAL SM1P1,E Dsporl Mdbd (ad.. Rauh 6 Q® 1 ^ k Deposed By<br />
DLSPOSrrIO. .4<br />
usel / +<br />
DebThm<br />
// / 1 . V - Y M<br />
0 000<br />
O N
PNNI'<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector Fkmr Hado/d CootacllReooeder Tellwhous No. MUN FAX<br />
SAP Ne. amollaa Oriel Porches Order/Clame Code<br />
Proles Tide<br />
^^F^H^ ^j(e—Z<br />
ke Ched Ne.^^S Teams.<br />
Shhmtd To aAb) Method o(Shipmeat BBi o(Ladiaa/Alr BW No.<br />
Protocol<br />
CFRrIA<br />
PLMIBLE SAMPLE KAr.ARDS/It 0llA1tK4<br />
« « Cmwim RWmmive Maari al MOOmeotraliWl dwn eM nsx Med(or usaw"oa Per e9 CFR bie w as<br />
releasable per DOG Otdu 34101S (1990'1997)<br />
Priority. 45 Days<br />
((aDe Property No,<br />
0.C.N<br />
I07-006-242<br />
Pop 1 of 1<br />
SPECIIAL LYSTRUCFIONS llold Time To ta<br />
l Activity Excmptim: yabld No<br />
All lake except WSt}: Bacaa p pNNLaaopbaMaoideduderA,O,LSmdW O7 SA(r haomtSDO.aotmeacoedsDO<br />
elmua of 1e daye<br />
WSCR Dateh aB PtD& OW ucply arDa"ed lob me SDO, dm7yekeue.<br />
Surpie No. Lab ID • Data Tirro WType Cmtaim Surpb A t lytir Prcravrtive<br />
81KYMB(F) W 2t 11 WOanL 9W COLOPZTK FLD: FIemavalent 0aoralm(1)<br />
gtG^q„tLed py.,<br />
i9<br />
Daedl'<br />
^d<br />
iwd By Sip ila<br />
F a%&r<br />
NOV 2 22006 V 2 . 2 2006 R _ ^dt rK - Im"Road<br />
S0. - Ardin<br />
rX. - rgnamllmd<br />
Reliagriied er DdsTme ReaMved By 1>,Wlimt<br />
S(1 - SKd T - wl.<br />
Se. - Ardre I. - Whr<br />
W - Wrvr<br />
1. - I1rA<br />
Bdiogo kd By DaWTime Received By Oeb7'ene 0 - (lit<br />
V - V. fttkm<br />
A - Air X - (a1v<br />
RdiKommed By D0.WT'em Rv^wetvedBy D.Wrlme<br />
F LN LE<br />
Dls Fosrfj Dlpoul rdcrtnd (a.P., RM<br />
'!'y^4' W t PPN t9P(gW`SriP<br />
eosrrlav ^J^7GL/ ^n t+^'(^J<br />
,7<br />
oWnMB<br />
U<br />
pia<br />
//—z7 t%141<br />
Matrix<br />
O OOOOON
PINNY<br />
Relignivbcd 11BIa0I0<br />
mor<br />
DwpTert V RaeiwdBy Sign Dawrme<br />
D. L F<br />
Rebagwswuy<br />
DI<br />
NOV Q O<br />
Dele fine By<br />
NOV 0 8 2flflfi<br />
vate1m<br />
a<br />
RR<br />
Rf9<br />
Rafyo4bcd By DOPThm Received By AteTbre<br />
Rtbngodmi By Dewfbm Rweived By DwYfor<br />
FINAL SAMPLE<br />
DISPOSnTON<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Couft-wr Flow Htgdord e( actlReaeest" feleabeoe Ne. MIN FAX<br />
AF No. moliu[ Oriala Fambase Order/Cbaroe Code<br />
Prolec1 Ilue<br />
f.INr ^N ^ BOG<br />
Ice Cbeat ^<br />
"` 6<br />
7etuo.<br />
bloom) Te a4b) Ictbed of SYorul of LedlaalAlr BW He.<br />
Prol"d<br />
POSSIBLE SAMPLE IIAZARDS(MMARKS<br />
« » Coobina Radiorctlro Ma terial a eenceaastima Eat mootmgalated fee eeaperra tim per e9 CFR bw maot<br />
.eleeabb Per DOE 54do.S(1"01,993)<br />
Pdw ty. 45 Days<br />
DiWO-1 Me" le.g. Rc000 weam^.lQag^ ^pt^,yy^c y VC Dapoad By<br />
/<br />
M^7^i ^T( r^'^(<br />
f Wte Proper" Ne,<br />
QGB<br />
- .%A<br />
- £cdbme<br />
- Add<br />
fit. - R UA.<br />
W - Wr<br />
0A - On<br />
- Air<br />
-<br />
107-006-246<br />
Page I of I<br />
SPECIAL LtlSTRUCf1ONS field Thee Total Acuvitv Emrolion: YnO No<br />
An labs except WSU., Babb ed PMLSaoples wbndtred wmA.0. 1. S. a.d W W SAF a bw ow SOO.w io uceedSD0<br />
cb erofie4sys.<br />
WSCF: BatehaB PNNL OW smpb tabooed inb om SDO.dady cloaun<br />
Sample No, lib ID ' Data Time Ndfype Contafam Sample Analysis Pralervaave<br />
B1KYNO(F) W X .17/. 1x40-mL aGd• COLORJYI FLD: Hertavalent Ctaornium(1)<br />
RIVA<br />
Ma trix'<br />
Ix¢ - nnm raw)<br />
nl. - IWMIA w<br />
T - TLme<br />
Wf - Wine<br />
- Da .<br />
1. - IkAid<br />
V - V« m rim<br />
X - 0der<br />
r<br />
n<br />
•<br />
10
I'NNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Uttmr Rx o(scvF oaeaty Teleakemelic MSI`I FAX<br />
F Na smount Oritis Perches (hderlCkme Cede<br />
Preled 10MIR111e / / / ^ /• 9<br />
6-0 l7 CJ<br />
to ChatNa `n- / Temp.<br />
bloped TO (I.ab) bldbed/leff Shipment JIM of 4dlpdAir Bill lie.<br />
rouKa<br />
CFRrIA<br />
POSSIBLE SAMPLE HAZAMS,26MABKS<br />
• ee Ce9ukr Redb.nhs MakrW rcerm*ricer dot are tr Rgdred for baw"ce if pm49 CFR bal m as<br />
teltsuble per DOB Orda$ 00.5(199e'D9y)<br />
Priority. 45 Days<br />
to P roperty Ne.<br />
QGp<br />
107-006-252<br />
Pape 1 of 1<br />
'PECIAL INSTR1:CnONS Ilald Time Tow ActiviNP.tclmtim Yabd No<br />
Ap1AMUaepIwSCP. Baa:bap PNNLwWksobmi Ww &rA.G.L&mdwor SAFa ten<br />
on SOG.eoteacad b SDG<br />
rlmse of 14 days<br />
WSCP; Bratap PNNLGW —Abawal Ln one SM. duly ckara.<br />
Samk 14M IAb ID • lime N9lfypeCmW= SwMic Analysis Pte tive<br />
B1KYN2(F) W lx40inl aGS' COLOR_7I(_FLD:MexavalentCMomium(1)<br />
i.ed By<br />
Prig Sip.<br />
Dawrur<br />
Nov i0u<br />
.,^ ^,^! Nov 0 s 2008 a<br />
Rdiml:Jday Dewrim RR<br />
RamiAd By davpe<br />
FA<br />
RI.<br />
W<br />
Rebn*dAdBy Drwruae Rwded By Dswrme nA<br />
Rd.vubbeday wwreas By Drano.<br />
NNALSAMPLE<br />
Dis►OSI"O^<br />
lAVaWMedd(ep.Rram p eWmm;PeWIWpm& . 1<br />
. to .o<br />
DbpmdBy<br />
1 a<br />
. %<br />
- Shc<br />
. Mid<br />
mwl.<br />
Wsaa<br />
On<br />
- A ir<br />
Matrix•<br />
Da<br />
tX.<br />
T WI<br />
1.<br />
v X<br />
Dewlbae<br />
e!<br />
- n."FwiA<br />
- Ilnmlkw<br />
- Ties<br />
- Wk<br />
- Ikwd<br />
-va.ba.e<br />
- me.<br />
A<br />
a
PNNI'<br />
(:ouecter<br />
D. R. BREWINGTON<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
COX_ f<br />
abct/Reaucater Tdwhoaetl . MSC! FAX<br />
SAF Ne. samum Orwa Parchm Order/Charee Code<br />
Prolectlitle `^ . 1 I ^_ ^_<br />
Ice C1ca Na. C + o<br />
pwd7'e(Leb) )fella efSklawal l'"1<br />
Bill efLedlae//AJr r^L_<br />
Bill<br />
Na<br />
Protocol Pdoritp 45 Days<br />
POSSIBLE SAMPLE 1 1AZAR1 S/R EMARKS<br />
« « Ca.Bbu Redioani.e Naarubt aoamrdmc 4ran.al n9d"IN has 9 1doapaa9CFRbaimmot<br />
itaabit per WEO.da 54%3 (19M993)<br />
(fdte Freaerty No.<br />
Ten».<br />
107-006-256<br />
Page 1 of 1<br />
PECIAL INSTRUCTIONS hold Time Total Activity Excrtntlan: Ya bd No<br />
AR lab cxceplWSCF: Bath all PMLaopW auhndmd aodoA.0.4S. and W 07 SAFI fiW W SIX). not b tweed SW<br />
clm of le drys<br />
WSCF: Bakhae PMLLGWanVawba WItooatUG.dailyek m<br />
Semp le No. Lab ID • Deb Time Noliype Contaim Semple Amlyau Prrsmative<br />
BlKYN4(F) W It 0{7 1x40-mL aGC C XJ0PZTK_FLD: hexavalmA ChmgmhxD(1)<br />
c<br />
n<br />
Rdi. y{ g(pM Sip. DYdI"<br />
^ Recemed By amI D. R. BREWNGTON<br />
S.p<br />
LOO^<br />
NOV 0 Io<br />
a.^<br />
matrix<br />
s - Sm<br />
Wto - s.+fina.a<br />
ReliuguiAedBy,<br />
Itcloquhhcd ily DaaTme<br />
Rawtv0d ByData7lae<br />
RaDened By Detdf®e<br />
na<br />
TA.<br />
- smw T<br />
N. - cw.a.. WI<br />
w - W.b<br />
1•<br />
O - fN<br />
V<br />
A - Air X<br />
- )]r-a SAiA<br />
- 11na.I 1,ad<br />
- rva.a<br />
- wi..<br />
— lindd<br />
- Ve stmt<br />
- fl.br<br />
RciNui.hrd By DMdlimt Retched By DaoTw<br />
FINAL.SAMPLE DePUad Nabad(ee. Reta.b aatvoocr.per bD pnroedwe.nW ip.xaa) Dnpowd 1bad7'<br />
DISPOSITION ® V<br />
^% 110806<br />
O OOOOOG!
PNNL<br />
GIIMOr<br />
' PNe.<br />
Rtw M In dad<br />
D. R. BREMGTON<br />
CHAIN Or CUSTODY/SAMPLE, ANALYSIS REQUEST<br />
0.C.d<br />
CoatawReauestcr deakeoe Ne. MSIN FAX<br />
Samuel Orld n PurcJklase Or4eri"arae Code<br />
Palen Ti tle<br />
N ^<br />
l0<br />
Ia Chat No. C _F T ma.<br />
Shoved To (Lab) 1f ofShbweel BIRerl.adiad.Ur BB1Ne.<br />
PM"<br />
POSSIBLE SAMPLE I LAZABDSIRLMARKS<br />
•• Co w Radiwcim Mweralat aaxnndor. Ralw a a NplaW for oampwance pal9(TR bdw not<br />
Mkarbk per DOE ow" 54003 (19"1991)<br />
Priority: 45 Days<br />
tbite Property Nw<br />
I07-006-257<br />
Page 1 of 1<br />
PECIAL INSMUCLIONS Held Time Total Activitv Exemption: Ya 0t7 No<br />
Al Late mW WSCF: Be" all M-L uaVks rule-rod under A,0.1,& and W 07 SAFs iaamSM not braced SDO<br />
clam nf le dry.<br />
WSff: Bdub as PNNL GW er pplef $4aftd iwo me SM dalycka<br />
Sampk im Lab ID • Dale Time Norrype Cun taim SmrWk Analysis Preservative<br />
BIKYN5(F) W Dfp 1x40-mL sGV COLOPZTK_FLD: Hmvalent Chradum(1)<br />
OeWfime l``^ Rsehsd By Pdd sign DeM'bc'5o Matrix•<br />
Fluoi11ford<br />
M R. BREWINGTON NOV 0 _) T ^^.^ V 0 8 20 l A . F j M -1>„ %W,!<br />
Pdb9:dndBY Dudfam RuenNBY Detdrim•<br />
RR - SMimee M. - ".mrldmt<br />
M -NAd T -rr<br />
V. - lento. wl - Wine<br />
W - W M<br />
1. - I"Ad<br />
Rdiepmaed By DetdNme RwuwdBy 139109 n () - ()R<br />
V — Veoem*w<br />
A - Ak R — Mee<br />
Rdiytdded BY Deb'rim RwchvdBy D%Wrkm<br />
FLNULSA.\LPl6 DnpoN Me6ad (e{.. Ram (^^ By petdfmn . fl 0<br />
11 v<br />
DISPOSITION ^+^%. /3^/LO<br />
M
PNNL<br />
CHAIN Or CUSTODY/SAMPLE ANALYSIS REQUEST<br />
—]<br />
Uedor oataWReooater deehoee No. MSIN FAX<br />
' t<br />
ies Often Porrhane Order/Charee C ode<br />
Puled Tide , l r ^/-<br />
/^ 11<br />
C.Qc. Y<br />
Ia Ched Ne Tonle.<br />
'hiooed To (lab) Method of 5hlcaael of 4dinst" Bill No.<br />
Probed<br />
POSSIBLLSAMPLKIIAZARDSIRIUMAM<br />
•` Comae Redicectin Matnitetm.annum. am tm oa teplated fa bmpatedou per 49 CFRb.t are mt<br />
pa DOEDda 5/00.5 (19901995)<br />
Pr ar lly. 45 Days<br />
filito ProoertT No.<br />
107-006-260<br />
Page 1 of j<br />
PF.CIAL INSTRUCTIONS Hold Time Totat Acdvitr Exemotim: Yes bd No<br />
Adl.abaaaptWSCF: Batch all PSTlLawarks dmkhAmdcr A.0.LAwdW07 SAW iaoom SD(i,.aaeweed Soli<br />
cluo.e of 14 drys,<br />
WSCR B"sit PNNLGW capita rimivad i9m oo• SDG, daily dewa<br />
Sahli No. lab ID • Dora Time NwType Container Saetple Ataiyais Ptesavadve<br />
BiKYN7(F) W 1a40tnL BGs' COLOR_TKFLD: Heravalent Chmittlum(1)<br />
I<br />
Bdfm s d e Pant Side<br />
Received By<br />
Sdn Dndtime Matrix •<br />
D. E.<br />
Rele9iidadby<br />
Rd*wiwd By<br />
Y 2.7 ZOb'^f`<br />
v<br />
Daedfine<br />
Wa'fime<br />
Received By<br />
Re ceived By<br />
Print<br />
NO 12008<br />
Datlna.<br />
mwlie<br />
s<br />
SR<br />
IT<br />
W<br />
n<br />
A<br />
- R•a<br />
- ReA;mm•<br />
- rdm<br />
- ttl.te.<br />
- W.<br />
- ra<br />
- Air<br />
17s<br />
M.<br />
T<br />
WI<br />
1.<br />
V<br />
R<br />
- rinm SNid<br />
- tT.u^id<br />
-Tsar<br />
- Wine<br />
- ISmld<br />
- Veaebtiia<br />
- CAN<br />
RdiNitbed By DmbTm By D.Writ";<br />
FINAL SAAIPLL DepoW N mrn'V_rPq,rFS^t¢ mrn^el^ pl^'Id!°O^ mud<br />
—^ Dup.eed Br • . Dab?ar<br />
DISPOSITION<br />
f ^J T,J(J<br />
O<br />
O OOO(1)<br />
W
Prn L<br />
CoBecler<br />
D. R. BRENNGTON<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C D.C. B<br />
CeatnameaaeNa feleohoae No. WIN PAX<br />
AP Nw<br />
107 MCI<br />
samilam Orkda ate Orda/Chuee Code<br />
Proled Tide t fl.`c _<br />
Ice Caeet No, O<br />
()<br />
Te nn.<br />
'eoed Yl To b) _Method<br />
fShineal m Bid of 4dla tlAir BIB No,<br />
Protocol<br />
POSSIBLE SAMPLE IIALAIiDS/REMARKS<br />
•• •• Co.uiu Radian fNerid at comem oliwa dates mt apboad Re anapwW per 49 CFR taus not<br />
mkamk pa DDB Oda 51005(14 I"3)<br />
Priority: 45 Days<br />
fWto Property N&<br />
I Pace<br />
107-006-266<br />
1 of 1<br />
SPECIAL INSTRUCTIONS BWdiioe Total Ac tivity FxwtWion: Yes hd No<br />
AaL$e+uplwSCF: Brach WPNKLropb hued NVA.44S.&WW0l Safi Yp oae SD4aolnuoeed SDG<br />
closure of 14 day% .<br />
wSCF: Such J PW&Gw=Mks utminad hm oro SM dailycksm<br />
Sample No. Lob ID • Dale Time NorFype Cmmiw Sample Atmlytid Ptawedve<br />
B1KYNS(F) W I it IRMO 1x404nL aGe C.OLOFZTKYLD: Hemvalent Chm iva(1)<br />
Reti:geilhcdBy Sips D4a/r® By hnd 4ldfne M4bie•<br />
FkwH ofd T N<br />
Nov 0 R Inns NOV 0 8 2006 _ a , M<br />
Rebqukhed By DeW ne Reoshvd By DeWt=<br />
RR - Win M.<br />
Rn - %.0<br />
T - Ti..<br />
St. - R60w wt - who<br />
W - w.tm<br />
1. - ILaid<br />
Relmpohedey Dowlioe Rarefied By DmdCms n -01<br />
V - Veamtia<br />
A - Air x - 01br<br />
Rtligobhcd By DwwUw Rtcehed By Dounials<br />
PLYAL SAMPLE DiV*W Md od(e.a, R M dd*d111 S— DepmedBy pa3Rae<br />
Vi4.•e ^^7.7 . '<br />
DIsArL1ON<br />
v^<br />
_ ,,. S,.,<br />
- fn llad<br />
O OOOOOWr
PNNL<br />
CIIAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Co iled<br />
O. N. BREWINGTDN<br />
Go4eURewester eleabose No. MIN FAX<br />
SAF No. sampunto Orida PorcAaee Order/Clerat Coodde<br />
Preiatlllk f___ Ice CLe#Nw^ Temp.<br />
SHaaed To RAW Met ofSWomeat DO of LadbWAtr BIB No,<br />
ProtoW<br />
POSSIBLE SAMPLE IL4ZARDS(REbIARKS<br />
•• w C =Wm Radioactive M.tm+latoo.mmdom Wt m notreeubW for n..tpaibdoe per 49 CFR bolus ud<br />
pa DOB Ordrr 5MJ(199M993)<br />
0.C. d<br />
107-006-272<br />
Pogo 1 of 1<br />
16ae Proaerty<br />
Pr(orkr. 45 Days<br />
No.<br />
SPECLALL DYSTRUCFIONS Hold 7ltse Tool Ac tivity Exctrptim: Yee No<br />
ABlabmaeptwSCF:Brmh.SPN'NLre.pi..uhmiardtuder A.41.&md WO71iARkdooac SDD,odtoeacwd SDD<br />
dwreof Md.ya<br />
WSCF: B.ab.BR.'YL Ow ewpk. eutn:aed iao me SDO.dulyeboae<br />
Sutple No, Lab ID • Date Tmte NnType Coomiacr SmWle Aaalyeis Preserva tive<br />
BIKYPI(F) W 11 L U404nk. aGs• COLOR-A PI.D: Hexava)BM CtsuriAll(1)<br />
` FteaNVa er Sipt D.tdrW ^ Meaix•<br />
Rdu=46md<br />
Sign<br />
D'Wr<br />
D. R.BREWWWON NOY 0 NOY 0 8 2006 I a _ %,,B „^ _ ,,.ems d<br />
ws M. - RdiagtiiedBY v Dddlime Rwdwd By Dublime<br />
nnulJ.at<br />
SO _ Rout T - T4.r ,<br />
A. - Mal d wl _ win<br />
w - wow<br />
I. - TJMad<br />
Relk,%whod By D.Wrne Rwckvd By D.tdime<br />
D - fhi<br />
V - Ve.daftm<br />
A - Ai X - (lanl<br />
Rdiogahed BY DodliQ Reocind By Datr/fm.<br />
FINALSA.MPLE D4oWMWwd(c4. ) DbpmedBy DAWTwe<br />
DI.SPOSUION<br />
L/<br />
0 G!<br />
to
t'^ vL<br />
Co ll ector<br />
F No.<br />
107 06<br />
flGOdflariNld<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
CJMQ#<br />
ntact/Raamesta Teleolwas No. WN FAX<br />
moliae Orkin<br />
li,nfbrA Mf^<br />
Pwvbase Order/Charee Code<br />
ProlectMt y^C D 2 achestNo. ^/ Temn.<br />
Mooed To (Lab) Mctbod o(Sbiooaet 9111 of Ledlae/AIr BIN No.<br />
Protocol<br />
CFRrrA<br />
POSSIBLE SAMPLE HAZARDSIREMARRB<br />
w w Camb ia, Rdimcdre Movil at msaMtiau that m m wgukcl hs nnVwudm per 49 CFR bad on m<br />
mk*ublc pa Dt9 Olda5"5 (199W199d)<br />
PrlorNy; 45 Days<br />
to Proatro No.<br />
107-006-276<br />
Pa ge 1 of 1<br />
PECIAL INSTRUCTIONS Hold Tboe Total Activitvlxe®t ion: Ycsbd No<br />
ANlabacace pt WSCF: BachaePhNLompiarvhmoed aadaA.G. 4.%udwll7 SATs knaae SDG.mneseccd SDG<br />
rime of 14 an<br />
WSCF: Bath ae PNNLGw smpin s&.iutd inane SDO, doily olda.c<br />
Su*c No. Lab ID • Time NciType Cat"m SwMlg Analysis Ptaavadve<br />
B1KYP3(F) W 1X404ttL DW COLOPZTKJLD: Hexavalenl Chmmkim(1)<br />
Reli qme Receiaed BY Pris Spa Da arc Matrix •<br />
WK<br />
NOY 0 '92' 006 T sr NOV p XNV<br />
Retl^gaietwdBY Daar![me ReoeiwdBY DaMPro<br />
RcWqmsbgdBy DdsTam Raeeived BY Daldli®<br />
RadagaWedBy D11NTYtte ttecelaed BY Deftm"<br />
x RR<br />
S(1<br />
. W<br />
- R./Y.ms<br />
- RNit<br />
DB<br />
rm.<br />
T<br />
_ nL %m<br />
- r7n.n l&"<br />
W Water<br />
G - Gil<br />
A - Air<br />
WI<br />
I.<br />
V<br />
X<br />
- Tia.a<br />
- Wbw<br />
- I km<br />
- vaceeom<br />
- Cow<br />
FL`ALSAMFLE DLpwalMeded(ae. Raaaa a cuscat,pa lob WmWw.atad 6 procee) BY Dssslim<br />
DISPOSlfi(AY *".ce_ ee 14r, -O<br />
/6<br />
(y1
PNNL<br />
CoBeetarD. R. BREMWON<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
5<br />
F No. moYne Origin<br />
ll,nfd Sit,<br />
Protect R1lA e.<br />
W=- N- 50(0-<br />
QC. A<br />
CoatactiReams!" rekohox No. MSL^ FAX<br />
Pmbase (Wcr/Chuet Gde<br />
ke CheM No. Or ys ' Tema<br />
-w<br />
Mnned To(Labl N ofshlnBWol BIB of lwdlaWALr Bill No.<br />
P rotocol<br />
POSSIBLE SAMPLE 11AZARDSIREMARES<br />
•• CNWW Rtdiotedw Memit w mmmentimm Ueeol adukW for nempwtWw Per 49 CFR but m not<br />
eknabk pa DOE Order 5190.5(1990 11993)<br />
PttaRy: 45 Sys<br />
ffdte Preoerty Nw<br />
I07-006-282<br />
Pagel 1 of 1<br />
PLCIAL DiSTRUCrIONS Hold Tlu a Total Activity Exermn n: Yeshd No<br />
AN Labe argn WSt T-:Bauh&UPNNLUOpkaeuboi*dmd&A.QL&ed WO7 9AFs W omo SDB.00lbe.aed Wei<br />
elw of Ie days.<br />
WSCPr DwA ee PNNLOW umpks &*mind Im sae SDrA do0y rla.aa<br />
Sample No. lab ID • Date Tmm Nofryye Con tainer Sample Analysis Pr ese rvative<br />
B7KYP7(F) W 1O10 0Q Z 1XODdnL RGe COLOIZTK_FLD: Hexavalont Ctooadum(1)<br />
n<br />
s , r<br />
FIYOf tIMtOed<br />
D. R BAEWINGTON<br />
siw<br />
NOV<br />
DeWfkm^ j<br />
,/<br />
ReorimdBy<br />
•M^"''a"<br />
Sips<br />
NOV 0 9 N06<br />
RekngtwbedBy Dowlkoe Reaiwd by lleevtme<br />
Reli T-bod By Derdlime Rmdmd By D.WCIm<br />
RdiogW"dBy D.mTok Reamed By Dui3Ilore<br />
Maui,<br />
R _ w<br />
IXe - nrw.e„w<br />
Cri _ RrAlnenl M. m. Dnm lM.l<br />
so - RJY T - TM.*<br />
St. _ %.%. Wl - Woe<br />
W _ Wares<br />
1. _ lied<br />
O - Die v _ vewawkw<br />
A _ Ak X _ now<br />
FLYALSAMPLE D40&AMe+bd( &Rm-wemmr y pakb Vomdm%uwdinFa ) Dipnd BY D<br />
DISPOSITION 5- J'. 6 r+t e" // /l /r/O<br />
0<br />
(]<br />
W
PNNL<br />
GUcctor<br />
Fluor Har-bld<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
aC.0<br />
Coetaci/Rcaoeuer TelcishomeNe, MIN PAX<br />
SAF No.<br />
nnUoe Oriel Porch&" O1derfcbarae Coda<br />
107 W<br />
P ro tect Tlas _ Q - Z Iu Chest Ne.`m Tema.<br />
Wpocd To(LOb) Alet►edorShin.eRt BIBdf adlRdAtr BWNe.<br />
Protorol<br />
POSSIBLE SAMPIE rWARDSIREAtARKS<br />
w «^ np RM.IablMeontaueliom tlrtem act n: submd farheeapwWioo pa d9 LFR 6m em ocl<br />
kenbleperD06 0tdr 31003(1999v1993)<br />
Prior. ty: 45 Days<br />
Rdte Pronertr No,<br />
107-006-288<br />
Paae 1 of 1<br />
SPLCIAL INSTRIICPIONS I1u4lime ToW Au.1, Eaarmt., Yet No<br />
AO labeeugKWSCf: Beth aMNLreeP -nsuhmiacd udff A.M. & md W07SAPs broom SDO. anmeaoed SDO<br />
cbnre 004 4rrs.<br />
WSCP: Belch eRPVIa.OW emgin eobaded oIO oee SDO. dally tloewe.<br />
Sample No. Lab B) a Due Time Norfype Contatna Sa Wk Analysis Ptesavuive<br />
81KYPS( F) W 1x4DenL aGe COLC)R-TK FLD: haxarNe rk CXUaNun(1)<br />
Retlug.hlnd By Daftai m Rarhd By Sip Lbwrm M&tdx<br />
FMlorlbdtlyd NOV 71 2005 r35s c y<br />
Rdwq.,WBy<br />
_<br />
Dndthne Received By<br />
DeMime Rmeiwd By<br />
-<br />
i<br />
Dv/Pem<br />
Dam'rme<br />
R<br />
RR<br />
Hl<br />
RI.<br />
W<br />
D<br />
A<br />
- W<br />
- Wi.W<br />
- RNid<br />
- Soon<br />
- Wow<br />
- chl<br />
— Ai<br />
Ixg<br />
M.<br />
T<br />
WI<br />
i.<br />
V<br />
x<br />
- Due y m<br />
- Deeeldrel<br />
— 'ri w<br />
- Who<br />
- Ihdt<br />
- Ve.matie<br />
- thew<br />
Rcaeg"pd By Deeelrm Rocieved By vmwrm<br />
FINALSAMPLE D*WIMt9W (&&.Remm neaommr. Pabb PexeduM WQis m ) Dbpmed BY DNHrim<br />
I<br />
DISPOSMON v .dV !— 2 G T. M ^"^ / -?O<br />
D<br />
O<br />
O<br />
W<br />
01
IINNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Bator ContacvReooeater Tdeobow Ne. AISLtl FAX<br />
SAF No.<br />
MUD"<br />
SAIRDL109 Orltle Parcheae Order/Cberte Code<br />
Pralect Tkle<br />
Z<br />
Ice Chest No 1-w / Tema.<br />
'Mooed To Mb) Method of Shiom at •<br />
of ladisa/AR BW Na<br />
Protocol<br />
POSSIBLE SAMPLE ILA ARDS(REMARKS<br />
•• •'C.moba Radioelbm MstrWrt 000xrruiom lWlart talrtgobd hr eampiataiiwpu49 (tRMaart eol<br />
per DDB Qdet 5400.5 (199a1 p95)<br />
prior ity 45 Days<br />
f sho PmautT Na<br />
C.O.C. 0<br />
I07-006-298<br />
Page 1 of I<br />
PECIAL LVSTRUCIVIONS hold Tine Tote) Activity Fxawtion: Ya bd No<br />
AtLbcxmp WSO': Baehag fWLwglauEmimdmdaA.0.lS.od WO7SAFt heo me SDO. oolbeweed gDO<br />
chum of 14 days<br />
WSLF. Bokb at PNNLOW awpka m6miod i b oae t.M dulyebaee.<br />
Sanpk No. Lab ID • Due Time Narm Contaimr SenVI: Aulyeb Ptexrvelive<br />
131KYRt(F) w ba p lx444nL aGs' COLOfI TK_FLD:HexavalerdChrorNun(1)<br />
It i*uAcd By<br />
RWugabad By<br />
W!71-^A<br />
NnV 1<br />
DaWtbt<br />
21106<br />
OWDn.<br />
Reeeivol By<br />
By<br />
,<br />
Sipe<br />
Nnv 9 t ?<br />
DMe/1'me<br />
$'$wWrb.<br />
a<br />
SRMSI.<br />
Itebayuhed By DaWfoe Receives BY Dawline<br />
RebagiidedBy Deldpie Waived By Dab/fae<br />
f7.\ALSAMPLE<br />
DISP C) Sr loN<br />
Dilpool Mahod lag. RennbembmeA pa bb pmrodue. aedmpioxu)<br />
Z<br />
S / (l ZI l5 L ^e<br />
I<br />
Depaaed ey<br />
^Q<br />
WnA<br />
. x..a<br />
- FM.<br />
. Rnxd<br />
_ M.iw<br />
_ WY<br />
(hl<br />
_<br />
Air<br />
Mabia•<br />
Datdfime<br />
m.<br />
Ili.<br />
T WI<br />
i. VX<br />
_ rl lk"<br />
_ i...lam:<br />
Tkoe<br />
- Wke<br />
- Ideid<br />
- VwebIsm<br />
- (firer<br />
a<br />
t<br />
n<br />
n<br />
n<br />
y<br />
u
NNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C. B<br />
I07-006-308<br />
Page I of 1<br />
Btctor Fkjor Hargicird COSILACUROCINeStff relophoneNo. MSIN FAX<br />
SAF No. SaxwUns Orkin Pamhat* Order/Charts Cod*<br />
Paled 1116<br />
Nf 11 ^C n/ ke C it ed No, C Tema<br />
C<br />
teed To (Lab)<br />
,.<br />
of SYlooael Fes^ ry `D<br />
BW of Lad6dA6 BIB No.<br />
Patoal<br />
rERrjA<br />
POSSIBLE SAMPLE IWARDS/REMARKS<br />
•e Cada:rAdiormneMetuil at maceuntiaa list m ea madated fi umtpawioapa t9(TR bd am a a<br />
reksobiepaDOEOidd.%4OQ5(l99WI993)<br />
Priority- IS Do"<br />
Of61te Prager" No.<br />
PECIAL INSTRUCTIONS field Time Toil Activity Eaarotim: yes No<br />
AAIabs taaptWSCF: BatheilPRhtrmobmbmioedadaA.G,LS. =d W ol SAye femora SDG,maoex=dSDG<br />
clorwe of II drys.<br />
WSCF: Bomb aT PNNLGW mwks mbuald'mm oao SDG, duly doroic<br />
Sample Na lab ID • Date Thee Norrypc Cm6ltkr Sample Analysis Preservative<br />
B1KM (F) w 1z4DatL ow COLOR TI(_,FID: blexavalertl Chromium (1)<br />
Relmi`<br />
A r<br />
^►^w OV 0 9 20 ial^Q•.r /^1; _ NOV 0 9 2006 A<br />
RehegmrYad By Deldlotr By Uta'fime<br />
Rdie lddrdBy RecerodBy Drfa'1®<br />
R•S•*etd•d BY ptdMr By DBWTkm<br />
FINALSA.MPLE<br />
DISPOSITION<br />
I Deposit MOW(tdt. Retwo mc ,pra m procedu re. mcdiptoeae)<br />
Q<br />
Drpoetd/9y<br />
or m el/'<br />
CR<br />
Aft<br />
W<br />
W<br />
n<br />
A<br />
_ A R<br />
- SeAlneat<br />
-<br />
- swift Wt<br />
- w.w<br />
- flit<br />
- A ir<br />
rmA<br />
T<br />
T<br />
1.<br />
1.<br />
v<br />
X<br />
— ,> ma aA<br />
- r1_mldnrd<br />
- Wi.<br />
- Wi.a<br />
- rt_dA<br />
- vewwi.<br />
- (Itla<br />
A
PNNI L<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C/<br />
107-006-312<br />
"Wil rllard<br />
Page 1 of 1<br />
Collector atael/Reeawer feleohote Na MSLY FAX<br />
FNa Saaee11 (k41a PorTbaat OrdnHAarte Code<br />
Freled TM<br />
1^^ ^ !f / .Z<br />
to Cbal No. n Tema<br />
lCh"IfIRMAW1121-1 01 NovEmnrR 2("<br />
Wooed To Mb) Method of sbiomeat (^U<br />
Bi ll of iwUa/Alr &R Na<br />
Protocol<br />
POSSIBLE SAMPLE t1A 7ARDSIRLMARKS<br />
« « Coaad Radkadae tdaltdd at emewMion dot are tottetdaad Re lnmpatrim po e9 CFR but are sot<br />
mimrb6 pet DDB Gear 5{00.5(1990(1997)<br />
Prlaity: 0(5 Lays<br />
U(fdte Proeerty No.<br />
SPECL41, LYSTRUCfIONS 1Wd Time Total Activity F xemdim: Yu h1l No<br />
AalaWeaorp1WSCF:Baeb aRFNNL"ki sdatimdmadrtA. 4LS.WW07SAfs iWone SDG.temmeaotedSDO<br />
cl a of le aya .<br />
WSCP: DakYa ll PNNL GIN mWks eebm ised aw owe SD G. da ily*soa<br />
Sample No. Lab R) • Dale Titre No/Type (:ontainer Sanplc Analys is Preservative<br />
B1KYR5 (F) W 1MG-ml. aGV COLOR TK_FLD: tlexavelenl Chromium (1) None<br />
I^<br />
Red Dedlime W7 Raccinday ttyo Do wrino Mabia •<br />
NOV 7 1 700fi NOV 7 1 7w 135f R . Ri , - rwe wn<br />
RR - sat'ema r at.<br />
RetiagitiJedBy Dwdf® Remived Oy Dae7ima<br />
- A.malial<br />
90 - wia T — T.eoe<br />
' M. - SA.1ra wl - Wine<br />
W - w.v r. - TkM<br />
RdbgtattedayDaNraw, Raeied By Da rises,<br />
G - ( a<br />
Y - V- tka,<br />
A - Air x - Oda<br />
RdWgWsWdBy Datdlim Received By DOWNT"<br />
F7NAL SAMPLE Dkf*Wme" ('11. 1. his pmpd.e, ea:di pectem) Diepowd By Datdlima<br />
I N cC;030 r- / - 3D<br />
M<br />
0<br />
O<br />
OOOr
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
O.G A<br />
107-006-316<br />
he 1 a 1<br />
Called" coultsevRewmesw releab ow No. MIN FAX<br />
F No.<br />
M7 DOA<br />
prolecl Tilts<br />
luoed To aAb)<br />
%fohile Field<br />
Protww<br />
K L SrKLE<br />
sonmltat Odds Purchase Order/Chasse Code<br />
NN<br />
POSSIBLE SAMPLE HAZARDSIREMIALKS<br />
•• Cochin RadimnMMamial at ewxeao+tlons bl m as rtxeb%d fag owporoim pee e9 CFR but anent<br />
perDOBOda S4U$ (l9âtY19YI)<br />
- . /^ !Q In C►eANa. ^_ Teno.<br />
meth ofSbiomeat III of I^dIWAa eul Ne.<br />
Pdor@y: 45 Days<br />
R91e hvimly No.<br />
SPMAL INSTTtUMONS )laid Thu Total Activity Ex=olim: Yes No<br />
Astabasaapl WSCP. Barho2 PNNLuaplaobaiwdoo&tA,(LLS,oadW p7 9AFa h000mmG."w o-cmd SDO<br />
dm ea of 11 days<br />
WSCP: Bach a ll PNNL OW samples wbmiaed No oaa SDO.ddy cln<br />
Sample No. tab m • DBW Time NoIT)pe Canainu Sawle Andysia Pmervative<br />
B1KYR7(F) W 0 x40mL aGse COUXf _TILFW; HexavakM 0Momim(1)<br />
Rcliogiatsd BY Pri Da1Nro Rwdwd BY Sign NOV 0 A LY Matrix •<br />
aav J<br />
FMIakvtord 7 M. T x - Fka IK _ rb F. w<br />
xR - xe hi m. - lfnaljnw<br />
R.bwvebedar
'<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
aueklBBr Comucl/Reitswer Teltosoae No, MIN FAX<br />
AF Ne.<br />
lolwfi<br />
Samollas Orkin Pambaaa Order/Cliarse Cede<br />
Prolect Title -a`<br />
Z<br />
In Chest No, •^ Temp.<br />
hoed To (Lab) Method otSMameat &BofL Anal lr BIBNe.<br />
Protocol<br />
POSSIBLE SAMPLE IIAP.ARDS(RESIAMKS<br />
•• "Coaai. Rat6ecdtc Mat erial a ooanotndow bat ue mot wpbwd 6r asmayaaRtimpa /9 CFR ba as ea<br />
cicwbk pa DDB Order 34003(19967991)<br />
PrltxRy: 45 Days<br />
u<br />
We Frooerty No.<br />
ce<br />
107-006-326<br />
Page j of 1<br />
PECIAL INSTRUCTIONS held Time Total Activity Fxenctim: Ya bd No<br />
MlabieweplW". Batebal PNNL-wplcssobaimdwod cf A. C%LS. and W07WA ktame SDGsettotwWSDG<br />
cla otlldays<br />
WSCF: Dac► as PfWLOw ampW aebaoiad Iota om BDG. deilY elos.e.<br />
Sartple No. Tab ID • Dau Tine No/l'ype Container Ssmpk Analysis Preservative<br />
B1KYT2 (F) W 7x4"%L aGr COLORJYI FLD: Nsxavalent puaNum (1)<br />
By<br />
FIBor wftd ^° NOV 2 7 20^5"`pe<br />
'"` ov 2 7 2006 th "''°ix •<br />
D.<br />
G<br />
A _ %A<br />
nR - lln hdN<br />
AB -<br />
ReliegL"W<br />
AMFina M. - I7nmaliad<br />
By DaWrhm Reached By ~ikm<br />
AD _ Anse T - Time<br />
X. _ RMtm WI - Wine<br />
W _ Wm.<br />
1. _ Iimid<br />
R•Iapi*x4sy DOWThm By btwT1m n - tsa<br />
V - Ve rkm<br />
A - A ir x - tab.<br />
Rsligeiabed By Datc?im Rocacd By DMdPme<br />
YINAI.SAMPLZ<br />
DISPOSITION<br />
v VV<br />
in<br />
Di^mtd By<br />
Dadtmr<br />
a<br />
a<br />
a<br />
p
PN:,N1.<br />
Ileefor R7: SICKIE<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
0.Gd<br />
ContaeUReautater eleohoae No. A1SIN FAR<br />
No. es Oriwo orckwOrde r/QaraeCode<br />
Prolecl llde 11 ^r_^ Ite ChatNw0cDs Temp.<br />
hoed To flab) Method IiTf Shlumeet BW of LadladAlr &B No.<br />
Probeol<br />
POSSIBLE SAMPLE HAZARDSIRIMARKS<br />
« r Corai•a aadimcUce MMdal almutatrMiar btarc mt rtsahiN lm trtmgatarioa pad9 CFR ism ee tee<br />
Irarahle per DOB (kda 5400.5 (197M9ei)<br />
Prlorlty: 45 Days<br />
(falte Prooarav No.<br />
I07-006-334<br />
Page 1 of 1<br />
SPECIAL LNSTRUMONS Held lime Total Activity E .tiow Yes hd No<br />
ABLb4cxcgW5CF:BaldaBPNNL"invkmieduadaAhr.t&mdw07SAFa 6WWSD(X"kaeiceMSDG<br />
cimme of 14 day s.<br />
WSCP. Buchan PKNI.GW aaepin abaMW Mo nee SDG, dr ily ckm<br />
&ogle No. lib B) • Date I Time No/typeCntainv Sample Aaslysis Ptcacrvative<br />
S1KYT4(F) W 11 jO (. 1216► 1x4 0-mL aGs• COLOR_TK_FLD: Hexavalenl Chrm* n(1) None<br />
^^^<br />
Res FIGDr t1M^ d<br />
'me<br />
O LYYY)*M<br />
aceivd By Pik sips Dad(hne Matrix•<br />
FLT.SIDIO.E<br />
Relin quished By<br />
RcW%wded By<br />
bal&Tkm<br />
DaWTiae<br />
Received By<br />
Rxehud By<br />
DabTie<br />
Dowlino<br />
R<br />
RB<br />
Rn<br />
N.<br />
W<br />
a<br />
A<br />
- RM<br />
- sa Lb a<br />
- Rn%d<br />
- sho.<br />
- Wna<br />
- 04<br />
r Air<br />
ne<br />
nl.<br />
T<br />
WI<br />
1.<br />
V<br />
x<br />
- r. .uid<br />
- nMaatLri<br />
- Twwo<br />
- WW<br />
- 1k.W<br />
- veamahe<br />
— Ohm<br />
Ruinquhhed lly Datell®e Racehed By D&WT=<br />
! SINAI. $AMPLB D pmel Medcd(&j. R0.'beano .Pa hb amdh ) By a►<br />
DLSPOSITION ./^<br />
ra
PNN L<br />
PARfA1EN<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C.O.C.11<br />
ntacNReoueater ekoheae No. MSDV FAX<br />
SAF No. SawaRox Oriala Pvrchaee Order1C"rve Codt<br />
Proled Inge<br />
Iootd To Mb) ashlotmt<br />
Pro(ocol<br />
POSSIBLE SAMPLE IWARDSIREMARKS<br />
•• « Ca iw Rdiwck" Mmedet r excrieximr dWm act tepWkd ix hawpxtadw per 49 CF R but see ax<br />
wbaebleperDOBOnter Se9a5(199x199))<br />
/J<br />
G / % y<br />
4<br />
Ice Cbtu No. 00 Temw<br />
Ma hpd w Big of LtdludAlr BW No.<br />
Pdork y, ys Bale Properly No.<br />
43 Da<br />
I07-006-348<br />
Page 1 of I<br />
PECIALLNSIRUCTIOM Held Tiwe ToW Activity Ex ti= Yu bd No<br />
ABL&semeptWSCF. Bet* &I PNNLpvv1a dmiwdwdaA4LS. wdW Of SAPa bdoow WActweaced SDD<br />
cio of Id den<br />
WSCP: Berth NF)AT.GWeevvbeabuaedintoo SDrAdvgycbaxa.<br />
Sample No. IAb B) • Date Time No?ype Contaiw Semp le Aaalyaia Preafive<br />
B1KYT8(F ) W /17N 1x4WRLaGa' COLOR_T1-FLD.Hexavalemt Chromium (1)<br />
R =<br />
FIBlRtrand<br />
0. F— PARCHEN ...<br />
edit<br />
NOV 2.7 1006D^<br />
^`RexiedBy<br />
7<br />
i.<br />
NOV 2.7 00 '<br />
209,1111/' R<br />
SR<br />
Mavix•<br />
_ ea<br />
txa<br />
v"t"1tlr ^.<br />
_ tln.n tw:t<br />
r • l kw<br />
Rdovdda:dBy Dab/fime Keceind By Daadi`me<br />
f() - KI T _ Ti.-.<br />
Rebpuhbed By Dalwrbm itocehvdBy DMOUN<br />
W<br />
0<br />
A<br />
fj dit<br />
- Weex<br />
_ CA<br />
- Air<br />
WI<br />
T.<br />
v<br />
X<br />
- Wine<br />
_ Ib da<br />
- v..WYm<br />
- (xhw<br />
RdivquiwBy De1e?me R eceived By Dadime<br />
n..XAL SAMPLE DepwJMmeipye►.I ebb wottdxt med' Depw•d By D"&Tov<br />
DLSPOSI7107 f'I^ l^lf'1IVCO
PNNL<br />
Uabr e 1 u^J ( I<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
CoelacUReoutger ekobeae Nw MSV FAX<br />
4AFNw l' l•<br />
am"*Odgw Pllrchw Order/Clar[s Code<br />
PcoleMTwe<br />
IVf'<br />
\^^f_<br />
/v 4'<br />
Ice Cheri No .\C Team.<br />
Wooed To (Lab) Metbnd fSbioment BIBef LaWWA1rilli l NNo.<br />
rO tocw<br />
POSSIBLE SAMPLE HAZARDS/REMARKS<br />
« « CDO ytl Radwedne LlMa7d el mrccaft6cas del are as wet"ad tic OemVarteaper/9 CFRb ul Ue m(<br />
micauble per DOS Ord er 54OU (199G/1993)<br />
PriorRy: 45 Days<br />
Offsitc Preoerty Na<br />
Rcliy"Wily PON Siatl Dete'flma By Peal sin Da1Jlhae MaBiae<br />
1 L d NOV 2 7 210 •Le R<br />
Recd "y r 1Jeldline<br />
SO<br />
- Ran<br />
=<br />
D.Q<br />
TI.<br />
- I).an WN<br />
'r :""'`<br />
Rouagwrbeaar<br />
_ ,O 1w.5<br />
S a.<br />
w<br />
n<br />
(• A<br />
- Sud"<br />
- w.rr<br />
- N<br />
- A<br />
wt - whr<br />
ir<br />
Ish"Wdreday<br />
Ag"%)f&<br />
^A<br />
/cl<br />
y<br />
4-<br />
D tvw YF<br />
// y<br />
BY oil<br />
if<br />
fl' - ^j<br />
8 r<br />
bH1 ^" CL o<br />
t.<br />
V<br />
X<br />
- taaiw<br />
- Ve lm<br />
- ndv<br />
BY<br />
NecehWBy,<br />
FIYALSAMM IE iXepaualldedndf..y,R<br />
a0°°)<br />
ulseosmon - DOSED IN Pan^FCC<br />
cd<br />
I07-006-2<br />
Page 1 of 1<br />
SrECIAL INSTRUCTIONS Bald Time Total Activity Gcmoliao: Yes No<br />
AN IAW ewep WSCF: BachW P1.NLwpbe wLuiued der A. O. I$ wA W 07 SAYS imam SDO. an WCxcwd SW<br />
cbro oft{deya<br />
WSa. IWA A PNNLOW amgW vubm ed hero Doer SDO, duly do>•e.<br />
Samp le No. Lab 11) • Date Time NuM pe Con tainer Supple Analysis Premelive<br />
B1KYT8(F) W WO trd. aGSe COLOR_TILFID. Me)walent Clrarnium(1)<br />
BIKYTB W 1, IMO-ad. aGse COUXi _ K_FLD: SWfats(1)<br />
dT^ tT2 8 0<br />
0<br />
0<br />
r<br />
ei
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C. d<br />
107-006-3<br />
Page 1 of 1<br />
Collec to<br />
r •^ •/<br />
t •1<br />
CostocUReaucaff<br />
not sf^,vvst<br />
Telephone No. MSIN FAX<br />
RAF No. mouse Oriole Parthase OrdCOCbarct Codo<br />
Prato Tkb • •<br />
Nr IV r<br />
_Con<br />
J^<br />
W Ded To (Lab) Metbe of Shioewl m<br />
ProtOcol<br />
POSSIBLE SAMPLE I(AZARDSIMMARKS<br />
» » Coouiu Rrdiocdw Meepiel d mnomados W now not mplded be nawoNtioe Pero ast but em not<br />
p er DOH Oda 5100.5 (199 0/1997)<br />
PrkmrRy: !S Days<br />
I lee Chest No . 1C !1 Teaw.<br />
No. I<br />
Bill<br />
of LodieWAIr Bill<br />
Offske Property Na<br />
SPECIAL INSTRUCTIONS (told Thee Tool Activity Excu Lion: Yes h6 No<br />
Ail Lab except WSM Bath aO PWLeevphe u6sudml motor A.0.LS. and W 07 SAFI ib ape SDG, ed b acted SDG<br />
clsde of N days.<br />
WSCR Bb dc oil PhTi GW souphs wbuoed ro come SDG, da lly clout.<br />
Semple Na Lab • Dale Time Ndlype Contoiw Semple Analysis Plesc rvwdw<br />
B1KYV2(F) IN<br />
WO-ml. BGs' COLOkTK_FLD: Hwovalenl Chr mkAm(1)<br />
81KYV3 W txlD•mL eGs' COLOkTK FLD: Sulfate (1)<br />
Rclinquist" ^ ^<br />
Priol Da vikee Received By Print Sip 4r'® T Matrix •<br />
Byy<br />
, ^f'^-<br />
• lti'U G<br />
^Ge^•^`'-- R _ Fa<br />
FIR . IIe,Wdd<br />
CF F.aadr nt. - rw.ridad<br />
Rdm*m rday I/ ^Draiw Rdet.ed By m,a<br />
V<br />
m R•dt•1<br />
T - Wine<br />
p.<br />
' - .6 1 b 3s<br />
. show<br />
1. - air<br />
- w - wwr<br />
1. - 1lmR<br />
Rdi viaidgd By n - m<br />
V - Ve•emir<br />
/E`IS-DebTke DYdrime<br />
^/_ /^ A _ Ak x - (xaa<br />
Sc - q-^<br />
ReSaga4d By DabTbr RectivedBy OaMrim<br />
^JEDTO ( ^<br />
FINALSAMPLE<br />
DLWOM ION<br />
D4Po^IMeOd(cgr Remo sell ie praru)<br />
Dhpaed By<br />
Deelt®e<br />
I USED IN PROCESS Id t's<br />
-^<br />
0 0O00sti
PNNL<br />
II<br />
WA(1<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Er<br />
Wact/Reouester I'eleohoae Nw M IN FAX<br />
AF Nw sammollamorwa Pamdmw Order/Chans Cade<br />
M7406<br />
Frelsct Title<br />
ff^rhfd'Sit^<br />
let Chest Ne Te<br />
loped To (lab) Method of Shlosaw BW ar LdliteAlr Did Nw<br />
Protecal<br />
Priorky: 45 Days<br />
to Pmmtr No.<br />
107-006-8<br />
Page 1 or 1<br />
POSSIBLE SAMPLE IUZARDSlREMARKS SPECLALL V611t11C7 ONS 11oldllue Total Ac tivity Eaemotim, Yes WJ No<br />
« •'Covaaha Radu"m Lfaadal a nrateooatkm dt sent adukW for tamilmison ps49 CYR ba m not ARLabaaq WS<br />
rdeasable pm DOB tAds 510 0.5(199M995) elw of le days.<br />
WSM Bath all PhWL OW anon mbmieed imb one SDO• daily ekw<br />
CF: BnAas FNNLmons&miudroderA,QLSmdWill SAFs tmoac SD0.aotbawoedSDO<br />
Sw%k Nm Lab ID • Dab Time wrmw Conmincr Semple ABalytia Pracrwtire<br />
SIKYV7(F) W F -0 / Jy 1 X4041aL OW COLOFZT)C_FLD: HeXavaleet Chromlum(1)<br />
BIKYVB W 1X404nL BGs' COLOP TV FLD: Su 1fals(1)<br />
n _ n .itA<br />
I7em7hu Rscn9d By ^^i Sipi ^^ ^0.ayruoa `<br />
MaViX•<br />
'-ate<br />
L NOV 1 4 2006 7.Me{w- . ^- 2flog R<br />
RehnpdeWd<br />
RR<br />
By/Soo DudIM tedBy S.J f<br />
/f00 DaMloe<br />
4.1n<br />
^. 1re+ /^ r OL O 7 // /Y DtS Al<br />
W<br />
RelbgdiBed By ma vvd ,z By Wrbe a<br />
(<br />
A<br />
Rn6gobhed By uWlime Akdwd By 0.auTlme<br />
FLYAL SAMPLE DiRaalMMod(aq. RSUaacWmar.pr hb piooedsS aad bpnoas B<br />
Lasposmon (^r a /-/^/'OC<br />
U IN P<br />
_ R a<br />
- Renimse<br />
Fm<br />
- W~<br />
- wars<br />
- M<br />
- Ai<br />
,^<br />
M.<br />
wl<br />
i.<br />
V<br />
X<br />
_ 11aaRN0<br />
- ll n 11.w<br />
. lkw<br />
- vr"<br />
- VeasaiWi<br />
- lXM<br />
0.M[Ytr ^J,^ f<br />
c J l/ l<br />
N<br />
^I<br />
n<br />
i
PNNL<br />
Recto<br />
rP OL110LL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
conuicUReoueeter depheoe No. MSIN FAX<br />
SAIF No. 'mall" Orbtie Porchm OrdwCbme Code<br />
Pre led 71de<br />
11 41F— N -'90(w<br />
C. r<br />
Ito Ched No. $A Temp.<br />
Shloved To Ilab) Method of Shipmrat BW of LadtaWAIr BW No.<br />
Prot" Pri"Ity. 43 Days<br />
POSSIBLE SAMPLE IIAZARD&REMARKS<br />
•' « C="WRa&mm htatend n macanadow Wt too ad tephtd ft nmporot6a pa49 CFR bs we apt<br />
mks," ps DOB Orda 50003 (19907997)<br />
Properly No.<br />
I07-006-14<br />
Page 1 of 1<br />
PECTAL INSMUCf1ONS Hold Time ToW Acti vity Excactim: Yo bd No<br />
Aalabaaspl WSU. BndaOPNNLsmoinaubuiuWmdaA.O.L&end W07SAPa iob a pe SDO, an neasd SDO<br />
elsue or 14 days<br />
WSCP. Bath all PNNT.OW om91n rubmtted iab om SDO, daily else.<br />
swr4k No. lab ID • Date Tune No(Typc Cmtoma Sonph: Analysis pteeetvarive<br />
BIKYW2(F) W ll 14 V 41 1x40-ML aGs' COLOR TKJLD. Kexavalent Ova ium(1)<br />
WKYW3 W -V 1x40mL sGs o COLO(ZTItFLD: Sulfate (1)<br />
Rdsldded By Print ' DndT^<br />
By also Dawrkw y0<br />
Comm 14 2006<br />
NOV 14 2006<br />
x - .W<br />
J, er<br />
Re4ngahbulay<br />
90&<br />
^^ /y O^<br />
Mice<br />
M<br />
M0^<br />
By<br />
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9 7 9J O<br />
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CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
aclaai<br />
kWONF DEK<br />
PAN /p'V1. ^ 1 (uu<br />
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DISPQSPI/ON Ih/Y ^J.1 i/<br />
1<br />
Mr-<br />
107-006-20<br />
Page 1 a Z<br />
F ^ 1<br />
cVReaveYer Telembote Ne. MSW FAX<br />
Na ' rmBas Oriala Pambace Order7Cbaree Code<br />
Prolecttide<br />
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g/4<br />
binaed To (Lab) Metbod of S►iameal of LadlaelA Lr BW Na<br />
Protocol<br />
POSSIBLE SAMPLE IIA7ARDS !REbL4AM<br />
•• -'C6. 131s R6dlowdv6Maw" at mrtamnia6 Mt en not eeDietcd(r ka•vwterioa per 49 CFR W an tot<br />
1e1cawble per DOB War S400.5<br />
Priority: 45 Days<br />
141te Pnur ty Na<br />
Tema<br />
SPECIAL LYSTRUCIIONS 11614 Time Total Activity ExcaBdm: Ys. bd No<br />
ARL&evwcpt WS(3:B6MAWPNNLMfk6wtmioedua8aA44$6d Wd7SAF iobor SW.201ancee4SW<br />
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sample Nu IAb ID • I Data Time Na7Type CmW. Sample Amalytie Ptaernun<br />
6 1KYW7(F) W11,11,41(, 104(_ 1a40-ml. sGe' COLOF2_TYLFLD: Haxavalent MADmiutn(1)<br />
B1KYW8 W .V U40-ml. aGe ODLOR TK-FLD: Sulfate (1)<br />
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CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector F1uar <strong>Hanford</strong> Coahel/Reat "" Telephone Na MSLY FAX<br />
SAF No. Samoan Wain Parches Order/Cbam Code<br />
Project Titk —<br />
' wed To (Lab) Melhodo(Shlnneat<br />
Protocol<br />
POSSIBLE SAMPLE MAZARDS/RFAIARKS<br />
« « Cmriv WOWS" eawGrlllwt Fiat ANaal WVAW d r e.nporo<br />
tioepr 49 CFR but n eat<br />
nRarnepr DOEOtdr 54OU(199d19 3)<br />
6 to<br />
Priority: 45 Days<br />
CAXC.<br />
IN Chat No. Tema<br />
Bill ofLealaa/Air Bill No,<br />
Offifte Propuq Ne,<br />
I07-006-28<br />
Page L of I<br />
SPECIAL MSTRUCIIOM Hold Time TOW Activi ty Exemptim: YYes NO<br />
Al Ubsexc"WSM B"sAPNNLmplerAm4rdr 4nA.44s.adwa7 SAFa imome SDG sNWv wrd SDO<br />
claaaeor 1 4days.<br />
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Swr& b(o. Lab m • Data Time NO/lype Cmtamr Sample Analysis Pruavative<br />
BIKYKY (F) W 11- -O6 x,1 1x,40-mL aGs' COLOkTK_FLD. Hwwvalent CMOrtdum 11)<br />
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• - -Ob<br />
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ntonl<br />
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" •' Cunha Radiwetin MmcW M mrccWa6or Mato ml avAW furh%ftvW&ae PO 49 CFR W m ad<br />
mkaubk per DOB 00"51005 (199W1997)<br />
Priority: 45 Days<br />
to Pnaerty No.<br />
107-006-38<br />
Page I of 1.<br />
SPtCUL INSTRUCTIONS Hold Time ToW Activity Fsemotion: Yet bd No<br />
A2LW& WWSCP: BothaRPNNLmpinntm W0dwA.Q4S md Wa7SAA imuaeSD(4aumesaed SDO<br />
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Saville No. Lab ID • Date Time No(Type CmWner Semple Analyds P,etmvative<br />
BIKYYI (F) W 11INIC, ll4 100ml. *Go* COLOR_TK FLD: Hex3valentClronuum (1)<br />
BIKYY2 W J/ IX40-ML oGa' COLOR TK-FLD. Sulfate (1)<br />
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0.0ector<br />
SAF Na<br />
FAxirHMbfd<br />
LILL WOM<br />
CoatecURcoutder<br />
samao0as Oeiala<br />
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'e ee c4nwewoa:aue mmiow d cceane.diaa dh at are as mSuWW fm kampr tloo pw496R btd m not<br />
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Pdodty: 45 Days<br />
to Property No.<br />
acs<br />
I07-00648<br />
gage I of 1<br />
'PECIAL LNSME1CnONS Held Time Total Activityumotioo: Ya No<br />
AO Lite cww WSUi Both A PNNL rupb»m a<br />
m<br />
ebaee of 14 days,<br />
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Sample Na Lab m • Dale Tim Nar ype C-ttainw SanWb Analysis Preservative<br />
BIKYYB (F) W //../!/.b pp 1004ni. aGe COL.OPZTKJLD: Hexavalenl CtnxnOdn(1) None.<br />
BILODO W 1x4O-mL aGe' COLOR TK_FLD: S ulfate (1)' None<br />
EE<br />
Bdbgrehed Br Sw<br />
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CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector Ruo; Coeae"seaaeder eleohoaeN o.bISIN VAX<br />
SAY Nw 'aw"as Orldn Parebase OrdedCham Code<br />
Proleer Title<br />
NNF—N —^'br y<br />
ce<br />
ce Cheer No. Temp.<br />
SbIbpedTo(I4b) Metbod o l' SWOroent BW o(4dladAlr BW Nw<br />
Proto co l<br />
POSSIBLE SAMPLE IIAZARDS71tEMARKS<br />
" "Cm Radiecdw MWU) u 000cemudme W err ed RgWwd Lt OnVodstioo Per 49 CFR bra cot<br />
ck per DW Order $4W!(/99011997)<br />
PdorRy: 45 Days<br />
Bette PnDwv No.<br />
107-00649<br />
Per 1 of 1<br />
SPECIAL LNSMUCTI0.Y3 Hold Thos ToW Activity Exe a9im Yes No<br />
All la►a mcF4 wSCF: Balch eg PNNLswyba sAmimAodvA . 0.LS. VA 07 SAFs boo one SW. mot o tweed SDG<br />
cloore of le deyt<br />
WSCY: Betob ag PW& Gw s rPW R&R W b.a oar SDG. da ilyckose.<br />
SDepk No, Lab IU a Dote Time Ndrn, c,,ww Sempk Analysis ftcw vative<br />
B1L003(F) W IA. p 1x404Y. t9Ge COLOZTILFLD: Hexavalenl Chromium (1)<br />
B11 0D4 W 1x40-mL aGs• COLOR_TKfLD. SuBats(1)<br />
f d<br />
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D.EPAMMFJi NOV 1 4 2008 NOV 1 4 2008 R - srt<br />
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PNNL<br />
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NOV 1 4 2000 R<br />
Rrliequirhed BY im Raa>lued BY - DAWr"<br />
RR<br />
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Received By<br />
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DaWlbm<br />
KNALSAMPLE<br />
DISPOSITION<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Beaim kiwAord cestattateoutmer Tetrobew fi . MSIN PAX<br />
Ne.<br />
aamDne Orida Parchau (Wer/CYaree Cede<br />
107 W<br />
Ice Cleat )- de L., sy •^<br />
•<br />
Temp.<br />
loud To (iAb) Netbedd of Sbioenl m<br />
B of LadlxdAlr BW NNs.<br />
Prekctlltle f /NfF_^ S^ r d /<br />
Pntocal<br />
POSSIBLE SAMPLE I(AZARD,YRE.11ARKS<br />
« •• Cawia Rath dw MGWWa moccurim a dwae no rteuMed JIM oawmWim PW49 alt bm w mat<br />
eleaoble W DOE 0Wcr 34003 (1990'1997)<br />
D4*WMa" (e.4.Reon 10 embmea l(^a Re 0yat1^^•'.^aL+<br />
Vs7GN P^\ rROCESS<br />
Pdaity: 45 Days<br />
Diepmed6<br />
3^<br />
-<br />
,•^<br />
to Preoerty No.<br />
n<br />
_ Rnl<br />
- Radbne<br />
- fwl<br />
_ Ai<br />
co<br />
I07-006-54<br />
Page I of I<br />
SPECIAL MFII(ICTlolvL4 Hold Time Total Ac tivity Exenmlion: Yea No<br />
MtYa e-upl WSCP: Bckb al l F!"samglu a mbmWed wdn x. 0.4&ud W OI SAFS fw m MO. a a b easN SDO<br />
close 311 days<br />
WSW: Briaa ITalLOw eanydea a^aokd Mo meSDO, du7Y tiwa<br />
Samp le No. Iab ID • One Timm NdIA,C Wner Sanvic Analysis Prar+vative<br />
B1LODS(F) W ^/.,/yc{,• /C;Lo 1x40mL aGe COLOR_TILFLD. HsxavWwi Chaldtan(1)<br />
BIL009 W ix404a eGe COLOP_TkFLD: S ulfate(1)<br />
Mawx•<br />
ni.<br />
nl.<br />
v<br />
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CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
CestactiReeuester Tekohome Na MSIN FAX<br />
SO No. mllas Orkin archase OrderlChane Code<br />
I'mied'HBe<br />
w Cbest No.<br />
." I--.S6'L.<br />
To (Lob) Method of ShiDdInt WAI of LediadAlr BIB Nu.<br />
Protocol<br />
W N r- N- 506<br />
POSSIBLE SAMPLE I(AZARDS(REMARKS<br />
•• Cmisim Radiwcuw Wwrixla eowmm wa am in aol avbW lb, oaapwuuonya 49 CFR big Om in<br />
ckambb pa DOB Ordar54 00.5 (19907993)<br />
Plimity: 45 Days<br />
BYhe Praeerty Ne.<br />
G It<br />
Tsmo,<br />
107-006-60<br />
Page 1 of 1<br />
PECIAL INSTRUCTIONS Hold Time ToWAc tiviry Exemption: Ytsbd No<br />
ARlabsempt WSCF: BIO@APNNLamonahmiadwdwA,0.4&audWo7Ws Hooae SD ucewesoewsw<br />
eboxe of 14 daya<br />
WS(S: Baahae PNh10W u•pta subniWd iso oes S1XI, dsey clwtsa<br />
S"lc No. labN • Date Time NortypeCwtslw Ssmpk Analysis Ptesrxvattve<br />
BIL013(F) W IfRZ j lx4U& eGe' COLOR TILFMHexavawaChmmkxn(1)<br />
R" °`^ NO 200<br />
RaolvedBy P s `°<br />
NOV L L "<br />
F.M. HALL a r ,i R - r-a m - T> F'm<br />
RdwWAAcdBy Daldfha Roomed By DowTim<br />
Rckaimsbed By Dswrm Rowived By Dowlem<br />
Rdia9aebed By taWfhm Rcchvd By DaWTkW<br />
Mantx•<br />
RR - RaTnvwe .ni. - tlm^ilsel<br />
M - 9nM T - Twm<br />
q . - ihd.a WI - Wie<br />
w - Wa1w 1. - (Laid<br />
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m<br />
2 -oL<br />
O<br />
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CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collccbr fluor HM90rd Co.ueUNeuopter Telemboaolis. M JIN FAX<br />
SAP No. samollosurwa PorcL, OrdaiCAaree Code<br />
Prolect Title<br />
if Mi= -N -Sow<br />
lee Cher! N<br />
A"t-S'6-4ncdTe")<br />
• Malicdo(Shiomcat BBI of LadiudAIr BIII No.<br />
Protocol<br />
C1110 A<br />
POSSIBLY SAMPLE IIAZANUSIREMARIC4<br />
" " CoaWN R&&nctiwoMwW&t conewtim"mod mrhW to b.npnudaapr49CFRbom not<br />
rekamblepuDOEOidw$40D.5(199WI993)<br />
Priority: 45 Days<br />
fwle Properis No.<br />
cr<br />
Temp.<br />
I07-006-66<br />
Page 1 Of 1<br />
SPMAL RISTRUMONS IM 'Flow Tow Activity Ecemolion: Yu Ml No<br />
ABlaboacepwSM BNdrPmLswpksubmiacdwAa A.G.4Ssd W07SAFs bD OOeSW.aolbeutd SDO<br />
clmue otle deya<br />
WSCF: BWA &A PNM. Gw moon oTbm9ted m co, SIR), d.By ebwm<br />
sentpk Na. Lab ID • Date Time Norrypc Cmww Suttpk Aoalytia Pterer dw<br />
B1LG18(F) W t1-TRH r 3 1r46rt1L BGe COLOFZ_TY FLD:Plereyaletd ClrWkn(1)<br />
/.Z2 —0<br />
Rckmt.WWW ,__, r RmMd By hot s Woo Matti;•<br />
NOV Y 2i 2001-j e„,I, F1ALL<br />
1 2000 a_ s a nc - r,"%,Ad<br />
RetuquW"By vswliw RmindBy DGWFi a<br />
RR - Rr6m.e M. _ Tk.nl)..l<br />
R(T PM .<br />
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W _ woe.<br />
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Rely wswday DekoTime Remwd By DaM1r (i - "I<br />
V _ Verr.dnn<br />
A — A: X _ rub.<br />
U&RWS ed By Dswr” Rm.iud ay D.ldritoe .<br />
FINALSAMPLE DHalW(e.P,RetroaeatanGpv hbpmaiu mdirpo ) DOWFhoe<br />
UIsPOsm"' —<br />
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CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
coumor ' eucl/Reauester ekoboee No. MSN FAX<br />
FNe.<br />
amliae OriaL<br />
1014"<br />
INMr..1<br />
Preled ntk N Ir— s O<br />
Pumlix eOrderKlar[e Code<br />
CAM<br />
ke eat No. S ,L Tema<br />
'Ylooed To Mb) Mm"d of Shipment BIB of LodlWAdr BIB Ne.<br />
Pretooel<br />
POSSIBLE SAMPLE IIAURDSMEMARKS<br />
-• W t:ootirAadinab
PL%;NL<br />
Reaaua:madBy Pd4 Iyyp Davallm<br />
Dy<br />
Pont Sip V yo Dndri®<br />
NOV 2 `M , .<br />
NOV 2 2006 R _ 4.T<br />
,<br />
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6 e w - carer<br />
T. - ILsiA<br />
RelugashsdBy Dab/rime Received By DalsTlme n - CAI v - veaebtb.<br />
A - A6 K - Odw<br />
Rahmium"By DrNfim BY Dawn"<br />
FWAL SAMPLE<br />
Dlse(>srtK,n<br />
DiynalakMd(e(., Rear beur rb rl<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
CoUntor AaF0 ComudlReauntcr Teleahose Ne. MIN FAR<br />
' FNo. Sammons tkldo ftrebwo Order&-harme Code<br />
Poled 11114 ke Cbdt Na. Temo.<br />
SUM" T4 (lAb) NeWod a(SYlamKat 812 o(LadlaJAlr &0 Na.<br />
Fm col<br />
o mum A<br />
P(ASSISLE SAMPLL RAIARDS&RE.NARKS<br />
'• « lbwit RWNWtiae MANtal d waamalvm WlM sal MSWUd R4 maeapwudna per 49 CHL but N M<br />
paD06 0rdrr5400.5 (199W1995)<br />
ml+ llaprck<br />
N^7 D'' t ry v f41'( oo EE<br />
Prlorlty: 45 Days<br />
BY<br />
Offaitt PraoedT No.<br />
Matrix.<br />
_ rf an call<br />
- Taemilaul<br />
- Tim.<br />
- Wk.<br />
^T ,.^-- 04 11<br />
C#<br />
107-006-114<br />
Page I. or 1<br />
'PECIAL INSTRUC(IONS Hold Thos Taal Activity Excumtiaa: Yubd No<br />
A21absno:ptwSCF.B"a$PNNLnnghowhoimdmkrA.4L$adwo7SAFs 64o om SDQ mlb amend 5D0<br />
duame orl4 drys.<br />
wSCT: Batch all PlWLGW saapks rAmlad bb aoe SDO, da ily doeme.<br />
Sample Nm Lob ID • Dam Time Na Type Cwtah r Sbrylle Analysis Pteawau e<br />
B1L050(F) W •7d (^ lx4GgnL acs- COLOR TILFLD. Henvalant CWwJum(1)<br />
1<br />
1<br />
1<br />
I<br />
J<br />
mon
PNNL<br />
lualiftdft<br />
Prim<br />
NOY 2 0 2006 i^/^Ir^e^<br />
NOY 2 0100 a<br />
RdigaiiwdBy DBI07M By Dat/Iior SS<br />
nn<br />
A.<br />
ltt*dahrdBy Dalw7lac Retched By DaWfhoe<br />
W<br />
D<br />
A<br />
Reiapdr6rd By Daadlme RMiwdBy DuNlhe<br />
FLNALSAMPLE<br />
DISPOSITION<br />
Dapaad bit" (e.l. Retmb<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Bttbr 0.R ContatuRecranteir Telephemor4o, ALSM FAX<br />
SAF No,<br />
107 M<br />
Preled7xle<br />
Samliall Orida ParcWte Urdu/CAaree Code<br />
,e .^N^^ 3 In ChcA No. Tem,<br />
H<br />
Wooed To Ilab) Aleehed a(Shbaw" BW of IadladAlr RIB No.<br />
Prelecol<br />
rFRrIA<br />
POSSIBLE SAMPLE ILUARDS ENIARKS<br />
•• w Ouin m Radicac ti.e MMWW ea ooarcmniam tot" m MV90N ietrwp"6Wpere9CFRWamaal<br />
rticasable per DDB Order 54OU(I"WI993)<br />
9999 1041porsdahom<br />
Priority: 45 Days<br />
he Pnonty No,<br />
O.C.<br />
_ s W<br />
- Redman<br />
_ RaIB<br />
. Rlwtae<br />
_ W~<br />
UR<br />
_ Aar<br />
Dbpwed By<br />
." f ! L't'<br />
I07-006-115<br />
Page L or 1<br />
'PECIAL All<br />
]INSTRUONS CTI IIold Time ToW Activity Psemotion: YYes No<br />
LWexw;eWS(F:Bakb&UPNNLemWWrAaimdwdaA.U.LS.udW%SAh boo mSW.mdlocmnd WG<br />
clmwe of 14 days.<br />
wSCF: DwhaSPNNLGWwapkaabrdwdheoona SDO.daOyclmm<br />
SwWkNo. Lab a Date Time NotType Coouioor SempkAailyeia Prrsavalive<br />
81LD51(F) 0 1 1x46enL BGe COLOI.TK FLD: Hauvaknt Chromium (1)<br />
Matrix<br />
T<br />
T<br />
1.<br />
1.<br />
V<br />
X<br />
_ lr w F' N<br />
_ lrl a wi<br />
_ ylae_<br />
_ li" Wkw<br />
_ Idodd<br />
Veaewr4w<br />
_ (shat<br />
Meal. ®(.<br />
l<br />
T<br />
`I
NriL<br />
j7(<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
CAReUA CoaUcUReostaler eleolbne No. 11ISLY FAX<br />
SAFNC<br />
Prolcct llne<br />
161.<br />
Sanollne Or)sin Parcbase Order)CYerae Gde<br />
^r -<br />
Rdi quhkdBy Prig Dab7bm ReceiedBr Prime sip Mabia•<br />
/yY0 Di0ay..<br />
OV 10 200 .plc R - -W , - 7fe. GJd<br />
An -Samar DI. - Te^eleew<br />
Rdagt"WBy a Dndibne Rneivd By we<br />
M. -<br />
T - Ti<br />
A. - SWIM - Were m<br />
- W~ I.<br />
W WMw<br />
1. - lir:d<br />
Itcholmlcdey Dawrme Radved By Doa/Um n - M<br />
V - vaaatim<br />
A - Air X - (Rbr<br />
Rdinq"W By DrNrhn p4mveday Dowrme<br />
DISPO AMPLE Dopna161and (e.p, Rerunb BY<br />
DISPOSI"rro.Y `n-IS' Y07 ESS : ;/ ^ ^<br />
O.G<br />
- In Cbeal No. Temp.<br />
Mooed To (Lab) Method orShlpmrM Bi ll of LAMBE/Ai r Bill No.<br />
Protocol<br />
POSSIBLE SAMPLE IIAZARl1&REMARKS<br />
« «CoAM Ryb oactivC MN.Wst ooaoacaMs WWE pro ap:Wed Im beuprpeom Fa e9 CFR bd w a at<br />
ler DGB0Ww54005(19M"3)<br />
FMOtky. 45 Days<br />
i6Re Property No.<br />
I07-006-118<br />
Page 1 ^ 1<br />
SPECIAL 1INSTRUC171ONS Hold Time ToW Activi ty Lumoticca Y=b6 No<br />
All LmW+aplWSCIh BabbdPhT*Lnoimn6ai0dadnA.G.LS,ad WO7SAFe tm a pa SOq anbreed SDG<br />
cbrp+erlcdays<br />
WSCP: Babb W r4NLGW ocOn vAabbd Wa om 0G, duly eim m<br />
SBWle Nm Lab ID • Date Toro Nmgwc Cmtaiw SAWIC Anablis Preservative<br />
BIL053(F) W .]d-(,. IX40-ML RGa• C.OLOfZ-TK FLD: hmvalenl Chrom ium(1) None .<br />
p<br />
:Yii'(GO U<br />
0<br />
J
PNNL<br />
Rector JV. r<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
SAF Ne. 1<br />
'aowlles Oriala Porc6ue Order)CYarse Code<br />
o.G r<br />
atarLNeavaca dcvboieNe. MIN PAX<br />
Protect Tials r — I Ico Chad No. c e ...f X11 Tema<br />
Protocol<br />
oed To (Lab) SleWed (SSiomeal Bill aTLd4sd•A17rcWB^No.<br />
C<br />
POSSIBLE SMIPLE IUZARDS(REMARK4<br />
« « Cmaraw Radiative M&WW at mromvitim Wt am a RVAMW 4 trayautiopa49 CFA be art a<br />
rcicsskl@perl)0E0pJ=S4GU(l9901l993)<br />
Pdarky: 45 Den<br />
Otlillo Proowty No.<br />
107-006-122<br />
Palle 1 Of 1<br />
PECIAL INSTRUCT IONS Iloid Time Total Attiviry Eseonlim: Yes 1VJ No<br />
ABtaMaoepl WSCR Bukha PNM.araplmaboiwdwtkrA,QLS.WW07SAFt inocer SlAnotbeaaeedSDO<br />
clause of 14 dam<br />
Wscp. Bwri M ph"AOW auapW sAniaed kro Ww SM &ilycwwaa.<br />
Sample No. Lab ID • Wle Time WTfWConta4w Sarr kArWysis 1'resernun<br />
B1L055 (F) IN it is"it-BGs' C0L0e TK_FLD: NetmvsWA Clsomkian(1)<br />
BiLOMS W is404nL SGS' COLOP.T1C FLD: Srdfate (1)<br />
ReWwiswByPrior Si®<br />
mt ,<br />
Of V-j 11<br />
Rebepaidrrd By ,>r as<br />
c - l65<br />
m ly Plot Siva lL 1-<br />
By ,<br />
N<br />
_<br />
I<br />
m<br />
6<br />
R<br />
SB<br />
M9<br />
r4.<br />
By DamTmr A<br />
R By<br />
V: dr MO C17<br />
Dolftrr s<br />
a^;^<br />
//—lyll ^"/s<br />
Relo7aiYrd y Dowrima By Dawrlee<br />
FLVAL SAMPLE tNyorl McW9d (e.s., Rgsaberr^y^er,Try}pRC By Dek7fm<br />
DISPOSITION y1C l *^<br />
r<br />
V r1(4<br />
_eel<br />
USPOINRROC<br />
_ Sen<br />
_ Rlmn<br />
_ Wd41<br />
_ W.W<br />
M<br />
Matrix<br />
nc<br />
FR.<br />
T 1.<br />
Y<br />
. m nrm<br />
_ raU l.hd<br />
T%a<br />
_ w^<br />
f ww dm<br />
T<br />
V
NN L<br />
CHAIN OF CUSTODY/SANIPLE ANALYSIS REQUEST<br />
CoBecl1Hastl0p0 atact/Reaaema TeleDbose No. MSIN FAX<br />
F Na mo11u OriW Parehas Order/Ckame Code<br />
Prolect Title F<br />
in chest Nw Teno.<br />
Wooed To (Lab) Method of Shicaee it<br />
11^1 V60,<br />
Pnt"<br />
POSSIBLE SAMPLE RAZARDSTMMARKS<br />
•' " Coemam Radiosdre Mamal at conmdmtva"I en aol eplamd Tor aampmotio. per 49 CFRhal m eat<br />
aka "pv DOB OAQ $10" 09907991)<br />
- O i• Z^<br />
4<br />
thiork)•. 4 5 Days<br />
BW of Ladla m/Air BIB No.<br />
(fake rmacrly No.<br />
O.C.1<br />
107-006-136<br />
rage 1 of 1<br />
StECUL INS7RT:CTIONS Hold TIo1e Total Activity Fzenrodoo : Yabd No<br />
AD LOA eeap WSCF: Be" e ll PNNLswpb wbmhcd mderA. O.LS. and W 07 SAFs Roos SDO. eotbemced SDO<br />
ctwae of Ie daya<br />
WSM Becht PNNLOwonpkssubdi dNoos SDO,denyclo<br />
Sample No. Lab ID • Date Tare Nc Typc Container Sample Amlysis Ptesmtive<br />
BILOBS(F) W Q 1F4Oml aGa' COLOfZTI(_FLD: Hevawalenl Ctowiurn(1)<br />
811.088 W 1x40-m1. aGd COLOR TK—FLD: Sulfate (1)<br />
R. ^NOV 1 4 2006'`"rm ^e<br />
ode<br />
V 1 4 2006 aWI M<br />
yy J<br />
r ' `•^ T/^/<br />
I.r R<br />
/<br />
CR<br />
Fey<br />
Relky dsdey /Y3s— DaWCme RccervedBY eS rlF• y7r Dae.Tae<br />
/ t of 17- c / d6 a' w<br />
RtS. "ed By i®<br />
Raoci.ed By w n<br />
Re"widcd By DaWTime RIM By<br />
DaWTime<br />
_ Ann<br />
- Facnwe<br />
CNmt<br />
- FmdPe<br />
- Wmer<br />
- 0a<br />
RC<br />
M.<br />
T<br />
we<br />
1.<br />
V<br />
- r r CNN<br />
- IN llnnl<br />
Time<br />
- wa.<br />
- il.dd<br />
- veeemrmn<br />
FINAL SAMPLE DiTOerl Naafi (ag,Rwo payp piomdus. aed i.<br />
Depozd By lac<br />
O1°'7A<br />
DISPOSITION C6 roAws /^ccast r //-/,y<br />
l - S :; 06
P'\NL<br />
CIIAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
O.G /<br />
I07-006-142<br />
PW i Of i<br />
Collmor nta"amester Talmhou No. IN$IN FAX<br />
P Na. SamoBstOrleelm Parka Order/Chme Code<br />
rleetTWe<br />
« Chest Na Tema<br />
l(InTIRAIAM(IM-1 Q1 NO F<br />
FMAFR 1006<br />
ooed To (14b) M ethod of Shlomeat BIB of Iad[WAlr BIB No.<br />
Prtocol<br />
CTRCIA<br />
POSSIBLE SAMPLE IWARDSMEMARK.S<br />
• « @pals Radm d" makda a comeMUUs dot art ml wVWed br mevpmWime p er e9 CFR tW art am<br />
nlembk puDOfiQder Se00S (1990799))<br />
Pdarlty: 45 Days<br />
Proem No.<br />
SPECIAL INMUMONS Held Ttmo Told Aativity Exareoti m Yea No<br />
Antahaexrept WSCP: Bakha ll PNNLampks mbmkkd WAWA. G. ad W 07 SAFI Wom SDO , mtmeacead SDO<br />
WSCP: Bath a0 PPMLOW urVks ubmimd Iwo oac SDO, daily cloaca<br />
SMVIe Nm Lab0 • D.W. Tlme NoTm ConWm Sample Analysis Preeavative<br />
B1L0f0(F) W11H -0' WO-ml. BGV COLOR_TK_FLD: Hexavalent peomiurn(1)<br />
BIL.071 W 1x40ad. aGe COLORJIK_FLD: Sulfate (1)<br />
fi<br />
j=<br />
^ ►+<br />
RetiagrandBY<br />
^.<br />
Repayop .dey<br />
41D01 ahhedBy<br />
FrItIlt<br />
NOV0,<br />
4 2006,x,..-— NOV<br />
j$pD DaeN RoahsdBy ay p, r^ 5 (80°<br />
//HJ D! L^^<br />
/ /K<br />
By ,<br />
A<br />
la<br />
- D.Ntaae ReeeivedBy wkrfkro<br />
R<br />
,W)<br />
St.<br />
W<br />
A<br />
_ Fe<br />
Ac - rkym<br />
t =ti.d<br />
- ^ T'<br />
- vlke WI - Wim<br />
- Wa t. - ILmO<br />
- All<br />
V Chh r In<br />
- Air<br />
(kb<br />
tteaM dBy Net Sips Uaa/fhs meld, •<br />
FLNALSAMPLE . Madnd (a{, tteo..b eslomor, khpmraWe.axdklaooes,<br />
D.w1m<br />
DISPOSII7UN s f loce:ss /^/Y-Ot5 US CV PROCESS r.<br />
T<br />
P
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector RPM wact/Reaaester TeltabomeNs. MSLY FAX<br />
SAF No. SaneWas Ori¢ia Partisan Order/Charee Code<br />
Pniect TWe<br />
j<br />
Gs<br />
In chase No. Tea+a.<br />
'hlooed To (lab) Method of sWomeat BBI of LadlWAlr OW No.<br />
Protocol<br />
POSSIBLE SAMPLE HAZA I)S/NEMAHKS<br />
« « Caoa®a Radiuc ti M&kWstaooen imtatmvawpWdfurmmparhlimpw49CFRbdmm<br />
,clumble per DOE Qda5400J (199001993)<br />
Priority. 45 Days<br />
Property No.<br />
107-006-148<br />
Page 1 of 1<br />
PECAAL INSTRUCTIONS Held Time Trial Activity Emmotim Yes bd No<br />
At Labe except WKP.Batchah PNNL asaplm wbaimd mtderA. 0.4 A and W 07 SAFs lob oar 270, m nneeed sm<br />
cla avof 14 days<br />
Wam. BOA aY Ptall.OW wryln shout in oee Sm drily circa ,<br />
Sample?4m Lab 1U • Doe That Nofiypc Cmnincr SwMIc An alysis Prgavoive<br />
BIL075 (F) W -Z2!ld6 10H 1x4o mL sGs e COLOR TILFLD. HexevaW CManhm (1) None<br />
BlL076 W 1x40ffL aGe COLORTkFLD: Sulfate (1)<br />
ft<br />
By NOV 2 a 2imexhed<br />
By !C<br />
Tp<br />
G/--<br />
^^.a DaMmc<br />
c - sas<br />
Maoix•<br />
R d aoldedBy<br />
A/(S DBrcl<br />
to - Redimae<br />
- a,cl r -<br />
ne<br />
r<br />
I i<br />
a By<br />
lb <<br />
_<br />
Ramt By<br />
/r!<br />
keeiedBy (<br />
7 /<br />
/^<br />
ft t<br />
a<br />
yV ^<br />
z<br />
2_<br />
7<br />
V. -<br />
W FWe<br />
w - w.w<br />
A- A i,<br />
wk.a<br />
wi wW<br />
1. - l^.e<br />
x - On<br />
^fl 6 r ^.<br />
Relh pwkdBy Atrrmte Reateoa BY DM&Mm<br />
FINAL<br />
D POSInOY<br />
tK - T m wr<br />
171. - tmml5md<br />
(con Rtaaamtwosspmrbpaaadua,ad'aP' •)<br />
G r, By USED IN PROCESS B""`jjf 7 r .<br />
^^'ZZ- ^'^N"e'e'<br />
^ /<br />
04001;^ /ice<br />
i<br />
n<br />
n<br />
n<br />
n<br />
r<br />
e
PNNL<br />
Collector pQ FOX<br />
CHAIN OF CUSTODYISA1 WLE ANALYSIS REQUEST<br />
MCI d<br />
atactAtemeder ekpbooc Nw MSLN FAX<br />
SAF Nw sampuslodws rdma Order/CRarte Cede<br />
Proled 11do mX N^^` 3 Im CBeat No. Tema<br />
loped Te (Lab) Netbod d SYlpawel 810 of Ladoe/Ak BSI Nw<br />
Protocol<br />
CTROA<br />
POSSIBLE SAMPLE HAZARDS/REMARKS<br />
•a ^CoMin Radiwaive Maid M m aeemaliam Mal Reel a:aokkd for aaalpeMdcapa49 CFRW m wI<br />
9a D080dM51005(19907993)<br />
107-006-154<br />
Faso 1 of 1<br />
Ite Preerrty No.<br />
pdorky. 45 Days<br />
SPECIAL LNSTRUCTIO.NS told Time Told A ctivityEaamlim: yabd No<br />
A9Ub59xap4 WSCF. BrkhaaPNNL unrWwbmwdmda A, G. LS. and W07 SAFI fmoom SDG . potbca:ad W)0<br />
slm o( 14day,<br />
WSQ: BwA W PNNLGW =Wka wbaod lo go pea WG, da0yekame.<br />
sunk No. Lab a) • Date Time Noffype Contains Sm to Malysis Plaeervadve<br />
81LOB0(F) W 7,Pd C 4VA$? Ix40mL aGe COLO(ZTI(_,FLD: Nexavalenl Ctlralnium(1)<br />
BILD81 W Ix40ae i. aGe• COLOR_TK FLD: SWfale(1)<br />
Rel®I:dedBy<br />
///O DaWliae Rmciwd By<br />
prw sip 1//o IAtr—<br />
RRfmc I<br />
NOV 2 2 2006 .Je r i<br />
NOV 2 2 2006<br />
RefageidedBy<br />
!/(S'- weerrima<br />
RdayM>beaoy<br />
yi. ZZ-a(<br />
arse q<br />
!d<br />
By<br />
Vii,<br />
RerMed<br />
iiig-aeTl^°<br />
DLwrm<br />
d t //-zz'o6<br />
Rdaq.%W]3y DMartim By DurrMe ..<br />
FINALS I MON C re<br />
d(es<br />
Matrix •<br />
7<br />
R .Rap<br />
^ - %-J<br />
a. - Wdw<br />
W - wew<br />
rt - Da<br />
rlV _ t-a.cda<br />
T _ Wm<br />
wl - wi<br />
im<br />
v - ve.m1L-<br />
7<br />
IT<br />
a<br />
b ^^P ^^ w ZZ-e6 ^°"`d y USED IN PROCESS`o"^ n i t,? n
PNNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUE, ST<br />
Bettor Cealacl/Reaneakr Telookose No. MSLY FAX<br />
Ne. samoling Orwis Porehase Orda/Charao Cede<br />
Frolat Tlde ke CUM No. Tcme.<br />
hloeed To (Lab1 HcMW of SHamnl Bill of I adlae/Air BW No.<br />
Protocol<br />
POSSIBLE SAMPLE IIAZARDSIREMARKS<br />
" •e CoeWu RadioactMUsicid a cotecaoucasonam ad mv*Wfat amwKiotiaaprr4o CTR bo m a•t<br />
tau" pa DOE OWN 3400S(1996799 3)<br />
O.G d<br />
I07-006-160<br />
Page 1 of 1<br />
Moray: IS Da<br />
ys (fdde rroeerte Ne.<br />
SPECUL INSTRUCTIONSH eld 11me Total Activit y Ezcmodoo: Yq No<br />
All late emept WSCR DNCb all PblNLamgb mboioed udr;A. 44 S. ad W 87 SAM imorsmmilowed SDO<br />
cla of 14 days<br />
WSCA: Dia h a Peaa. OW .arks nbmiud Ion oro SM doily 40v=<br />
SanVle No. WID • Date Time Noaypa Contain Semple Analysis Presavadve<br />
81 1.086 (F) W . 2 1x4Qml. aGe COLOR TILFLD: Hexavalenl Ouadiun (1)<br />
BIL.086 W 1x40-mL aGs' COLOf l1-TK_FLD: Sulfate (1) Nate<br />
aKiUlty<br />
P^<br />
NOV 2 2006<br />
ay eda<br />
NOV 2 UOBie c<br />
Rcliogidodey<br />
Robayiehday<br />
r luc*w1ahedaP I<br />
.l/!}—Drd111<br />
^^ fi<br />
mu .Z<br />
C) ^<br />
DaWfimr<br />
hod BY<br />
+..<br />
;<br />
WooiwdBy /^ -<br />
Dndiia. /y^<br />
wn 0<br />
qtolllor<br />
so<br />
.<br />
A<br />
1<br />
FDIS ";'^«^<br />
ruedd(.a, Rea.. toreoaoeq pgi^<br />
p^ ^z —off .i^e^.r ay<br />
1 J a•<br />
_<br />
^<br />
- Gene.<br />
W."<br />
A ir<br />
TA<br />
T •<br />
14<br />
%<br />
_ t,a $Wid<br />
: tMw(<br />
- w:.<br />
(VLM<br />
SED IN PROCESS `,f^ ^.^ 2 g ^^ 7
)aN\I'<br />
CoUedor<br />
H. L<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
atacUBeoonter relcultone No. ALSIN FAX<br />
SAP No. ' mpUag Orkin Purchase Order/Charge Code<br />
107 )06<br />
Prefect Tit le _ Ar ,., ef'G/` Z Ice ChntNe.Temw<br />
ShWotd To (Lab) Method dskIDmeol 3 v of l.WLdA1r BW No.<br />
Protocol<br />
Priority: 45 Days<br />
ffsae Pnmly No.<br />
C.<br />
I07-006-186<br />
Page 1 of 1<br />
POSSIBLE SAMPLE IIAZARBS/REMARKS SPEaAL INSFRUICTIONS Bold Time Total AeUvity Exemotion: Yes Sd No<br />
« «gym aadnacdw Material at eonemetimm get me, regulated fix hampmudoa per n CFR but m 001 Ag LoWexeept WSUY. Bn3a g PNNL&"koodmdltdoedm A.QL&wAW07SAFa beanie SDO.mlbaoeed SDO<br />
ekambk pee DOROtdeS9DOl (199W1993) clmme ai le days<br />
WSCF. Bach al PNNLOW maple u k"ned bet raw SD%daily ekauw.<br />
SUMICNo. Lab ID LOCI Time Nu/fype Cmtsim Simple Analysis Pleaervadre<br />
BIL09i)(F) W r lx40+nL aGe COLOR TkFLD: Nexavalent 0vorrJum(1)<br />
Rd K-1tedBy Dalpdfime Reeiwdey Ptiml Sigm tlatdtime Matrix<br />
NO O O zoos-<br />
B^,<br />
ReimQnahed<br />
rLT $w')"<br />
•<br />
DaMm<br />
:3. L^1 ^P^r<br />
Received By<br />
101_A A .Br1C<br />
f^iid/BBfd<br />
A - Se7<br />
m - Said<br />
M. Stake<br />
IlC<br />
T<br />
WI<br />
- rinminW<br />
Toe<br />
Whet<br />
RdaTlwwday Daldrime Received By Dndrhm<br />
W<br />
n<br />
A<br />
wetee<br />
. M<br />
. Ai<br />
1.<br />
v<br />
X<br />
Ihwl<br />
vearbdm<br />
- (hher<br />
ReliNdAedBy D*Wrm Rveoeiwd Br DaWIm<br />
DMSPO Amp<br />
Dapodmahw(e.g,.<br />
L/"'dl PROCals) ^'<br />
Diweol By<br />
"Nall 08<br />
O<br />
0<br />
D,<br />
00
PNNL<br />
Coll<br />
SIpdE<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
CoelacURtoew er TelmhozeNo, MSIN FAR<br />
No. Samuel Orleid Pambase OrdeWLharae Code<br />
Prolect We<br />
_ ^} N F ^- N -sac.,<br />
O.C.<br />
ke Chest NO. OOS Tem.<br />
'hioped To (Labl Method of Shiomtot BIB of LaWWAIr &1(Ne.<br />
PFOtoeol<br />
rPRCIA<br />
POSSIBLE SAMPLE IIAZARDSaULARKS<br />
w w CotaaW Redk tit M ftrW N comawken ial K oat kpd.md for va Wp iioepn 49 tfR hl= not<br />
kis" per DOB Geder S40U (19M99I)<br />
Priority- 45 Days<br />
Prooedy No.<br />
107-006-376<br />
Page 1 of 1<br />
SPECIAL L\STRI:CTIONS flow Tice Total Activity Remotion: Yn b6 No<br />
ABlabataxptWSM OwAaUPNNLtmglaa m%kdonftA.O.LSudw O)sAW SDG<br />
tbwm of It Bryn.<br />
WSM Be"aB PNNLGW mvks tvbmal W one SM dOyclmta<br />
San& Na lib ID • Dote Time Notlype C9nlaioet Sample Analysis Ptnervafive<br />
BILOK9(F) W l Z'L V (O^ Ix40•nL 8W COLOPZTILFLD: Haxavalenl CWordtxo(1)<br />
Rtlimuyed ny _ Stet<br />
RT. SICKLE<br />
R"-"*,edBy<br />
By Sim<br />
D.Wr e<br />
eS rS ^A11Q ,y'<br />
V ^J flDLsatdfe<br />
L L LU^JI7 /2'{/ e .TMpyfrol By<br />
NO• 2'2 `0(ID 0w<br />
p^^<br />
Dwonla<br />
RobKoabod By DewIW. Roccived By thadlloc<br />
RdiegwsbedBy Dowinne Rwekvd By Detdyme<br />
FLviALSAMPLE<br />
DISPOSITION<br />
D4wslatee.d(e.s,Rdwawc0tomn,Per hb POCtAm•medbpaces)<br />
Matrix<br />
R - Rd Rv . to wlid<br />
RF - peAA:.enl IM. Dnentimd<br />
Nn - Wtd T - Ti...<br />
N. - Slew WI - wine<br />
W . We 1. • 1"Ad<br />
G - OB V . Vwari.<br />
A - Ak x - rxt..<br />
Dadfhm<br />
Z 7^t76<br />
U
Mrl. Sips DSWrme RoommalBy Prh Sips DrWrme Matrix•<br />
7i .7 melt•" NOV 2 2 2M6 /O<br />
My 7.7 R - c R<br />
Tic<br />
SR - "vve rA.<br />
BtlWgaitbed By Merriam Naeied By DtWllae<br />
Cn - %*A T - Tb v<br />
V. - M." WI - Wie<br />
MNioqu,"By Nwroe<br />
Rdolui11a0y<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
_<br />
Rasited BY DmYrme<br />
RAWMCIBy DAWrlme<br />
FINALSAMPLE Dspral ►(e6od(&t.,Rwimmcmb 'E<br />
ubbgTam^etf i.ry<br />
DISPOSITION<br />
11\ r^VV ss r/-2<br />
Z"GO<br />
I07-006-380<br />
rpage 1 of I<br />
et IN oluNteoaeRer deubome No. bmN FAX<br />
SAF No. samunt (Meld ortbare Order/Lbartt Code<br />
ProkM Title<br />
FFNF— ^ufX.—Z<br />
nCben No.^S TMIL<br />
To(Lab) M. dbod *fSblomwt 5111 of fadlv/AIr BIM No.<br />
Protocol<br />
POSSIBLE SAMPLE BAZARDS/R MARKS<br />
•e "roetaioa BadiorUra Matviel at ao¢snrima Ytnar rtpdaed & braporotioapv49 CPRbutme or<br />
laa DO8 Gales 9(oD.d (199WI997)<br />
Frtafty: 45 Days<br />
te Properly No.<br />
SPECIAL INSTRUCTIONS Bald Time Total Activity Exctrotion: Ywb6 No<br />
AMLbaexvpt WSCP: Brtbad PRNLanpluruGW oOmA.G.LS.&AW07Ws WoamSM " Wcuoed SDG<br />
claeeeof II dry&<br />
WSCr+ Brcb v PNNLGW emptn arbnWed bdo an SDG, dayebw<br />
Saopk Na lab ID • Date Tina Norrype Coma w Sample Analysis Pmravalive<br />
BILALI(F) W t '►37 5454BLads• COL(Np,.Tr FLD:Hemvalentchmmium(1) None<br />
AL<br />
v<br />
- naaa t JW<br />
- lva lLd<br />
W - Wry t. - Ihdd<br />
n - (M v - Veeetedm<br />
A - Al, N - caber<br />
BaWlcr
PINNY<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
cwl CoatatURe caw Teleolwas No. bISIN FAX<br />
FN*. samollamorilgla tarebamOrderiCkaree Colo<br />
PnIed Tide<br />
NNF _ hl-sot. "'L Ire Cleat Ne. 0o5 Temo.<br />
oved To Mb) elbed of SiioaecM 8111 or Ladlee/A lr Ma Ne.<br />
Pro("<br />
CrRrIA<br />
POSSIBLE SAMPLE HAZARDS/REMARKS<br />
" "Cwbir ItWioKdc Mriaol acvwcwa im dot ca rol wpkkd for mVwkmapa e9 CT0.bd a a eot<br />
pd LVEQdu54OU(1990'1993)<br />
Priority. 45 Days<br />
ffaNe Preoaty No.<br />
.c r<br />
107-006-384<br />
Pose 1 or 1<br />
SPECIAL INSTRUCTIONS Held Time Total Ac tivity Fiaootim: YaM No<br />
Aslabaap WSCF: BoAae PNNLaaplwoAmimddnA,%LSadWO y SAFs imow SDQoa p erard WQ<br />
cl a of 14 day$.<br />
WSCR Bari a ll Pt&&GW rood aoboimd m m* SDO, daily cWw<br />
Samp le No. lab ID • Date Time NalType Cmtaroa Samp le Analysis Pteaavative<br />
B11.01-3 (F) W it'LL to 0906<br />
Basalwowd By<br />
Fa
PNNL<br />
RrEagaWed Br._ _ OWnim Roxivad By Sip D.1e?me Mwii•<br />
NO 2 2 M n o T. NOV 2 2 20 t16<br />
RT r1 -, A _ Aaa<br />
rlA _ 1„- qdM<br />
ReliquahcdByD.C11is By DMdCme<br />
N+ - seniou DI. - raaaltod<br />
M. - AnIM T - Tian<br />
FI. - won,<br />
1. . Ws<br />
w - w.ra<br />
1• - Rudd<br />
ReiogmMd By Daa/fime Racgiv9d By Dawrior D - 03<br />
V - Ve+elri.<br />
- A - Ai x - (kber<br />
RelislieMdBy poDaInTim;<br />
F 1 I.$AMPLE Dirpo>•1 Me9wfd(a.p. Reon btalurer,paW ^e^p*['ROMIK44BBY<br />
plc ^a<br />
DISPOS1710N Y^ E Il i PROCESS<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Collector R.I&^ CostacuReaunter, fekohoae Na. MSIN FAX<br />
AP No. moa" Orlda P-mu-so Order/Ckarae Code<br />
Prolect TId*<br />
!tipped To (Lab)<br />
1}hIF+N - 506 —L<br />
Me1Nd of selomeal BIG of Lad ae/Alr DW No.<br />
Protocol<br />
POSSIBLE SAMPLE NAIARDSIRE.MARKS<br />
« « 0a is Radicadva Maraytreomap.dma 60 not npbed for aarrp"tim pat e9 CFR but am sat<br />
mkmbk pa DOB Orda 5 100J (199(W1993)<br />
Prtorky: 45 Days<br />
DNer me<br />
.C.#<br />
Ice Chem a ^s snp<br />
u Property No.<br />
^ Z Z-Q^<br />
107-006-385<br />
Page j or 1<br />
SPECIAL LNSTRl:CFIONS flold Time Total Activity Exemption: Yea bd No<br />
ABIaWeac"WSCY: atYaGPNNL"IanbmipedmdkrhaLS.sodway SAFa iMom SUa.oalbecdSDO<br />
Apron of l4 dayA<br />
wSCF: Bakh.G PNh1Ow sappka aubmied W ao. SDO. dWy elmre.<br />
Sample No. Lab ID • •fhb Tare NoflyMCmW= Sample Analysis Prssavative<br />
BILOL4(F) W 11 !. 09OG WO-ml. sGe COLDR_TK FLD: Hexavalent Ctworrdiarr(1)<br />
J<br />
wool<br />
N
G<br />
' rY<br />
BIG)Q.E<br />
CIIAiI\r OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
C.<br />
—412<br />
I07-006<br />
Gatac(/Reooealer eleoheae No. SLSIN FAX<br />
No. R Origin Purchase OrdwiCbarae Code<br />
Proied Ti tle<br />
NN F - 1 ' — v ^Z-<br />
Ice CbeN Ns. ^ $<br />
' eed 1fe(Lab) Meted ofShiomeet Bid ofLadins/Ale&B Ne.<br />
Protocol<br />
CFRMA<br />
POSSIBLESAMPLE BAZARDS RDIARKS<br />
•^ "coaaka Reicod"matMd of mreaodom setae a ecaullad far lnmparabo per 49 OR big am got<br />
rakasattle pr DOE War 5100.5 (19907997)<br />
Priority. 45 Days<br />
[Bole Pr overb Ne.<br />
Temp.a<br />
Pap 1 of 1<br />
SPECIAL INSTRUCTIONS Held Time Total Activity FYenotim: Yes No<br />
Asla6rmapt WSM. DwhoMPNNL"Insvba"Wd LerA.aLS.ad WO7SAPa boom SDQootbexxN SDO<br />
clown of 14 days.<br />
WSJ: Batch a11PM& GW marks mbeiaed bm one Or, da ily closes.<br />
Sortpk No, tab ID a Date Tim Norl'ype Gotaiw Sa"ic Analysis Prexrvative<br />
B1LON2(F) W tl rL 092Sr 1a40- nL aGs' COLOR_Tl(RD: Mexavalent ChmnWm(1)<br />
Itclm lowled By bow «eleW DY Sipe Darllime btattis<br />
Retioq y<br />
RaboVitbed By<br />
NOV 2 2 2 6<br />
/7/a<br />
4Mrav<br />
Dm3Ime<br />
n<br />
Rem"d By<br />
Recaed By<br />
NOV 2 2 2008 121U<br />
drffima<br />
D%Wrbs<br />
R . as<br />
RR - RMtnar<br />
R() - RnSd<br />
V hm<br />
W Weer<br />
O - (aR<br />
A - Air<br />
rA<br />
TV. - n..^llos<br />
T - Te.<br />
vn - Wbr<br />
I. - Ihi/<br />
V - vve the<br />
R - Other<br />
ReOtgdeMday DaM6m By Daldreua<br />
FLAIALSAMPLE DapoaJ Mcdrd(e.g. Reba b caul mu. per `^sn<br />
DISPOSITION<br />
&H ROCESS z-^<br />
^^ z Z 'clef<br />
MIN<br />
O Q<br />
O<br />
O<br />
O<br />
0<br />
y<br />
W
PNNL<br />
A<br />
Rdioquy,W 9y DabTbc By Sip DawTbne Matrix<br />
FLT NON 2 2 2006 t7ta ,l2— NOV 2-2 2006 niv , m<br />
RdiOgaitl.Dd By De1rA/oe Raosived By Dadlkm<br />
RdiapW*dBy Dan?low Ite9ei ed sy DWOTM<br />
Relmrpuled By DAWI'm Reectthed By DeMrbe<br />
FkYAL SAMPLE<br />
DISPU M0 ,1<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
oReclorRl CSHRLDCVRe esw reltokone No. MIN FAX<br />
SAYAa. Samrling (Mde mhae Order/Chasse Code<br />
Pnkw TiBa<br />
^H>^- rl -$o4 -^<br />
Ise Chat Ne.^5Tem.<br />
Sblooed To (lab) Method elSklomext Bit olLadleelAir BIB Nw<br />
. r ,, ,<br />
N7<br />
- Seain.er<br />
. A"<br />
TI.<br />
T<br />
_ t mwRn,d<br />
_ Ilm..dud<br />
- Ti.r<br />
rd. . F4.dw<br />
W _ W.wr<br />
D _ Dd<br />
A - Air<br />
WI<br />
1.<br />
v<br />
X<br />
- Wbw<br />
- Ib.dd<br />
- Va.M.rGw<br />
- hhe,<br />
Dlpowlmcdmd (c46 ae.o wauwUW AMlimc<br />
bbW^^7V\/ESS t/^ ZZ^06<br />
U.C.0<br />
107-006413<br />
Page 1 of I<br />
Pmtosel<br />
rFRrfA<br />
PAaity , 45 Days<br />
l6Re PreoeM Ne,<br />
POSSIBLE SAMPLE ILVARDSaWMARKS<br />
••'• Cooaba Radmthv kLmiM N taeantkas 4M ti m wpWW Br RamPonmoe PW49 CFRbM m m<br />
SPECIAL INSMUCFIONS now rime Total Aodvity ExemDum: Yes WJ No<br />
ABIaWe-ogtWSCF: BarkaPNNLaa MvAmindaxbr A. G.LS,mdWOl SAFr beo m SDG.,xAloowdSDO<br />
mkmbk pv DOE Ordw 5400.1( 1990'199))<br />
ebnoo of 14 drys<br />
WSCF: Beet e0 PNNL OW couples mbmned bb ono SD(i. duly cbeura.<br />
Sample No. Lab 9) • Dale Time N& ype Container Samp le Amysis Pn.servative<br />
BIUM(F) W LL L 7pp lx40tnL aGs' COLOR TKT'LD: Hexavalenl CMorNem(1)<br />
h
I'NNL<br />
CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST<br />
Ca ll tiantwo GnlacUlttooata Ttleabone NO. MSLH FAR<br />
SAP No. samplins Orielo Perchete Orde r/ClamCmde<br />
Proled Title _ ,• , /,<br />
la (tat me. a,) ^'-- Tema,<br />
G• Z^<br />
loped To (Lab) Method of Shiommi /•'<br />
Big of IadlWAlr Bill No.<br />
Protocsl<br />
POSSIBLE SAMPLE IIAZARDSREhLUW<br />
e' •• C.ombie Radiowd" Mraul m mmemmim emtme and mpSkd for unsporledompef490Rbm art mot<br />
ekmble per DOB War 5400.5(19M991)<br />
Priority. 45 Days<br />
Rule Property No.<br />
• .c r<br />
I07-006-421<br />
Page 1 of 1<br />
SPECIAL ]INSTRUCTIONS Ilald Time Tow Ac tivity Exam tion: Yet bd No<br />
As)abmomcWWSLT1OwbeBPIWLUryiaMmiordodaA.G.4S.adWB7SAFe hib or ^G.nd bated SDG<br />
ck m of 14 dcya<br />
WSCT: Bomb oil PNNLGW rmmplo evbmW bb om SDO. daily closers.<br />
Srmple No. lab ID • Date Tune Nodfype Camtai= Snnple Analys isP)raemt."<br />
BILBLB(F) W .77 12 IX40-ML &W CALOIZk-Fu: Hexava)ent Umnlum(1)<br />
7ka4iwdoo<br />
.E.PAIFIQMN<br />
sip<br />
V 2,7 T006 , B<br />
5''NOV 2.7 200 1"ml<br />
Beligm"d By Dab'fim R odwd BY DeWfbm<br />
RcGmgvdmd BY DrWfue RwtrAd BY DmWfbo<br />
Rdbq.i4cd8y DraflM By Devlibre<br />
IINALSAMPLE<br />
R<br />
fR<br />
CO<br />
-<br />
ieAmm•t<br />
. S'"<br />
Matrix<br />
tv.<br />
T<br />
.<br />
n.memxn<br />
- rr,mlJed<br />
- Tiwm<br />
Rl. _ amr.. WI _ Wir<br />
DirnaelMe^ (y.u(..." •^ arCmtm.v. per bb pemrodme, ordk BirporedBY Dam)fbm<br />
DISPOSITION ^f N CD To a j O<br />
W<br />
n A<br />
- Wmer<br />
- 0.1<br />
- A ir<br />
i.<br />
V<br />
X<br />
- Ib.it<br />
- Vn tim<br />
- fMm<br />
0<br />
O<br />
O<br />
O O<br />
Lh