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Sampling Request <br />R uestor: Tony Calhoun <br />Date Requested: 5/28/2015 <br />Send Results To: Tony Calhoun <br />Phone: 4-5262 <br />® Normal Sampling <br />® G&A (Overhead Account) or <br />❑ Other Client: <br />❑ Special Projects <br />❑ IGD Verification <br />Project #: <br />Task #: <br />Sample ID (s): (WDR / Q number or unique <br />identifier. If no WDR provide description and <br />bldg. number.) <br />Form Code: 206 <br />❑ New IGD <br />T-1, T-2, T-3, T-4 <br />❑ <br />608 <br />CC Approval: (m ti i,,w ) <br />IGD#: <br />❑ <br />Flash Point <br />❑ <br />❑ Potentially Radioactive <br />❑ <br />TAT: ® Normal <br />RCAApproval: (miciauDale) <br />❑ Rush <br />❑ Sample may contain Beryllium <br />❑ HF or Ammonium Bifluoride @ % <br />Percent H2O <br />❑ <br />❑ HCl @ % <br />❑ <br />Off-site Analysis (Certified): <br />❑ <br />❑ <br />Anions <br />❑ <br />DLIST <br />❑ <br />Fish Toxicity <br />❑ <br />Potassium only <br />❑ <br />608 <br />❑ <br />DLISTTCLP <br />❑ <br />Flash Point <br />❑ <br />HEX Chrome <br />❑ <br />624 <br />❑ <br />FLIST <br />❑ <br />Percent H2O <br />❑ <br />GAB <br />❑ <br />625 <br />❑ <br />FLISTTCLP <br />❑ <br />Explosives <br />❑ <br />Tritium <br />❑ <br />8260 Total <br />® <br />PCBs <br />❑ <br />TATB <br />❑ <br />Gamma Spec. <br />❑ <br />TCLP 8260 <br />❑ <br />Oil and Grease <br />❑ <br />TTLC Metals <br />❑ <br />TUPA <br />❑ <br />8270 Total <br />❑ <br />TPH gas <br />❑ <br />STLC Metals <br />❑ <br />Curium <br />❑ <br />TCLP 8270 <br />❑ <br />TPH oil/diesel <br />❑ <br />TCLP Metals <br />❑ <br />Carbon-14 <br />❑ <br />WVORG <br />❑ <br />Total Cyanide <br />❑ <br />Beryllium only <br />❑ <br />Sr -90 or Tc-99 <br />❑ <br />Other Analysis: <br />On-site Analysis (Non -certified): <br />❑ <br />pH/N <br />❑ <br />Carbon-14 <br />❑ <br />Hydrometer <br />❑ Paint Filter ❑ Flash Point <br />❑ <br />Radscreen <br />❑ <br />XRF <br />❑ <br />Specific Gravity <br />❑ Solubility ❑ Boiling Point <br />❑ <br />Rad Dec <br />❑ <br />Peroxide Strip <br />❑ <br />Liquefaction <br />❑ SCO Swipe & Survey <br />❑ <br />Field Gamma <br />❑ <br />Oxidizer Strip <br />❑ <br />Other Analysis: <br />Date Sampled: skg- Time Sampled: oidp m -s oly) v( -US <br />Logbook Entry: ZDV- to" J COC#: <br />Comments: <br />Transformers in 883 corpyard sampled, identified as T-1, T-2, T-3, T-4 <br />Container Activity (Ci) <br />WGS 0009, Expiration Date: 04/15/18 <br />Sample Activity (uCi): <br />FEB 0 9 ZU17 <br />ENVIRONMENTAL 01 -AL <br />DEP/% F TNT <br />