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RECEIVED__ <br /> W X.&p Radioactive&Hazardous Waste Management(RHWM) <br /> DEC 0 4 2015 Waste Sampling Analysis Program (WSAP) R202HWM CSC # <br /> „ <br /> Chain of Custody20219 <br /> ENVIRONMENTAL <br /> Send Results To: HEALTf I> MffIVIThe Field Contact: <br /> DAWN KRAMER ❑ 1 Week(Prelim) D. DEARING Data Package Required:® Normal ❑CLP <br /> ❑2 Weeks Project No.:32276 ❑ RETURN UNUSED SAMPLE TO CLIENT <br /> Copy: ❑4 Weeks Task No.:329310 <br /> ❑ 6 Weeks(Normal) Project Name:Normal Sampling <br /> F] EDD Required (data from off-site labs only) <br /> DOD No.: N/A Program: RHWM <br /> Tank Volume: NL <br /> Tests/Preservation Codes Additional Instructions: <br /> a a a c a l Its <br /> Preservation Code for On-site Analyses <br /> d d m q d V <br /> o E f <br /> Client sample � = Sample Composition <br /> Identification TO /Remarks <br /> 1 874Dus% 11/17/15 1000 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 1 <br /> 0 <br /> 5 pled Relinquis B (Signature): Date Time Received By(Signature): Date Time <br /> /- -/s 1400 <br /> Re lnquished By(Signature): Date Time Received By(Signature): Date Time <br /> WGS 0149 Effective Date:7/9/15 <br /> See WIC 153 Expiration Date: 10/22/16 <br />