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W S AL p <br />Radioactive & Hazardous Waste Management (RHWM) RHWM COC # <br />00 :•r <br />Waste Sampling Analysis Program (WSAP) 20601 <br />A <br />Chain of Custody IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />Send Results To: <br />Turnaround Time <br />Field Contact: <br />D. DEARING <br />❑ 1 Week (Prelim) <br />D. DEARING <br />Data Package Required: ® Normal ❑ CLP <br />❑ 2 Weeks <br />Project No.: 32276 <br />❑ RETURN UNUSED SAMPLE TO CLIENT <br />Copy: <br />F-14 Weeks <br />Task No.: 329310 <br />❑ EDD Required (data from off-site labs only) <br />CHAD DAVIS <br />❑ 6 Weeks (Normal) <br />Project Name: NORMAL SAMPLING <br />DQO No.: N/A <br />Program: RHWM <br />Tank Volume: NLA <br />Tests / Preservation <br />Codes <br />llIInstrruu ti <br />AddafteMomposition <br />Circle Preservation Code <br />for On-site Analyses <br />v <br />d <br />_^ <br />N <br />E <br />E <br />eo <br />z <br />° <br />v <br />° <br />o <br />0 <br />/Remarks <br />�m <br />v <br />x <br />c <br />c <br />o <br />Client Sample <br />o <br />E <br />~ <br />g <br />o <br />3A <br />Q <br />Identification <br />I <br />W356453 <br />11/7/16 <br />1430 <br />834 <br />N <br />XX <br />WS <br />I <br />R <br />ACTT GRANULAR <br />ACTIVATED CARBON <br />2 <br />W356456 <br />11/7/16 <br />1430 <br />834 <br />N <br />XX <br />WS <br />I <br />R <br />Z <br />ACTT GRANULAR <br />ACTIVATED CARBON <br />3 <br />TB110716DV <br />11/7/16 <br />1400 <br />612 <br />N <br />AQ <br />FQC <br />2 <br />R <br />Dl WATER <br />4 <br />-- <br />ITI <br />Z <br />5 <br />m <br />Z <br />6 <br />rn <br />7 <br />—I <br />8 <br />9 <br />I <br />0 <br />Sampled & Relin e y (Signature): <br />Date <br />Time <br />c d By Signature): <br />Date <br />Time <br />L& (ZQ� <br />7- <br />S"o C) <br />Relinquished By ure): <br />Date <br />Time <br />Rece ed By (Signature): <br />Date <br />Time <br />WCG 0149 Effective Date: 10/06/16 <br />See WIC 153 Expiration Date: 10/06/19 <br />