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RECEIVED <br />W S A, V <br />DEC 0 4 2015 <br />Radioactive & Hazardous Waste Management (RHWM) <br />RHWM COC # <br />... <br />Waste Sampling Analysis Program (WSAP) <br />20219 <br />09 <br />ENVIRONMENTAL <br />Chain of Custody <br />IIIIIIIIIIIl111Nlllllllllllll11111 <br />DEF TNAENI <br />Send Results To: <br />Turnaround Time <br />Field Contact: <br />DAWN KRAMER <br />❑ 1 Week (Prelim) <br />D. DEARING Data Package Required: ® Normal ❑ CLP <br />❑ 2 Weeks <br />Project No.: 32276 ❑ RETURN UNUSED <br />SAMPLE TO CLIENT <br />Copy: <br />❑ 4 Weeks <br />Task No.: 329310 ❑ EDD Required (data from off-site labs only) <br />❑ 6 Weeks (Normal) <br />Project Name: Normal Sampling <br />DQO No.: N/A <br />RHWM <br />Tank <br />Tank Volume: NLA <br />Tests / Preservation <br />Codes <br />Additional Instructions: <br />Circle Preservation Code <br />for <br />On-site Analyses <br />a <br />a <br />Z <br />o <br />'o <br />Ln <br />^ <br />cc <br />d <br />x <br />c <br />at <br />o <br />U <br />o <br />°C <br />6 <br />Sample Composition <br />Client Sample <br />° <br />/ Remarks <br />Identification <br />1 <br />874DusBin <br />11/17/15 <br />1000 <br />875 <br />N <br />XX <br />WS <br />1 <br />® <br />874 Dus Bin metal shavings. <br />2 <br />874MachircArea <br />11/17/15 <br />1015 <br />874 <br />N <br />XX <br />WS <br />I <br />® <br />8havingshineArea metal. <br />3 <br />843OukloorWork <br />11/17/15 <br />1030 <br />874 <br />N <br />XX <br />WS <br />I <br />® <br />843 Outdoor Area metal <br />shavings. <br />4 <br />875 Machine Shop <br />11/17/15 <br />1045 <br />843 <br />N <br />XX <br />WS <br />1 <br />® <br />875 Machine Shop Area metal <br />shavings. <br />5 <br />827BMadiine <br />11/17/15 <br />1100 <br />827 <br />N <br />XX <br />WS <br />1 <br />827B Machine Shop metal <br />shavings. <br />Shop <br />6 <br />7 <br />8 <br />9 <br />1 <br />0 <br />Spled Relinquis <br />B (Signature): <br />Date <br />Time <br />Received By (Signature): <br />Date <br />Time <br />r/AA Pte-` <br />f-17-15 <br />Re Inquished By (Signature): <br />Date <br />Time <br />Received By (Signature): <br />Date <br />Time <br />WGS 0149 Effective Date: 7/9/15 <br />See WIC 153 Expiration Date: 10/22/16 <br />