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W 9 A p <br />Radioactive & Hazardous Waste Management (RHWM) <br />RHWM COC # <br />00 -:: <br />° <br />Waste Sampling Analysis Program (WSAP) <br />Chain Custody <br />20617 <br />of <br />Illllllllilllllllllllllllllllllllll <br />Send Results To: <br />Turnaround Time <br />Field Contact: <br />H. PEDEMONTE <br />❑ 1 Week (Prelim) <br />ALEX BLANE-ZIMBERG 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 <br />from off-site labs only) <br />ALEX BLANE-ZIMBERG <br />F-16 Weeks (Normal) <br />Project Name: NORMAL SAMPLING <br />DQO No.: N/A <br />Program: RHWM <br />Tank Volume:NA <br />Tests / Preservation <br />Codes <br />Additional Instructions: <br />zo <br />a <br />Sample Composition <br />Circle Preservation Code <br />for On-site Analyses <br />N <br />CL <br />M <br />r <br />x <br />u <br />c <br />/ Remarks <br />Client Sample <br />Y <br />e <br />v <br />~ <br />m <br />M <br />c <br />o <br />o <br />� <br />Identification <br />1 <br />W353384 <br />11/17/16 <br />1030 <br />879 <br />N <br />XX <br />WS <br />4 <br />R <br />R <br />R <br />R <br />MCC <br />00909 OIL CONTAMINATEDI <br />ABSORBENT AND DIRT <br />2 <br />W356466 <br />11/17/16 <br />1030 <br />879 <br />N <br />AQ <br />WS <br />3 <br />A <br />C <br />R <br />rn <br />00910 RINSATE FROM <br />RECYLED WATER UNIT <br />CLEANOUT <br />3 <br />W350456 <br />11/17/16 <br />1030 <br />834 <br />N <br />XX <br />WS <br />I <br />R <br />02149 GRANULAR <br />ACTIVATED CARBON <br />GAC <br />4 <br />Zvn <br />5 <br />6 <br />7� <br />8 <br />r <br />9 <br />I <br />0 <br />Sa pled & Relinquished <br />BS' na ure): <br />Date <br />Time <br />Received By (Signature(Date <br />Time <br />IW7_l6 <br />/-110 <br />11-17-11, <br />/-44c'-9 <br />Relin ishe By (Signature): <br />Date <br />Time <br />Received By (Signature): <br />Date <br />Time <br />WCG 0149 Effective Date: 10/06/16 <br />See WIC 153 Expiration Date: 10/06/19 <br />