IGMY D - Hanford Site

FIELD SCREENING 

FINAL DATA DELIVERABLE COVER SHEET 

Date: Tuesday, December 5, 2006 

Sample Authorization Form (SAF) Number: I07-006 

SDG Number (assigned by Sample Management): F 

Attacbments (check all that apply or N/A): 

X Test Results 

N/A Narrative Summa ry 

X Chain of Custody(s) 

X Logbook Pages 

N/A Anomaly Repo rt 

Total number of pages ('including cover sheet):'S 

Comments: wo 

100-UR-3 JAM - Hezavalent Chromium — Sulfate-Water 

THESE TESTS WERE CONDUCTED USING QC-1 

Distribution: CPP Sample Management A0-21 

Project(Spccify) 

ot^ f Ô fo 

^^34837as^^^ 

'^ D 

GQV^D 

Requires distribution to listed project personnel by Sample Managem ent (check if applicable) 

IGMY D 

MAR 2 1 200 

EDMC 

0072478 

00000001

On-Site Measurement of Cr1$ 

100-HR3 Groundwater 

SAF. 107-006 

Procedure: GRP-EE-05-1.17 

Logbook HNF-N-2957 Page73 

1lmnnna 

Location HEIS I 

Number i 

SAF Date I Time 

Collected I Collected 

Sampler I Sample I Date 

IntuaLs Media I Analyzed 

Time 

Ana 

I AnaW 

(initials) 

Cr+6 

) 

Conductivity 

an) 

Water Level 

m TOC 

199-0 B B1KYJ9 107-006 11!82008 11:53 RTS Water 11/82006 16: JDM 0. 444 1 . 

1994)855 I BIL099 1 107.006 1102006 1 12:35 RTS Water 1 11182006 16:00 JDM 0.028 220 19.52B 

199-D8-70 B1KYK5 1 107.008 11/812006 9:00 RTS Water I 111812008 16:00 JDM 0.098 453 15.860 

199-D8.70 B1KYK8 1 107-006 11182008 9:00 RTS Water 11 182006 16:00 JDM 0.095 453 15.860 

199438.71 1 81KYL2 107.006 11182008 10:28 RTS Water 11/82006 16:00 JDM 0.173 531 17.748 

199-D8.88 SIKYL8 1 107-006 111812006 13:49 RTS Water 11182008 16:00 JDM 0.078 299 24.452 

199.43.4 B1KYM4 I 107.008 11182006 12:43 DEP Water 1118/2008 16:00 JDM 0.021 488 10.701 

199444-10 B1KYN0 107.006 1 11 182006 9:53 DEP Water 11/8120013 18:00 JDM 0.024 397 9.299 

199.44-128 81 KYN4 107-006 11182006 12:43 1 RB Water 11/8/2006 16:00 JDM 0.037 385 12219 

199-14-12B BIKYNS 107-0013 11/82008 12:43 DRB Water 11182006 18:00 JDM 0.030 385 12.219 

199-H4-13 81 KYN9 107-006 11182006 10:57 DRB Water 11/82008 16:00 JDM 0.019 518 13.940 

81 107.008 11/82006 Water 11182008 16:00 JDM 

Logbook HNF-14-2967 Page75 

11192006 

Location HEIS SAF Date I Time Sampler Sam ple Date Time Mal Cr+6 Conductivity Water Level 

Number Collected I Collected (Initials) Media Analyzed Analyzed (InlUals) ( ) s/cm) (inTic) 

199-08.69 B1KYK7 1 107-008 11/92 12:44 DRB Water 11/920 15:08 JDM 0.060 359 14.4 

199444-5 B1 KYR7 I 107-M 11192 9:20 RTS Water 11/92 15:08 JDM 0.013 296 12.916 

1 99TWI I B1 107-006 1: R Water 11/92 15:08 JDM 1 44 

1994W15CS B1KYP3 107-008 1119rAM 8:44 RTS Water 11/92006I 15:08 JDM 0.105 244 10.351 

161FTB B1KYP7 107-006 11/91200 912 DRB Water 1119200 15:08 JDM 0.009 371 14.831 

107-008 11191100& DRB Water 111912 15:08 JDM 

Logbook FOJFN-296 7 Page S0 

1111 4 2 0 0 6 

Location HEIS SAF Date Time Sampler Sample Data Time Ana Cr+6 Conductive Water Level 

Number Collected I Collected (Initials) Media I Analyzed Analyzed Initials (m ) Wslcm) (m TOC 

199-03 B1KYV7 107-008 11114200 1022 LDW Water 1 11/142 15:22 JDM 0.023 477 25.988 

199-D4.13 B1KYW2 107-006 1111420 9:41 FMH Water 1111412008 15:22 JDM X0.005 709 26.075 

19904-14 BIKYW7 107-006 111142 111.46 FMH Water 11/142006 1 15:22 JDM 0.045 654 26.535 

199-134-19 B1KYYI 107-006 11/14200 11:46 FMH Water 1111" 15:22 JDM W.005 1083 26.098 

FTS/199434. 

199-D4- 

BIL003 107-008 11 11 7:30 DEP Water 11/1 15:22 JDM

On-Site Measurement of Ceo 


SAF: 107-008 


Logbook HNF-N-2967 Pape 91 

112272006 

Location HEI3 I SAF Date I Time 

I Sampler 

Sample Date Time Aneven Cr +6 

Conductivity 

Water Level 

Number Collected I Collected Initials Media Artatyzed I Analyzed Initials alas) (m TOC 

199-05.13 BILD13 I 107-M I 11 Q22M 8:34 FMH Water 11 11:45 JDM 0.506 750 27.125 

199.05.14 611018 1 107-008 11 9:23 FMH I Water 11 11:45 JDM 0.450 656 27.064 

1994)5.16 BiL031' 107-006 =0061 10:06 FMH Water 11rZ2120061 11:45 JDM 1.172 62D 27.467 

199-05.40 BlLO75 107-006 11 10:08 RRF Water 11 11:45 JDM 0225 588 26.725 

199-05 .41 01 LOBO 107.006 112272 8:53 RRF Wa ter 11 11:45 JDM 0.512 435 26.221 

199-05-44 B1 L085 107-0OB 11/212 8:03 RRF Water 11 11:45 JDM

On-Site Measurement Of SO4 


SAM 107-006 


Logbook: HNF-N-296 7 Page 82 

11/15/2006 

Location HEIS SAF Date Time Sampler Sample Date Time Analyst SO4 

Number Collected Collected (Initials) Media Analyzed Analyzed (Initials) (mg/L) 

199-D3-2 B1KYV8 107-006 11/1412006 10:22 LDW Water 11/1512006 13:00 JDM 86• 

199•D4-13 B1KYW3 107-006 11/1412006 9:41 FMH Water 11/1512006 13:00 JDM 164" 

199-D4-14 B1KYW8 107-006 11/14/2006 10:46 FMH Water 11/15/2006 13:00 JDM I 92• 

199-D4-19 B1KYY2 107-006 11114/2006 11:46 FMH Water 11/15/2006 13:00 JDM 360••' 

FTB/199-0422 B1L004 107-006 11/14/2006 7:30 DEP Water 11/15/2006 13:00 JDM 0 

199-D4-22/FTB B11_000 107-006 11/14/2006 9:00 DEP Water 11/152006 13:00 JDM 144" 

199-D4.23 BIL009 107-006 11/14/2006 12:01 DEP Water 11/15/2006 13:00 JDM 300'" 

199 DS38 

199 DS 39 

B1L066 107-0OB 

81L007 71 1 -006 

11/14/2006 

11/14/2008 

8:20 

8:45 

ITS 

LDW 

Water 

Water 

11/152008 

11/15/2006 

13:00 

13:00 

JDM 

JDM 

76' 

90• 

- 2x auuuon -- 4x auuuon °- 1 ux alWtion 

Logbook: HNF-N-2967 Page87 

1121/2006 

Location HEIS SAF Date Time Sampler Sample Date Time Analyst SO4 

Number Collected Collected (Ini tials) Media Analyzed Analyzed (Initials) (mglL) 

199-D4-15 

• 4X dilution 

B1KYX3 107-006 11/202006 13:28 FMH Water 112112006 13:20 JDM 104•, 


1128/2006 

Location HEIS 

Number 

SAF Date 

122llected 

Time 

Collected 

Sam ler iSample 

(Initials) Media 

Date 

Analyzed 

Time 

Analyzed 

Anall t 

(Initials) 

SO4 

(mglL) 

199 05 40 B1L076 107-006 11/22/2006 10:08 1 RRF Water 11/28/2006 11:06 JDM 130• 

199-DS-41 

199-D5.44 

cn uuuuw1 

BlLO81 

B1 L086 

107-008 

107-006 

11/222006 

11112712nMi 

8:53 

8:03 

1 RRF 

RRF 

I Water 

Water 

11282006 

11/282006 

11:06 

11:06 

JDM 

JDM 

66• 

15 


Number Collected Collected (Initials) Media Analyzed Analyzed (Initials) (mg/L) 

199-D2-6 B1KYV3 107-006 11272006 9:31 LW/MW Water 112812006 11:06 JDM 168• 

199-D2-6 B1KYT9 107-006 11272006 9:31 LW/MW Water 11/282006 11:06 JDM 156• 

199-D5-36 B1L056 107-0 06 11272006 12:22 LW/MW Water 11/282006 11:06 JDM 17 

- 9X dilutinn 

Analyst(s): JD Mehrer / LC Petersen Date: 1214/06 

Page 1 of 1 

00000004

T-- 

i 

Hexavalent Chromium Daily Activi ty Log 

Project: 100-HR3 / SAF I07-006 

Logbook HNF-N-296 7 

►i 

)V Late: 11/08/06 

1350 J.D. Mehrcr arrived on-site at 200W, MO -612 field laboratory. Set up to analyze samples for 

hexavalent chromium using a HACH DR 2010 spect rophotometer, SIN 980600009425, Method 

951, low range hexavalent chromium. 

1405 Prepared 0.10 mg/L standard by adding 240 pl. of 12.5 mg/L IIACH hexavalent chromium 

standard, lot # , to 29.76 mL of deionized water. 

1600 Analyzed samples. rvwP 1} v . ( ,Q .ZO/O 

pat 

(mg/L) I Sampled 

I Sampled I (µs/cm) I Dep1b- 

Sample # Well # SAF # I Concentration e Time Sampler Conductivity water 

Blank 0.005 I 

0.10 mg/L 

std. 

— 

— 

0.104 

BIL099 199-D8-55 I07-006 0.028 11/08/06 12 :25 RTS 

220 

— 

19.528 

B1KYJ9 19594-B8 I07-006 0.009 11108106 11:53 RTS 444 18.658 

BIKYL2 199-D8-71 I07-006 0. 173 11/08/06 10:28 RTS 531 17.748 

B1KYK5 199-D8-70 I07-006 0.096 11 /08106 9:00 1 RTS 453 i 15.860_ 

BIKYK6 199-D8-70 I07-006 0.095 11/08/06 9:00 RTS 453 15.860 

B1KYL8 199-D8-88 I07-006 0.078 11/08/06 13:49 RTS 299 24.452 

B1KYN0 i 199114- 10 107-006 0.024 11 /08/06 7 

9:53 DEP 397 9.299 

BiKYM4 1994 134 I07-006 0.021 11 08/06 12:43 DEP 488 10.701 

B1KYN9 199-H4-13 I07-006 0.019 11 /08/06 10:57 DRB 518 13.940 

BiKYPI 1915B4 , I07-006 0.035 11108106 11 :48 DRB 410 10.190 

D1KYN4 1 12B 

BIKYN5 

I07-006 0.037 11/08/06 12:43 DRB 385 12.219 

19' 4 I07-006 0.030 11108106 12 :43 DRB 385 12.219 

0.10 mg/L 

std. 

— 

—' 

0.105 

Blank 1 — — 0.005 

ill'J7,1'l.^h^• Il[i!i^'r.'if. ^•_' ^ 1C'^Jfi^ ^ ' ° - 

I I d l 

WETS- "EMUTSUS 

73

Y^ 

Hexavalent Chromium Daily Activity Log 

Project: 100-HR3 / SAF IO7-006 


Date: 11/09/06 

1400 J.D. Mehra arrived on-site at 200W, MO-612 field laboratory. S et up to analyze samples for 

hexavalent cbromium using a HACH DR 2010 sp ectrophotometer, SIN 980600009425, Method 

951 low range hexavalent chromium 

1420 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L HACH hexavalent chromium 

standard, lot # to 29.76 mL of deionized water. 

1508 Anal samples. AV70 la 41av . 11319010O 

Sample # Well # SAF # Concentration Date Time ' Sampler ' Conduc tltdty w'emr 

(mg/L) I Sampled I Sampled I 

I 

I (Us/cm) 

I mfro h- 

Blank 0.005 I 

0.10 mg/L 

std. 

— — 0.107 — — — — — 

I07-006 1 H1KYP7 I9&M 0.009 11109106 0912 DRB 371 14.831 

B1KYR3 199-H4-48 I07-0061 0.018 11/09/06 0952 DRB 380 14.090 

BiKYKI 199-Dg-69 I07-006 ' 0.060 11 109/06 DRI 359 14.499 

B1KYR7 199-114-5 107-006 0.013 11/09/06 RTS 296 12.916 

B 199-H4- 

KYP3 

I07-006 

11109106 

0.105 

0844 

15CS 

RTS 244 10.351 

BIKYN2 199-H4.11 107-006 0.018 11 109/06 1151 RTS 1 448 13.202 

0.10 mg/L — — 0.108 

std.— 

Blank — 0.005 — — — 

•• Y= 

mr^^ 

W; 

_iiuirrir^►f^^rî:^^rrrl^n^•nn^rî^^#iu,^ 

- 

a 

I 

00000006 

75

o]^ 

A 

10(7-M3 &LOIAoMôr't ^r^6 

W. ZOCL 

Hezavalent Chromium Daily Activity Log 

Project: 100-BM GW Monitoring/ SAF I07-006 


Date: 11/14/06 

J.D. MRRER 

.1231 J.D. Mehra strived on-site at 200W, MO-612 field laboratory. Set up to analyze samples fir 

hexavalent chromium using a HACH DR 2010 spectrophotometer, SIN 980600009425, Method 

951; low range hexavalent chromium: 

1237 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L IiACH hexavalent ch romium 

standard, lot Al A5354 Exp. December 2010, to 29.76 mL of deionized water. 

1522 Analvzed samples. 

1546 Samples B 1 KYY9 and B lL070 were over range. Diluted samples 2X by adding 10-m l. sample to 

10-mL deionized water. Re-anal sam les. 

Sample 0 Well M SAF Al Concentration • 

(mall.) 

Blank 0.006 

0.10 mg/L 

std. 

Date 

I S"Ied 

1Tme 

Sampled 

I 

Sampler 

Conduc tivity 

I (ps/cm) 

Water 

I Depth. 

— — 0. 109 — — — — — 

B1L003 FTB/199-D4-22 I07-006 0.002 11/14/06 0730 DEP NA NA 

B1KYY9 199-D4-22/FIB 107-006 0.9400 11114106 0900 1 DEP 691 26.983 

BIL008 199-D4-23 I07-006 0.016 .11/14/06 1201 DEP 847 1 23.376 

BIKYW7 199-D4.14 107-006 0.045 11/14/06 1046 FMH 554 26.535 

B1KYW2 199-D4-13 107-006 1 0.003 11/14/06 1 0941 FMII 709 26.075 

B1KYY1 199-D4-19 107-006 0.002 11 114/06 1146 FMII 1083 26.096 

BIL065 199-D5-38 107-006 0.392 11/14/06 0820 RTS 461 26.736 

BIL070 199-D5-39 107-006 1.734 0 11/14/06 0845 LDW 1 479 NA 

B1KYV7 199-D3-2 107-006 0.023 11/14/06 1022 LDW 477 25.986 

0.10 mg/L 

std. 

0.108 

— 

Blank 1 0.004 — — — 

* 2x dilution 

WIFE i 

1/ i.-:.:011: 1. 1 

It- 

..a 

7' ;— 

WIN

100 k23 G-lJ tVlorj^^jr:w^ Grab 

82 1 ` M64. zoos ' 

Logbook HNF-N-296 7 _ ..`" 

Date: 11115106 

1155 J.D. Mehrer arrived on-site at 200W. MO-612 field laboratory. Set up to analyze 

samples for sulfate using a HACH DR 2010 sp ectrophotometer, SIN 980600009425, 

:°y 

1230 

Method 952 sulfate. 

Prepared 50 mg/L standard by adding 1 .5 mL of 1000 mg/L HACH sulfate standard, lot 

4Al214 no expiration, to 28.50 mL of deionized water. 

1300 Diluted samples 2X by adding 10-mL sample to 10-mL deionized water, except sample 

BIL004 (which was not diluted), samples B1L066, BIKYW3, and BIL000 (which we re 

diluted 4X by adding 5-mL sample to 15-mL deionized water), sample B1KYY2 (which 

was diluted l OX by adding 2-m l. sample to I9-mL deionized water), and sample i"' t.- , 

BIL009 (which was diluted 2OX by adding I-mL sample to 19-mL deionized water). 

Anal ed samples. 

1320 Samples B1 L066 and B1 L009 were low range. D iluted sample B 1 L066 2X by adding 

10-mL sample to 10-mL deionized water. Diluted sample B1L009 IOX by adding 2-mL .. 

sample to I8-mL deionized water. Re-analyied samples. 

Semple# wen# SAF# Concentratiou Date Time Sampler '- 

(MZIL) Sampled Sampled , Y, • , 

Blank — — 0 

50 mg/L std. — — 49 — — 

BIL004 FTB/199-D4-22 I07-006 0 11/14/06 0730 DEP l' 

B1L000 199-134-217TB 107-006 144•• 11114106 0900 DEP 

3 1L)09 199-D4-23 107-006 300••• 11/14/06 1201 1 DEP ! _ 

— B1KYW8 199-134-14 107-006 92• 11/14/06 1046 1 FMH 

B1KYW3 199-D4-13 107-006 164 0• 11114106 0941 1 FMH 

B1KYY2 199-134-19 107-006 360••• 11/14/06 1146F71H^ 

BIL066 199-D5-38 I I07-006 76011/14/060820 MRTS 

BIL071 199-D5-39 107-006 90• 11/14/06 0845 

B1KYV8 199-D3-2 107-OM 86• 11/14/06 1022 

50 m std. — 48 

Blank0— 

• 2X dilution 

4X dilution _^! 

IOX dilu ti on 

Jam.. 

AyiAwed 

WWIOV^ 

/ Sulfate Daily Activity Log 

Project: 100-HR3 GW Monitoring / SAF I07-006 

DEC 0 5 2006 

DECA a' 

:a 

J

loo-A43-&-WrA..» A%.r, C.*6 

NDV. Zocb 

^- 

Hexavalent Chromium Daily Activity Log 

Project: 100-IiR3 GW Monitoring/ SAF I07-006 

-^ Logbook E NF-N-296 7 

Date: 11/20/06 

h 

s 

J.D. MEHRER 85 

1200 J.D. Meh= arrived on-site at 200W, M0-612 field laboratory. Set up to analyze samples for 

hexavalent chromium using a HACH DR 2010 spec trophotometer, S/N 980600009425, Method 

951 low range hexavalent chromium. 

1220 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L HACH hexavalent chromium 

standard lot # A5354 Exp. December 2010 to 29.76 mL of deionized water. 

1540 Analyzed samples. 

1546 Sample B1KYX2 was over range. D iluted samples 2X by adding 10-mL sample to 10-mL 

deienized water. Re-analyzed samples. 

S^P le wen 

SAF #Conecntra tioo 

( 109!1.) 

Blank 1 0.002 

Date 

I Sampled 

Time 

I Sampled 

I 

Sampler 

Conductivity 

I (µr/a^ r 

ater 

l nm 

O.l stdm.^ 

i 

— 0.110 — — — — — 

BIL050 199-DS-33 I07-006 0.006 11/20/06 1301 RRF 192 27.044 

B1L051 . 199-D5-33 107-006 0.004 11/20/06 1301 RRF 192 27.044 

BIL053 199-DS-34 .I07-006 0.622 11/20/06 1138 RRF 457 27.041 

B1KYJ6 199-135-92 107-006 1 0.210 11/20106 1100 RTS 291 NA 

BIKYT4 199-H4-8 107-006 1 0.009 1 11/20/06 1216 1 RTS 410 13.503 

B1KYX2 199-D4-15 107-006 1.4624 11 120/06 1328 FMH 672 26.573 

0.10 mg/L 

std. 

— 

0.110 — — — — — 

Blank — — 0.003 1 — — — — — 

e 2x dilution 

0 

5 

000009

GR46 

loo H23 G-:W MDw^

I 

loo!}Q3 l,w•^ {^-^ Sb ^^ J.D.MEHRER 

I Nov. ZoaL 

t'iIfAM T.fI 

Sulfate Daily Activi ty Log '- 

Project: 100-IM GW Monitoring / SAF I07-006 

Logbook HNF-N-296 7 {`" 

0 520 . Date: 11/21/06 

1100 1 J.D. Mchrer arrived on-site at 200W, b10-612 field laboratory. Set up 0 analyze 

samples for sulfate using a HACH DR 2010 spect rophotometer, SIN 980600009425, 

Method 952. sulfate. 

1300 Prepared 50 mg/L standard by adding 1.5 mL of 1000 mg/L HACH sulfate standard, lot 

#Al214, no expiration, to 28 .50 mL of dcionized water. 

1310 ed sample. 

1320 Samples was over range.' Diluted sample 4X by adding 5-mL sample to 15-m l, 

deionizcd water. Re-analyzed sample. 

Sample # well # SAF # Concentra tion 

(mY/L) 

Date 

Sampled 

Time 

Sampled 

Sampler 

Blank — — 0 — — — 

50 mg/L std. — — 48 — — — 

BIKYX3 199-D4-15 )07-006 104* 11 120/06 1328 RNM 

50 m std. 47 

Blank 1 0 — 

•• 4X dilution -- 

00000011 

87

100 AG GIO Nw,,%I A_) 

Nov. -40% -.°-•----- J.D. MMEHRER 

DEC o 5 2006 

Hezavalent Chromium Daily Activity Log 

Project: 100-HM GW Monitoring/ SAF I07-006 


Date: 11/22/06 

1045 J.D. Mehra arrived on-site at 20OW, MO-612 field laboratory. Set up to analyze samples for 

hexavalent chromium using a HACH DR 2010 spectrophotometer, SIN 980600009425, Method 

95l low ran ehexavalentchromium. 

1115 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L HACH hexavaltast chromium 

standard lot k A5354 Exp. December 2010 to 29.76 m1, ofdeionized water. 

1145 Analyzed samples. 

1215 Sample BI1,031 was over range. Diluted sample 2X by adding 10-mL sample to 10-nlL 

deionized water. Re-analvzod sample. 

Sample 

P I Well I SAF# Concentration 

(mgA) 

Blank 0.002 

0.10 mg/L 

std. 

— 

— 

0.107 

Date 

Sampled 

— 

Time 

Sampled 

Sampler amp Coodncftvl 4 

I (palam) 

— —' 

Water 

I Depthmrroo 

B1L085 199-D5-44 107-006 0.002 11/22/06 0803 RRF 209 25.711 

DIL080 199-D5-41 I07-006 0.512 11/22/06 0853 RRF 435 26.221 

BIL075 199-D540 I07-OM 0.225 11/22106 1008 RRF 588 26.725 

BIL013 199-D5-13 107-006 0.506 11/22/06 0834 FMH 750 27.125 

B1L018 199-D5-14 I07-006 1 0.450 11/22/06 0923 F7VI)I 656 27.064 

BIL031 199-DS-16 I07-006 1.172* 11/22/06 1006 FMH 620 27.467 

B1KYM8 199-H3-5 I07-006 0.045 11/22/06 1149 RTS 491 1 10.427 

B1LON3 FTB/699-98-49A 107-006 0.003 11/22/06 0700 RTS NA NA 

BILON2 699-98-49A/Fi'B 107-006 0.003 11/22106 0826 RTS 385 6.352 

BILOLI 699-91-46A 107-006 0.010 11/22/06 0937 RTS 371 10.311 

B1LOL3 699-93-48A 107-006 0.013 1122/06 0906 RTS 541 16.823 

B1LOL4 699-93-48A 107-006 0.016 11/22/06 0906 RTS 541 16.823 

BILOK9 699-90-45 107-006 1 0.008 11/22/06 1014 RTS 408 11.668 

BIKYM2 199-143-3 I07-006 1 0.020 11=06 1058 RTS 492 12.410 

0.10 mg/L 

std. 

— — 0.109 — — 

-- — — 

Blank — 0.002' 1 1 — 

7X dUution 

• MI.. 

— 

00000012 

91

t 

92 

!DO kR3 (r.0• ar\.M^..:^ Grt^ 

Nov. Z00(o R 

—_ Hexavalent Chromium Daily Activity Log 

Project: 100-EM GW Monitoring/ SAF 107-006. 

_ Vx 05 2 0 Logbook HNF-N=296 7 

- ^- — Date:' 11/27/06 

1250 L.C. Petersen arrived on-site at 200W, MO-612 field laboratory. Set up to analyze samples for 

hexavalent chromium using a IIACH DR 2010 spect rophotometer, SIN 980600009425, Method 

951 low range hexavalent chromium. 

1305 Prepared 0.10 mg/L standard by adding 240 µL of 12.5 mg/L HACH hexavalcnt chromium 

standard, lot # A5354 exp. December 2010 to 29.76 mL of d eionized water. 

1620 After pulling standard, blank, and sample fluids into hexavalent ch romium ampules (lot # A6215, 

May 2009 analyzed samples. 

1630 Re-analvzod samples BIKYHS & BIKYH6 (o riginal result for B1KYH5 was low). 

S le # 

^P Well # S" # Concentration 

I (tt^/L) 

Date 

I Sampled 

Blank 0.002 1 _- 

0.10 mg/L 

std. 

77ma 

I Sampled 

( 

S ler 

Cooductivit 

I CWCM) Y Water :. 

Depth- 

— — 0.105 — — — — 

B1KYV2 199-D2-6 I07-006 0.040 1127/06 0931 LWR" 701 26.054 

BIKYT8 199-D2-6 107-006 0.037 1127106 0931 LWîW 701 26.054 

BlLO55 199-D5-36 I07-006 0.003 1127106 1222 LW/MW 219 26.011 

B1KYH5 199-DS-20 107-006 0.424• 11/27/06 1259 LW/IvIW 374 NA 

B1KYH6 I99-DS-20 I07-006 0.425 1127/06 1259 LW/MW 374 NA 

B1KYL4 199-D8-73 I07-006 208 11/27/06 1341 LW/MW 350 25.230 

B1KYN7 199-H4-12C 1107-0061 0.092 1127/06 0947 DEP 267 12.335' 

BILBL8 199-H4-9 107-006 0.009 1127106 1051 DEP 436 13.331 

B1KYT6 199-H5-IA 107-006 0.008 1127/06 1131 DEP. 449 13.067 

B1KYT2 199-H4-6 107-006 0.011 1127/06 1256 DEP 446 13.139 

0.10 mg/L 

std. 

— — 0.105 — __ _ — — 

Blank — 0.003 — — — 

' result reported is from re-analysis. m WO W lVp 

NN 

C 

r-

94 

I boo Has rr.w, Ag;4c,l.' 5041 

gm 2DVL 

a ,-t ICS 

J.D. .:1.., TER 

^6Sulfate Daily Activi ty Log T 

Project: 100-HR3 GW Monitoring / SAF I07-006 

Logbook HNF-N-296 7 r,;, r ; r ; —^ 

Date: 11/28/06 -° 

1030 J .D. Mehrer arrived on-site at 200W,110-612 field laboratory. Set up to analyze 

samples for sulfate using a HACH DR 2010 spect rophotometer, SIN 980600009425, 

Method 952, sulfate. 

1040 Prepared 50 mg/L standard by adding 1.5 ml. of 1000 mg/L HACH sulfate standard, lot 

#A 1214 no expiration, to 28.50 mL of dcionized water. 

1106 Diluted samples B1KYV3 & BIKY19 2X by adding 10-ml. sample to 10-mL deionized 

water. Sample B 1L056 was not diluted. A fter pulling standard, blank, and sample fluids 

into sulfate ampules 9A6249 expiration September 201 1), analyzed samples. 

1118 1 Samples B 1KYV3 & B 1KYT9 were ov er range. D iluted 4X by adding 5-mL sample to 

15-mL• deionized water. Re—anal yzed sample. 

Sample # Well # SAF # Cmcm tratiou 

(MVP 

Date 

Samp led 

Time 

Sampled 

Sampler 

Blank -- — 0 — — — 

50 mg/L std. — — 50 — — — 

B1KYV3 199-D2-6 I07-006 168•* 11/27/06 1 0931 LW/MW 

B1KYT9 199-D2-6 107-006 156** 11/27106 0931 LWI W 

B1L056 199-D5-36 I07-006 17 11/27/06 1222 LWMW 

50 m std. 48 

Blank — — -0 — — 

" 4X Q11LLnOn 

S 

u 

. '.1

l 

I loo 

Woruker.^ So `, 

Nov)ki o^ ' 

J.D. MEHRER 101 

GQ^R.H _TNC.. 

_._ Sulfate Daily Activity Log — 

--- Project: 100-HR3 GW Monitoring / SAF I07-006 


—.._ Date: 11/28/06 

-- 

1030 J.D. Mehrer arrived on-site at 200 W, MO-612 field laboratory. Set up to analyze 

samples for sulfate using a HACH DR 2010 spcctrophotomcter, SIN 980600009425, 

Method 952, sulfate. 

---- 1040 Prepared 50 mg/L standard by adding 1.5 mL of 1000 mg/L HACH sulfate standard, lot 

#Al214 no erpiration, to 28.50 mL of deionized water. 

1106 After pulling standard, blank, and sample fluids into sulfate ampules (#A6249, 

expiration September 2011 analyzed samples. 

-- 1135 Samples B1L081 & B1L076 were over-range. Diluted 2X by adding 10-mL sample to 

— -- I 10-mL deionized water. Re-analyzed sample. 

Samp le # Well # SAF # Concentra tion 

(mg/l.) 

Date 

Samp led 

Time 

I Sampled 

Sampler 

Blank — — 0 -- 

50 mg/L std. — — 50 — — — 

BIL086 199-DS-44 107-006 15 11/27/06 0803 RRF 

BILO81 199-DS4 1 I07-006 66" 11/22/06 0853 RRF 

BIL076 199-DS-40 107-006 130• 11/22/06 1008 RRF 

50 m std. — 48 

Blank — — 0 — — 

zx cuuuoa 

.vt. 

00000015

PNNL 

CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST 

Collector 

t 

W.O. 

^-1 

autUltaoueeter etavhone No. b1S 1114 FAX 

tiAF No. 

1074)06 

Pre fect nue 

ma#as Orkin 

Si^ 

' 

t F — 

Porch&" Order/Char e, Code 

Ice C►eat - • ^C._1 

^W l 

Tam 

Shiand To (l.ab) Method if Shlomcat Bill of L adin plAIr BW No. 

P"t" 

CIMMA 

POSSIBLE SAMPLE IW.AftMR6.NARKS 

« "Cowan Radiac ti e MaoaWa carcmnlim e blare oar resuhtd fa lrampertWon per 49 CFR but as as 

pa DOB Order 5/00.5 (199(V79DS) 

Priority: 45 Days 

Delta Prwerty No- 

C. 

I07-006-100 

Page 1 Of 1 

SPIKA3AL INSTRUMONS Hold nr ToW Activitv Fiem ucci: Yet VJ No 

Aslaheacepl WSM Both @0 PNNLamwin Pbrioedoda A.G.LS. eadW 07 SAFI mesa SDO r oabeaaed SDO 

c:beae of 14 dayL 

W8CF1 BemaOP-tt1LGwmgAtsubmimdiab a SDG ddyeb..a. 

Sample No. Lab ID • Date Time NWTypc Ctntaina Samph: Analysis Prcdemdve 

81KYN5(F) W U40-ml. aGa' COLOR TKYLD: NewMant Chmmkwn(1) NonO 

cz 

Re4oquhhedxi Pray 

D.Wri. 14V5 Rye; C. 

Hier g"° 

Matrix ^ 

_ 

NOY 2 7 0 

NOY 2 7 1006 NY v— 

It - Xa# 

rl..asun 

tP. _ ReBrisr DI. - Ilrra lln,i 

AeWquuhedBy DnNCmo Raeivedey DaWIhm 

AO - Add 

T - TWe 

M. - tbdre WI - Wine 

W - war 

I. - 110 nl 

ReiNalsied By Dab?ioe Rectind By Dael/tbe 0 - (M 

V Veaaaliw 

A - Air 

X - now 

Rehngauhad BY D+INfnw Reoerved By Dowrine 

FINAL SA-MPLE Doped MetlrflEE:f oraac M P^•Jrti pp^giP4 nd Yproaaa Diy^med By Dawrine 

^^:..^/UU 

DISPOSITION 

I^L ^\GLJ f^/ V^J

0 

0 

0 

0 

0 

0 

I'NNL 


O.C. d 

107-006-101 

Pogo I of 1 

Co Ilector 

AP No. 

r r..gypt 

C^^^ 

alaet/Rtoamur 

mplins Orlaie 

eiephoaeNa. hISIN 

Pumbaae Ordu/(lame Code 

FAX 

Pniect Tius r 

r O F—N— 

—' ke Cheat Ne. f Temp. 

Shipped To (Lab) Method if Shloamt BW of Ladina/AR OW Na 

Protocol 

Kr-&BLE SAMPLE HAZARB&REHARKS 

•• « Cwhiim R",mdm Mawdeldoorreovatiem malmmregumled forbrmpeNdonpeeN Mbulam m 

bk per DDSOidw §4003 (199(VI993) 

PrWty. 45 Days 

ifeite Proom tv No, 

SPECtALLNSTRUCTIONS Hold Time Total Activity Fxemol {m: Yea 0 No 

AB tabs amep1WSCF: Bath aB PNNLsmVM&ubmited weer A. G.LS, and W07SAFs boom SDG,mmoaead SDG 

elmeroof Id days 

WSCP: Da ha0PNNLGWmopka Bbmmdrb9w SDG,ddycbsra 

Sample No. Lab ID • Date Tum NolType Cmltaumr Semple Aeaiysia Prexrvarive 

B)KYH6(F) W (( Z7 WO-mL aGe COLOR TK FLD. NeuvWent Chromium (I 

aeBgwsb" By Prim DaYfI' 

l 

Y 

Rcs ved ay Prue Sifo 

Dawi. M ahia • 

NOV 2 7 20 1 NOV 7 4_ s a ,^ _ „am ^,:, 

sn _ feMbnw M. . r9 1"d 

aeliquimed By Dowrim Received By Datdlm 

SO - 9dld T . Tuna 

V. - "A. Wl - Wim 

W - Wab I. - lL.id 

Beliayui•bedBy D&Wrlme ltmcteed By DaWT&m O - cm v - v~alir 

A - Air X _ (slur 

Bebqui$bWBy Dam7om KwnwdBy lagwrtima 

FLYAL SAMPLE Dmp9WMa ^NE!j Frpq.Jybpp[ra. nod 

DnpmedBy DRWTkm 

DISPOSITIGN 

cIJ 'v (J^J

PNNL 

Rcla9•ahFk 

10^tioe Received By Print Nnv 7 n DuM(me Matrix 

) 

HY Y [ SZ 

1f 

RdiagitlndBy I Dahyritr Received By Dar/yioa 

Rdogubbcd By Dat*Tmx Raeetwd By Daayflme 

Rdipuiamday DYM5m0 


Received By Dowrm 

V - W IK - Ilnm Wid 

cN - 

rx. - ILmalfaai 

sn - saw T - Yreme 

m. - Rhaba WI - Wine 

W - Wm, I. - ILmit 

O - (hi 

V - VWawm 

A - AY x - orw 

iTNALSAMPLE DiyaulMahod (a.p, RCl000namme(, py+ Nue.uwd6pxae) Diryacd By Al / 

DISPOSITION u tkA 

O.c. r 

107-006-166 

Page 1 of 1 

a- t ZZ ' atoculteaaemer eletthoae Na A N PAX 

F Kw Samust Ortola Parchaee Order/Charts Coda 

Pr IMBR IA 

Ice Chest Na.d65 Tema 

44NF— N -w. -Z_ 

IoOCd TO (fAlh) Method of Shlataeat But of LedlodAlr Bill Na 

Protocol 

POSSIBLE SAMPLES 

"Camiaa Rsdineow 11 0"W N msxmabuDi&MWrA te{Wrod for tmW0oad0aPW49 CFRbt an a at 

pwDOE OVdcrdeoad (199W199)) 

PrlorBy; wS Days 

16IteP mi, Nw 

'PEQAL WSTRUCrIONS flow lima ToW Ac tivity Ewwdan: Yes bd No 

ABLabsesayt WSW: DarbWP.NNLeuootubnwtkd omdwA. (XL%&dw07SAFs hwp SDG.ealnecaed SDG 

el0caeof N days 

WSW: Bari aS PN'NL GW ntplrs taboimd ion aae SDG. dWy ckO 

Sample No. Iah B) • Not Time NoType C9aWmr Sample Amlysis Pretcrn tiw 

B1KYJ6(F) W tjtCjr0 4 IlC7d 1x4WnL aGr COLOR TK_FLD: Hwwvafent Chmmiun(1) NOW 

O 

O 

O 

O 

0

PNNL 


Collector HmINrt1 ComtacVP e toter Irtleahome No. MSLN FAX 

F No. Sumlina Oriala Po rcham Order/Charxe Code 

ProlcctTWe 

V 

let Cheat No. Teaw 

Ipoed To (Lab) Method ofShiomeal BW atIA&aWAlr Bill No. 

Pro(ocel 

POSSIBLE SAMPLE IIAIARD.SIPS.MARKS 

w w Cad9iM Rod:actiw MtaxW acowembua Oat are as rtg*W it uwpwmim pa 49 CFR but m iwt 

m paD0B 0 da740M(1990'1997) 

Psi«By. 45 Days 

IWto Prowty No. 

OX— B 

107-006-180 

Page 1 of 1 

SPECIAL INSTRUCTIONS 1191 11 TIme Tout ANi"ty Piatotm Yes bd No 

Alllabaaaq WSCF. Br haUPNhlmpbai4 mwda4a A.QL&md W07SAP9 bmoomcSMMbe amd SDO 

el a of 14 

WSCF. Bacbe n PNNLCwaaopWabmmd obw SDn.ddy do 

Semp le No. tab ID • Date Time: NoIM*Cmtaiw Sample Aaalytia Peuava4m 

BIKYJS(F) W > lxdPmL BOh' COLOFZ—Trr FLM Hexatalent Chrottdum(1) 

05 Fi' 

Ralip^ $•w By Silo D wr. Matrix 

R&ugw,Wd By 

Rdbnw* d By 

NO r n A îip000 y rp 

1341ITwm 

Dowil"m 

^;w^ 

By 

By 

NOV 0 8 2006 

Damerne 

D WTJ M 

R 

RR 

Rn 

RI. 

W 

/t 

A 

_ ^., 

- Reni.ew 

- RNid 

- SMAW 

_ W- 

- Ail 

- Air 

FA 

M. 

T 

WI 

I. 

V 

x 

_ ,,,_ .%44 

- 7hamlfwi 

- Wow 

_ IAade 

- v..awiw 

— (hhw 

Rebquired By Dahvlhm Romved By Dawrim 

FLYALSAMPLE D1yMal hklbod(e.a.. Rdimm @4M YhdfoM4}hy1FQ qTi DWo^B abT^ 0 0 0 C 

DISPOSITION GLd 1tr f"1'io%jL• N °^ 

v ` 

Q 

O OQ 

O Q 

.Q

nx L 

colle ct or 

0.R. Bf1EYfIfIGfON 


C.O.C. 0 

coataet/Rtooester Teltaboate No. DISIN PAX. 

SAF No. Saaardat Orle)a Part"" Urdalchs"o Code 

Pealed Tltk • t\F^ N_ 

Iv 

Is. Gat Nw C^ _60 I Ttmo. 

loped To (Lob) Nfcdwd of Sklaumat BIR of LodltdAlr LW No. 

Protwl 

POSSIBLE SAMPLE. 11A7ARDSIREbfARKS 

« w C,yd pdicoctiN M&wW atmamp.lima am we mt agd.rd for ptmppudm per/9 QR but oa mt 

bM pmDOD• ONa 5400! (199or199d) 

Priority-. 45 Days 

UBale Prootrtr No. . 

107-006-192 

Page 1 of 1 

SPECIAL INSTRUCIIONS Ildd Tim Total Ac tivity &ctimten: Ya h6 No 

A ll tabeemep WSM.B.kdtall PNNLaaepka abpdttN tuts A,0.4SoadWOISAFs Moose SDO.mlbercadSDO 

ektra of 14 days. 

WSU. Bleb all Pf84. OW oeapW ab iaed loo an SDO. da ilyckm 

Samp le No. Lab ID • Date Tyre Ndlype contains. Smnple Analysis Praava tive 

SIKYKI (F) W p 1x4NnL aGBe C0L0fZTK_JFW: hlexavalent Chromlum(1) None 

/7 11 i w^l it Y7 

âaeREww'GTON 

Rdmga&W By 

RdiagefrkedBy 

Sip D.Wt- 

OV 0 U 9nna 

D.WCapa 

DstNfmre 

ieedey 

.ntslu.•- 

Rmcied By 

RecebedBy 

Pm sree 

Nov 0 

Uwrl 

9 2006 

Dowrmr 

Dmdf®e 

R 

.en 

Pel 

W 

O 

A 

Matrix• 

_ ca Ili 

- ndbedt DI. 

- mule T 

Bleats WI 

- w.kx 

T. 

- (N 

V 

- Air X 

_ TkmRMd 

- Tits. 

- Wim 

- wo 

- IhM 

- Vereak. 

- (kW 

Rc*u6bed By DaWrMe Raeiwd By O.rTtem 

FINAL SAMPLE Deposit Medmd(e.g., Rory m emroma, pr l.b pmxdre.sd ipscar) Diepoaod By DsWCma: 

DISPOSf170N ^ 1 11 0,5-10 

O OOOOONO

PNNL 

CIIAIN OF CUSTODY/SAMPLE •; ANALYSIS REQUEST 

Uccawc Hantora MIaeVResaester lekpbou No. MIN FAR 

AF No. • 

M7- 

samfist Orwa 

CIO 

Pmkct Title ' t,' CD b +L 

Pvmbase OrdcrlCharae Code 

Shipped To Qab) N' ct/boddo/f'ShiDDmeet :/ 

BIB tI Ladlat/Alr&B Ne. 

Protocol 

POSSIBLE SAMPLE IIAZARDS(REMARKS 

"Cpaaim Red'mecm Meredd a cace"imr*Mem ootagda3M Br kMpMtkdop per49 CFR We"but 

M pa DOB Ordw 5400 3 (19901993) 

Pdori(y. 45 Days 

.C. d 

In Chest No. Temp. 

Ile Prosertr No. 

107-006-200 

gage 1 oI ] 

PECIAL INSTRUCTIONS hold Time Total" iw Exereotiun: Yes No 

All Labe cuMt WSCR Beth N FNKL uvpb ru6mi 0td udaA.4LS. Met W 07 SAFs baow SM ant b eaorod SDG 

elepxee/le days. 

WSCF: BabbaBPNNLGW u p0lea Wedged W one SM daily cimm 

Sanpk Ns. Lab ID • Date Tbm NaJlype Container Souk Ana lysis Ptcwvative 

BI KYK5 (F) W 7x404nL aGs• COLOP TK_FLD: Hexavalent Chrtxllium(1) 

^M 

5'p Fkbor NOV 0 8 2086"I""^51D Received 

Hanford 

By 

^` NOV 0 8 2008 x` 15 

S S _ Rnl TA - nnan SnF 

M. - Itnan l Lod 

RdaquNed ey Daerlbm Rectind By DMdlme 

W) . MIA T _ Time 

p . - Rk m WI - Wba 

W - W~ I. - Ihiid 

RdcgWed n flit 

V Va wk. 

BY Dawrm Repriwd By Deaerrce 

A - A ir x _ rxha 

Relmquided By Detdlhm Rwdvcd By DaWlbm 

FLYAL SA.IIPLE U>pmd Me" (e t. + !9^©/sl âtllU 

DISPOSMON 

F^fl VGvI>t7 

Map;x• 

' 

WbT _ a _; 

D 

N

PNN, 

BMor FL T. SIC" 

CHAIN Or CUSTODY/SAMPLE ANALYSIS REQUEST 

U.C. d 

Coolaculteaueoter Telcobese No. MSIN FAX 

AF Ns. SamAlng OrWe . Pertbase order/Cbaree Cods 

Protect TIW ^^ „'^ 

Mooed To (Lab) Metbod orSWumentt v 

&B of LedledAlr BW Ns. 

prwocel 

rrRrIA 

POSSIBLE SAMPLE HA7ARDS/REMARKS 

" Cousin Radiewive uernW sl ooroesostioru dotsrs an n :sobtcd for lmeporudiopr49 ffR bit am oa 

mkouble per DOE Ordo 540D.9 (1990'1993) 

Q 

Prlarily: 45 Days 

I ce Chest Na. Tema. 

(ralto Pneerty Na. 

I07-006-201 

Page I of I 

PECIAL VnRUCUONS 1414 Time Tomi Aedvity Excorution: YcsWJ No 

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 

clone or 14 dsya 

WSM Bobo s0 PNNL GW ssnpbs swbmaed how one SDO. daffy cone 

Sampk Na Lab ID • Date Time No?ype C ximiner Samp le Analysis Pteutvetive 

RiKYKB (F) W V Q 1R4041L aGs• COLOR TK_FLD: Hexavalent Ct=Wun(1) 

R. T.SICI4E 

%/I 

site 

NOV 

0 8 

06°m 

ved By sip DoWl 

r 

NOV 0 8 2006 

1,tdBy DAWFhm By DNdrim 

Rehn"abed By DoMrim RaccivedBy DrdFae 

RAWgd3w By 1)errraw 

e^ 

By 

ro 

Marna • 

R _ W rK . IIn-.&" 

- F.AA -• T - Men 

An - lv i T -l. w . 

A. 

- G-he 1. - ljd 

W - Wir 1. - Ihil 

O - CA v - wmiMbn 

A - A ir X - rblrr 

FINAL S MPL.E w9•d Mesod Lea. Relem gq^pc pq l^ ' 

+ 

u1srOSrr10.V ^Je7C1./ 1 1V F^FlilkfC S DbP^B C:—r-- / •• ^^^'e " ^ r' r C 

G' 

Drsrte o 

0 

O OOOONN

PNNL 


Coomer 

FhrtX H3ItdtNd 

CoalactlReaYwer "home Na MSIN FAX 

AF Na molio[ Oriole Pumbave Ordcr/Charoe Code 

Proied TiUO f•Ô Ice CheA No. Temp. 

hipped To OAb) M ethod of Shipmest BW of Ladler/Air BIB No. 

Protocol 

POSSIBLE SAMPLE UAZARnyREMARKS 

« « Coddm Radodire ►4 l N oomomxa s Wt am ac rxaWed far beop"dm per 49 CTR but rs re 

rdeamblepor DOB Oidcr"W3 (199tY1993) 

Prlorlty: 45 Days 

oudle Pro perty No. 

C O.G0 

I07-006-208 

Page 1 of 1 

SPECLAL LÌSTRUGTIONS Ho ld Tbne Tolel Activity Function. Yubd No 

ARIaMexmp WS(F: Baxbs2n4NLrryfnwbmitkd edn A.G.4Sad WO7SAFs irsem SDGmkccadSDG 

close of 14 day& 

WSOF: Beech an Ph'NLGW a pples "mimed ss one sm dalycimra 

Sample Na lab ID • Dale Time Nolfype Cmtaincr Sample Analysis Pr eservati ve 

81KYL2 (F) W /075 lx40mL BGs a CAIOR TK_FLD: HBxavalent Chromium (1) 

Rdi°°d'tfHwftd 

gip 

eve Rece ived By 

Matrix 

NOV 0 8 

sip NOV $` 2 

R. T. ` 

W - GrR 

as _ Timm G,B1 

Reiqualedsy Da larfhne RceiodBy DoWTbm 

RR - F.%i nl. - Oren llnd 

W) - W 'd 

T - Tier 

M. - m dae WI - Wim 

W - W~ 

1. - liaaid 

ReigWSd By DalWThm RceiredBy DabTma O _ eN 

V _ Vesawim 

A - Ai ate 

""wow ay 

^Reed od By Dudfime 

FINALSAMPLE Devwd ►kecd (ag.Raml0t QrQ^^•ybj^g0.dW^fineQ7yî' DISPOSITION 

jS / 1'RCti/îTSS By 

OewRhm^ 

u /^ 

8066 

) 

J 

J J 

y,

PNNL 


C*Ucdor ntacttRcusaW rdenbese No. MSLN FAX 

FNa 

10.0 

Prolect Tole 

seventies Origin 

ll..f4dq4tc 

1 F_ I 

Pemba" OrdertCharte Code 

lce CheatN 

-t) 

IRoed To(lab) Method fShidateat ' 801 of Lsdiar/Alr&B No, 

Prolocol 

POSSIBLE SAMPIE H"ARDS tRMARKS 

« «Copbip Radkacd"Materiel daaamaliow 661 Meta apteled Is mupmodes Pa49 CFRW a a 001 

xbubbpa DOBadvstood(199WlM) 


offskeprowtvNe. 

OGN 

Tmo. 

107-006-212 

Page 1 of 1 

SPECIAL INSTRUCTIONS Hold TIM ToWActivity Exemotion: YabO No 

ARLAs"crOWStP:Bakh&UFML=Wlnubmiftdud=A.%I.S.Nd W07SAFa hADa SMMeD xtedSDO 

cl a of 14 day& 

WSCF: BariWPNNLOWaanprsaabnicdebe SDO,dAyehnua 

Sample No. Lab ID • Date 'rim Noflype Container Sample Analysis Pecacmapve 

BIKYL4(F) W 1x4OmL. aGa' 00L0f TK FLD: Hexevalent Mwgum(1) 

Rdi.WWOvd By Pdo1 Sip DwrnA47 Reamed By Psis Sip Daadl'me Matrix 

Nov 2 12c96 14y aRR 

Regaqudxd By D&kftqkm Rweited By ate/Iimo 

RcWgwikd By altnime Recakol By DOWTim 

Rduap"dBy Daa/iioa Rectimd By DakOTM 

FINALSA.MPLE 

DISPOSITION 

Uipwlhtt Pep wed is /W'4oaed BY 

_ W Its _ I>nm Cntil 

- gedfoiva ell. _ tl llad 

RO - Fnha T _ Tb. 

C. - Rbdae WI - Wk 

W _ Wa I. - Ikdd 

O - na V - Vaa lthn 

A - Air x - OUw 

atteTima 

0 

0 

O 

O 

O 

O 

N 

JS

1'NN)' CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST 

CoUtdor Fklor Hanford Coatacf/Reaseater ekoboee No. NSIN FAX 

SAF No. SamDRas Orlela Parcham Order/Cbame Code 

Prolect Ilue I^ Ire Chem No. Tcmo. 

Ippa Ta lllb) Afebodo(SOismest BWo(Lsdlse/ rBWNw 

Pro«ed 

POSSIBLE SAMPLE ALA ARDSRtEMARKS 

" •• CawAim Rodlwcdw MaaaW a eaoeaealkm dat m m wSubW L4 Danpm deu per4908 bm art as 

mJaobbpm DOB Oeda540 4.5(IMJ997) 


Prolwnv Ne. 

rlh4e 

C O.C.F 

107-006-220 

Psge 1 of 1 

SPECIAL INSTRCCFIONS Ileld Tbae Toad Aeuvity Eacumom: Yu hd No 

As labs eurpt WSCF:BaabaBPtaiL"asvbw"duederA.GX&"dWa7L%Fs Ldo 

etm of 14 days 

WS F; Balch W PNNL OW ample ubmmd boo am SDO, dray edays. 

SD(lw1wueed MG 

SiDgde No. Lb W • Time W rype Caaainer Sample AMlysie PtcsmatiVO 

DIKYLB(F) W p 7X404nL aGse C.OLOP TK FLD: Hexavalent Civ nduln(1) 

on 

Rdi^y 

►a HwftdAiP1 

Ibb?' tteeiwa By 

g'O'NOV Q 8 t80U ID ?A "' 

p.LSICi4E 

OV 8 00 Sri 

R - W 

n.A _ rM Rnlit 

- ttm:ar N. - Daan lied 

Rdwgm"dBy Dam?me By Daarime 

Sf) NOW T _ Tle.a 

RMbe WI _ Wi. 

W _ Web 

1. 1J.,W 

Rtlio"WWBy DsWfbw Raeiwd By 0"Ti a f) _ 07 v vacwiw 

A _ Ai, X (aMr 

RtiquisbW By 

FINAL SAMPLE 

DLSP415 .4 

Di+pmlMdnd (cg, pâ^,^ q^^pr {PôDVWT 

V8GLJ 1(\ f ^F1VCESS 

? Kood"dBy DssaTba 

Dbp osN Br 

u 

Daedliee 

Ul

PN'NL 

CIiAIN Or CUSTODY/SAMPLE ANALYSIS REQUEST 

Collector P" H&Oxd c9stactip4quester relephose No. MSLY PAX 

SAF No. smawfinvOrwo Purchase(NderlCbarae Code 

Prmied Title 

ee Chert NoonS Temp. 

414 r- _ SOU — Z- 

Shipped To aAb) Method orshlowat gill of Iadloo/Alr BW No. 

Protocal 

POSSIBLE SAMPLE HAZARBSIREMARKS 

'• •• Caoaiw Rediowdve Matrrid a oxwemriom del 

Per DDapdar 54MS(1990'1995) 

wep wgWawd in Weagwsudmpae9 CER but w mot 


Baste Property No. 

O.c. 9 

107-006-232 

Page 1 of 1 

'PECIAL 114MUCFIONS Hold Time Total Activity fammtkm: Yes No 

An Lobs "c"WSCF: 8otma ll PWL mnOb wbndueduaA. tl Q LS. ad W 07 SAPO kw 

om SDD. tot to cued SDO 

cia of le days 

wscx: Balchop PNNLCwwvghewauiedloom SDD.doRyckesa 

Sample No. lab ID • Date Time NolrypeCWWW Saupk Analysis Ptuavadro 

DIKYM2 (F) -7-FINK17 (O WOML 8W COLOFZ—TKJLD: HexaysleM Chrmnium(1) 

F 

FW.ndb u 'p atdlne Recelmd By sip U*Wtnw Matrix 

R.i NOV 2 2 20M 04 NOV 2 2 2008 I>o o R _ SO nit _ nn.a RnGA 

RR • Radimeis Ill. - ILvmll.ad 

Rc*uhhd By amrrnw ReoNved By DWOTM 

sa _ CrFd T - rw 

A. _ sw" WI - Wk, 

W Wetw I. _ lk w 

Reru4sis ed by DYdlnw Received By Datums n flit v _ vemadm 

A _ Ale x - nrkw 

Relegichd BY awrrnw itwel,,ed By awrim 

FBVALSMIPLE 

DLSPOStTW .N 

DbpanlMdwd (ey,Remmbpwtmcr, PahblbfsElyii , 

V ^^•L/ PROCESS 

^--z o^ 

10 

O ON

PNNL 


cADeebr matblteoucga ekoboasN w 

ALSLY FAX 

Q^ 

F No, samussociala Percb.at Order/Chant Cede 

rMled Tide 

NNF - o(. q Cheat 

k tL f` 1 Temp. 

ShippedToil4b) method of SYlomeet BB! of Ladie alAdr BIII No. 

Protecel 

Inrlorh)r 45 Days 

(Wto Pmonly No. 

COX-1 

107-006-236 

Page I of I 

POSSIBLE SA.N1PL611ATAKDSIR pXARKS FECIAL LNSTRUCI IONS 11•Id Time Total Acdyiw Fsecto6w: Ya bd No 

" •• Cusim Radioadiw MataW as omnaeratim dot am ace atxuWod for eateputadmpac9 CFR ba mod AdLobsnot%WS(F:Baehao PNNLaaepks-buinOuadaA,QLSasdWO75AFa Wow SDQ.nttoeuc0dSW 

mku "pa D0Rtk4ad400.S(L"Wl99d) ckewofd4dya 

WSff: BwA a0 PNNLGW tmpW nbmkW Wo ao SOG,dady c61aa. 

Saogb 140. Lab m • Dew Ti. Nalfypt Cmtabta S"Ic ArWysis Preeavadw 

B1KYM4(F) W /( -.pL ay7 lx404BL aGe•G0L09L,TK_FLD: HBxara*d 0 (onkm(1) 

R.4W By . Ptol Sip B4Mf-^ \_ Rtabed By 

Matrix • 

^°0 

NOV 

M e. ARCH NOV 0 8 ZO 6 R: ^r r F - Fal rs. - rtwa find 

RdiqukatdBy Dowtims By Qete'fixe FA - F•ii ea M. - 1lam lied 

F() - F.dM T - Ttaae 

M. - PW. WI - Wine 

W - Wu 1. - 1A.nid 

Rdiogabhed By DsWThae Received By Dawn" 0 - C0 V - Vcas.4n 

A - AY X - r.der 

Rdoq^W"By Dawrhna had By Date'TM 

F7NAL SM1P1,E Dsporl Mdbd (ad.. Rauh 6 Q® 1 ^ k Deposed By 

DLSPOSrrIO. .4 

usel / + 

DebThm 

// / 1 . V - Y M 

0 000 

O N

PNNI' 


Collector Fkmr Hado/d CootacllReooeder Tellwhous No. MUN FAX 

SAP Ne. amollaa Oriel Porches Order/Clame Code 

Proles Tide 

^^F^H^ ^j(e—Z 

ke Ched Ne.^^S Teams. 

Shhmtd To aAb) Method o(Shipmeat BBi o(Ladiaa/Alr BW No. 

Protocol 

CFRrIA 

PLMIBLE SAMPLE KAr.ARDS/It 0llA1tK4 

« « Cmwim RWmmive Maari al MOOmeotraliWl dwn eM nsx Med(or usaw"oa Per e9 CFR bie w as 

releasable per DOG Otdu 34101S (1990'1997) 

Priority. 45 Days 

((aDe Property No, 

0.C.N 

I07-006-242 

Pop 1 of 1 

SPECIIAL LYSTRUCFIONS llold Time To ta 

l Activity Excmptim: yabld No 

All lake except WSt}: Bacaa p pNNLaaopbaMaoideduderA,O,LSmdW O7 SA(r haomtSDO.aotmeacoedsDO 

elmua of 1e daye 

WSCR Dateh aB PtD& OW ucply arDa"ed lob me SDO, dm7yekeue. 

Surpie No. Lab ID • Data Tirro WType Cmtaim Surpb A t lytir Prcravrtive 

81KYMB(F) W 2t 11 WOanL 9W COLOPZTK FLD: FIemavalent 0aoralm(1) 

gtG^q„tLed py., 

i9 

Daedl' 

^d 

iwd By Sip ila 

F a%&r 

NOV 2 22006 V 2 . 2 2006 R _ ^dt rK - Im"Road 

S0. - Ardin 

rX. - rgnamllmd 

Reliagriied er DdsTme ReaMved By 1>,Wlimt 

S(1 - SKd T - wl. 

Se. - Ardre I. - Whr 

W - Wrvr 

1. - I1rA 

Bdiogo kd By DaWTime Received By Oeb7'ene 0 - (lit 

V - V. fttkm 

A - Air X - (a1v 

RdiKommed By D0.WT'em Rv^wetvedBy D.Wrlme 

F LN LE 

Dls Fosrfj Dlpoul rdcrtnd (a.P., RM 

'!'y^4' W t PPN t9P(gW`SriP 

eosrrlav ^J^7GL/ ^n t+^'(^J 

,7 

oWnMB 

U 

pia 

//—z7 t%141 

Matrix 

O OOOOON

PINNY 

Relignivbcd 11BIa0I0 

mor 

DwpTert V RaeiwdBy Sign Dawrme 

D. L F 

Rebagwswuy 

DI 

NOV Q O 

Dele fine By 

NOV 0 8 2flflfi 

vate1m 

a 

RR 

Rf9 

Rafyo4bcd By DOPThm Received By AteTbre 

Rtbngodmi By Dewfbm Rweived By DwYfor 

FINAL SAMPLE 

DISPOSnTON 


Couft-wr Flow Htgdord e( actlReaeest" feleabeoe Ne. MIN FAX 

AF No. moliu[ Oriala Fambase Order/Cbaroe Code 

Prolec1 Ilue 

f.INr ^N ^ BOG 

Ice Cbeat ^ 

"` 6 

7etuo. 

bloom) Te a4b) Ictbed of SYorul of LedlaalAlr BW He. 

Prol"d 

POSSIBLE SAMPLE IIAZARDS(MMARKS 

« » Coobina Radiorctlro Ma terial a eenceaastima Eat mootmgalated fee eeaperra tim per e9 CFR bw maot 

.eleeabb Per DOE 54do.S(1"01,993) 

Pdw ty. 45 Days 

DiWO-1 Me" le.g. Rc000 weam^.lQag^ ^pt^,yy^c y VC Dapoad By 

/ 

M^7î ^T( r^'^( 

f Wte Proper" Ne, 

QGB 

- .%A 

- £cdbme 

- Add 

fit. - R UA. 

W - Wr 

0A - On 

- Air 

- 

107-006-246 

Page I of I 

SPECIAL LtlSTRUCf1ONS field Thee Total Acuvitv Emrolion: YnO No 

An labs except WSU., Babb ed PMLSaoples wbndtred wmA.0. 1. S. a.d W W SAF a bw ow SOO.w io uceedSD0 

cb erofie4sys. 

WSCF: BatehaB PNNL OW smpb tabooed inb om SDO.dady cloaun 

Sample No, lib ID ' Data Time Ndfype Contafam Sample Analysis Pralervaave 

B1KYNO(F) W X .17/. 1x40-mL aGd• COLORJYI FLD: Hertavalent Ctaornium(1) 

RIVA 

Ma trix' 

Ix¢ - nnm raw) 

nl. - IWMIA w 

T - TLme 

Wf - Wine 

- Da . 

1. - IkAid 

V - V« m rim 

X - 0der 

r 

n 

• 

10

I'NNL 


Uttmr Rx o(scvF oaeaty Teleakemelic MSIÌ FAX 

F Na smount Oritis Perches (hderlCkme Cede 

Preled 10MIR111e / / / ^ /• 9 

6-0 l7 CJ 

to ChatNa `n- / Temp. 

bloped TO (I.ab) bldbed/leff Shipment JIM of 4dlpdAir Bill lie. 

rouKa 

CFRrIA 

POSSIBLE SAMPLE HAZAMS,26MABKS 

• ee Ce9ukr Redb.nhs MakrW rcerm*ricer dot are tr Rgdred for baw"ce if pm49 CFR bal m as 

teltsuble per DOB Orda$ 00.5(199e'D9y) 


to P roperty Ne. 

QGp 

107-006-252 

Pape 1 of 1 

'PECIAL INSTR1:CnONS Ilald Time Tow ActiviNP.tclmtim Yabd No 

Ap1AMUaepIwSCP. Baa:bap PNNLwWksobmi Ww &rA.G.L&mdwor SAFa ten 

on SOG.eoteacad b SDG 

rlmse of 14 days 

WSCP; Bratap PNNLGW —Abawal Ln one SM. duly ckara. 

Samk 14M IAb ID • lime N9lfypeCmW= SwMic Analysis Pte tive 

B1KYN2(F) W lx40inl aGS' COLOR_7I(_FLD:MexavalentCMomium(1) 

i.ed By 

Prig Sip. 

Dawrur 

Nov i0u 

.,^ ^,^! Nov 0 s 2008 a 

Rdiml:Jday Dewrim RR 

RamiAd By davpe 

FA 

RI. 

W 

Rebn*dAdBy Drwruae Rwded By Dswrme nA 

Rd.vubbeday wwreas By Drano. 

NNALSAMPLE 

Dis►OSI"O^ 

lAVaWMedd(ep.Rram p eWmm;PeWIWpm& . 1 

. to .o 

DbpmdBy 

1 a 

. % 

- Shc 

. Mid 

mwl. 

Wsaa 

On 

- A ir 

Matrix• 

Da 

tX. 

T WI 

1. 

v X 

Dewlbae 

e! 

- n."FwiA 

- Ilnmlkw 

- Ties 

- Wk 

- Ikwd 

-va.ba.e 

- me. 

A 

a

PNNI' 

(:ouecter 

D. R. BREWINGTON 


COX_ f 

abct/Reaucater Tdwhoaetl . MSC! FAX 

SAF Ne. samum Orwa Parchm Order/Charee Code 

Prolectlitle `^ . 1 I ^_ ^_ 

Ice C1ca Na. C + o 

pwd7'e(Leb) )fella efSklawal l'"1 

Bill efLedlae//AJr r^L_ 

Bill 

Na 

Protocol Pdoritp 45 Days 

POSSIBLE SAMPLE 1 1AZAR1 S/R EMARKS 

« « Ca.Bbu Redioani.e Naarubt aoamrdmc 4ran.al n9d"IN has 9 1doapaa9CFRbaimmot 

itaabit per WEO.da 54%3 (19M993) 

(fdte Freaerty No. 

Ten». 

107-006-256 

Page 1 of 1 

PECIAL INSTRUCTIONS hold Time Total Activity Excrtntlan: Ya bd No 

AR lab cxceplWSCF: Bath all PMLaopW auhndmd aodoA.0.4S. and W 07 SAFI fiW W SIX). not b tweed SW 

clm of le drys 

WSCF: Bakhae PMLLGWanVawba WItooatUG.dailyek m 

Semp le No. Lab ID • Deb Time Noliype Contaim Semple Amlyau Prrsmative 

BlKYN4(F) W It 0{7 1x40-mL aGC C XJ0PZTK_FLD: hexavalmA ChmgmhxD(1) 

c 

n 

Rdi. y{ g(pM Sip. DYdI" 

^ Recemed By amI D. R. BREWNGTON 

S.p 

LOO^ 

NOV 0 Io 

a.^ 

matrix 

s - Sm 

Wto - s.+fina.a 

ReliuguiAedBy, 

Itcloquhhcd ily DaaTme 

Rawtv0d ByData7lae 

RaDened By Detdf®e 

na 

TA. 

- smw T 

N. - cw.a.. WI 

w - W.b 

1• 

O - fN 

V 

A - Air X 

- )]r-a SAiA 

- 11na.I 1,ad 

- rva.a 

- wi.. 

— lindd 

- Ve stmt 

- fl.br 

RciNui.hrd By DMdlimt Retched By DaoTw 

FINAL.SAMPLE DePUad Nabad(ee. Reta.b aatvoocr.per bD pnroedwe.nW ip.xaa) Dnpowd 1bad7' 

DISPOSITION ® V 

^% 110806 

O OOOOOG!

PNNL 

GIIMOr 

' PNe. 

Rtw M In dad 

D. R. BREMGTON 

CHAIN Or CUSTODY/SAMPLE, ANALYSIS REQUEST 

0.C.d 

CoatawReauestcr deakeoe Ne. MSIN FAX 

Samuel Orld n PurcJklase Or4eri"arae Code 

Palen Ti tle 

N ^ 

l0 

Ia Chat No. C _F T ma. 

Shoved To (Lab) 1f ofShbweel BIRerl.adiad.Ur BB1Ne. 

PM" 

POSSIBLE SAMPLE I LAZABDSIRLMARKS 

•• Co w Radiwcim Mweralat aaxnndor. Ralw a a NplaW for oampwance pal9(TR bdw not 

Mkarbk per DOE ow" 54003 (19"1991) 


tbite Property Nw 

I07-006-257 

Page 1 of 1 

PECIAL INSMUCLIONS Held Time Total Activitv Exemption: Ya 0t7 No 

Al Late mW WSCF: Be" all M-L uaVks rule-rod under A,0.1,& and W 07 SAFs iaamSM not braced SDO 

clam nf le dry. 

WSff: Bdub as PNNL GW er pplef $4aftd iwo me SM dalycka 

Sampk im Lab ID • Dale Time Norrype Cun taim SmrWk Analysis Preservative 

BIKYN5(F) W Dfp 1x40-mL sGV COLOPZTK_FLD: Hmvalent Chradum(1) 

OeWfime l``^ Rsehsd By Pdd sign DeM'bc'5o Matrix• 

Fluoi11ford 

M R. BREWINGTON NOV 0 _) T ^^.^ V 0 8 20 l A . F j M -1>„ %W,! 

Pdb9:dndBY Dudfam RuenNBY Detdrim• 

RR - SMimee M. - ".mrldmt 

M -NAd T -rr 

V. - lento. wl - Wine 

W - W M 

1. - I"Ad 

Rdiepmaed By DetdNme RwuwdBy 139109 n () - ()R 

V — Veoem*w 

A - Ak R — Mee 

Rdiytdded BY Deb'rim RwchvdBy D%Wrkm 

FLNULSA.\LPl6 DnpoN Me6ad (e{.. Ram (^^ By petdfmn . fl 0 

11 v 

DISPOSITION ^+^%. /3^/LO 

M

PNNL 

CHAIN Or CUSTODY/SAMPLE ANALYSIS REQUEST 

—] 

Uedor oataWReooater deehoee No. MSIN FAX 

' t 

ies Often Porrhane Order/Charee C ode 

Puled Tide , l r ^/- 

/^ 11 

C.Qc. Y 

Ia Ched Ne Tonle. 

'hiooed To (lab) Method of 5hlcaael of 4dinst" Bill No. 

Probed 

POSSIBLLSAMPLKIIAZARDSIRIUMAM 

•` Comae Redicectin Matnitetm.annum. am tm oa teplated fa bmpatedou per 49 CFRb.t are mt 

pa DOEDda 5/00.5 (19901995) 

Pr ar lly. 45 Days 

filito ProoertT No. 

107-006-260 

Page 1 of j 

PF.CIAL INSTRUCTIONS Hold Time Totat Acdvitr Exemotim: Yes bd No 

Adl.abaaaptWSCF: Batch all PSTlLawarks dmkhAmdcr A.0.LAwdW07 SAW iaoom SD(i,.aaeweed Soli 

cluo.e of 14 drys, 

WSCR B"sit PNNLGW capita rimivad i9m oo• SDG, daily dewa 

Sahli No. lab ID • Dora Time NwType Container Saetple Ataiyais Ptesavadve 

BiKYN7(F) W 1a40tnL BGs' COLOR_TKFLD: Heravalent Chmittlum(1) 

I 

Bdfm s d e Pant Side 

Received By 

Sdn Dndtime Matrix • 

D. E. 

Rele9iidadby 

Rd*wiwd By 

Y 2.7 ZOb'^f` 

v 

Daedfine 

Wa'fime 

Received By 

Re ceived By 

Print 

NO 12008 

Datlna. 

mwlie 

s 

SR 

IT 

W 

n 

A 

- R•a 

- ReA;mm• 

- rdm 

- ttl.te. 

- W. 

- ra 

- Air 

17s 

M. 

T 

WI 

1. 

V 

R 

- rinm SNid 

- tT.uîd 

-Tsar 

- Wine 

- ISmld 

- Veaebtiia 

- CAN 

RdiNitbed By DmbTm By D.Writ"; 

FINAL SAAIPLL DepoW N mrn'V_rPq,rFS^t¢ mrnêl^ pl^'Id!°O^ mud 

—^ Dup.eed Br • . Dab?ar 

DISPOSITION 

f ^J T,J(J 

O 

O OOO(1) 

W

Prn L 

CoBecler 

D. R. BRENNGTON 


C D.C. B 

CeatnameaaeNa feleohoae No. WIN PAX 

AP Nw 

107 MCI 

samilam Orkda ate Orda/Chuee Code 

Proled Tide t fl.`c _ 

Ice Caeet No, O 

() 

Te nn. 

'eoed Yl To b) _Method 

fShineal m Bid of 4dla tlAir BIB No, 

Protocol 

POSSIBLE SAMPLE IIALAIiDS/REMARKS 

•• •• Co.uiu Radian fNerid at comem oliwa dates mt apboad Re anapwW per 49 CFR taus not 

mkamk pa DDB Oda 51005(14 I"3) 


fWto Property N& 

I Pace 

107-006-266 

1 of 1 

SPECIAL INSTRUCTIONS BWdiioe Total Ac tivity FxwtWion: Yes hd No 

AaL$e+uplwSCF: Brach WPNKLropb hued NVA.44S.&WW0l Safi Yp oae SD4aolnuoeed SDG 

closure of 14 day% . 

wSCF: Such J PW&Gw=Mks utminad hm oro SM dailycksm 

Sample No. Lob ID • Dale Time NorFype Cmmiw Sample Atmlytid Ptawedve 

B1KYNS(F) W I it IRMO 1x404nL aGe C.OLOFZTKYLD: Hemvalent Chm iva(1) 

Reti:geilhcdBy Sips D4a/r® By hnd 4ldfne M4bie• 

FkwH ofd T N 

Nov 0 R Inns NOV 0 8 2006 _ a , M 

Rebqukhed By DeW ne Reoshvd By DeWt= 

RR - Win M. 

Rn - %.0 

T - Ti.. 

St. - R60w wt - who 

W - w.tm 

1. - ILaid 

Relmpohedey Dowlioe Rarefied By DmdCms n -01 

V - Veamtia 

A - Air x - 01br 

Rtligobhcd By DwwUw Rtcehed By Dounials 

PLYAL SAMPLE DiV*W Md od(e.a, R M dd*d111 S— DepmedBy pa3Rae 

Vi4.•e ^^7.7 . ' 

DIsArL1ON 

v^ 

_ ,,. S,., 

- fn llad 

O OOOOOWr

PNNL 

CIIAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST 

Co iled 

O. N. BREWINGTDN 

Go4eURewester eleabose No. MIN FAX 

SAF No. sampunto Orida PorcAaee Order/Clerat Coodde 

Preiatlllk f___ Ice CLe#Nw^ Temp. 

SHaaed To RAW Met ofSWomeat DO of LadbWAtr BIB No, 

ProtoW 

POSSIBLE SAMPLE IL4ZARDS(REbIARKS 

•• w C =Wm Radioactive M.tm+latoo.mmdom Wt m notreeubW for n..tpaibdoe per 49 CFR bolus ud 

pa DOB Ordrr 5MJ(199M993) 

0.C. d 

107-006-272 

Pogo 1 of 1 

16ae Proaerty 

Pr(orkr. 45 Days 

No. 

SPECLALL DYSTRUCFIONS Hold 7ltse Tool Ac tivity Exctrptim: Yee No 

ABlabmaeptwSCF:Brmh.SPN'NLre.pi..uhmiardtuder A.41.&md WO71iARkdooac SDD,odtoeacwd SDD 

dwreof Md.ya 

WSCF: B.ab.BR.'YL Ow ewpk. eutn:aed iao me SDO.dulyeboae 

Sutple No, Lab ID • Date Tmte NnType Coomiacr SmWle Aaalyeis Preserva tive 

BIKYPI(F) W 11 L U404nk. aGs• COLOR-A PI.D: Hexava)BM CtsuriAll(1) 

` FteaNVa er Sipt D.tdrW ^ Meaix• 

Rdu=46md 

Sign 

D'Wr 

D. R.BREWWWON NOY 0 NOY 0 8 2006 I a _ %,,B „^ _ ,,.ems d 

ws M. - RdiagtiiedBY v Dddlime Rwdwd By Dublime 

nnulJ.at 

SO _ Rout T - T4.r , 

A. - Mal d wl _ win 

w - wow 

I. - TJMad 

Relk,%whod By D.Wrne Rwckvd By D.tdime 

D - fhi 

V - Ve.daftm 

A - Ai X - (lanl 

Rdiogahed BY DodliQ Reocind By Datr/fm. 

FINALSA.MPLE D4oWMWwd(c4. ) DbpmedBy DAWTwe 

DI.SPOSUION 

L/ 

0 G! 

to

t'^ vL 

Co ll ector 

F No. 

107 06 

flGOdflariNld 


CJMQ# 

ntact/Raamesta Teleolwas No. WN FAX 

moliae Orkin 

li,nfbrA Mf^ 

Pwvbase Order/Charee Code 

ProlectMt y^C D 2 achestNo. ^/ Temn. 

Mooed To (Lab) Mctbod o(Sbiooaet 9111 of Ledlae/AIr BIN No. 

Protocol 

CFRrrA 

POSSIBLE SAMPLE HAZARDSIREMARRB 

w w Camb ia, Rdimcdre Movil at msaMtiau that m m wgukcl hs nnVwudm per 49 CFR bad on m 

mk*ublc pa Dt9 Olda5"5 (199W199d) 

PrlorNy; 45 Days 

to Proatro No. 

107-006-276 

Pa ge 1 of 1 

PECIAL INSTRUCTIONS Hold Tboe Total Activitvlxe®t ion: Ycsbd No 

ANlabacace pt WSCF: BachaePhNLompiarvhmoed aadaA.G. 4.%udwll7 SATs knaae SDG.mneseccd SDG 

rime of 14 an 

WSCF: Bath ae PNNLGw smpin s&.iutd inane SDO, doily olda.c 

Su*c No. Lab ID • Time NciType Cat"m SwMlg Analysis Ptaavadve 

B1KYP3(F) W 1X404ttL DW COLOPZTKJLD: Hexavalenl Chmmkim(1) 

Reli qme Receiaed BY Pris Spa Da arc Matrix • 

WK 

NOY 0 '92' 006 T sr NOV p XNV 

Retl^gaietwdBY Daar![me ReoeiwdBY DaMPro 

RcWqmsbgdBy DdsTam Raeeived BY Daldli® 

RadagaWedBy D11NTYtte ttecelaed BY Deftm" 

x RR 

S(1 

. W 

- R./Y.ms 

- RNit 

DB 

rm. 

T 

_ nL %m 

- r7n.n l&" 

W Water 

G - Gil 

A - Air 

WI 

I. 

V 

X 

- Tia.a 

- Wbw 

- I km 

- vaceeom 

- Cow 

FLÀLSAMFLE DLpwalMeded(ae. Raaaa a cuscat,pa lob WmWw.atad 6 procee) BY Dssslim 

DISPOSlfi(AY *".ce_ ee 14r, -O 

/6 

(y1

PNNL 

CoBeetarD. R. BREMWON 


5 

F No. moYne Origin 

ll,nfd Sit, 

Protect R1lA e. 

W=- N- 50(0- 

QC. A 

CoatactiReams!" rekohox No. MSL^ FAX 

Pmbase (Wcr/Chuet Gde 

ke CheM No. Or ys ' Tema 

-w 

Mnned To(Labl N ofshlnBWol BIB of lwdlaWALr Bill No. 

P rotocol 

POSSIBLE SAMPLE 11AZARDSIREMARES 

•• CNWW Rtdiotedw Memit w mmmentimm Ueeol adukW for nempwtWw Per 49 CFR but m not 

eknabk pa DOE Order 5190.5(1990 11993) 

PttaRy: 45 Sys 

ffdte Preoerty Nw 

I07-006-282 

Pagel 1 of 1 

PLCIAL DiSTRUCrIONS Hold Tlu a Total Activity Exermn n: Yeshd No 

AN Labe argn WSt T-:Bauh&UPNNLUOpkaeuboi*dmd&A.QL&ed WO7 9AFs W omo SDB.00lbe.aed Wei 

elw of Ie days. 

WSCPr DwA ee PNNLOW umpks &*mind Im sae SDrA do0y rla.aa 

Sample No. lab ID • Date Tmm Nofryye Con tainer Sample Analysis Pr ese rvative 

B7KYP7(F) W 1O10 0Q Z 1XODdnL RGe COLOIZTK_FLD: Hexavalont Ctooadum(1) 

n 

s , r 

FIYOf tIMtOed 

D. R BAEWINGTON 

siw 

NOV 

DeWfkm^ j 

,/ 

ReorimdBy 

•M^"''a" 

Sips 

NOV 0 9 N06 

RekngtwbedBy Dowlkoe Reaiwd by lleevtme 

Reli T-bod By Derdlime Rmdmd By D.WCIm 

RdiogW"dBy D.mTok Reamed By Dui3Ilore 

Maui, 

R _ w 

IXe - nrw.e„w 

Cri _ RrAlnenl M. m. Dnm lM.l 

so - RJY T - TM.* 

St. _ %.%. Wl - Woe 

W _ Wares 

1. _ lied 

O - Die v _ vewawkw 

A _ Ak X _ now 

FLYALSAMPLE D40&AMe+bd( &Rm-wemmr y pakb Vomdm%uwdinFa ) Dipnd BY D 

DISPOSITION 5- J'. 6 r+t e" // /l /r/O 

0 

(] 

W

PNNL 

GUcctor 

Fluor Har-bld 


aC.0 

Coetaci/Rcaoeuer TelcishomeNe, MIN PAX 

SAF No. 

nnUoe Oriel Porch&" O1derfcbarae Coda 

107 W 

P ro tect Tlas _ Q - Z Iu Chest Ne.`m Tema. 

Wpocd To(LOb) Alet►edorShin.eRt BIBdf adlRdAtr BWNe. 

Protorol 

POSSIBLE SAMPIE rWARDSIREAtARKS 

w «^ np RM.IablMeontaueliom tlrtem act n: submd farheeapwWioo pa d9 LFR 6m em ocl 

kenbleperD06 0tdr 31003(1999v1993) 

Prior. ty: 45 Days 

Rdte Pronertr No, 

107-006-288 

Paae 1 of 1 

SPLCIAL INSTRIICPIONS I1u4lime ToW Au.1, Eaarmt., Yet No 

AO labeeugKWSCf: Beth aMNLreeP -nsuhmiacd udff A.M. & md W07SAPs broom SDO. anmeaoed SDO 

cbnre 004 4rrs. 

WSCP: Belch eRPVIa.OW emgin eobaded oIO oee SDO. dally tloewe. 

Sample No. Lab B) a Due Time Norfype Contatna Sa Wk Analysis Ptesavuive 

81KYPS( F) W 1x4DenL aGe COLC)R-TK FLD: haxarNe rk CXUaNun(1) 

Retlug.hlnd By Daftai m Rarhd By Sip Lbwrm M&tdx 

FMlorlbdtlyd NOV 71 2005 r35s c y 

Rdwq.,WBy 

_ 

Dndthne Received By 

DeMime Rmeiwd By 

- 

i 

Dv/Pem 

Dam'rme 

R 

RR 

Hl 

RI. 

W 

D 

A 

- W 

- Wi.W 

- RNid 

- Soon 

- Wow 

- chl 

— Ai 

Ixg 

M. 

T 

WI 

i. 

V 

x 

- Due y m 

- Deeeldrel 

— 'ri w 

- Who 

- Ihdt 

- Ve.matie 

- thew 

Rcaeg"pd By Deeelrm Rocieved By vmwrm 

FINALSAMPLE D*WIMt9W (&&.Remm neaommr. Pabb PexeduM WQis m ) Dbpmed BY DNHrim 

I 

DISPOSMON v .dV !— 2 G T. M ^"^ / -?O 

D 

O 

O 

W 

01

IINNL 


Bator ContacvReooeater Tdeobow Ne. AISLtl FAX 

SAF No. 

MUD" 

SAIRDL109 Orltle Parcheae Order/Cberte Code 

Pralect Tkle 

Z 

Ice Chest No 1-w / Tema. 

'Mooed To Mb) Method of Shiom at • 

of ladisa/AR BW Na 

Protocol 

POSSIBLE SAMPLE ILA ARDS(REMARKS 

•• •'C.moba Radioelbm MstrWrt 000xrruiom lWlart talrtgobd hr eampiataiiwpu49 (tRMaart eol 

per DDB Qdet 5400.5 (199a1 p95) 

prior ity 45 Days 

f sho PmautT Na 

C.O.C. 0 

I07-006-298 

Page 1 of I 

PECIAL LVSTRUCIVIONS hold Tine Tote) Activity Fxawtion: Ya bd No 

AtLbcxmp WSO': Baehag fWLwglauEmimdmdaA.0.lS.od WO7SAFt heo me SDO. oolbeweed gDO 

chum of 14 days 

WSLF. Bokb at PNNLOW awpka m6miod i b oae t.M dulyebaee. 

Sanpk No. Lab ID • Due Time Narm Contaimr SenVI: Aulyeb Ptexrvelive 

131KYRt(F) w ba p lx444nL aGs' COLOfI TK_FLD:HexavalerdChrorNun(1) 

It i*uAcd By 

RWugabad By 

W!71-Â 

NnV 1 

DaWtbt 

21106 

OWDn. 

Reeeivol By 

By 

, 

Sipe 

Nnv 9 t ? 

DMe/1'me 

$'$wWrb. 

a 

SRMSI. 

Itebayuhed By DaWfoe Receives BY Dawline 

RebagiidedBy Deldpie Waived By Dab/fae 

f7.\ALSAMPLE 

DISP C) Sr loN 

Dilpool Mahod lag. RennbembmeA pa bb pmrodue. aedmpioxu) 

Z 

S / (l ZI l5 L ê 

I 

Depaaed ey 

^Q 

WnA 

. x..a 

- FM. 

. Rnxd 

_ M.iw 

_ WY 

(hl 

_ 

Air 

Mabia• 

Datdfime 

m. 

Ili. 

T WI 

i. VX 

_ rl lk" 

_ i...lam: 

Tkoe 

- Wke 

- Ideid 

- VwebIsm 

- (firer 

a 

t 

n 

n 

n 

y 

u

NNL 


C. B 

I07-006-308 

Page I of 1 

Btctor Fkjor Hargicird COSILACUROCINeStff relophoneNo. MSIN FAX 

SAF No. SaxwUns Orkin Pamhat* Order/Charts Cod* 

Paled 1116 

Nf 11 ^C n/ ke C it ed No, C Tema 

C 

teed To (Lab) 

,. 

of SYlooael Fes^ ry `D 

BW of Lad6dA6 BIB No. 

Patoal 

rERrjA 

POSSIBLE SAMPLE IWARDS/REMARKS 

•e Cada:rAdiormneMetuil at maceuntiaa list m ea madated fi umtpawioapa t9(TR bd am a a 

reksobiepaDOEOidd.%4OQ5(l99WI993) 

Priority- IS Do" 

Of61te Prager" No. 

PECIAL INSTRUCTIONS field Time Toil Activity Eaarotim: yes No 

AAIabs taaptWSCF: BatheilPRhtrmobmbmioedadaA.G,LS. =d W ol SAye femora SDG,maoex=dSDG 

clorwe of II drys. 

WSCF: Bomb aT PNNLGW mwks mbuald'mm oao SDG, duly doroic 

Sample Na lab ID • Date Thee Norrypc Cm6ltkr Sample Analysis Preservative 

B1KM (F) w 1z4DatL ow COLOR TI(_,FID: blexavalertl Chromium (1) 

Relmi` 

A r 

^►^w OV 0 9 20 ial^Q•.r /^1; _ NOV 0 9 2006 A 

RehegmrYad By Deldlotr By Uta'fime 

Rdie lddrdBy RecerodBy Drfa'1® 

R•S•*etd•d BY ptdMr By DBWTkm 

FINALSA.MPLE 

DISPOSITION 

I Deposit MOW(tdt. Retwo mc ,pra m procedu re. mcdiptoeae) 

Q 

Drpoetd/9y 

or m el/' 

CR 

Aft 

W 

W 

n 

A 

_ A R 

- SeAlneat 

- 

- swift Wt 

- w.w 

- flit 

- A ir 

rmA 

T 

T 

1. 

1. 

v 

X 

— ,> ma aA 

- r1_mldnrd 

- Wi. 

- Wi.a 

- rt_dA 

- vewwi. 

- (Itla 

A

PNNI L 


C/ 

107-006-312 

"Wil rllard 

Page 1 of 1 

Collector atael/Reeawer feleohote Na MSLY FAX 

FNa Saaee11 (k41a PorTbaat OrdnHAarte Code 

Freled TM 

1^^ ^ !f / .Z 

to Cbal No. n Tema 

lCh"IfIRMAW1121-1 01 NovEmnrR 2(" 

Wooed To Mb) Method of sbiomeat (Û 

Bi ll of iwUa/Alr &R Na 

Protocol 

POSSIBLE SAMPLE t1A 7ARDSIRLMARKS 

« « Coaad Radkadae tdaltdd at emewMion dot are tottetdaad Re lnmpatrim po e9 CFR but are sot 

mimrb6 pet DDB Gear 5{00.5(1990(1997) 

Prlaity: 0(5 Lays 

U(fdte Proeerty No. 

SPECL41, LYSTRUCfIONS 1Wd Time Total Activity F xemdim: Yu h1l No 

AalaWeaorp1WSCF:Baeb aRFNNL"ki sdatimdmadrtA. 4LS.WW07SAfs iWone SDG.temmeaotedSDO 

cl a of le aya . 

WSCP: DakYa ll PNNL GIN mWks eebm ised aw owe SD G. da ily*soa 

Sample No. Lab R) • Dale Titre No/Type (:ontainer Sanplc Analys is Preservative 

B1KYR5 (F) W 1MG-ml. aGV COLOR TK_FLD: tlexavelenl Chromium (1) None 

I^ 

Red Dedlime W7 Raccinday ttyo Do wrino Mabia • 

NOV 7 1 700fi NOV 7 1 7w 135f R . Ri , - rwe wn 

RR - sat'ema r at. 

RetiagitiJedBy Dwdf® Remived Oy Dae7ima 

- A.malial 

90 - wia T — T.eoe 

' M. - SA.1ra wl - Wine 

W - w.v r. - TkM 

RdbgtattedayDaNraw, Raeied By Da rises, 

G - ( a 

Y - V- tka, 

A - Air x - Oda 

RdWgWsWdBy Datdlim Received By DOWNT" 

F7NAL SAMPLE Dkf*Wme" ('11. 1. his pmpd.e, ea:di pectem) Diepowd By Datdlima 

I N cC;030 r- / - 3D 

M 

0 

O 

OOOr

PNNL 


O.G A 

107-006-316 

he 1 a 1 

Called" coultsevRewmesw releab ow No. MIN FAX 

F No. 

M7 DOA 

prolecl Tilts 

luoed To aAb) 

%fohile Field 

Protww 

K L SrKLE 

sonmltat Odds Purchase Order/Chasse Code 

NN 

POSSIBLE SAMPLE HAZARDSIREMIALKS 

•• Cochin RadimnMMamial at ewxeao+tlons bl m as rtxeb%d fag owporoim pee e9 CFR but anent 

perDOBOda S4U$ (l9âtY19YI) 

- . /^ !Q In C►eANa. ^_ Teno. 

meth ofSbiomeat III of I^dIWAa eul Ne. 

Pdor@y: 45 Days 

R91e hvimly No. 

SPMAL INSTTtUMONS )laid Thu Total Activity Ex=olim: Yes No 

Astabasaapl WSCP. Barho2 PNNLuaplaobaiwdoo&tA,(LLS,oadW p7 9AFa h000mmG."w o-cmd SDO 

dm ea of 11 days 

WSCP: Bach a ll PNNL OW samples wbmiaed No oaa SDO.ddy cln 

Sample No. tab m • DBW Time NoIT)pe Canainu Sawle Andysia Pmervative 

B1KYR7(F) W 0 x40mL aGse COUXf _TILFW; HexavakM 0Momim(1) 

Rcliogiatsd BY Pri Da1Nro Rwdwd BY Sign NOV 0 A LY Matrix • 

aav J 

FMIakvtord 7 M. T x - Fka IK _ rb F. w 

xR - xe hi m. - lfnaljnw 

R.bwvebedar

' 


aueklBBr Comucl/Reitswer Teltosoae No, MIN FAX 

AF Ne. 

lolwfi 

Samollas Orkin Pambaaa Order/Cliarse Cede 

Prolect Title -a` 

Z 

In Chest No, •^ Temp. 

hoed To (Lab) Method otSMameat &BofL Anal lr BIBNe. 

Protocol 

POSSIBLE SAMPLE IIAP.ARDS(RESIAMKS 

•• "Coaai. Rat6ecdtc Mat erial a ooanotndow bat ue mot wpbwd 6r asmayaaRtimpa /9 CFR ba as ea 

cicwbk pa DDB Order 34003(19967991) 

PrltxRy: 45 Days 

u 

We Frooerty No. 

ce 

107-006-326 

Page j of 1 

PECIAL INSTRUCTIONS held Time Total Activity Fxenctim: Ya bd No 

MlabieweplW". Batebal PNNL-wplcssobaimdwod cf A. C%LS. and W07WA ktame SDGsettotwWSDG 

cla otlldays 

WSCF: Dac► as PfWLOw ampW aebaoiad Iota om BDG. deilY elos.e. 

Sartple No. Tab ID • Dau Tine No/l'ype Container Ssmpk Analysis Preservative 

B1KYT2 (F) W 7x4"%L aGr COLORJYI FLD: Nsxavalent puaNum (1) 

By 

FIBor wftd ^° NOV 2 7 20^5"`pe 

'"` ov 2 7 2006 th "''°ix • 

D. 

G 

A _ %A 

nR - lln hdN 

AB - 

ReliegL"W 

AMFina M. - I7nmaliad 

By DaWrhm Reached By ~ikm 

AD _ Anse T - Time 

X. _ RMtm WI - Wine 

W _ Wm. 

1. _ Iimid 

R•Iapi*x4sy DOWThm By btwT1m n - tsa 

V - Ve rkm 

A - A ir x - tab. 

Rsligeiabed By Datc?im Rocacd By DMdPme 

YINAI.SAMPLZ 

DISPOSITION 

v VV 

in 

Di^mtd By 

Dadtmr 

a 

a 

a 

p

PN:,N1. 

Ileefor R7: SICKIE 


0.Gd 

ContaeUReautater eleohoae No. A1SIN FAR 

No. es Oriwo orckwOrde r/QaraeCode 

Prolecl llde 11 ^r_^ Ite ChatNw0cDs Temp. 

hoed To flab) Method IiTf Shlumeet BW of LadladAlr &B No. 

Probeol 

POSSIBLE SAMPLE HAZARDSIRIMARKS 

« r Corai•a aadimcUce MMdal almutatrMiar btarc mt rtsahiN lm trtmgatarioa pad9 CFR ism ee tee 

Irarahle per DOB (kda 5400.5 (197M9ei) 


(falte Prooarav No. 

I07-006-334 

Page 1 of 1 

SPECIAL LNSTRUMONS Held lime Total Activity E .tiow Yes hd No 

ABLb4cxcgW5CF:BaldaBPNNL"invkmieduadaAhr.t&mdw07SAFa 6WWSD(X"kaeiceMSDG 

cimme of 14 day s. 

WSCP. Buchan PKNI.GW aaepin abaMW Mo nee SDG, dr ily ckm 

&ogle No. lib B) • Date I Time No/typeCntainv Sample Aaslysis Ptcacrvative 

S1KYT4(F) W 11 jO (. 1216► 1x4 0-mL aGs• COLOR_TK_FLD: Hexavalenl Chrm* n(1) None 

^^^ 

Res FIGDr t1M^ d 

'me 

O LYYY)*M 

aceivd By Pik sips Dad(hne Matrix• 

FLT.SIDIO.E 

Relin quished By 

RcW%wded By 

bal&Tkm 

DaWTiae 

Received By 

Rxehud By 

DabTie 

Dowlino 

R 

RB 

Rn 

N. 

W 

a 

A 

- RM 

- sa Lb a 

- Rn%d 

- sho. 

- Wna 

- 04 

r Air 

ne 

nl. 

T 

WI 

1. 

V 

x 

- r. .uid 

- nMaatLri 

- Twwo 

- WW 

- 1k.W 

- veamahe 

— Ohm 

Ruinquhhed lly Datell®e Racehed By D&WT= 

! SINAI. $AMPLB D pmel Medcd(&j. R0.'beano .Pa hb amdh ) By a► 

DLSPOSITION ./^ 

ra

PNN L 

PARfA1EN 


C.O.C.11 

ntacNReoueater ekoheae No. MSDV FAX 

SAF No. SawaRox Oriala Pvrchaee Order1C"rve Codt 

Proled Inge 

Iootd To Mb) ashlotmt 

Pro(ocol 

POSSIBLE SAMPLE IWARDSIREMARKS 

•• « Ca iw Rdiwck" Mmedet r excrieximr dWm act tepWkd ix hawpxtadw per 49 CF R but see ax 

wbaebleperDOBOnter Se9a5(199x199)) 

/J 

G / % y 

4 

Ice Cbtu No. 00 Temw 

Ma hpd w Big of LtdludAlr BW No. 

Pdork y, ys Bale Properly No. 

43 Da 

I07-006-348 

Page 1 of I 

PECIALLNSIRUCTIOM Held Tiwe ToW Activity Ex ti= Yu bd No 

ABL&semeptWSCF. Bet* &I PNNLpvv1a dmiwdwdaA4LS. wdW Of SAPa bdoow WActweaced SDD 

cio of Id den 

WSCP: Berth NF)AT.GWeevvbeabuaedintoo SDrAdvgycbaxa. 

Sample No. IAb B) • Date Time No?ype Contaiw Semp le Aaalyaia Preafive 

B1KYT8(F ) W /17N 1x4WRLaGa' COLOR_T1-FLD.Hexavalemt Chromium (1) 

R = 

FIBlRtrand 

0. F— PARCHEN ... 

edit 

NOV 2.7 1006D^ 

^`RexiedBy 

7 

i. 

NOV 2.7 00 ' 

209,1111/' R 

SR 

Mavix• 

_ ea 

txa 

v"t"1tlr ^. 

_ tln.n tw:t 

r • l kw 

Rdovdda:dBy Dab/fime Keceind By Daadi`me 

f() - KI T _ Ti.-. 

Rebpuhbed By Dalwrbm itocehvdBy DMOUN 

W 

0 

A 

fj dit 

- Weex 

_ CA 

- Air 

WI 

T. 

v 

X 

- Wine 

_ Ib da 

- v..WYm 

- (xhw 

RdivquiwBy De1e?me R eceived By Dadime 

n..XAL SAMPLE DepwJMmeipye►.I ebb wottdxt med' Depw•d By D"&Tov 

DLSPOSI7107 f'I^ l^lf'1IVCO

PNNL 

Uabr e 1 u^J ( I 


CoelacUReoutger ekobeae Nw MSV FAX 

4AFNw l' l• 

am"*Odgw Pllrchw Order/Clar[s Code 

PcoleMTwe 

IVf' 

\^^f_ 

/v 4' 

Ice Cheri No .\C Team. 

Wooed To (Lab) Metbnd fSbioment BIBef LaWWA1rilli l NNo. 

rO tocw 

POSSIBLE SAMPLE HAZARDS/REMARKS 

« « CDO ytl Radwedne LlMa7d el mrccaft6cas del are as wet"ad tic OemVarteaper/9 CFRb ul Ue m( 

micauble per DOS Ord er 54OU (199G/1993) 

PriorRy: 45 Days 

Offsitc Preoerty Na 

Rcliy"Wily PON Siatl Dete'flma By Peal sin Da1Jlhae MaBiae 

1 L d NOV 2 7 210 •Le R 

Recd "y r 1Jeldline 

SO 

- Ran 

= 

D.Q 

TI. 

- I).an WN 

'r :""'` 

Rouagwrbeaar 

_ ,O 1w.5 

S a. 

w 

n 

(• A 

- Sud" 

- w.rr 

- N 

- A 

wt - whr 

ir 

Ish"Wdreday 

Ag"%)f& 

Â 

/cl 

y 

4- 

D tvw YF 

// y 

BY oil 

if 

fl' - ^j 

8 r 

bH1 ^" CL o 

t. 

V 

X 

- taaiw 

- Ve lm 

- ndv 

BY 

NecehWBy, 

FIYALSAMM IE iXepaualldedndf..y,R 

a0°°) 

ulseosmon - DOSED IN Pan^FCC 

cd 

I07-006-2 

Page 1 of 1 

SrECIAL INSTRUCTIONS Bald Time Total Activity Gcmoliao: Yes No 

AN IAW ewep WSCF: BachW P1.NLwpbe wLuiued der A. O. I$ wA W 07 SAYS imam SDO. an WCxcwd SW 

cbro oft{deya 

WSa. IWA A PNNLOW amgW vubm ed hero Doer SDO, duly do>•e. 

Samp le No. Lab 11) • Date Time NuM pe Con tainer Supple Analysis Premelive 

B1KYT8(F) W WO trd. aGSe COLOR_TILFID. Me)walent Clrarnium(1) 

BIKYTB W 1, IMO-ad. aGse COUXi _ K_FLD: SWfats(1) 

dT^ tT2 8 0 

0 

0 

r 

ei

PNNL 


C. d 

107-006-3 

Page 1 of 1 

Collec to 

r •^ •/ 

t •1 

CostocUReaucaff 

not sf^,vvst 

Telephone No. MSIN FAX 

RAF No. mouse Oriole Parthase OrdCOCbarct Codo 

Prato Tkb • • 

Nr IV r 

_Con 

J^ 

W Ded To (Lab) Metbe of Shioewl m 

ProtOcol 

POSSIBLE SAMPLE I(AZARDSIMMARKS 

» » Coouiu Rrdiocdw Meepiel d mnomados W now not mplded be nawoNtioe Pero ast but em not 

p er DOH Oda 5100.5 (199 0/1997) 

PrkmrRy: !S Days 

I lee Chest No . 1C !1 Teaw. 

No. I 

Bill 

of LodieWAIr Bill 

Offske Property Na 

SPECIAL INSTRUCTIONS (told Thee Tool Activity Excu Lion: Yes h6 No 

Ail Lab except WSM Bath aO PWLeevphe u6sudml motor A.0.LS. and W 07 SAFI ib ape SDG, ed b acted SDG 

clsde of N days. 

WSCR Bb dc oil PhTi GW souphs wbuoed ro come SDG, da lly clout. 

Semple Na Lab • Dale Time Ndlype Contoiw Semple Analysis Plesc rvwdw 

B1KYV2(F) IN 

WO-ml. BGs' COLOkTK_FLD: Hwovalenl Chr mkAm(1) 

81KYV3 W txlD•mL eGs' COLOkTK FLD: Sulfate (1) 

Rclinquist" ^ ^ 

Priol Da vikee Received By Print Sip 4r'® T Matrix • 

Byy 

, ^f'^- 

• lti'U G 

^Ge^•^`'-- R _ Fa 

FIR . IIe,Wdd 

CF F.aadr nt. - rw.ridad 

Rdm*m rday I/ ^Draiw Rdet.ed By m,a 

V 

m R•dt•1 

T - Wine 

p. 

' - .6 1 b 3s 

. show 

1. - air 

- w - wwr 

1. - 1lmR 

Rdi viaidgd By n - m 

V - Ve•emir 

/EÌS-DebTke DYdrime 

^/_ /^ A _ Ak x - (xaa 

Sc - q-^ 

ReSaga4d By DabTbr RectivedBy OaMrim 

^JEDTO ( ^ 

FINALSAMPLE 

DLWOM ION 

D4PoÎMeOd(cgr Remo sell ie praru) 

Dhpaed By 

Deelt®e 

I USED IN PROCESS Id t's 

-^ 

0 0O00sti

PNNL 

II 

WA(1 


Er 

Wact/Reouester I'eleohoae Nw M IN FAX 

AF Nw sammollamorwa Pamdmw Order/Chans Cade 

M7406 

Frelsct Title 

ff^rhfd'Sit^ 

let Chest Ne Te 

loped To (lab) Method of Shlosaw BW ar LdliteAlr Did Nw 

Protecal 

Priorky: 45 Days 

to Pmmtr No. 

107-006-8 

Page 1 or 1 

POSSIBLE SAMPLE IUZARDSlREMARKS SPECLALL V611t11C7 ONS 11oldllue Total Ac tivity Eaemotim, Yes WJ No 

« •'Covaaha Radu"m Lfaadal a nrateooatkm dt sent adukW for tamilmison ps49 CYR ba m not ARLabaaq WS 

rdeasable pm DOB tAds 510 0.5(199M995) elw of le days. 

WSM Bath all PhWL OW anon mbmieed imb one SDO• daily ekw 

CF: BnAas FNNLmons&miudroderA,QLSmdWill SAFs tmoac SD0.aotbawoedSDO 

Sw%k Nm Lab ID • Dab Time wrmw Conmincr Semple ABalytia Pracrwtire 

SIKYV7(F) W F -0 / Jy 1 X4041aL OW COLOFZT)C_FLD: HeXavaleet Chromlum(1) 

BIKYVB W 1X404nL BGs' COLOP TV FLD: Su 1fals(1) 

n _ n .itA 

I7em7hu Rscn9d By ^î Sipi ^^ ^0.ayruoa ` 

MaViX• 

'-ate 

L NOV 1 4 2006 7.Me{w- . ^- 2flog R 

RehnpdeWd 

RR 

By/Soo DudIM tedBy S.J f 

/f00 DaMloe 

4.1n 

^. 1re+ /^ r OL O 7 // /Y DtS Al 

W 

RelbgdiBed By ma vvd ,z By Wrbe a 

( 

A 

Rn6gobhed By uWlime Akdwd By 0.auTlme 

FLYAL SAMPLE DiRaalMMod(aq. RSUaacWmar.pr hb piooedsS aad bpnoas B 

Lasposmon (^r a /-/^/'OC 

U IN P 

_ R a 

- Renimse 

Fm 

- W~ 

- wars 

- M 

- Ai 

,^ 

M. 

wl 

i. 

V 

X 

_ 11aaRN0 

- ll n 11.w 

. lkw 

- vr" 

- VeasaiWi 

- lXM 

0.M[Ytr ^J,^ f 

c J l/ l 

N 

Î 

n 

i

PNNL 

Recto 

rP OL110LL 


conuicUReoueeter depheoe No. MSIN FAX 

SAIF No. 'mall" Orbtie Porchm OrdwCbme Code 

Pre led 71de 

11 41F— N -'90(w 

C. r 

Ito Ched No. $A Temp. 

Shloved To Ilab) Method of Shipmrat BW of LadtaWAIr BW No. 

Prot" Pri"Ity. 43 Days 

POSSIBLE SAMPLE IIAZARD&REMARKS 

•' « C="WRa&mm htatend n macanadow Wt too ad tephtd ft nmporot6a pa49 CFR bs we apt 

mks," ps DOB Orda 50003 (19907997) 

Properly No. 

I07-006-14 

Page 1 of 1 

PECTAL INSMUCf1ONS Hold Time ToW Acti vity Excactim: Yo bd No 

Aalabaaspl WSU. BndaOPNNLsmoinaubuiuWmdaA.O.L&end W07SAPa iob a pe SDO, an neasd SDO 

elsue or 14 days 

WSCP. Bath all PNNT.OW om91n rubmtted iab om SDO, daily else. 

swr4k No. lab ID • Date Tune No(Typc Cmtoma Sonph: Analysis pteeetvarive 

BIKYW2(F) W ll 14 V 41 1x40-ML aGs' COLOR TKJLD. Kexavalent Ova ium(1) 

WKYW3 W -V 1x40mL sGs o COLO(ZTItFLD: Sulfate (1) 

Rdsldded By Print ' DndT^ 

By also Dawrkw y0 

Comm 14 2006 

NOV 14 2006 

x - .W 

J, er 

Re4ngahbulay 

90& 

^^ /y O^ 

Mice 

M 

M0^ 

By 

/ 

r/rr 

&aWTbw 

/ d^ 

Da Ti 

Ql 

A. 

W 

O 

A 

Fw 

_ Sbtlne 

- Watr 

_ ni 

Air 

ff R-d-d wldylos 

nz 

Motrix• 

rA 

_ ra.."w 

T Tkar 

WI - Wim 

1. _ Ik.W 

V _ VeatYe'vat 

x noh 

FINALSA.MPLB hlalnd (aR, Reaao neuêrr, perbb pnxydwe.Ved'a 1 p /ti/-O^ By am L J j^ 

/ 

DISPOSCTION a 

9 7 9J O 

Ufe- :4 /OCef9 

00 000

PNN L 

Collector 


aclaai 

kWONF DEK 

PAN /p'V1. ^ 1 (uu 

•C.+ Y 

Reorhed By Sip 

Nnv_ 

DMTM 

1 4 2006 

R 

FciKWdWd By /y/o DarTbre Koceived BY ~s3^ ea ^'' O 

= 

%^w 

Dat3rkm 

a e[ 

Ra''lw.*was,i dBBy^1'I'k hr^M 

NWD `. ^.. < .I " v 

C/L 

Rceeived By J' 

c rc cy 

el 

v 

I I J U 

a. _ , 

W - Wry 

n - em 

- AY 

6' 

Reblomw By - DaWTka RftdWdBy D Wtka 

Mabit• 

T kNo 

WI 

1. 

V X 

- Wks.+ 

- Idudd 

_ V^ a 

_ tab 

FINALSAIMPLE Akdod (c(.,Rrnob .^P uad t.v) D id' y 

/y 

DISPQSPI/ON Ih/Y ^J.1 i/ 

1 

Mr- 

107-006-20 

Page 1 a Z 

F ^ 1 

cVReaveYer Telembote Ne. MSW FAX 

Na ' rmBas Oriala Pambace Order7Cbaree Code 

Prolecttide 

u _ N- -'1 

to Cheat Ne. 

g/4 

binaed To (Lab) Metbod of S►iameal of LadlaelA Lr BW Na 

Protocol 

POSSIBLE SAMPLE IIA7ARDS !REbL4AM 

•• -'C6. 131s R6dlowdv6Maw" at mrtamnia6 Mt en not eeDietcd(r ka•vwterioa per 49 CFR W an tot 

1e1cawble per DOB War S400.5 


141te Pnur ty Na 

Tema 

SPECIAL LYSTRUCIIONS 11614 Time Total Activity ExcaBdm: Ys. bd No 

ARL&evwcpt WS(3:B6MAWPNNLMfk6wtmioedua8aA44$6d Wd7SAF iobor SW.201ancee4SW 

ele of 14 days. 

WSM Bmb61IPN 14L 6WmMkeubmmdkAo6 SDQddycJ^ 

sample Nu IAb ID • I Data Time Na7Type CmW. Sample Amalytie Ptaernun 

6 1KYW7(F) W11,11,41(, 104(_ 1a40-ml. sGe' COLOF2_TYLFLD: Haxavalent MADmiutn(1) 

B1KYW8 W .V U40-ml. aGe ODLOR TK-FLD: Sulfate (1) 

w 

n 

b

PNNL 


Collector F1uar Hanford Coahel/Reat "" Telephone Na MSLY FAX 

SAF No. Samoan Wain Parches Order/Cbam Code 

Project Titk — 

' wed To (Lab) Melhodo(Shlnneat 

Protocol 

POSSIBLE SAMPLE MAZARDS/RFAIARKS 

« « Cmriv WOWS" eawGrlllwt Fiat ANaal WVAW d r e.nporo 

tioepr 49 CFR but n eat 

nRarnepr DOEOtdr 54OU(199d19 3) 

6 to 


CAXC. 

IN Chat No. Tema 

Bill ofLealaa/Air Bill No, 

Offifte Propuq Ne, 

I07-006-28 

Page L of I 

SPECIAL MSTRUCIIOM Hold Time TOW Activi ty Exemptim: YYes NO 

Al Ubsexc"WSM B"sAPNNLmplerAm4rdr 4nA.44s.adwa7 SAFa imome SDG sNWv wrd SDO 

claaaeor 1 4days. 

wS(F: Bart as PB.lGw rapes andmd bao rr SD4 dab cimm 

Swr& b(o. Lab m • Data Time NO/lype Cmtamr Sample Analysis Pruavative 

BIKYKY (F) W 11- -O6 x,1 1x,40-mL aGs' COLOkTK_FLD. Hwwvalent CMOrtdum 11) 

61KYX3 W tx4 ar L aGe CW)P TK FLO:Sulate(1) 

• - -Ob 

Rel4gaiJed ily Min DoWlbul d'VA. By C?SPmt Sip D&Wtm Matrix, • 

FA1orHtlnfold _ /-Id`s*iw ^.046s— 

RePoq Dmdruma./ By Dao/rms 

//'•^ 

'F .^ 

D-oG `YYO i 

ReSogaltbad By 

r Dat3Itn B [^ /tf Daldrire 

r e/Yo 

r 1 L /O 

I rr 

//-70 .4n i` 

ll- Ze-6b, 

PaYwa:hadltr Dne/Ilm By ^• Da gaw 

FWAL SAMPLBldadnd Crle.c.Rcana r cwmv. pn rb prooeAae, med6pmaae) 

DLsposrnm a, 

DiRoeed Br 

J — 

O' 

R 

RR 

N 

w 

of 

A 

_ w -M 

Redinwa FIT. 

' 

^ vet 

- war 1. 

- (A v 

- Air x 

- n Rnikl 

- Ilvlid 

- Wbw. 

- Ilod 

- V"aft" 

- cabs 

DowF:ae 

l Z /^2< /32 .5— 

O 

O 

O 

O 

O 

vt

PNNL 


Ucdor 

F 

tacuReaaetter Teleakene N e. MIN FAX 

R Ne, Bon Orlela Pambm Order/Charge Code 

Protect TWe N-NF— N — 

Soto— l 

.G R 

lee Cbeal No. 9A Temo. 

' loped To(Lab1 Method ofSWoment of Ladtoe/Air BWNe. 

ntonl 

POSSIBLE SAMPLE IIAZARDSIRLI(ARKS 

" •' Cunha Radiwetin MmcW M mrccWa6or Mato ml avAW furh%ftvW&ae PO 49 CFR W m ad 

mkaubk per DOB 00"51005 (199W1997) 


to Pnaerty No. 

107-006-38 

Page I of 1. 

SPtCUL INSTRUCTIONS Hold Time ToW Activity Fsemotion: Yet bd No 

A2LW& WWSCP: BothaRPNNLmpinntm W0dwA.Q4S md Wa7SAA imuaeSD(4aumesaed SDO 

rbw• of 14 days . 

W". Beth eR PbNLOW uvpb rAc ied boeoa SDO, dray elosaee. 

Saville No. Lab ID • Date Time No(Type CmWner Semple Analyds P,etmvative 

BIKYYI (F) W 11INIC, ll4 100ml. *Go* COLOR_TK FLD: Hex3valentClronuum (1) 

BIKYY2 W J/ IX40-ML oGa' COLOR TK-FLD. Sulfate (1) 

Ra*06 

F. ht FALL 

RcGamehedBy 

7 [IIOD Noy-my/ y/D DaWrima 

Z^ 

By ,îX7.44 a 

1 4 

/'f'/o p 

R 

0 

itchow,abcd By 

bêWr^fi. Ala, Sign Dndlbne/ Mabit• 

L q/ 

. RdI 

qm 

I1C 

T • 

- flninfiNiA 

i ^ 

41" fir ///yam 04 . Odw Wt Wise 

/X o! w 

x— 

L1.115 1d. 1 l 0 6 

RelbquuAedey Det/rime tociveday, Da1e?ime 

PS1A1. sndIP1.E MMadle.g..Rgrnmuelmte,pnmpeocdtq '/^r^.p6 

DISPOS11 

u B^N bhD 

A 

A 

- W.W 

" ìr Air A 

t. 

X 

- 1J." 

. rk.e.^ 

fr hs 

O OOOOOInN

PNNI. 


0.0ector 

SAF Na 

FAxirHMbfd 

LILL WOM 

CoatecURcoutder 

samao0as Oeiala 

deobeao Ne. MSES 

Pumbue Order/Clarae Cede 

FAX 

protect TWO 

u F —^ — C 

^ to Cbed ' . I- 

2 

Tep. m 

Waved To (Lab) Mdbod of Sbloated BM efLadbWA]r BIII No. 

erebed 

POSSIBLE SAMPLE ILVARD.S/RE.MARKS 

'e ee c4nwewoa:aue mmiow d cceane.diaa dh at are as mSuWW fm kampr tloo pw496R btd m not 

ekam" per D06 Order d4od!(1990'IM) 

Pdodty: 45 Days 

to Property No. 

acs 

I07-00648 

gage I of 1 

'PECIAL LNSME1CnONS Held Time Total Activityumotioo: Ya No 

AO Lite cww WSUi Both A PNNL rupb»m a 

m 

ebaee of 14 days, 

wSC R BwAol FNAI.GW bookn eboiued ban oa SDQdadyds 

ited kr A. 0,L 4 a d w of SAFs bm are SDB.o b eaotedSDO 

Sample Na Lab m • Dale Tim Nar ype C-ttainw SanWb Analysis Preservative 

BIKYYB (F) W //../!/.b pp 1004ni. aGe COL.OPZTKJLD: Hexavalenl CtnxnOdn(1) None. 

BILODO W 1x4O-mL aGe' COLOR TK_FLD: S ulfate (1)' None 

EE 

Bdbgrehed Br Sw 

a e PARCHEN 

I -3z 

Dde'11uu 

1 V 2006 

Rdrloh dBy /jyy DddPae 

T. M4^rer //iy Pere( 

By 

y 

L, C 1 ' 

'50 6 

Rwdwd By Pdn 

J. rAq Lille 

5i 1511 

/fGG-- 

By ••S•/F.+faf /.^ 

13 Z 1 Dawr— 

/17G^^2 ^, i/ Z^6 

Rard"d By 

i^ 

f 

11 15 

RdoquWadey DddDme By Undrbo 

t 

L. 

4 

W 

0 A 

- r"l 

- .1wid r 

- %A. 

- w.r 

Da 

- Al 

DISPO AMPLE Dep-d MNnd (eg, ReomlbeatmK.siNm -y- Dw-ed By N-74. su 

DLSPOSfF10N c, 

Matrix 

rA 

T 

9y1 

t Xv 

- T a ad 

- rwaolbaal 

wine 

- L.tl 

- ne.el.da 

- new

PIN vL 


Collector Ruo; Coeae"seaaeder eleohoaeN o.bISIN VAX 

SAY Nw 'aw"as Orldn Parebase OrdedCham Code 

Proleer Title 

NNF—N —^'br y 

ce 

ce Cheer No. Temp. 

SbIbpedTo(I4b) Metbod o l' SWOroent BW o(4dladAlr BW Nw 

Proto co l 

POSSIBLE SAMPLE IIAZARDS71tEMARKS 

" "Cm Radiecdw MWU) u 000cemudme W err ed RgWwd Lt OnVodstioo Per 49 CFR bra cot 

ck per DW Order $4W!(/99011997) 

PdorRy: 45 Days 

Bette PnDwv No. 

107-00649 

Per 1 of 1 

SPECIAL LNSMUCTI0.Y3 Hold Thos ToW Activity Exe a9im Yes No 

All la►a mcF4 wSCF: Balch eg PNNLswyba sAmimAodvA . 0.LS. VA 07 SAFs boo one SW. mot o tweed SDG 

cloore of le deyt 

WSCY: Betob ag PW& Gw s rPW R&R W b.a oar SDG. da ilyckose. 

SDepk No, Lab IU a Dote Time Ndrn, c,,ww Sempk Analysis ftcw vative 

B1L003(F) W IA. p 1x404Y. t9Ge COLOZTILFLD: Hexavalenl Chromium (1) 

B11 0D4 W 1x40-mL aGs• COLOR_TKfLD. SuBats(1) 

f d 

4% 1311 Durrim Receiwd By ►riot s* 13-L I D&Wrm Metric a 

YRRN is 

D.EPAMMFJi NOV 1 4 2008 NOV 1 4 2008 R - srt 

roe - re.es w 

ReseyeiJed ey 3D-Wfbm Rooehed By ^.T, An FFm T •. _ 1." 

^y.Wt^ 

I +// /y âoL . ' t S3^ 

ej R /y 

A. - swee wl w:R 

.( w - wake t. _ 1k w 

RellegeebMBy m Reui.ed BY I 

A Air 

X - "bw 

N 

112006 

she 

ItchopiAcd By Deavlbm AmiadBy nowrime 

DPOSI1'IO.4x I 

Div"Medad(c4.R;; Oeerlme9pr I*pumdw% wed.pottac) Dipo lod By , 

` 0 0 T. 

6""F11 

11 

O 6

PNNL 

ft**bw ByPd Si (j2( Dale/Iua Raeixd By Print 

S p^ l3Z' wbT— 

F'kiW M0ofd 

I NOV 2006 .%. M^ . 

NOV 1 4 2000 R 

Rrliequirhed BY im Raa>lued BY - DAWr" 

RR 

RaimLiahed EV f gawra 

'red By 

. ( 

ReWqushWBf 

D ei 11 15 0 6 

DabTem 

T. n^ /r^ 

Received By 

r y . 

DaWlbm 

KNALSAMPLE 

DISPOSITION 


Beaim kiwAord cestattateoutmer Tetrobew fi . MSIN PAX 

Ne. 

aamDne Orida Parchau (Wer/CYaree Cede 

107 W 

Ice Cleat )- de L., sy •^ 

• 

Temp. 

loud To (iAb) Netbedd of Sbioenl m 

B of LadlxdAlr BW NNs. 

Prekctlltle f /NfF_^ S^ r d / 

Pntocal 

POSSIBLE SAMPLE I(AZARD,YRE.11ARKS 

« •• Cawia Rath dw MGWWa moccurim a dwae no rteuMed JIM oawmWim PW49 alt bm w mat 

eleaoble W DOE 0Wcr 34003 (1990'1997) 

D4*WMa" (e.4.Reon 10 embmea l(â Re 0yat1^^•'.âL+ 

Vs7GN P^\ rROCESS 

Pdaity: 45 Days 

Diepmed6 

3^ 

- 

,•^ 

to Preoerty No. 

n 

_ Rnl 

- Radbne 

- fwl 

_ Ai 

co 

I07-006-54 

Page I of I 

SPECIAL MFII(ICTlolvL4 Hold Time Total Ac tivity Exenmlion: Yea No 

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 

close 311 days 

WSW: Briaa ITalLOw eanydea aâokd Mo meSDO, du7Y tiwa 

Samp le No. Iab ID • One Timm NdIA,C Wner Sanvic Analysis Prar+vative 

B1LODS(F) W ^/.,/yc{,• /C;Lo 1x40mL aGe COLOR_TILFLD. HsxavWwi Chaldtan(1) 

BIL009 W ix404a eGe COLOP_TkFLD: S ulfate(1) 

Mawx• 

ni. 

nl. 

v 

x 

- n,,..T*w 

– n..mrhd 

- V..".0m 

_ nâe 

DauTim 1 F i 

7 

0 

U) 

Lf) 

I

PhN1. 

Becw RuofllaMad 


CestactiReeuester Tekohome Na MSIN FAX 

SO No. mllas Orkin archase OrderlChane Code 

I'mied'HBe 

w Cbest No. 

." I--.S6'L. 

To (Lob) Method of ShiDdInt WAI of LediadAlr BIB Nu. 

Protocol 

W N r- N- 506 

POSSIBLE SAMPLE I(AZARDS(REMARKS 

•• Cmisim Radiwcuw Wwrixla eowmm wa am in aol avbW lb, oaapwuuonya 49 CFR big Om in 

ckambb pa DOB Ordar54 00.5 (19907993) 

Plimity: 45 Days 

BYhe Praeerty Ne. 

G It 

Tsmo, 

107-006-60 

Page 1 of 1 

PECIAL INSTRUCTIONS Hold Time ToWAc tiviry Exemption: Ytsbd No 

ARlabsempt WSCF: BIO@APNNLamonahmiadwdwA,0.4&audWo7Ws Hooae SD ucewesoewsw 

eboxe of 14 daya 

WS(S: Baahae PNh10W u•pta subniWd iso oes S1XI, dsey clwtsa 

S"lc No. labN • Date Time NortypeCwtslw Ssmpk Analysis Ptesrxvattve 

BIL013(F) W IfRZ j lx4U& eGe' COLOR TILFMHexavawaChmmkxn(1) 

R" °`^ NO 200 

RaolvedBy P s `° 

NOV L L " 

F.M. HALL a r ,i R - r-a m - T> F'm 

RdwWAAcdBy Daldfha Roomed By DowTim 

Rckaimsbed By Dswrm Rowived By Dowlem 

Rdia9aebed By taWfhm Rcchvd By DaWTkW 

Mantx• 

RR - RaTnvwe .ni. - tlmîlsel 

M - 9nM T - Twm 

q . - ihd.a WI - Wie 

w - Wa1w 1. - (Laid 

n - (m V - Ve tiro 

A - AY X - (uhm, 

FINALSAMPLE 

Dupwd 

By 

DISPOSITION S TN ro +S //^ USED IN ^'ICES^ 

m 

2 -oL 

O 

O 

O OOOLq 

Qa

PNNL 


Collccbr fluor HM90rd Co.ueUNeuopter Telemboaolis. M JIN FAX 

SAP No. samollosurwa PorcL, OrdaiCAaree Code 

Prolect Title 

if Mi= -N -Sow 

lee Cher! N 

A"t-S'6-4ncdTe") 

• Malicdo(Shiomcat BBI of LadiudAIr BIII No. 

Protocol 

C1110 A 

POSSIBLY SAMPLE IIAZANUSIREMARIC4 

" " CoaWN R&&nctiwoMwW&t conewtim"mod mrhW to b.npnudaapr49CFRbom not 

rekamblepuDOEOidw$40D.5(199WI993) 


fwle Properis No. 

cr 

Temp. 

I07-006-66 

Page 1 Of 1 

SPMAL RISTRUMONS IM 'Flow Tow Activity Ecemolion: Yu Ml No 

ABlaboacepwSM BNdrPmLswpksubmiacdwAa A.G.4Ssd W07SAFs bD OOeSW.aolbeutd SDO 

clmue otle deya 

WSCF: BWA &A PNM. Gw moon oTbm9ted m co, SIR), d.By ebwm 

sentpk Na. Lab ID • Date Time Norrypc Cmww Suttpk Aoalytia Pterer dw 

B1LG18(F) W t1-TRH r 3 1r46rt1L BGe COLOFZ_TY FLD:Plereyaletd ClrWkn(1) 

/.Z2 —0 

Rckmt.WWW ,__, r RmMd By hot s Woo Matti;• 

NOV Y 2i 2001-j e„,I, F1ALL 

1 2000 a_ s a nc - r,"%,Ad 

RetuquW"By vswliw RmindBy DGWFi a 

RR - Rr6m.e M. _ Tk.nl)..l 

R(T PM . 

T _ rw 

RI. - Rld. WI _ wim 

W _ woe. 

1. _ 1kow 

Rely wswday DekoTime Remwd By DaM1r (i - "I 

V _ Verr.dnn 

A — A: X _ rub. 

U&RWS ed By Dswr” Rm.iud ay D.ldritoe . 

FINALSAMPLE DHalW(e.P,RetroaeatanGpv hbpmaiu mdirpo ) DOWFhoe 

UIsPOsm"' — 

O 

O 

O 

V) 

v

VNNL 


coumor ' eucl/Reauester ekoboee No. MSN FAX 

FNe. 

amliae OriaL 

1014" 

INMr..1 

Preled ntk N Ir— s O 

Pumlix eOrderKlar[e Code 

CAM 

ke eat No. S ,L Tema 

'Ylooed To Mb) Mm"d of Shipment BIB of LodlWAdr BIB Ne. 

Pretooel 

POSSIBLE SAMPLE IIAURDSMEMARKS 

-• W t:ootirAadinab

PL%;NL 

Reaaua:madBy Pd4 Iyyp Davallm 

Dy 

Pont Sip V yo Dndri® 

NOV 2 `M , . 

NOV 2 2006 R _ 4.T 

, 

RR - SMnme M. 

^jR 

Received By Dgdrine 

Ito 

[ 

y 

- QnaA 

T 

(^ [ O O 11 1 n 

af. t3q.a wl 

6 e w - carer 

T. - ILsiA 

RelugashsdBy Dab/rime Received By DalsTlme n - CAI v - veaebtb. 

A - A6 K - Odw 

Rahmium"By DrNfim BY Dawn" 

FWAL SAMPLE 

Dlse(>srtK,n 

DiynalakMd(e(., Rear beur rb rl 


CoUntor AaF0 ComudlReauntcr Teleahose Ne. MIN FAR 

' FNo. Sammons tkldo ftrebwo Order&-harme Code 

Poled 11114 ke Cbdt Na. Temo. 

SUM" T4 (lAb) NeWod a(SYlamKat 812 o(LadlaJAlr &0 Na. 

Fm col 

o mum A 

P(ASSISLE SAMPLL RAIARDS&RE.NARKS 

'• « lbwit RWNWtiae MANtal d waamalvm WlM sal MSWUd R4 maeapwudna per 49 CHL but N M 

paD06 0rdrr5400.5 (199W1995) 

ml+ llaprck 

N^7 D'' t ry v f41'( oo EE 


BY 

Offaitt PraoedT No. 

Matrix. 

_ rf an call 

- Taemilaul 

- Tim. 

- Wk. 

^T ,.^-- 04 11 

C# 

107-006-114 

Page I. or 1 

'PECIAL INSTRUC(IONS Hold Thos Taal Activity Excumtiaa: Yubd No 

A21absno:ptwSCF.B"a$PNNLnnghowhoimdmkrA.4L$adwo7SAFs 64o om SDQ mlb amend 5D0 

duame orl4 drys. 

wSCT: Batch all PlWLGW saapks rAmlad bb aoe SDO, da ily doeme. 

Sample Nm Lob ID • Dam Time Na Type Cwtah r Sbrylle Analysis Pteawau e 

B1L050(F) W •7d (^ lx4GgnL acs- COLOR TILFLD. Henvalant CWwJum(1) 

1 

1 

1 

I 

J 

mon

PNNL 

lualiftdft 

Prim 

NOY 2 0 2006 i^/Îrê^ 

NOY 2 0100 a 

RdigaiiwdBy DBI07M By Dat/Iior SS 

nn 

A. 

ltt*dahrdBy Dalw7lac Retched By DaWfhoe 

W 

D 

A 

Reiapdr6rd By Daadlme RMiwdBy DuNlhe 

FLNALSAMPLE 

DISPOSITION 

Dapaad bit" (e.l. Retmb 


Bttbr 0.R ContatuRecranteir Telephemor4o, ALSM FAX 

SAF No, 

107 M 

Preled7xle 

Samliall Orida ParcWte Urdu/CAaree Code 

,e .^N^^ 3 In ChcA No. Tem, 

H 

Wooed To Ilab) Aleehed a(Shbaw" BW of IadladAlr RIB No. 

Prelecol 

rFRrIA 

POSSIBLE SAMPLE ILUARDS ENIARKS 

•• w Ouin m Radicac ti.e MMWW ea ooarcmniam tot" m MV90N ietrwp"6Wpere9CFRWamaal 

rticasable per DDB Order 54OU(I"WI993) 

9999 1041porsdahom 


he Pnonty No, 

O.C. 

_ s W 

- Redman 

_ RaIB 

. Rlwtae 

_ W~ 

UR 

_ Aar 

Dbpwed By 

." f ! L't' 

I07-006-115 

Page L or 1 

'PECIAL All 

]INSTRUONS CTI IIold Time ToW Activity Psemotion: YYes No 

LWexw;eWS(F:Bakb&UPNNLemWWrAaimdwdaA.U.LS.udW%SAh boo mSW.mdlocmnd WG 

clmwe of 14 days. 

wSCF: DwhaSPNNLGWwapkaabrdwdheoona SDO.daOyclmm 

SwWkNo. Lab a Date Time NotType Coouioor SempkAailyeia Prrsavalive 

81LD51(F) 0 1 1x46enL BGe COLOI.TK FLD: Hauvaknt Chromium (1) 

Matrix 

T 

T 

1. 

1. 

V 

X 

_ lr w F' N 

_ lrl a wi 

_ ylae_ 

_ li" Wkw 

_ Idodd 

Veaewr4w 

_ (shat 

Meal. ®(. 

l 

T 

Ì

NriL 

j7( 


CAReUA CoaUcUReostaler eleolbne No. 11ISLY FAX 

SAFNC 

Prolcct llne 

161. 

Sanollne Or)sin Parcbase Order)CYerae Gde 

^r - 

Rdi quhkdBy Prig Dab7bm ReceiedBr Prime sip Mabia• 

/yY0 Di0ay.. 

OV 10 200 .plc R - -W , - 7fe. GJd 

An -Samar DI. - Teêleew 

Rdagt"WBy a Dndibne Rneivd By we 

M. - 

T - Ti 

A. - SWIM - Were m 

- W~ I. 

W WMw 

1. - lir:d 

Itcholmlcdey Dawrme Radved By Doa/Um n - M 

V - vaaatim 

A - Air X - (Rbr 

Rdinq"W By DrNrhn p4mveday Dowrme 

DISPO AMPLE Dopna161and (e.p, Rerunb BY 

DISPOSI"rro.Y `n-IS' Y07 ESS : ;/ ^ ^ 

O.G 

- In Cbeal No. Temp. 

Mooed To (Lab) Method orShlpmrM Bi ll of LAMBE/Ai r Bill No. 

Protocol 

POSSIBLE SAMPLE IIAZARl1&REMARKS 

« «CoAM Ryb oactivC MN.Wst ooaoacaMs WWE pro ap:Wed Im beuprpeom Fa e9 CFR bd w a at 

ler DGB0Ww54005(19M"3) 

FMOtky. 45 Days 

i6Re Property No. 

I07-006-118 

Page 1 ^ 1 

SPECIAL 1INSTRUC171ONS Hold Time ToW Activi ty Lumoticca Y=b6 No 

All LmW+aplWSCIh BabbdPhT*Lnoimn6ai0dadnA.G.LS,ad WO7SAFe tm a pa SOq anbreed SDG 

cbrp+erlcdays 

WSCP: Babb W r4NLGW ocOn vAabbd Wa om 0G, duly eim m 

SBWle Nm Lab ID • Date Toro Nmgwc Cmtaiw SAWIC Anablis Preservative 

BIL053(F) W .]d-(,. IX40-ML RGa• C.OLOfZ-TK FLD: hmvalenl Chrom ium(1) None . 

p 

:Yii'(GO U 

0 

J

PNNL 

Rector JV. r 


SAF Ne. 1 

'aowlles Oriala Porc6ue Order)CYarse Code 

o.G r 

atarLNeavaca dcvboieNe. MIN PAX 

Protect Tials r — I Ico Chad No. c e ...f X11 Tema 

Protocol 

oed To (Lab) SleWed (SSiomeal Bill aTLd4sd•A17rcWB^No. 

C 

POSSIBLE SMIPLE IUZARDS(REMARK4 

« « Cmaraw Radiative M&WW at mromvitim Wt am a RVAMW 4 trayautiopa49 CFA be art a 

rcicsskl@perl)0E0pJ=S4GU(l9901l993) 

Pdarky: 45 Den 

Otlillo Proowty No. 

107-006-122 

Palle 1 Of 1 

PECIAL INSTRUCT IONS Iloid Time Total Attiviry Eseonlim: Yes 1VJ No 

ABtaMaoepl WSCR Bukha PNM.araplmaboiwdwtkrA,QLS.WW07SAFt inocer SlAnotbeaaeedSDO 

clause of 14 dam 

Wscp. Bwri M ph"AOW auapW sAniaed kro Ww SM &ilycwwaa. 

Sample No. Lab ID • Wle Time WTfWConta4w Sarr kArWysis 1'resernun 

B1L055 (F) IN it is"it-BGs' C0L0e TK_FLD: NetmvsWA Clsomkian(1) 

BiLOMS W is404nL SGS' COLOP.T1C FLD: Srdfate (1) 

ReWwiswByPrior Si® 

mt , 

Of V-j 11 

Rebepaidrrd By ,>r as 

c - l65 

m ly Plot Siva lL 1- 

By , 

N 

_ 

I 

m 

6 

R 

SB 

M9 

r4. 

By DamTmr A 

R By 

V: dr MO C17 

Dolftrr s 

a^;^ 

//—lyll ^"/s 

Relo7aiYrd y Dowrima By Dawrlee 

FLVAL SAMPLE tNyorl McW9d (e.s., Rgsaberr^yêr,Try}pRC By Dek7fm 

DISPOSITION y1C l *^ 

r 

V r1(4 

_eel 

USPOINRROC 

_ Sen 

_ Rlmn 

_ Wd41 

_ W.W 

M 

Matrix 

nc 

FR. 

T 1. 

Y 

. m nrm 

_ raU l.hd 

T%a 

_ w^ 

f ww dm 

T 

V

NN L 

CHAIN OF CUSTODY/SANIPLE ANALYSIS REQUEST 

CoBecl1Hastl0p0 atact/Reaaema TeleDbose No. MSIN FAX 

F Na mo11u OriW Parehas Order/Ckame Code 

Prolect Title F 

in chest Nw Teno. 

Wooed To (Lab) Method of Shicaee it 

11^1 V60, 

Pnt" 

POSSIBLE SAMPLE RAZARDSTMMARKS 

•' " Coemam Radiosdre Mamal at conmdmtva"I en aol eplamd Tor aampmotio. per 49 CFRhal m eat 

aka "pv DOB OAQ $10" 09907991) 

- O i• Z^ 

4 

thiork)•. 4 5 Days 

BW of Ladla m/Air BIB No. 

(fake rmacrly No. 

O.C.1 

107-006-136 

rage 1 of 1 

StECUL INS7RT:CTIONS Hold TIo1e Total Activity Fzenrodoo : Yabd No 

AD LOA eeap WSCF: Be" e ll PNNLswpb wbmhcd mderA. O.LS. and W 07 SAFs Roos SDO. eotbemced SDO 

ctwae of Ie daya 

WSM Becht PNNLOwonpkssubdi dNoos SDO,denyclo 

Sample No. Lab ID • Date Tare Nc Typc Container Sample Amlysis Ptesmtive 

BILOBS(F) W Q 1F4Oml aGa' COLOfZTI(_FLD: Hevawalenl Ctowiurn(1) 

811.088 W 1x40-m1. aGd COLOR TK—FLD: Sulfate (1) 

R. ^NOV 1 4 2006'`"rm ê 

ode 

V 1 4 2006 aWI M 

yy J 

r ' `•^ T/^/ 

I.r R 

/ 

CR 

Fey 

Relky dsdey /Y3s— DaWCme RccervedBY eS rlF• y7r Dae.Tae 

/ t of 17- c / d6 a' w 

RtS. "ed By i® 

Raoci.ed By w n 

Re"widcd By DaWTime RIM By 

DaWTime 

_ Ann 

- Facnwe 

CNmt 

- FmdPe 

- Wmer 

- 0a 

RC 

M. 

T 

we 

1. 

V 

- r r CNN 

- IN llnnl 

Time 

- wa. 

- il.dd 

- veeemrmn 

FINAL SAMPLE DiTOerl Naafi (ag,Rwo payp piomdus. aed i. 

Depozd By lac 

O1°'7A 

DISPOSITION C6 roAws /^ccast r //-/,y 

l - S :; 06

P'\NL 

CIIAIN OF CUSTODY/SAMPLE ANALYSIS REQUEST 

O.G / 

I07-006-142 

PW i Of i 

Collmor nta"amester Talmhou No. IN$IN FAX 

P Na. SamoBstOrleelm Parka Order/Chme Code 

rleetTWe 

« Chest Na Tema 

l(InTIRAIAM(IM-1 Q1 NO F 

FMAFR 1006 

ooed To (14b) M ethod of Shlomeat BIB of Iad[WAlr BIB No. 

Prtocol 

CTRCIA 

POSSIBLE SAMPLE IWARDSMEMARK.S 

• « @pals Radm d" makda a comeMUUs dot art ml wVWed br mevpmWime p er e9 CFR tW art am 

nlembk puDOfiQder Se00S (1990799)) 

Pdarlty: 45 Days 

Proem No. 

SPECIAL INMUMONS Held Ttmo Told Aativity Exareoti m Yea No 

Antahaexrept WSCP: Bakha ll PNNLampks mbmkkd WAWA. G. ad W 07 SAFI Wom SDO , mtmeacead SDO 

WSCP: Bath a0 PPMLOW urVks ubmimd Iwo oac SDO, daily cloaca 

SMVIe Nm Lab0 • D.W. Tlme NoTm ConWm Sample Analysis Preeavative 

B1L0f0(F) W11H -0' WO-ml. BGV COLOR_TK_FLD: Hexavalent peomiurn(1) 

BIL.071 W 1x40ad. aGe COLORJIK_FLD: Sulfate (1) 

fi 

j= 

^ ►+ 

RetiagrandBY 

^. 

Repayop .dey 

41D01 ahhedBy 

FrItIlt 

NOV0, 

4 2006,x,..-— NOV 

j$pD DaeN RoahsdBy ay p, r^ 5 (80° 

//HJ D! L^^ 

/ /K 

By , 

A 

la 

- D.Ntaae ReeeivedBy wkrfkro 

R 

,W) 

St. 

W 

A 

_ Fe 

Ac - rkym 

t =ti.d 

- ^ T' 

- vlke WI - Wim 

- Wa t. - ILmO 

- All 

V Chh r In 

- Air 

(kb 

tteaM dBy Net Sips Uaa/fhs meld, • 

FLNALSAMPLE . Madnd (a{, tteo..b eslomor, khpmraWe.axdklaooes, 

D.w1m 

DISPOSII7UN s f loce:ss /^/Y-Ot5 US CV PROCESS r. 

T 

P

PNNL 


Collector RPM wact/Reaaester TeltabomeNs. MSLY FAX 

SAF No. SaneWas Ori¢ia Partisan Order/Charee Code 

Pniect TWe 

j 

Gs 

In chase No. Tea+a. 

'hlooed To (lab) Method of sWomeat BBI of LadlWAlr OW No. 

Protocol 

POSSIBLE SAMPLE HAZA I)S/NEMAHKS 

« « Caoa®a Radiuc ti M&kWstaooen imtatmvawpWdfurmmparhlimpw49CFRbdmm 

,clumble per DOE Qda5400J (199001993) 


Property No. 

107-006-148 

Page 1 of 1 

PECAAL INSTRUCTIONS Held Time Trial Activity Emmotim Yes bd No 

At Labe except WKP.Batchah PNNL asaplm wbaimd mtderA. 0.4 A and W 07 SAFs lob oar 270, m nneeed sm 

cla avof 14 days 

Wam. BOA aY Ptall.OW wryln shout in oee Sm drily circa , 

Sample?4m Lab 1U • Doe That Nofiypc Cmnincr SwMIc An alysis Prgavoive 

BIL075 (F) W -Z2!ld6 10H 1x4o mL sGs e COLOR TILFLD. HexevaW CManhm (1) None 

BlL076 W 1x40ffL aGe COLORTkFLD: Sulfate (1) 

ft 

By NOV 2 a 2imexhed 

By !C 

Tp 

G/-- 

^^.a DaMmc 

c - sas 

Maoix• 

R d aoldedBy 

A/(S DBrcl 

to - Redimae 

- a,cl r - 

ne 

r 

I i 

a By 

lb < 

_ 

Ramt By 

/r! 

keeiedBy ( 

7 / 

/^ 

ft t 

a 

yV ^ 

z 

2_ 

7 

V. - 

W FWe 

w - w.w 

A- A i, 

wk.a 

wi wW 

1. - l^.e 

x - On 

^fl 6 r ^. 

Relh pwkdBy Atrrmte Reateoa BY DM&Mm 

FINAL 

D POSInOY 

tK - T m wr 

171. - tmml5md 

(con Rtaaamtwosspmrbpaaadua,ad'aP' •) 

G r, By USED IN PROCESS B""`jjf 7 r . 

^^'ZZ- ^'^N"e'e' 

^ / 

04001;^ /ice 

i 

n 

n 

n 

n 

r 

e

PNNL 

Collector pQ FOX 

CHAIN OF CUSTODYISA1 WLE ANALYSIS REQUEST 

MCI d 

atactAtemeder ekpbooc Nw MSLN FAX 

SAF Nw sampuslodws rdma Order/CRarte Cede 

Proled 11do mX N^^` 3 Im CBeat No. Tema 

loped Te (Lab) Netbod d SYlpawel 810 of Ladoe/Ak BSI Nw 

Protocol 

CTROA 


•a ^CoMin Radiwaive Maid M m aeemaliam Mal Reel a:aokkd for aaalpeMdcapa49 CFRW m wI 

9a D080dM51005(19907993) 

107-006-154 

Faso 1 of 1 

Ite Preerrty No. 

pdorky. 45 Days 

SPECIAL LNSTRUCTIO.NS told Time Told A ctivityEaamlim: yabd No 

A9Ub59xap4 WSCF. BrkhaaPNNL unrWwbmwdmda A, G. LS. and W07 SAFI fmoom SDG . potbca:ad W)0 

slm o( 14day, 

WSQ: BwA W PNNLGW =Wka wbaod lo go pea WG, da0yekame. 

sunk No. Lab a) • Date Time Noffype Contains Sm to Malysis Plaeervadve 

81LOB0(F) W 7,Pd C 4VA$? Ix40mL aGe COLO(ZTI(_,FLD: Nexavalenl Ctlralnium(1) 

BILD81 W Ix40ae i. aGe• COLOR_TK FLD: SWfale(1) 

Rel®I:dedBy 

///O DaWliae Rmciwd By 

prw sip 1//o IAtr— 

RRfmc I 

NOV 2 2 2006 .Je r i 

NOV 2 2 2006 

RefageidedBy 

!/(S'- weerrima 

RdayM>beaoy 

yi. ZZ-a( 

arse q 

!d 

By 

Vii, 

RerMed 

iiig-aeTl^° 

DLwrm 

d t //-zz'o6 

Rdaq.%W]3y DMartim By DurrMe .. 

FINALS I MON C re 

d(es 

Matrix • 

7 

R .Rap 

^ - %-J 

a. - Wdw 

W - wew 

rt - Da 

rlV _ t-a.cda 

T _ Wm 

wl - wi 

im 

v - ve.m1L- 

7 

IT 

a 

b ^^P ^^ w ZZ-e6 ^°"`d y USED IN PROCESSò"^ n i t,? n

PNNL 

CHAIN OF CUSTODY/SAMPLE ANALYSIS REQUE, ST 

Bettor Cealacl/Reaneakr Telookose No. MSLY FAX 

Ne. samoling Orwis Porehase Orda/Charao Cede 

Frolat Tlde ke CUM No. Tcme. 

hloeed To (Lab1 HcMW of SHamnl Bill of I adlae/Air BW No. 

Protocol 

POSSIBLE SAMPLE IIAZARDSIREMARKS 

" •e CoeWu RadioactMUsicid a cotecaoucasonam ad mv*Wfat amwKiotiaaprr4o CTR bo m a•t 

tau" pa DOE OWN 3400S(1996799 3) 

O.G d 

I07-006-160 

Page 1 of 1 

Moray: IS Da 

ys (fdde rroeerte Ne. 

SPECUL INSTRUCTIONSH eld 11me Total Activit y Ezcmodoo: Yq No 

All late emept WSCR DNCb all PblNLamgb mboioed udr;A. 44 S. ad W 87 SAM imorsmmilowed SDO 

cla of 14 days 

WSCA: Dia h a Peaa. OW .arks nbmiud Ion oro SM doily 40v= 

SanVle No. WID • Date Time Noaypa Contain Semple Analysis Presavadve 

81 1.086 (F) W . 2 1x4Qml. aGe COLOR TILFLD: Hexavalenl Ouadiun (1) 

BIL.086 W 1x40-mL aGs' COLOf l1-TK_FLD: Sulfate (1) Nate 

aKiUlty 

P^ 

NOV 2 2006 

ay eda 

NOV 2 UOBie c 

Rcliogidodey 

Robayiehday 

r luc*w1ahedaP I 

.l/!}—Drd111 

^^ fi 

mu .Z 

C) ^ 

DaWfimr 

hod BY 

+.. 

; 

WooiwdBy /^ - 

Dndiia. /y^ 

wn 0 

qtolllor 

so 

. 

A 

1 

FDIS ";'^«^ 

ruedd(.a, Rea.. toreoaoeq pgi^ 

p^ ^z —off .iê^.r ay 

1 J a• 

_ 

^ 

- Gene. 

W." 

A ir 

TA 

T • 

14 

% 

_ t,a $Wid 

: tMw( 

- w:. 

(VLM 

SED IN PROCESS `,f^ ^.^ 2 g ^^ 7

)aN\I' 

CoUedor 

H. L 


atacUBeoonter relcultone No. ALSIN FAX 

SAP No. ' mpUag Orkin Purchase Order/Charge Code 

107 )06 

Prefect Tit le _ Ar ,., ef'G/` Z Ice ChntNe.Temw 

ShWotd To (Lab) Method dskIDmeol 3 v of l.WLdA1r BW No. 

Protocol 


ffsae Pnmly No. 

C. 

I07-006-186 

Page 1 of 1 

POSSIBLE SAMPLE IIAZARBS/REMARKS SPEaAL INSFRUICTIONS Bold Time Total AeUvity Exemotion: Yes Sd No 

« «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 

ekambk pee DOROtdeS9DOl (199W1993) clmme ai le days 

WSCF. Bach al PNNLOW maple u k"ned bet raw SD%daily ekauw. 

SUMICNo. Lab ID LOCI Time Nu/fype Cmtsim Simple Analysis Pleaervadre 

BIL09i)(F) W r lx40+nL aGe COLOR TkFLD: Nexavalent 0vorrJum(1) 

Rd K-1tedBy Dalpdfime Reeiwdey Ptiml Sigm tlatdtime Matrix 

NO O O zoos- 

B^, 

ReimQnahed 

rLT $w')" 

• 

DaMm 

:3. L^1 ^P^r 

Received By 

101_A A .Br1C 

fîid/BBfd 

A - Se7 

m - Said 

M. Stake 

IlC 

T 

WI 

- rinminW 

Toe 

Whet 

RdaTlwwday Daldrime Received By Dndrhm 

W 

n 

A 

wetee 

. M 

. Ai 

1. 

v 

X 

Ihwl 

vearbdm 

- (hher 

ReliNdAedBy D*Wrm Rveoeiwd Br DaWIm 

DMSPO Amp 

Dapodmahw(e.g,. 

L/"'dl PROCals) ^' 

Diweol By 

"Nall 08 

O 

0 

D, 

00

PNNL 

Coll 

SIpdE 


CoelacURtoew er TelmhozeNo, MSIN FAR 

No. Samuel Orleid Pambase OrdeWLharae Code 

Prolect We 

_ ^} N F ^- N -sac., 

O.C. 

ke Chest NO. OOS Tem. 

'hioped To (Labl Method of Shiomtot BIB of LaWWAIr &1(Ne. 

PFOtoeol 

rPRCIA 

POSSIBLE SAMPLE IIAZARDSaULARKS 

w w CotaaW Redk tit M ftrW N comawken ial K oat kpd.md for va Wp iioepn 49 tfR hl= not 

kis" per DOB Geder S40U (19M99I) 

Priority- 45 Days 

Prooedy No. 

107-006-376 

Page 1 of 1 

SPECIAL L\STRI:CTIONS flow Tice Total Activity Remotion: Yn b6 No 

ABlabataxptWSM OwAaUPNNLtmglaa m%kdonftA.O.LSudw O)sAW SDG 

tbwm of It Bryn. 

WSM Be"aB PNNLGW mvks tvbmal W one SM dOyclmta 

San& Na lib ID • Dote Time Notlype C9nlaioet Sample Analysis Ptnervafive 

BILOK9(F) W l Z'L V (O^ Ix40•nL 8W COLOPZTILFLD: Haxavalenl CWordtxo(1) 

Rtlimuyed ny _ Stet 

RT. SICKLE 

R"-"*,edBy 

By Sim 

D.Wr e 

eS rS Â11Q ,y' 

V ^J flDLsatdfe 

L L LU^JI7 /2'{/ e .TMpyfrol By 

NO• 2'2 `0(ID 0w 

p^^ 

Dwonla 

RobKoabod By DewIW. Roccived By thadlloc 

RdiegwsbedBy Dowinne Rwekvd By Detdyme 

FLviALSAMPLE 

DISPOSITION 

D4wslatee.d(e.s,Rdwawc0tomn,Per hb POCtAm•medbpaces) 

Matrix 

R - Rd Rv . to wlid 

RF - peAA:.enl IM. Dnentimd 

Nn - Wtd T - Ti... 

N. - Slew WI - wine 

W . We 1. • 1"Ad 

G - OB V . Vwari. 

A - Ak x - rxt.. 

Dadfhm 

Z 7^t76 

U

Mrl. Sips DSWrme RoommalBy Prh Sips DrWrme Matrix• 

7i .7 melt•" NOV 2 2 2M6 /O 

My 7.7 R - c R 

Tic 

SR - "vve rA. 

BtlWgaitbed By Merriam Naeied By DtWllae 

Cn - %*A T - Tb v 

V. - M." WI - Wie 

MNioqu,"By Nwroe 

Rdolui11a0y 


_ 

Rasited BY DmYrme 

RAWMCIBy DAWrlme 

FINALSAMPLE Dspral ►(e6od(&t.,Rwimmcmb 'E 

ubbgTamêtf i.ry 

DISPOSITION 

11\ r^VV ss r/-2 

Z"GO 

I07-006-380 

rpage 1 of I 

et IN oluNteoaeRer deubome No. bmN FAX 

SAF No. samunt (Meld ortbare Order/Lbartt Code 

ProkM Title 

FFNF— ûfX.—Z 

nCben No.^S TMIL 

To(Lab) M. dbod *fSblomwt 5111 of fadlv/AIr BIM No. 

Protocol 

POSSIBLE SAMPLE BAZARDS/R MARKS 

•e "roetaioa BadiorUra Matviel at ao¢snrima Ytnar rtpdaed & braporotioapv49 CPRbutme or 

laa DO8 Gales 9(oD.d (199WI997) 

Frtafty: 45 Days 

te Properly No. 

SPECIAL INSTRUCTIONS Bald Time Total Activity Exctrotion: Ywb6 No 

AMLbaexvpt WSCP: Brtbad PRNLanpluruGW oOmA.G.LS.&AW07Ws WoamSM " Wcuoed SDG 

claeeeof II dry& 

WSCr+ Brcb v PNNLGW emptn arbnWed bdo an SDG, dayebw 

Saopk Na lab ID • Date Tina Norrype Coma w Sample Analysis Pmravalive 

BILALI(F) W t '►37 5454BLads• COL(Np,.Tr FLD:Hemvalentchmmium(1) None 

AL 

v 

- naaa t JW 

- lva lLd 

W - Wry t. - Ihdd 

n - (M v - Veeetedm 

A - Al, N - caber 

BaWlcr

PINNY 


cwl CoatatURe caw Teleolwas No. bISIN FAX 

FN*. samollamorilgla tarebamOrderiCkaree Colo 

PnIed Tide 

NNF _ hl-sot. "'L Ire Cleat Ne. 0o5 Temo. 

oved To Mb) elbed of SiioaecM 8111 or Ladlee/A lr Ma Ne. 

Pro(" 

CrRrIA 


" "Cwbir ItWioKdc Mriaol acvwcwa im dot ca rol wpkkd for mVwkmapa e9 CT0.bd a a eot 

pd LVEQdu54OU(1990'1993) 


ffaNe Preoaty No. 

.c r 

107-006-384 

Pose 1 or 1 

SPECIAL INSTRUCTIONS Held Time Total Ac tivity Fiaootim: YaM No 

Aslabaap WSCF: BoAae PNNLaaplwoAmimddnA,%LSadWO y SAFs imow SDQoa p erard WQ 

cl a of 14 day$. 

WSCR Bari a ll Pt&&GW rood aoboimd m m* SDO, daily cWw 

Samp le No. lab ID • Date Time NalType Cmtaroa Samp le Analysis Pteaavative 

B11.01-3 (F) W it'LL to 0906 

Basalwowd By 

Fa

PNNL 

RrEagaWed Br._ _ OWnim Roxivad By Sip D.1e?me Mwii• 

NO 2 2 M n o T. NOV 2 2 20 t16 

RT r1 -, A _ Aaa 

rlA _ 1„- qdM 

ReliquahcdByD.C11is By DMdCme 

N+ - seniou DI. - raaaltod 

M. - AnIM T - Tian 

FI. - won, 

1. . Ws 

w - w.ra 

1• - Rudd 

ReiogmMd By Daa/fime Racgiv9d By Dawrior D - 03 

V - Ve+elri. 

- A - Ai x - (kber 

RelislieMdBy poDaInTim; 

F 1 I.$AMPLE Dirpo>•1 Me9wfd(a.p. Reon btalurer,paW ê^p*['ROMIK44BBY 

plc â 

DISPOS1710N Y^ E Il i PROCESS 


Collector R.I&^ CostacuReaunter, fekohoae Na. MSIN FAX 

AP No. moa" Orlda P-mu-so Order/Ckarae Code 

Prolect TId* 

!tipped To (Lab) 

1}hIF+N - 506 —L 

Me1Nd of selomeal BIG of Lad ae/Alr DW No. 

Protocol 

POSSIBLE SAMPLE NAIARDSIRE.MARKS 

« « 0a is Radicadva Maraytreomap.dma 60 not npbed for aarrp"tim pat e9 CFR but am sat 

mkmbk pa DOB Orda 5 100J (199(W1993) 

Prtorky: 45 Days 

DNer me 

.C.# 

Ice Chem a ^s snp 

u Property No. 

^ Z Z-Q^ 

107-006-385 

Page j or 1 

SPECIAL LNSTRl:CFIONS flold Time Total Activity Exemption: Yea bd No 

ABIaWeac"WSCY: atYaGPNNL"IanbmipedmdkrhaLS.sodway SAFa iMom SUa.oalbecdSDO 

Apron of l4 dayA 

wSCF: Bakh.G PNh1Ow sappka aubmied W ao. SDO. dWy elmre. 

Sample No. Lab ID • •fhb Tare NoflyMCmW= Sample Analysis Prssavative 

BILOL4(F) W 11 !. 09OG WO-ml. sGe COLDR_TK FLD: Hexavalent Ctworrdiarr(1) 

J 

wool 

N

G 

' rY 

BIG)Q.E 

CIIAiI\r OF CUSTODY/SAMPLE ANALYSIS REQUEST 

C. 

—412 

I07-006 

Gatac(/Reooealer eleoheae No. SLSIN FAX 

No. R Origin Purchase OrdwiCbarae Code 

Proied Ti tle 

NN F - 1 ' — v ^Z- 

Ice CbeN Ns. ^ $ 

' eed 1fe(Lab) Meted ofShiomeet Bid ofLadins/Ale&B Ne. 

Protocol 

CFRMA 

POSSIBLESAMPLE BAZARDS RDIARKS 

•^ "coaaka Reicod"matMd of mreaodom setae a ecaullad far lnmparabo per 49 OR big am got 

rakasattle pr DOE War 5100.5 (19907997) 


[Bole Pr overb Ne. 

Temp.a 

Pap 1 of 1 

SPECIAL INSTRUCTIONS Held Time Total Activity FYenotim: Yes No 

Asla6rmapt WSM. DwhoMPNNL"Insvba"Wd LerA.aLS.ad WO7SAPa boom SDQootbexxN SDO 

clown of 14 days. 

WSJ: Batch a11PM& GW marks mbeiaed bm one Or, da ily closes. 

Sortpk No, tab ID a Date Tim Norl'ype Gotaiw Sa"ic Analysis Prexrvative 

B1LON2(F) W tl rL 092Sr 1a40- nL aGs' COLOR_Tl(RD: Mexavalent ChmnWm(1) 

Itclm lowled By bow «eleW DY Sipe Darllime btattis 

Retioq y 

RaboVitbed By 

NOV 2 2 2 6 

/7/a 

4Mrav 

Dm3Ime 

n 

Rem"d By 

Recaed By 

NOV 2 2 2008 121U 

drffima 

D%Wrbs 

R . as 

RR - RMtnar 

R() - RnSd 

V hm 

W Weer 

O - (aR 

A - Air 

rA 

TV. - n..^llos 

T - Te. 

vn - Wbr 

I. - Ihi/ 

V - vve the 

R - Other 

ReOtgdeMday DaM6m By Daldreua 

FLAIALSAMPLE DapoaJ Mcdrd(e.g. Reba b caul mu. per `^sn 

DISPOSITION 

&H ROCESS z-^ 

^^ z Z 'clef 

MIN 

O Q 

O 

O 

O 

0 

y 

W

PNNL 

A 

Rdioquy,W 9y DabTbc By Sip DawTbne Matrix 

FLT NON 2 2 2006 t7ta ,l2— NOV 2-2 2006 niv , m 

RdiOgaitl.Dd By De1rA/oe Raosived By Dadlkm 

RdiapW*dBy Dan?low Ite9ei ed sy DWOTM 

Relmrpuled By DAWI'm Reectthed By DeMrbe 

FkYAL SAMPLE 

DISPU M0 ,1 


oReclorRl CSHRLDCVRe esw reltokone No. MIN FAX 

SAYAa. Samrling (Mde mhae Order/Chasse Code 

Pnkw TiBa 

^H>^- rl -$o4 -^ 

Ise Chat Ne.^5Tem. 

Sblooed To (lab) Method elSklomext Bit olLadleelAir BIB Nw 

. r ,, , 

N7 

- Seain.er 

. A" 

TI. 

T 

_ t mwRn,d 

_ Ilm..dud 

- Ti.r 

rd. . F4.dw 

W _ W.wr 

D _ Dd 

A - Air 

WI 

1. 

v 

X 

- Wbw 

- Ib.dd 

- Va.M.rGw 

- hhe, 

Dlpowlmcdmd (c46 ae.o wauwUW AMlimc 

bbW^^7V\/ESS t/^ ZZ^06 

U.C.0 

107-006413 

Page 1 of I 

Pmtosel 

rFRrfA 

PAaity , 45 Days 

l6Re PreoeM Ne, 

POSSIBLE SAMPLE ILVARDSaWMARKS 

••'• Cooaba Radmthv kLmiM N taeantkas 4M ti m wpWW Br RamPonmoe PW49 CFRbM m m 

SPECIAL INSMUCFIONS now rime Total Aodvity ExemDum: Yes WJ No 

ABIaWe-ogtWSCF: BarkaPNNLaa MvAmindaxbr A. G.LS,mdWOl SAFr beo m SDG.,xAloowdSDO 

mkmbk pv DOE Ordw 5400.1( 1990'199)) 

ebnoo of 14 drys 

WSCF: Beet e0 PNNL OW couples mbmned bb ono SD(i. duly cbeura. 

Sample No. Lab 9) • Dale Time N& ype Container Samp le Amysis Pn.servative 

BIUM(F) W LL L 7pp lx40tnL aGs' COLOR TKT'LD: Hexavalenl CMorNem(1) 

h

I'NNL 


Ca ll tiantwo GnlacUlttooata Ttleabone NO. MSLH FAR 

SAP No. samplins Orielo Perchete Orde r/ClamCmde 

Proled Title _ ,• , /, 

la (tat me. a,) ^'-- Tema, 

G• Z^ 

loped To (Lab) Method of Shiommi /•' 

Big of IadlWAlr Bill No. 

Protocsl 

POSSIBLE SAMPLE IIAZARDSREhLUW 

e' •• C.ombie Radiowd" Mraul m mmemmim emtme and mpSkd for unsporledompef490Rbm art mot 

ekmble per DOB War 5400.5(19M991) 


Rule Property No. 

• .c r 

I07-006-421 

Page 1 of 1 

SPECIAL ]INSTRUCTIONS Ilald Time Tow Ac tivity Exam tion: Yet bd No 

As)abmomcWWSLT1OwbeBPIWLUryiaMmiordodaA.G.4S.adWB7SAFe hib or ^G.nd bated SDG 

ck m of 14 dcya 

WSCT: Bomb oil PNNLGW rmmplo evbmW bb om SDO. daily closers. 

Srmple No. lab ID • Date Tune Nodfype Camtai= Snnple Analys isP)raemt." 

BILBLB(F) W .77 12 IX40-ML &W CALOIZk-Fu: Hexava)ent Umnlum(1) 

7ka4iwdoo 

.E.PAIFIQMN 

sip 

V 2,7 T006 , B 

5''NOV 2.7 200 1"ml 

Beligm"d By Dab'fim R odwd BY DeWfbm 

RcGmgvdmd BY DrWfue RwtrAd BY DmWfbo 

Rdbq.i4cd8y DraflM By Devlibre 

IINALSAMPLE 

R 

fR 

CO 

- 

ieAmm•t 

. S'" 

Matrix 

tv. 

T 

. 

n.memxn 

- rr,mlJed 

- Tiwm 

Rl. _ amr.. WI _ Wir 

DirnaelMe^ (y.u(..." •^ arCmtm.v. per bb pemrodme, ordk BirporedBY Dam)fbm 

DISPOSITION ^f N CD To a j O 

W 

n A 

- Wmer 

- 0.1 

- A ir 

i. 

V 

X 

- Ib.it 

- Vn tim 

- fMm 

0 

O 

O 

O O 

Lh

IGMY D - Hanford Site

Create successful ePaper yourself

Delete template?

Save as template?