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S -1 P <br />Radioactive & Hazardous Waste Management (RHWM) <br />Waste Sampling Analysis Program (WSAP) RHWM COC # <br />Chain of Custody 18803 <br />Rev. 1 <br />Send Results To: <br />Turnaround Time <br />Field Contact: <br />Don Dearing <br />❑ 5 Day <br />Don Dearing <br />Data Package Required: ® Normal ❑ CLP <br />L -code: 874 <br />❑ 10 Day <br />Project No.: 32276 <br />❑ RETURN UNUSED SAMPLE TO CLIENT <br />Phone: 3-5509 <br />❑ 15 Day <br />Task No.: 329310 <br />❑ EDD Required (data from off-site labs only) <br />Copy: <br />❑ 20 Day <br />Project Name: Normal Sampling <br />L -code: <br />DQO No.: <br />Client ID: RHWM <br />Tank Volume: NLA <br />Tests / Preservation <br />Codes <br />Additional Instructions: <br />ECircle <br />n <br />Z <br />Preservation Code <br />for On-site Analyses <br />`O <br />N <br />a <br />> <br />x <br />c <br />v <br />c <br />1 <br />a <br />v <br />E <br />L7 <br />O <br />NN` <br />Client Sample <br />sc <br />Sample Composition <br />Identification <br />/ Remarks <br />1 <br />W3r657 <br />+27/12 <br />1500 <br />879 <br />N <br />XX <br />Ws <br />I <br />R <br />tank clean-out debris <br />2 <br />W322658 <br />+/27/12 <br />1505 <br />879 <br />N <br />AQ <br />Ws <br />I <br />P <br />z <br />process water <br />3 <br />' <br />4 <br />fll <br />'p <br />Z <br />m <br />5 <br />G <br />? <br />�, <br />7 <br />_ <br />—. <br />-Z-I <br />8 <br />D <br />9 <br />= <br />10 <br />Sampled & R <br />d By (Signature): <br />Date <br />Time <br />ed By (Signatur �` <br />Date <br />Time <br />VC <br />Relinquished By (Signature): <br />Date <br />Time <br />Recei ed By (Signature): <br />Date <br />Time <br />WGS 0149 Expiration Date: 9/28/12 <br />