35
PNNL-18895 Analytical Data Report of Water Samples Collected For I-129 Analysis Michael Lindberg October 2009

Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

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Page 1: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

PNNL-18895

Analytical Data Report of Water Samples Collected For I-129 Analysis Michael Lindberg October 2009

DISCLAIMER This report was prepared as an account of work sponsored by an agency of the United States Government Neither the United States Government nor any agency thereof nor Battelle Memorial Institute nor any of their employees makes any warranty express or implied or assumes any legal liability or responsibility for the accuracy completeness or usefulness of any information apparatus product or process disclosed or represents that its use would not infringe privately owned rights Reference herein to any specific commercial product process or service by trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement recommendation or favoring by the United States Government or any agency thereof or Battelle Memorial Institute The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof PACIFIC NORTHWEST NATIONAL LABORATORY operated by BATTELLE for the UNITED STATES DEPARTMENT OF ENERGY under Contract DE-AC05-76RL01830 Printed in the United States of America Available to DOE and DOE contractors from the Office of Scientific and Technical Information

PO Box 62 Oak Ridge TN 37831-0062 ph (865) 576-8401 fax (865) 576-5728

email reportsadonisostigov Available to the public from the National Technical Information Service US Department of Commerce 5285 Port Royal Rd Springfield VA 22161

ph (800) 553-6847 fax (703) 605-6900

email ordersntisfedworldgov online ordering httpwwwntisgovorderinghtm

This document was printed on recycled paper

(92003)

PNNL-18895

Analytical Data Report of Water Samples Collected For I-129 Analysis M Lindberg October 2009 Prepared for the US Department of Energy under Contract DE-AC05-76RL01830 Pacific Northwest National Laboratory Richland Washington 99352

101909 1120 To Dale Dyekman From Michael J Lindberg Environmental Sciences Laboratory Energy and Environment Directorate Pacific Northwest National Laboratory Subject Analytical Data Report for Ground Water Samples Collected for I-129 Groundwater Sample Delivery Group ESL090004 SAF Number S09-004 This letter contains the following information for sample delivery group ESL090004 bull Cover Sheet bull Narrative bull Analytical Results bull Chain of Custodies

0905001 FINAL

Page 1 of 32

Introduction Between April 14 2009 and August 25 2009 groundwater samples were received for I-129 analysis Analytical ResultsMethodology The analyses for this project were performed at the 325 building located in the 300 Area of the Hanford Site The analyses were performed according to Pacific Northwest National Laboratory (PNNL) approved procedures andor nationally recognized test procedures The data sets include the sample identification numbers analytical results estimated quantification limits (EQL) and quality control data Quality Control The preparatory and analytical quality control requirements calibration requirements acceptance criteria and failure actions are defined in the on-line QA plan ldquoConducting Analytical Work in Support of Regulatory Programsrdquo (CAW) This QA plan implements the Hanford Analytical Services Quality Assurance Requirements Documents (HASQARD) for PNNL Definitions Dup Duplicate RPD Relative Percent Difference NR No Recovery (percent recovery less than zero) ND Non-Detectable REC Percent Recovery Sample Receipt Samples were received with a chain of custody (COC) and were analyzed according to the sample identification numbers supplied by the client All samples were refrigerated upon receipt until prepared for analysis All samples were received with custody seals intact unless noted in the Case Narrative Holding Times Holding time is defined as the time from sampling to the time of analyses The prescribed holding times were met for all analytes unless noted in the Case Narrative Analytical Results All reported analytical results meet the requirements of the CAW or client specified SOW unless noted in the case narrative

0905001 FINAL

Page 2 of 32

Case Narrative Report

Hold Time No discrepancies noted

Preparation Blank (PB) No preparation was performed therefore no blanks were analyzed

Duplicate (DUP) No preparation was performed therefore no duplicates were analyzed

Laboratory Control Samples (LCS)

No preparation was performed therefore no LCSs were analyzed

Post Spike (PS) No preparation was performed therefore no PSs were analyzed

Matrix Spike (MS) Not applicable

Other QC Criteria None noted

DISCLAIMER

This report was prepared as an account of work sponsored by an agency of the United States Government Neither the United States Government nor any agency thereof nor Battelle Memorial Institute nor any of their employees makes any warranty express or implied or assumes any legal liability or responsibility for the accuracy completeness or usefulness of any information apparatus product or process disclosed or represents that its use would not infringe privately owned rights Reference herein to any specific commercial product process or service by trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement recommendation or favoring by the United States Government or any agency thereof or Battelle Memorial Institute The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof

0905001 FINAL

Page 3 of 32

SAMPLES INCLUDED IN THIS REPORT

I-129 Groundwaters

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 4 of 32

The following analyses were performed on the following samples included in this report

Iodine 129 Water by ICPMS

SAMPLES ANALYZED IN THIS REPORT

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 5 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 2: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

DISCLAIMER This report was prepared as an account of work sponsored by an agency of the United States Government Neither the United States Government nor any agency thereof nor Battelle Memorial Institute nor any of their employees makes any warranty express or implied or assumes any legal liability or responsibility for the accuracy completeness or usefulness of any information apparatus product or process disclosed or represents that its use would not infringe privately owned rights Reference herein to any specific commercial product process or service by trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement recommendation or favoring by the United States Government or any agency thereof or Battelle Memorial Institute The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof PACIFIC NORTHWEST NATIONAL LABORATORY operated by BATTELLE for the UNITED STATES DEPARTMENT OF ENERGY under Contract DE-AC05-76RL01830 Printed in the United States of America Available to DOE and DOE contractors from the Office of Scientific and Technical Information

PO Box 62 Oak Ridge TN 37831-0062 ph (865) 576-8401 fax (865) 576-5728

email reportsadonisostigov Available to the public from the National Technical Information Service US Department of Commerce 5285 Port Royal Rd Springfield VA 22161

ph (800) 553-6847 fax (703) 605-6900

email ordersntisfedworldgov online ordering httpwwwntisgovorderinghtm

This document was printed on recycled paper

(92003)

PNNL-18895

Analytical Data Report of Water Samples Collected For I-129 Analysis M Lindberg October 2009 Prepared for the US Department of Energy under Contract DE-AC05-76RL01830 Pacific Northwest National Laboratory Richland Washington 99352

101909 1120 To Dale Dyekman From Michael J Lindberg Environmental Sciences Laboratory Energy and Environment Directorate Pacific Northwest National Laboratory Subject Analytical Data Report for Ground Water Samples Collected for I-129 Groundwater Sample Delivery Group ESL090004 SAF Number S09-004 This letter contains the following information for sample delivery group ESL090004 bull Cover Sheet bull Narrative bull Analytical Results bull Chain of Custodies

0905001 FINAL

Page 1 of 32

Introduction Between April 14 2009 and August 25 2009 groundwater samples were received for I-129 analysis Analytical ResultsMethodology The analyses for this project were performed at the 325 building located in the 300 Area of the Hanford Site The analyses were performed according to Pacific Northwest National Laboratory (PNNL) approved procedures andor nationally recognized test procedures The data sets include the sample identification numbers analytical results estimated quantification limits (EQL) and quality control data Quality Control The preparatory and analytical quality control requirements calibration requirements acceptance criteria and failure actions are defined in the on-line QA plan ldquoConducting Analytical Work in Support of Regulatory Programsrdquo (CAW) This QA plan implements the Hanford Analytical Services Quality Assurance Requirements Documents (HASQARD) for PNNL Definitions Dup Duplicate RPD Relative Percent Difference NR No Recovery (percent recovery less than zero) ND Non-Detectable REC Percent Recovery Sample Receipt Samples were received with a chain of custody (COC) and were analyzed according to the sample identification numbers supplied by the client All samples were refrigerated upon receipt until prepared for analysis All samples were received with custody seals intact unless noted in the Case Narrative Holding Times Holding time is defined as the time from sampling to the time of analyses The prescribed holding times were met for all analytes unless noted in the Case Narrative Analytical Results All reported analytical results meet the requirements of the CAW or client specified SOW unless noted in the case narrative

0905001 FINAL

Page 2 of 32

Case Narrative Report

Hold Time No discrepancies noted

Preparation Blank (PB) No preparation was performed therefore no blanks were analyzed

Duplicate (DUP) No preparation was performed therefore no duplicates were analyzed

Laboratory Control Samples (LCS)

No preparation was performed therefore no LCSs were analyzed

Post Spike (PS) No preparation was performed therefore no PSs were analyzed

Matrix Spike (MS) Not applicable

Other QC Criteria None noted

DISCLAIMER

This report was prepared as an account of work sponsored by an agency of the United States Government Neither the United States Government nor any agency thereof nor Battelle Memorial Institute nor any of their employees makes any warranty express or implied or assumes any legal liability or responsibility for the accuracy completeness or usefulness of any information apparatus product or process disclosed or represents that its use would not infringe privately owned rights Reference herein to any specific commercial product process or service by trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement recommendation or favoring by the United States Government or any agency thereof or Battelle Memorial Institute The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof

0905001 FINAL

Page 3 of 32

SAMPLES INCLUDED IN THIS REPORT

I-129 Groundwaters

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 4 of 32

The following analyses were performed on the following samples included in this report

Iodine 129 Water by ICPMS

SAMPLES ANALYZED IN THIS REPORT

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 5 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 3: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

PNNL-18895

Analytical Data Report of Water Samples Collected For I-129 Analysis M Lindberg October 2009 Prepared for the US Department of Energy under Contract DE-AC05-76RL01830 Pacific Northwest National Laboratory Richland Washington 99352

101909 1120 To Dale Dyekman From Michael J Lindberg Environmental Sciences Laboratory Energy and Environment Directorate Pacific Northwest National Laboratory Subject Analytical Data Report for Ground Water Samples Collected for I-129 Groundwater Sample Delivery Group ESL090004 SAF Number S09-004 This letter contains the following information for sample delivery group ESL090004 bull Cover Sheet bull Narrative bull Analytical Results bull Chain of Custodies

0905001 FINAL

Page 1 of 32

Introduction Between April 14 2009 and August 25 2009 groundwater samples were received for I-129 analysis Analytical ResultsMethodology The analyses for this project were performed at the 325 building located in the 300 Area of the Hanford Site The analyses were performed according to Pacific Northwest National Laboratory (PNNL) approved procedures andor nationally recognized test procedures The data sets include the sample identification numbers analytical results estimated quantification limits (EQL) and quality control data Quality Control The preparatory and analytical quality control requirements calibration requirements acceptance criteria and failure actions are defined in the on-line QA plan ldquoConducting Analytical Work in Support of Regulatory Programsrdquo (CAW) This QA plan implements the Hanford Analytical Services Quality Assurance Requirements Documents (HASQARD) for PNNL Definitions Dup Duplicate RPD Relative Percent Difference NR No Recovery (percent recovery less than zero) ND Non-Detectable REC Percent Recovery Sample Receipt Samples were received with a chain of custody (COC) and were analyzed according to the sample identification numbers supplied by the client All samples were refrigerated upon receipt until prepared for analysis All samples were received with custody seals intact unless noted in the Case Narrative Holding Times Holding time is defined as the time from sampling to the time of analyses The prescribed holding times were met for all analytes unless noted in the Case Narrative Analytical Results All reported analytical results meet the requirements of the CAW or client specified SOW unless noted in the case narrative

0905001 FINAL

Page 2 of 32

Case Narrative Report

Hold Time No discrepancies noted

Preparation Blank (PB) No preparation was performed therefore no blanks were analyzed

Duplicate (DUP) No preparation was performed therefore no duplicates were analyzed

Laboratory Control Samples (LCS)

No preparation was performed therefore no LCSs were analyzed

Post Spike (PS) No preparation was performed therefore no PSs were analyzed

Matrix Spike (MS) Not applicable

Other QC Criteria None noted

DISCLAIMER

This report was prepared as an account of work sponsored by an agency of the United States Government Neither the United States Government nor any agency thereof nor Battelle Memorial Institute nor any of their employees makes any warranty express or implied or assumes any legal liability or responsibility for the accuracy completeness or usefulness of any information apparatus product or process disclosed or represents that its use would not infringe privately owned rights Reference herein to any specific commercial product process or service by trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement recommendation or favoring by the United States Government or any agency thereof or Battelle Memorial Institute The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof

0905001 FINAL

Page 3 of 32

SAMPLES INCLUDED IN THIS REPORT

I-129 Groundwaters

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 4 of 32

The following analyses were performed on the following samples included in this report

Iodine 129 Water by ICPMS

SAMPLES ANALYZED IN THIS REPORT

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 5 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

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CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 4: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

101909 1120 To Dale Dyekman From Michael J Lindberg Environmental Sciences Laboratory Energy and Environment Directorate Pacific Northwest National Laboratory Subject Analytical Data Report for Ground Water Samples Collected for I-129 Groundwater Sample Delivery Group ESL090004 SAF Number S09-004 This letter contains the following information for sample delivery group ESL090004 bull Cover Sheet bull Narrative bull Analytical Results bull Chain of Custodies

0905001 FINAL

Page 1 of 32

Introduction Between April 14 2009 and August 25 2009 groundwater samples were received for I-129 analysis Analytical ResultsMethodology The analyses for this project were performed at the 325 building located in the 300 Area of the Hanford Site The analyses were performed according to Pacific Northwest National Laboratory (PNNL) approved procedures andor nationally recognized test procedures The data sets include the sample identification numbers analytical results estimated quantification limits (EQL) and quality control data Quality Control The preparatory and analytical quality control requirements calibration requirements acceptance criteria and failure actions are defined in the on-line QA plan ldquoConducting Analytical Work in Support of Regulatory Programsrdquo (CAW) This QA plan implements the Hanford Analytical Services Quality Assurance Requirements Documents (HASQARD) for PNNL Definitions Dup Duplicate RPD Relative Percent Difference NR No Recovery (percent recovery less than zero) ND Non-Detectable REC Percent Recovery Sample Receipt Samples were received with a chain of custody (COC) and were analyzed according to the sample identification numbers supplied by the client All samples were refrigerated upon receipt until prepared for analysis All samples were received with custody seals intact unless noted in the Case Narrative Holding Times Holding time is defined as the time from sampling to the time of analyses The prescribed holding times were met for all analytes unless noted in the Case Narrative Analytical Results All reported analytical results meet the requirements of the CAW or client specified SOW unless noted in the case narrative

0905001 FINAL

Page 2 of 32

Case Narrative Report

Hold Time No discrepancies noted

Preparation Blank (PB) No preparation was performed therefore no blanks were analyzed

Duplicate (DUP) No preparation was performed therefore no duplicates were analyzed

Laboratory Control Samples (LCS)

No preparation was performed therefore no LCSs were analyzed

Post Spike (PS) No preparation was performed therefore no PSs were analyzed

Matrix Spike (MS) Not applicable

Other QC Criteria None noted

DISCLAIMER

This report was prepared as an account of work sponsored by an agency of the United States Government Neither the United States Government nor any agency thereof nor Battelle Memorial Institute nor any of their employees makes any warranty express or implied or assumes any legal liability or responsibility for the accuracy completeness or usefulness of any information apparatus product or process disclosed or represents that its use would not infringe privately owned rights Reference herein to any specific commercial product process or service by trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement recommendation or favoring by the United States Government or any agency thereof or Battelle Memorial Institute The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof

0905001 FINAL

Page 3 of 32

SAMPLES INCLUDED IN THIS REPORT

I-129 Groundwaters

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 4 of 32

The following analyses were performed on the following samples included in this report

Iodine 129 Water by ICPMS

SAMPLES ANALYZED IN THIS REPORT

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 5 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 5: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

Introduction Between April 14 2009 and August 25 2009 groundwater samples were received for I-129 analysis Analytical ResultsMethodology The analyses for this project were performed at the 325 building located in the 300 Area of the Hanford Site The analyses were performed according to Pacific Northwest National Laboratory (PNNL) approved procedures andor nationally recognized test procedures The data sets include the sample identification numbers analytical results estimated quantification limits (EQL) and quality control data Quality Control The preparatory and analytical quality control requirements calibration requirements acceptance criteria and failure actions are defined in the on-line QA plan ldquoConducting Analytical Work in Support of Regulatory Programsrdquo (CAW) This QA plan implements the Hanford Analytical Services Quality Assurance Requirements Documents (HASQARD) for PNNL Definitions Dup Duplicate RPD Relative Percent Difference NR No Recovery (percent recovery less than zero) ND Non-Detectable REC Percent Recovery Sample Receipt Samples were received with a chain of custody (COC) and were analyzed according to the sample identification numbers supplied by the client All samples were refrigerated upon receipt until prepared for analysis All samples were received with custody seals intact unless noted in the Case Narrative Holding Times Holding time is defined as the time from sampling to the time of analyses The prescribed holding times were met for all analytes unless noted in the Case Narrative Analytical Results All reported analytical results meet the requirements of the CAW or client specified SOW unless noted in the case narrative

0905001 FINAL

Page 2 of 32

Case Narrative Report

Hold Time No discrepancies noted

Preparation Blank (PB) No preparation was performed therefore no blanks were analyzed

Duplicate (DUP) No preparation was performed therefore no duplicates were analyzed

Laboratory Control Samples (LCS)

No preparation was performed therefore no LCSs were analyzed

Post Spike (PS) No preparation was performed therefore no PSs were analyzed

Matrix Spike (MS) Not applicable

Other QC Criteria None noted

DISCLAIMER

This report was prepared as an account of work sponsored by an agency of the United States Government Neither the United States Government nor any agency thereof nor Battelle Memorial Institute nor any of their employees makes any warranty express or implied or assumes any legal liability or responsibility for the accuracy completeness or usefulness of any information apparatus product or process disclosed or represents that its use would not infringe privately owned rights Reference herein to any specific commercial product process or service by trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement recommendation or favoring by the United States Government or any agency thereof or Battelle Memorial Institute The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof

0905001 FINAL

Page 3 of 32

SAMPLES INCLUDED IN THIS REPORT

I-129 Groundwaters

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 4 of 32

The following analyses were performed on the following samples included in this report

Iodine 129 Water by ICPMS

SAMPLES ANALYZED IN THIS REPORT

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 5 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 6: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

Case Narrative Report

Hold Time No discrepancies noted

Preparation Blank (PB) No preparation was performed therefore no blanks were analyzed

Duplicate (DUP) No preparation was performed therefore no duplicates were analyzed

Laboratory Control Samples (LCS)

No preparation was performed therefore no LCSs were analyzed

Post Spike (PS) No preparation was performed therefore no PSs were analyzed

Matrix Spike (MS) Not applicable

Other QC Criteria None noted

DISCLAIMER

This report was prepared as an account of work sponsored by an agency of the United States Government Neither the United States Government nor any agency thereof nor Battelle Memorial Institute nor any of their employees makes any warranty express or implied or assumes any legal liability or responsibility for the accuracy completeness or usefulness of any information apparatus product or process disclosed or represents that its use would not infringe privately owned rights Reference herein to any specific commercial product process or service by trade name trademark manufacturer or otherwise does not necessarily constitute or imply its endorsement recommendation or favoring by the United States Government or any agency thereof or Battelle Memorial Institute The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof

0905001 FINAL

Page 3 of 32

SAMPLES INCLUDED IN THIS REPORT

I-129 Groundwaters

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 4 of 32

The following analyses were performed on the following samples included in this report

Iodine 129 Water by ICPMS

SAMPLES ANALYZED IN THIS REPORT

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 5 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 7: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

SAMPLES INCLUDED IN THIS REPORT

I-129 Groundwaters

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 4 of 32

The following analyses were performed on the following samples included in this report

Iodine 129 Water by ICPMS

SAMPLES ANALYZED IN THIS REPORT

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 5 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 8: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

The following analyses were performed on the following samples included in this report

Iodine 129 Water by ICPMS

SAMPLES ANALYZED IN THIS REPORT

HEIS No B203D8 B203F3 B203F8 B203M8 B203P9 B203R4 B203V1 B203V5 B203H3 B202Y0 B20979 B20980 B20981 B20982 B20983 B20984 B20LP2 B20LR4 B20LT1 B20LT4 B20MX3 B20PJ5 B20PP7 B20P35 B20NX6 B20MY5

Laboratory ID 0905001-01 0905001-02 0905001-03 0905001-04 0905001-05 0905001-06 0905001-07 0905001-08 0905001-09 0905001-10 0905001-11 0905001-12 0905001-13 0905001-14 0905001-15 0905001-16 0905001-17 0905001-18 0905001-19 0905001-20 0905001-21 0905001-22 0905001-23 0905001-24 0905001-25 0905001-26

Date Collected 42909 0955 42909 0847 42909 1053 42609 0918 41009 0840 42009 1204 42009 1331 42009 1231 43009 0939 42909 1050 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 61609 1030 62309 1338 62309 1244 62309 1130 62309 1000 61709 1035 62409 1045 7809 0938 62609 1126 62509 1230 81409 1100

MatrixWATER

Date Received43009 1145

WATER 43009 1145WATER 43009 1145WATER 42309 0850WATER 41409 1415WATER 42309 0850WATER 42309 0850WATER 42309 0850WATER 5409 1340WATER 43009 1145WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 61709 1130WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62409 1028WATER 62309 1247WATER 62509 1200WATER 71409 1300WATER 62909 0930WATER 62909 0930WATER 82509 1300

0905001 FINAL

Page 5 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 9: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No B203D8 Lab ID 0905001-01

15046-84-1 Iodine-129 126E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203F3 Lab ID 0905001-02

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203F8 Lab ID 0905001-03

15046-84-1 Iodine-129 136E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203M8 Lab ID 0905001-04

15046-84-1 Iodine-129 130E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203P9 Lab ID 0905001-05

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203R4 Lab ID 0905001-06

15046-84-1 Iodine-129 114E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203V1 Lab ID 0905001-07

15046-84-1 Iodine-129 916E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B203V5 Lab ID 0905001-08

15046-84-1 Iodine-129 116E-2 9I14001 ugL PNNL-AGG-41592409100E-2

HEIS No B203H3 Lab ID 0905001-09

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B202Y0 Lab ID 0905001-10

15046-84-1 Iodine-129 lt505E-3 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No B20979 Lab ID 0905001-11

15046-84-1 Iodine-129 330E-2 9I14001 ugL PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20980 Iodine-129

Lab ID

431E-2 ugL0905001-12

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20981 Iodine-129

Lab ID

366E-2 ugL0905001-13

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20982 Iodine-129

Lab ID

lt505E-3 ugL0905001-14

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20983 Iodine-129

Lab ID

lt505E-3 ugL0905001-15

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20984 Iodine-129

Lab ID

lt505E-3 ugL0905001-16

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LP2 Iodine-129

Lab ID

lt505E-3 ugL0905001-17

9I14001 PNNL-AGG-415100609505E-3

HEIS No 15046-84-1

B20LR4 Iodine-129

Lab ID

753E-3 ugL0905001-18

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT1 Iodine-129

Lab ID

lt505E-3 ugL0905001-19

9I14001 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20LT4 Iodine-129

Lab ID

140E-2 ugL0905001-20

9I14001 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MX3 Iodine-129

Lab ID

lt505E-3 ugL0905001-21

9I14002 PNNL-AGG-415100709505E-3

HEIS No 15046-84-1

B20PJ5 Iodine-129

Lab ID

171E-2 ugL0905001-22

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20PP7 Iodine-129

Lab ID

135E-2 ugL0905001-23

9I14002 PNNL-AGG-41592409100E-2

0905001 FINAL

Page 6 of 32

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 10: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

Radionuclides By ICP-MS

CAS Analyte Results Batch Units EQL Analyzed Method

HEIS No 15046-84-1

B20P35 Iodine-129

Lab ID

179E-2 ugL0905001-24

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20NX6 Iodine-129

Lab ID

135E-2 ugL0905001-25

9I14002 PNNL-AGG-41592409100E-2

HEIS No 15046-84-1

B20MY5 Iodine-129

Lab ID

lt505E-3 ugL0905001-26

9I14002 PNNL-AGG-415100709505E-3

0905001 FINAL

Page 7 of 32

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 11: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

-------

middot~-~ COc ~~

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST 109-033-97

Page 1 of 1 Collector a ContactReauester Telephone No MSIN laquoAX-shy f)HnH Widri ~09 762RSR SAF No Samplinl Orilin Purchase OrderCharee Code

109middot033 Hanford Site Proiect Title

ut1r nR- a~ I r 0 Ice Chest No 6VJS middottlf I Temp 2ZPI APRil 2009

Shipped To fLab) Method of Shipment Bill of LadinliAir Bill No ISdenlt I nov Vehicle

Protocol Priority 45 Days Offsite Propertv No

rlIU1 A

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRlJCTIONS Hold Time Total Activitv Exemption Yes iofJ NQ L Contains Radioactive Material at concentrations that are not regulated figtr transportation per 49 CFR but are not 200 Area Generator Knowledge Infmmation Form applies releasable per DOE Order 54005 (1990J993)

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

B202YO W 1-f )(__df 10)D 1 x125middotmL GP 1129_ICPMS 1middot129LL (1) 6 Months NaOH to pH gt 9 r---

~ ~

r-- shy=-----shy L ALl iJ--shy _J1L) g

V~ ---- ---shy ----- ---shy - ~~-~

--shy~ gt

RelinquisbedBSOverdah~~~ Daterrime

- - -h c 71 2 9 200g-Received By Print Sign Dateffime

63uci I APR 29 2009 S SF so ~

SI W 0 ~

A

Matrix bull

Soil OS Sediment OJ Solid T =--

SIciQe WI Water L Oil V =

Air X

Omm Solid Dmm Ij(1lli Tis~lle Wine Limlin VCQetatlon Other

Relinquishetl By DatefflmeOGOO

5Sll 1 APR 302009 Received BK8 Hulse

amp~~pound Daterrimc DYeO

CtlPRC APR 3 0 2009 Rc1inquish4(ampHulse

f7)~k Datefflme II -f r

CHPRC APR 3a2009 ReL Lu~4ML 9I7f-J DateffimeIIishyltfh~

Relinquished By Dateffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By ( I v Dateffime f

FINAL SAMPLE Disposed By

DISPOSITION I

DateTime I

5gtb (7 ESL rn oooS4~ tAl 0 ~ ()Ci() hPQ J t Page 8 of 32

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 12: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

-

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-276

Page 1 of I

CollectKR a ContactlReQuester Telephone No MSIN FAX-laquoYI nan Winri ~0()-17h-)~~~

SM No Samplinl Orilin Purchase OrderCharle Code i

S09middot004 Hanford Site Proiect Title HNF-N-506- 2- I ~ Ice Chest No eMIIJ Temp

SllRV APRil 2009 Shinned To 1Iabl Method of Shipment Bill of LadinlAir Bill No

h Sin I Gnvl Vehick Protocol Priority 45 Days Offsite PrOnerty No

SlJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge lnfonnation FornI applies

Total Activitv ExemDtion Yes lllI No I~

releasable per DOE Order 54005 (19901993)

Sample No Lab ID bull Date

B203D8 W -Lq-o~

-shy ---shy --shy ---shy

Time NoType Container Sample Analysis

D~55 1x125-mL GP 1129_ICPMS 1-129LL (1)

---shy --- -r-shy illbJJ ~

----shy1-(Llf --oC-j ----

--shy -

---

shy

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ---shy ----shy ----shyRelinquished By Print Sign Matrix bull

Soil OS Omm Solid

Relinquished By R~

Sediment DI f)mm linlli Solid T Tjs~lleAPR D3errOm2009received~~~raquo~~ S111drre WI Wine55Lt I Water L Liollid

() Oil V VeQelatTonRelinquitAlftulSEshyA ~ Air X Other--)~~ APRDa~toeioor~i~~L( LCHPRC

Rclinqmshed By Daterrime Received By

)ltINAL SAMPLE I Disposal Method (eg Return 10 cuslomer per lab proccdure uscd in process) Disposed By Dateffime DISPOSITION

oq oS OtJlOb- c~L- 01oJ11 VJo -shy Page 9 of 32

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 13: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

middot ~

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-284

Page 1 of 1

CollectoR Mchtvr- ContactlReQuester Telephone No MSIN FAX Dana Widri ~O9middot376-2858

SAIltNo Sampline Oriein Purchase OrderCharee Code S09-nn4 Hanford Site

Proiect Title UIUC I OR 11- I Ice Chest No CtA6_1111 Temp SIJRV APRTl2OD9

Shipned To (Lab) Method of Shipment Bill of Ladinel Air Bill No I Scienc~s I Govt Vehicle

Protocol Priority 45 Days OtT site Propertv No

SIJRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~J No Lbullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not Site-Wide Generator Knowledge Inormation Fonn applies

releasable per DOE Order 54005 (199011991)

-

Sample No LablD bull Date Time NoType Container Sample Analysis

B203F3 W -IIi-Y~ Oc-l 1 x125-mL GP 1129_ICPMS 1-129LL (1)

r----shy ---rshy ---- -~ ----shy ----shy

f fVfJJ J -1lt1 -~9

----shy ---shy

-

Holding Time Preservative

6 Months NaOH to pH gt 9

---shy ----- ~ ~ ~ ~

I

I

I

I

I

Matrix bull RelinA~h~ Sign APP lte~ill~riyenIReceived By

S Soil OS Omm Solid SF Serliment DJ Drllm (iolllRelinquished By SO Solid T Tissue SL SllIdQC WI Wine W Water l li(1Il1rl

RelinquishRffHulse

55 (J 0 Oil V =- Veictation A Air X - OtherAPRatc3illO2009re~ LCHPRC

Relinquished By Dateffime Received By

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime DISPOSITION

Page 10 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 14: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-292

Page 1 of 1 I

Collector Aft Mcfntvrr

ContactlReQuester Telephone No MSIN FAX I

DanaWidri 509-376middot2858 SAFNo Sampline Oriein Purchase OrderCharee Code I

SOQ-()()4 Hanford Site Proiect Title LIU hi JH l Ice Chest No btv5 -IIf( Temp I

SlJRV APRII 2009 I -Y ---

Shipoed To (Labl Method of Shipment Bill of LadineAir Bill No I ~I Science~ 1~hnr~ln Govt_ Vehicle

Protocol Priority 45 Days Offsite Property No

SUIlV POSSIBLE SAMPI~E HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes 1-1 No U bullbull bullbull Contains Radioactive Matenal at concentrations that are not regulated for transportation per 49 CFR hut are not Sile-Wide Generator Knowledge Information Form applies

releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203F8 W -1J-o V)-) 1x125middotmL GP 1129_ICPMS 1middot129LL (1)

I--shy ---- ---shy ---r--shy- ---r- nn

~

-----JJ 96-

-

----shy

-shy

Holding Time Preservative

6 Months NaOH to pH gt 9

--- ----- ----

-----shy -----shy ---shyPrint SignRelinquiAA IMcintym

APP 2Datemme I f(b Matrix bull Sign APR rtgrrZOOif1Received BYgt5 c)

APRat3ioe2009IReceive~ - 9 n09

1 n nnQ~APR

Soil DS Drum Sol] Sediment DL Dmm T i(lHlRelinquished By Solid T Tisslle

~ Sludrre WI Wine Water L -= Lin1lid

$SU ~0 Oil V Ve(Cmt1(Hl

A Air X OlherRelinquishcl(B Hulse

CHPAC shyRelinquished By

FINAL SAMPLE I Disposal Melhod (eg Return 10 customer per lab procedure used in process) Disposed By Dateffime

DISPOSITION Page 11 of 32

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 15: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COCII

CHPRC CHAIN OF CUSTODY ISAMPLE ANALYSIS REQUEST S09-004-72

Page 1 of 1 Collector AR Mcintyftt ContactlReQuester Telephone No MSIN lAX

Dana Willri iOQ71i2RiR

SAFNo Sampline Oriein Purchase OrderfCharee Code S09-004 Hanford Site

Proiect Title UfJI= ti J~M- 2 g1amp Ice Chest No (tIJS _11 Temn

SIJRV APRil 2009 Shinned To (Lab) Method of Shinment Bill of LadinelAir Bill No

Fn S~in 1 Gov Vhid Protocol Priority 45 Days

Offsite Pronerty No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Contains RadioactIve Material at concentrations that are not regulated filr transportation per 49 CFR but are 1I0t Sitemiddot Wide Generator Knowledge Infonnalion Fonn applies

releasable per DOE Order 54005 (19901993)

-r-shy

Sample No Lab ID bull Date Time NoType Container Sample Analysis

6203MB W -(rt(pl d1~ 1 x125-mL GfP 1129JCPMS 1-129LL (1)

- r---t-shy ---- Yl~~ ---shy I~ ~ -shy -J C-- ----shy ~ ----shy~ - L J

C-shy shyI C

-shy

----shy-shy - ---7

Holding Time Preservative

6 Months NaOH to pHgt 9

----shy ---- ---shy ---shy-------shy~

Relinquished By Print Sign APRD~rrrei609IRe=d By Print Sign APIf~rrfe20091 Matrix bull

S SF SO Sf W 0 A

~ Soil OS Sediment m Solid T Sludge WI Woter 1 Oil V Air X

[)nnTI Solid J)fllm IloBi TisHe Wine Tiotlid Verret)tion Other

HNAL SAMPLE DISPOSITION

I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Dateffime

Page 12 of 32

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 16: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

---COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-104

Page 1 of 1 Collector n n~HJ-r ContactReQuester Telephone No MSIN FAX

CHPRC Dana W idril 5D9-316-2l58 SAl- No Samplinl Orilin Purchase OrderChafle Code

S09-004 Hanford Site

Proiect Title HNF-N-506- j I 02 Ice Chest NOmiddotGUJ 5 _ III TempSURV APRil OO

Shipped To (Iab) Method of Shipment Bill of LadinllAir Bill No I Sciences L Govt Veh icle

Protocol Priority 45 Days Offsite Property No

SIJRV

POSSIBLE SAMPLE HAZARDSfREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes lV1 No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge Information FOllD applies eleasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis

B203P9 W ltfifOV o2i(O 1x125-mL GP 1129_ICPMS 1-129LL (1) -shy - r--shy -- ---- --shy 7 () I L ~L-(14 j 7 ~ -l I n I

~I

-------shy

-shy -shyHolding Time Preservative

6 Months NaOH to pH gt 9

----shy ~ i---shy~ ~ ~ ~

Relinquis~ Jo4A_

j

Print

~

Ikcwp

Sign

DatelTime

S SE SO SI W 0 A

Matrix Soil DS

- Sediment Df -shy Solid T

ShIrlee WI Watcr L Oil V

~ AIr X

~

Dmm Solid Drnm Ijoni TislIe Wine liouirl VCletati()n Other

FINAL SAMPLE I Disposal Method (cg Return to customer per lab procedure used in process)

DISPOSITION Disposed By Dalcrrirne

Page 13 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 17: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-1 12

Page J of 1 Collector

~ )tfvaA 7 r-v ContactlReQuester Telephone No MSIN AX Dana Widri~ ~OQ_11i_)l~)l

SAFNo I Samplin2 Oriin Purchase OrderChare Code S09-0fl4 Hanford Site

Proiect Title u r Nt ) ~ I lty Ice Chest N0btJ5 _ 111 Temp

SlJRV APRlI )009 Shipped To (Lab) Method of sJliUl~t --shy = Bill ofl_adinllAir Bill No

T S -jlt 1 GovLVehide Protocol Priority 45 Days

Offsite Property No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRllCTIONS Hold Time Total Activity Exemption Yes llJ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not SIte-Wide Generator Knowledge Infonnation rorm applies

releasable per DOE Order 54005 (199011993)

Sample No LabID bull Date Time NoType Container Sample Analysis

B203R4 W _rZtHr7 jf)cI-j 1 x125-mL GP 1129_1CPMS 1-129LL (1)

----shy ----shy -r--r- --f- --shy LL ---shy i I ~ ---- ----shy ~ r- )

J ---shy i --- -------shy--- L 1shy 1~

- L

Holding Time Preservative

6 Months NaOH to pH gt 9

-------shy --- -----shy-----shy -----shy ~

Print Sign

oSsa DateTime

Matrix bull

S Snil DS llrnm Snlid SF - Sediment Of DrUI11 (ioui SO Solid T Tisme SL Slnde WI Wine W Water L - T_louicl () Oil V Veeetation A Air X ~ Other

FINAL SAMPLE I Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 14 of 32

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 18: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-004-132

n Page I of I

Collector -

ContactIRequester Telephone No MSIN FAXCHPRC Dana Winri S09-l7t1-2RSR

SAFNo SamJlline Oriein Purchase OrderCharec Code SD9-004 Hanford Site

Proiect Title HNF-N-506- 2 D I~- Ice Chest NO(uJS ~III I Temp SlJRV APRil 2009

Shipped To (Lab) Method of Shipment Bill of Ladinel Air Bill No

Sciencelt I Goyl V hide

Protocol Priority 45 Days

Offsite Propertv No SURV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes I~ No L bullbull Contains Radioactive Material at concentrations that arc not regulated for transportation per 49 CFR but arc not Site-Wide Generator Knowledge [nfoonation Fornl applies releasable per DOE Order 54005 (19901993)

shy shySample No Lab ID bull tate Time NoType Container Sample Analysis Holding Time Preservative

B203V1 W i-h f~ )11 1x125-mL GP l129_ICPMS l-129LL (1) 6 Months NaOH to pH gt 9

~ --r-shy - r---- shy---shy J--- - Jr -~ IdL l ---

I ~-r ---- ---

-- i

-- ~ I

- A ~

I

A ~j I - fir 1 AIItshy

RelillqUiS=rij~~ro~ Received By fIshy Print Sign APR DtoZreggS~ I s ~

Sf so SI =

W -= ()

A

Matrix

Snil OS ~

Seniment m Soli) T Sluo1c WI -= Water L Oil V Air X

Dmm Solid Drum ItOld Tllime Wine Linllirl Vegetation Other

Re~15e(J v 0 ~ Dateffimeo~1 0) 0 fOe) R5tdlA1~~4~oWAIILfhJoeoamp-c

Relinquished By

iJL1ttrlzttud~ vime yen)O)(0J1711A1 tttfl 1r~r~1h1~ poundv~ Y~4 ~2~rritsv Relinquished By

Daterrimc

IDisposal Method (eg Return to customer per lab procedure used in process)

RlIeived By f Daterrime

FINAL SAMPLE Disposed By

DISPOSITION DatelTime

Page 15 of 32

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 19: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

CHPRC

Collector AASheparO

SAFNo OQ004

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactiReQuester f)~t1i1 Wirlro

Sampline Oriein Hnfc)f(l it

Telephone No (lQ7hSI

MSIN

Purchase OrderCharee Code

S09-004-140

Page 1 of 1 FAX

Proiect Title 1lRV APRil (lOQ HNF-N-506- 2gt I 8-=t- Ice Chest No GtuS_ Temp

Shipped To (Labl ~lliTf1onrnpnt~1 ~Itpnrp~ f bull

Protocol qnv

Method of Shipment Govt Vhicle

Bill of LadineAir Bill No

Priority 45 Days Offsite Property No

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No bullbull bullbull Conlains Radioactive Material at concentrations that are nol regulated for transportation pltr 49 CFR but arc not

releasable per DOE Order 54005 (199011993) SitemiddotWide Generator Knowledge Information Fonn applies

Sample No Lab ID NoType Container I Sample Analysis Holding Time

B203V5 W I Jlz--ft rill 31 1x125middotmL GP I 1129_ICPMS 1middot129LL (1) 6 Months

~ ~

F+ ~ ~ ~ ~ 7 J7f ~ 7l~

7 ~ flo 7t) ~ ---= I 7 ~

~ ~

u--

Preservative

NaOHto pH gt 9

~ ~ ~

I 727 Arshy~lodIilBrJ ~ I

Relinquished Bv

5Sit

I~~AAAt~L

Print Sign APR 20at200~~ S sr so Sf W o A

Matrix bull

Soil DS ~

Sedimenl m Solid T Sldrre WI Valer I

Oil V Air X

rJrllln Solid f)rllm Iiolli Tissue Wine T-iclIlirl Vegetation Other

Relinquished By Ifaterrime lampfeivcd By

FINAl SAMPLE T 1 (fI V Dalerrime

DISposal Method (eg Return to customer per lab procedure used in process)

DISPOSITION Disposed By DatefTime

Page 16 of 32

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 20: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

----

-f COc

CHPRC S09-004-300CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

Collector JP Herrick vnrnvSAIltNo

S09-004 Proiect Title

SIJRV APRlT2009 Shipped To (Lab)

P Sciences I Protocol

SITRV POSSIBI~E SAMPU HAZARDSIREMARKS

Site-Wide Generator Knowledge lntonnation Fonn applies bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

Sample No

B203H3

Lab ID

~ r----shy

Date W -30~

ContactRCQuester Dana Widri2

Samplinl Orilin Hanfiml Site

2shy1-INF-N-506- t- Method of Shipment

Govt Vehicle

Priority 45 Days

Page 1 of 1 Telephone No MSIN FAX

509-376-2858 Purchase OrderCharle Code

Ice Chest No ltF41~ 1 Temp

Bill of LadinlAir Bill No

Offsite Property No

SPECIAL INSTRlJCTlONS Hold Time Total Activity Exemption Yes i~ No i~

Time

()U~

Noffype Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

---shy --- ---shy ffJ )

~-

-=--shy1-30-0-1 ---shy -r---- ---- -~ - shy ---

~

t

Print Sign

DatetTimc

Matrix bull Relinrj~C1rick CHPRC S - Soil OS Orum Sohd

~Relinquished fly SF Sedment Of Dnnn J10111 SO Soli1 T Tj~Jle

Sf Sludge WI Wine W Water L Jjullid

Relinquished By 0 Oil V Vetctation A Air X Other11

Relinquished fly

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposell By DateTime

DISPOSITION Page 17 of 32

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 21: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

--

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-113

Page of Collector t11~~le ContactReQuester Telephone No MSIN )ltAX

tHt-Hl n~n Willr 50Q-17h-2lltiR

SAFNo Sampling Origin Purchase OrderChare Code TOlt)_011 Hanford Site

Project Title ~tII-N-~ 211lto Ice Chest No C - _I Temp

2ZPl APRIl 2009 Shipned To (Iab) Method of Shipment Bill of Lading Air Bill No

el ~kinlt I nov Vgthid

Protocol Priority 45 Days

Offsite Property No CERCLA

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_ Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnation Fom applies releasable per DOE Order 54005 (19901993)

Sample No LabID bull Date Time NoType Container Sample Analysis Holding Time Preservative

820979 W bIM 11070 1x125-mL GfP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

r-shy ---shy --- r-- --shy ~ ~

-----shy I ~ gt-r--- ~ ~

laquo~ ~ C__ j ~ )

rshy___ gt ---shy( ( ~ - --shy ----shy---) ~-~ -----shy--- -----shy ------- -shy

- -

~

RelinqUi~~~~le ~gn Datemm~ 1Ct

JUN 1 6 2009 Received By Print Sign

5~l1 I JUNDajrIae2DD9

Ytgti s SF SO Sl W 0 A

~

=

~ =

Matrix bull

Soil OS Seolment OL - Solid T Sillde WI Water L Oil V = Air X

Orum Solid Drum Ijoni Tissue Wine liouid V Cletatlon Other

Relinquished By DaterIime

~tI~1 67~9 tJ7J-o ~=AMALtpounddar-ffiAJ~J~ DaterIime

6h7itJ ~O RelinqUi~F~aker iJlrttrjl~hrA tit7)tjim13() RcCeivcd By lt

U(1(l VQUL1deg-JIlltlUlk VGtio ( DaterIime

(111(( ItQU RelinquiSlredBy shy r ( DatefTime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Datc([jme

FINAL SAMPLF Disposed By

DISPOSITION DatcrIime

N0 ot10SOO~ bull I~ ~ J

I

Page 18 of 32

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 22: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COc

CHPRC CHAIN OF CUSTODYISAMPLE ANALYSIS REQUEST 109-033-114

Page 1 of Collector RT SICKle ContactiReauester Telephone No MSIN FAX

nan Winri ~OQ-17_)RR

SAFNo Samplinl Orilin Purchase OrderCharle Code TOQ-033 Hanford Site

Proiect Title HNF-N-506- 2-pound J 0 Ice Chest No CtU I Temp 2ZPl APRII200Q

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No r bullbull Sjtgtnrflt I flnvt _Vehicle

Protocol Priority 45 Days Offsite Propertv No

CERCLA POSSIBIoE SAMPLE HAZARDSIREMARKS SPECIAl INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L_bullbull bullbull Contams Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but arc not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 I 9901 993)

-

Sample No Lab ID bull Date Time NoType Container Sample Analysis Holding Time Preservative

620980 W 6- 16middot()1 1tJ1lgt 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9--shy ----shy ---shy c---

---shy l~ shy -=gt ---shy I ~-shy~ ---rshy ) -shy

~ r-shy ) V ---shy -

~ ) ---shy ~ ~ ---shy~ -shy rshy ) -~Q ----shyshy

~ I ----I ---shy ---shy0shy ---shy~ shy

Received By Print Sign Dateffiml -ICORelinquished By _~ Datefrim~ fa Matrix bull

RTSickle ~ JUN 1 6 2009 55 t-(~I JUN 1 6 200~ S Soil DS ~ Dmm Solid SE Sediment m Drllm LJ(11l10shyRelinq11flMIi B~ DateITimc DaleITime so = Solid T Tis~lIe

Sf Slude WI - WineRS~A1A~l-d1tltrflAMJ1-~ 7167 41)1)lt~I 112- 67~9 nro W = Water f = Liollid 0 = Oil V Vel7etatinnbull Diterrime A Air X OtherRelinquishC~ Hamaker JCf1lff~~ tat~c RlA~~ VJJenrah1wtth Wo tJ I111 cq 1l~0- - J - ( 7 of 113tgt

Relinquished By Datlrrime Received By Dateffime

FINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure IIsed in process) Disposed By DateTime

DISPOSITION Page 19 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 23: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-115

Page 1 of 1 Collector ~~~~~le ContactlReauester Telephone No MSIN FAX

nn Wield ~O-7h-)R~R

SAFNo Sampling Origin Purchase OrderCharge Code 109-033 Hanford Site

Proiect Title HNF-N-508shy 21 40 Ice Chest No (l)- I Temp

7ZPI APRIL JOO

Shipped To (Lab) Method of Shipment Bill of LadingAir Bill No inp~ l flovL Vehicle

Protocol Priority 45 Days

Offsite Property No CFRnA

POSSIBIE SAMPIE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes llI No L Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies eleasable per DOE Order 54005 (199011993)

-r--- _ r- _

Sample No Lab lD bull Date Time NoType Container Sample Analysis Holding Time Preservative

820981 W 6-tl()1 VPO 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOHto pH gt 9 -I ~ i

---shy C ------Ishy (

---shyI---shy I J

-------shyr1 ) j

---= -shy shy I ------r I

-shy 1

-----shybi ~ ~ j - r--

f ~ - ( ) ---shy I

---shy --J C J ------shy l-

I

~

---shy

------shyi

shy -----~ RclinquishedBy ~ JUNDr6m20~RT Sickle ~

n

Received By Print Sign Daterrit6cVCJGJ

-gt541 JUN 1 6 2On~ S ~

SF SO SL ~

W 0 A =

Matrix

Soil DS Sediment DJ Solirl T =-SluMe WI Water L Oil V =

A)f X

Drum Solin Dmm 1jc1Hl Tisslle Wine Iinuid VCQctation Other

I

Relinqmsnea ny If~ ~ Daterrime

~J1f 617LJ IItzro R111 9poundUktttt1J~M~h- ft ~9mgzo Relmq~~maker 0tittttIM~ ItDh

ime

CHPRC~M i) 6 17 OJ 110 Received By

JaUlr[U~111lttLL Wo Daterrime

kVULt~t 1Jr1 cq 1l3a Relinquished By Dlterrime

IDisposal Method (eg Return 10 customer per lab procedure used in process)

Received By Dalerrime

FINAL SAMPLE Disposed By

DISPOSITION Daterrilne

shy

Page 20 of 32

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 24: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

------

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-116

Page 1 of J Collector ~T~~~e ContactiReQuester Telephone No MSIN AX

Dana Widrh 509-116-2amp58 SAFNo Samplinl Orilin Purchase OrderCharle Code

109-033 Hanford Site Proiect Title

HNF-N-506- 21 I ttI Ice Chest NomiddotCV I Temp 27PI APRIl OOq

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No E Sciences I Govt Vehicle

Protocol Priority 45 Days Offsite Property No

CFRCIA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Excmption Yes l~ No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infonuation FOnTI applies

releasable per DOE Order 54005 (19901993)

-shy --

SamplcNo Lab lD Date Time NolType Container Sample Analysis Holding Time Preservative

820982 W 6-161 ItJb 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

1shy -- r- -r-shy~ r-- -r-shy shy -

---shy f I shyshy- (

----shy ~ 7shy

) ~ ~

L - -lt ~ ~ -- J ---r--Y ~

- ~-shy ~ ~ -----~

Relinmslample ~Pr~ JUN ~a16i20oF CHPRC~~~

Received By Print Sign Dateriml VtlO

55CI-1 JUN 1 6 2009 S SE SO = Sl W 0 = A

Matrix

Soil OS ~ Drum ~olid Sediment I)l Drum T1ellli Solid T TislIe SilIrlge WI -= Wine Water L liOllici Oil V Ve2ctJrion Air X Other

Relinquished By ~e- - DateiTime

C~(J lit 6J17jp ~ I114~europoundItturflu~I~AIt- 71000 Reli~mlnaker rJ( LL~M ~ 6It ~me30CHPRC etlVf aJ L-

Received By I f Qatrrime

thJNtlt VllUlrO- mWtti1- Wo ampnLq Ir3D Relinquished By

batcffime

IDisposal Method (eg Return to customer per lab procedure used in process)

Received By Daterrime

FINAL SAMPLE Disposed By

DISPOSITION -shy

Dalerrme

--shy -~ -~ -~

Page 21 of 32

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 25: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

~-

COc I

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-117

Page 1 of 1 Collector RTSlckle ContactiReQuester TeleDhone No MSIN IAX

nn nana Widri 509-17n-2RSR SAF No SamDlinl Orilin Purchase OrderCharle Code

IIlQ01 HanfilTll ilp

Proiect Title HNF-N-506- 21 I It) Ice Chest No CtJmiddot I TemD 2ZPI APRIl 2009

ShiDDed To (Lab) Method of ShiDment Bill of Ladin2lAir Bill No i Sciencelt lahoratorv novl Vehicle

Protocol Priority 45 Days Offsite ProDertv No rPRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes Illi No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Infommtion Fonn applies elcasable per DOE Order 54005 (990993)

shy

Sample No Lab ID Dale Time NoType Container Sample Analysis Holding Time Preservative

820983 W amp-bol Lt7ligt 1x125middotmL GP l129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-- ---shy --r- ~---shy ~

I---shy ( I shy

shy---shy - ~

-----shy 0 L ------------shy

)

( ~ shy ------shy- ~- J J ---shy( r ~ lt ---shy--- ) ---rl- --I-- ---- ----shyr

-~- -shy

~~ Received By Print Sign MatriX bull

~--

JU Dateffink VOdRehnq~~~Ieuro~rgn JUNatjim

55Cl-L N162009 S Soil DS f)rnm Solid 14t1deg09 SF ~ Sedimen1 0) Drnm TT(miDateTime Dateffime I tgto D SO ~ Solid T Ti~sueReceived By teurott~ 1 Li-lL JRelinSh~tllr SL Sinone WI Wineb7fo 1tZffJ )t~JlIJIt1A ItIitfjJPUllI- 67k9 W Water l Li(Hdo=

0 ~ Oil V Vcpeta1ionReceived By - DaiefrimeRelinq~ifamaker A Air X OtheriA LWlk- V(JJU1(qJ MlU~ Vabraquo 011( I -30CHPRC

iJlit((~~i1L I Ja~c 113c Relinquished By I DatampTime ReceIVed By DateITime

liINAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) DIsposed By DateITimc

DISPOSITION Page 22 of 32

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 26: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

-- -eOc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-033-118

Page 1 of 1 Collector RT Sickle ContactRequester TeleDhone No MSIN FAX

l11fIIU~ nana Widri ~Oqmiddot1762RSR

SAFNo SamDlin~ Oriein Purchase OrderChar~e Code TOqOi I-Innfnrtl Sit

Proiect Title HNF-N-508- 2 I 110 Ice Chest No (JW- f TemD

2ZPl APRil 2009 ShiDned To (Lab) Method ofShiDment Bill of ladinelAir Bill No

F Science I (vt Vehicle Protocol Priority 45 Days Offsite Proncrtv No

CFRrTA

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes III No L bullbull bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge Information Form applies

releasable per DOE Order 54005 (199011993)

--shy shy

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative _

820984 W hlamp() 1076 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9 i___ -I----shy

-I--shy --

---shy ~ ( -----shy ~

---_V ---shy ( -- cshy ---=- ) ~ ---shy ~

( ~ lt ---shy~ ~ )---shy _-0 -r-shyt - ( ) ----shy ---shy ----- ---- ~ --shy

Received By Print SignRelinquished By ~ ~~ DatelTlPrltCGgt Matrix JUN or~On9AT Sickle ~ 5Ct-L 1ttkJ S Soil DS ~ Dmm Solid SE Sediment DL -- Dmmljo1l1 SO ~ Solid T Ti~$ale

- - JUN 1 FLnnO

Sf ~ Sllld~e WI WineR)~heU ~ -7 6It 7ft Da~o 5clfIVlttb1llJettr~~a6~ 67J~O

W Wafer L -- jjmdd Relinquished By 0 Oit V Vefletatinn

A Air X Other RcceiIltCJ By (c Dattrimc

oSEHamaker yf(lfti(iP1411jjel~ 6_ale~i9c It30 ~AlLltllJLmiddot ~t(Lf 111 WIJiL UaJbo lc11LG~ II ()- Rclin~n1 f rlatelTime Received By DatelTime

HNAL SAMPLE IDisposal Method (eg Return to customer per lab procedure used in process) Disposed By Daterime

DISPOSITION Page 23 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 27: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST 109-042-14

011 sneuampd Page 1 of 1

Collector CHPRC ContacllReQuester Telephone No MSIN FAX Dana Widri 509-376-2858

SAIltNo Sampling Origin Purchase OrderCharge Code 109-042 I Ian ford Site

Proiect Title W Jil1A- ~ ~(laquoII Ice Chest No Temp

[ TPl II fNF oot) Shipped To (Lab) Method orShipment Bill of LadingAir Bill No

E Sciences I Clovi Vehicle Protocol

Priority 45 Days Offsite Propertv No SIJRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes l~ No l bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not 200 Area Generator Knowledge nfonnation Fonn applies releasable per DOE Order 54005 (19901993)

Sample No Lab ID Date Time NoType Container Sample Analysis Holding Time Preservative

B20MX3 W itrr16t log-Sshy 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

-shy i

- shy I

- ~ 4 ---shy A n

---r-shy (1-- ---shy f __ shy

~ - LY ~ L ----shy ----shy ----- -~

- -

VIshy -I J l il e iCM-

RelinqMflMParf1l)Jt ~ 1rmp~CHPRC VJl~ R~t

Print

l Sign JUN Df21Ii

S SF

~O ~oL

0 = A

Matrix

Soil f)S Serliment DI Solin T Sllln~e WI Vafer I Oil V Air j(

Orllfn Solid Dmmfiolli TislIe Wine Iiollio Vefct~tion

Other

~~~(Ad By (J tI f z DO JUND2~e2009 Received By

R ElUngsworth l~ 1200 Joc~im2 3 2(

RelinR~Worth Pr tr Datcrrime

JUN 232009

- i~Q~~~ 1middot~Yl DatelTime

JUN 2 3 nn~ Relinquished Fly Daterrime

IDisposal Method (eg Return to customer per lab procedure used in process)

ReceivMf3~b Datcrrime

FINAL SAMPLE DISPOSITION

Disposed By DaleITirne Page 24 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 28: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUY-UUU- -----shy

Page 1 of 1 -

=0Ilecto~11tOn ContactReauester Telephone No MSIN FAX CHPR Donn Winri iOQ-7n-7X~R

iAFNo Samplinl Orilin Purchase OrderCharle Code ~Q2-Q(6 Hanford Sile _ ___ -

roieet Title nlfr-n-NO-_ ~-I _- Ice Chest No Temp lI ~M81l-Pil U[)lF 2QQCJ

hipped To (Labi Method ofShioment Bill of LadineAir Bill No F cenmiddotpc I Govl Vhicl

Iroloeoi Priority 45 Days

Offsite Propertv No 0111[

POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~I No L= Contams Radioactive Material at wnccntrations that are not regulated lor transportation per 49 CFR but are not 200 Area Generator Knowledge lnfbnnation Fonn applies

releasable per DOE Order 54005 (19901993) ESL - Hold all samples until aU 10 are received and 11m the comptete set at ONE time

--shy - -shy-shySample No Lab ID Date Time NoType Contamcr Sample Analysis Holding Time

B20LP2 W 6-23middot01 13gt l 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months --shy

shy ~

~~~

~ -shy ~ ~~ b shy - ~(II) __

~ ~l

~ ---shy ~----

--shy

--shy

--shy --shy

-shy

Preservative --

NaOH to pH gt 9 --shy --shy

-----shy

-----shy

RelmRtft~milton CHPRC ~ t

Print Daterrime

Relinquished By

Ss U J4 DaterTime

DatcrTime

DateITimc

IReceived By Print Sign DaterTime

Received By DatcfTime

dYlrXJ

J()l~

Matrix

SSLI JUN 2 3 2009 LL()11lt-(~ S Soil DS DrllmSn1irl SF Sediment 1)1 OfHI11 Iioll1 SO Solin T Tisclle S1 Stnpe Wl Wine W Water 1 Iinllirl 0 Oil V - Veocttinn A Air X Other

INA I SAMPLE I Disposal Method (e g Retum to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 25 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 29: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST A09-00b-b

Page 1 of 1

Collector RAShepard ContactIRequester Telephone No MSIN FAX klPI=lt Dana Widri i 09-37 6-2858

SAFNo Samplin Orin Purchase OrderChare Code A09middot006 Hanford Site

Proiect Tille HNFNf)(J6- 2- J L~ Ice CheS~t -33 Temp LLWMAI Il-Pi I INI 1l1l9

Shinned To (Lab) Method of Shinment Bill of Ladin21 Air Bill No Fnvirnt1mpnt~1 Sciences I Govt Vehir1e

iProtocol Priority 45 Days Offsite Propcrtv No

Other

POSSIULE SAMPLE HAZARDSRftMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Exemption Yes I No L_ Contains Radioactive Material at concentrations that are not regulated for transportatJon per 49 erR but are not 200 Area Generator Knowledge Infonnatlon Fonn applies releasable per DOE Order 54005 (19901993) ESLmiddot Hold all samples umil all 10 are received and run the complete set at ONE lime

----- shy

Sample No Lab ID Date Time NoTypc Container Sample Analysis Holding Time Preservative

B2QLR4 W ~ZSc1 1244 1 x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pH gt 9

~ --t--shy - -shy - -r---shy ---shy I

~tff

I ---shy(rZ-f~7 ==------shy --shy ~ --------shy-------- shy

~ ~

I I

~

-- ~

Print Sign DalefTm~i~RelinqllSh~~SilePari~nQ J1JN D2fmf609 ssLl JUN 23 2009 HPRC Received By h ~ DatefTime o 2-Y~ ratefTim ) 00f~Ui~d6i ( vV

~NJtCj (170-0 gttlllcZHiiy atv4 Relinquished By ltU DatefTime DatefTimeReQey~~ f t r10

6 2 07 j(Yl~vZ111 c~iq ~4 t ~9 jO~L6 Relinquished By I ( I f Datefrime ReceivedBy itgt I DatefTime I FINAL SAMPIE IDisposal Method (eg Return to cuslomer per lab procedure used in process) Disposed Hy

DISPOSITION --_ shy

Matrix bull

s SF SO SL W 0 A

~

=

~

0

~

=

Soil Sediment Solid Shuile Wter Oil Air

DC DI T WI r V X

=

-

-shy=

Dnnn Solid Drll11l Tinui Tissl1e Wine TjClllid V CQeltlOn

Other

I DateTime

I Page 26 of 32

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 30: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

CHPRC

ollectol RAShepard ~Inn

iAFNo ~

A09-006

roiee Title JllliE 2009 )) WMAm-IA

CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

ContactlReauester nm~WidriJ

Sampline Oriein HHnfiml Site

HNFN506= ZtJ laquo~

Telephone No MSIN S09-171-7RiR

Purchase OrdcrCharee Code

Ice ches~L - 51 ~ Bill of LadineAir Bill No

AUJ-UUO-J

Page 1 of 1 -

FAX

Temp

ihipped To (Lab) IMethod of Shipment EnYironmental Scjences I ahQratqry ____1-~GuuQlYJt_YueJJhwicltJlse_______________----------+-------------------------------1

rotocol Other

rOSSIBLE SAULE HAZARIgtSREMARKS bullbull Contains Radioattive Material at concentrations that are not regulated for transportatIon per 49 erR but are not

eleasable per DOE Order 54005 (199011993)

__shy

Priority 45 Days Oflsitc Proper tv No

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes iyi 200 Area Generator Knowledgl infonnation Form applies ESt Hold all samples until all 10 are received and run the complete sel at ONE lime

Sample IU ~ale Time NoType Container Sample Analysis Holding Time

6 Months

Preservative

820LTl W tUol 1130 lx125-mL GP 1129_ICPMSI-129LL(1) NaOH to pH gt 9 ___ 1~

shy~

I ~ -fd ------+-I-shy

~ 7 r ~~ ~71~

7tl13Jt1 ----f----shy 1--shy

----shy1---- -------------I-shy -+--shy ~

=p-~ ~--r-j---~~--~------~--------------------------~--------~------~~=---

~ Matrix Relinqlisl~ashepard Print Sign DatefTilllp

RS~~ S Soil DS Dnlln Snlid SE Serlimcm DI Dm1l1 lmli SO Solin T Tisltlle

CHPRC JIIN 2middot~ nnaSSl1iU BYdl7 C7 b l~tqerrimelt)~IR~~t~ ~~ oVI~~atCrrilOO SL Slueige WI Wine

W Wilter L f j(lIIid

Relinquished By Oatetrimc () Oil V Ve1et)tion A Air X Other~ fr~eqm~~r~(~s~~ 7 C~~~ Jta- fl~M Olb

DatefIimeRelinquished By 7 Y DatefIimc Receiv~-77 FJAL SAiIlLE Disposal Method (eg Retum to customer per lab procedure used in process) Disposed By OateTime

DISPOSITION Page 27 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 31: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST AUJ-UUb-1S --shy

Page 1 of 1 --shy

unector RAShepara ContactlReQuester Telephone No MSIN FAX ~HPR( nana Winr S09-376-2858

AFNo Sampiine Oriein Purchase OrderCharee Code AOlt)-OO6 Hanford Site

~ --shy ---shyroiect Tille HNFt~-~ -Z I Ilt4i Ice Che~1YL-3(3 Temp

II ~M8(Jl-ICJ l J1lF2QQ9 lipped To (Lab) Method of Shipment Bill of LadiogAir Bill No

E Sicnces Iahoratorv nvl VphicJ rotocol

Priority 45 Days OtTsite Property No

Other OSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activltv Exemption Yes VINo--I-shy Contams Radioactive Material at concentrations lhat arc not regulated for tmnsportation per 49 eFR but are not 200 Area Generator Knowledge lnfonnation Fonn applies

elcasable pcr DOE Order 54005 (199011993) ESL Hold all samples IIntil all 10 are received and run the complete set at ONE time

----shy _shy --shy --shy --shy

Sample No Lab lD Date Time NoType Container Sample Analysis Holding Time Preservative

B20LT4 W (Ph 3t ltt 1000 1x125-mL GP 1129_ICPMS 1-129LL (1) 6 Months NaOH to pHgt 9 shy

~ --shy --shy

~ ---shy -r--shy- ---shy I ----shy I 1 -----shy-

~vJ-L-----shy v ---shy(p 2-3 I J ----shy ---~

----r--

------shy ---shy ----shy --- ~ --shy

~ --shy --shy

~ h dl() I~

Received By ti- Print Sign JUN nr~n~OO9RelinqUisectE~~par~~$k~N ~~at~~e~Y ~I l Received By

Rt5r~d Jt j if I 210 93tefTir 700 Uif4- ~2Y2eime olo-cI4JlAA1rZ-t~ Relinquished By i ~~ DatefTime Rflt~ I ftff tyfTime

M1~Qr Wyen4 II C lt) 2 ~ ~~o )OmiddottS Reitnquished By DateiTime Recerv~~ Daten-imeI I

Disposed ByF1iAL SAIPLE IDisposal Method (eg Return to customer per lah procedure used in process)

Matnx

s Sf SO ST W

--

=

Snil Sediment Solid ShldUc Water

DS Ill T WI

-0 Ofllill Solid DrllwlH1Il1 TlSlIe Wine Liouirl

0 A

~ Oil Air

V X ~

Ve~elHmn

Other

DatelTime

DISPOSITION Page 28 of 32

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 32: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COc

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-78

- Page 1 of Collector ContaetlReQuester Telephoue No MSIN FAXCHPRC Om Widr SOQ-17fi-RSR

SAl- No Sampline Oriein Purchase OrderCharee Code ltOQ_OOfi Hanford Site

Proiect Title HNF-N-506- 2( 1 4ft Ice Chest No Temp SI JR V II JNF 200Q

Shipped To (Lab) Method of Shipment Bill of LadinlAir Bill No HI Sciences I Govl Vehicle

Protocol Priority 45 Days Offsite Property No

JRV POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCnONS Hold Time Total Activitv Exemption Yes llI No l_ bullbull Contains Radioactive Material at concentrahons that are not regulated for transportation per 49 CIR but arc not Site-Wide Generator Knowledge Information Fonn applies releasable per DOE Order 54005 (l 990l 993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

t-----------shy ----_ -_

Sample No LablD bull Date Time NoType Container Sample Analysis Holding Time

820PJ5 W 62-l-tJ1 otc- f-1x125-mL GP 1129_1CPMS 1-129LL (1) 6 Months

~ shy

shy~ ~ ~

JUN J ~ V -T mlJJtJ1

-shy

Preservative

NaOH to pH gt 9

Re~9I1lli~bcd B~ N Hamilton CHPRC

Relinquished By

~LA t

Daterime Received By

1( f S$ L fil Daterime

-2gt Or Daterrime

~Gz--~ Daterime

Pnnl Sign Dalerllne

JUN 2 4 20nn l-I)~ Daterime

(~ Z-s za-1) Dateffime

4gt - 1 If - ()ltj Dalemmc

Matrix bull

S Soil ns Drum Solid SF -- Sediment DI Dnlm SO Snlid T Ti~slle

SL SIIIe WI Wine W Wlter I Jicl11iri 0 Oil V Vcpettltinn A Air X Other

HNAL SAMPI~E I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By Datmime

DISPOSITION Page 29 of 32

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 33: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

COc

S09-006-94 middotCHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST Page 1 of 1

Collector KE Hamilton ContactlReQuester Telephone No MSIN FAX I~~ Dana Widriff 509middot376-2amp5amp

SAF No II - Samplinl Orilin Purchase OrderCharle Code

bull

S09middot00fi Ihnfon1 Sit

Proiect Title ulIn_~-506- ] ( Ilt~- Ice Chest No Temp

SIJRV ITlNE2009

Shipped To (Lab) Method of Shipment Bill of Ladinl Air Bill No r Science I ahOfalorv novt Vhid

Protocol Priority 45 Days Offsite Property No

SlJRV POSSIBLE SAMPLE HAZARDSREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activity Ex~mption Yes llJ No II Contains Radioactive Material at concentrations that are not regulated for transportatIOn per 49 CFR but arc not Site-Wide Generator Knowledge Infonnation Fom1 applies eleasable per DOE Order 54005 (199011993) ESL Hold all samples until all 10 are received and run the complete set at ONE time

------shy -----shy -----shy

Sample No Lab 10 bull Date Time NofType Container Sample Analysis Holding Time

B20NX6 W 6-2 I (2)0 1x125-mL GP 1129_ICPMS 1middot129LL (1) 6 Months

shy~

-

shy

~ -v~

IlIIIJfJ

Wt ~

~

----shy -------shy -------shy

Preservative

NaOH to pH gt 9

~N 252009

oq~b JUN I 9 ong Relinquished By

Datcrrirne Received By Print Sign DateTimc

s-- S S L ft( JUN 2 5 2009 I

DateTime feceiveltJft) J 0 JUN 9 nn~ CHP~~an t8Joltm~mg on

DateTimc DateTime

MP olJ 30 JUN 9 009 DateTimc Received By DateTime

FINAl SAMPLE I Disposal Method (eg Retulll to customer per lab procedure used in process) Disposed By

DISPOSITION

Matrix bull

S Soil ns Onnn Solid SF Sediment 111 Orum ll(mi SO Solid T Tisstle SL SIiI(I~e WI Wine~

-W WAter L Licllid 0 Oil V Ve~etatil)n

A Air X Other~

DateTilllc Page 30 of 32

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 34: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST

COc

S09-006-176

Page 1 of 1 _________

-Collector i1S lianO

IWOOI ContactlReauester

Dana Widrigt Telephone No MSIN FAX

509-376-2amp5amp

SAF No S09-006

Sampline Oriein Hanford Site

Purchase OrderCharee Code

Proiect Title SITRV IIINF 009 ~W~N~~ 21 i -lip Ice Chest No Temp

Shipped To (Lab) Fnvil Sciences I

Method of Shipment Govt Vehicle

Bill of LadineAir Bill No

Protocol SlJRV

Priority 45 Days Offsite Propertv No

POSSIBLE SAMPLE HAZARDSIREMARKS bullbull Contains Radioactive Material at concentrations that are not regulated for transportation per 49 CFR but are not releasable per DOE Order 54005 (19901993)

SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemption Yes ~ No L Site-Wide Generator Knowledge Infonnation Fonn applies ESL - Hold all samples until all 10 are received and run the complete set at ONE time

Sample No

B20P35

- -shyLab ID bull

W

Date

c~11

Time

tc NoType Container

1x125-mL GP

Sample Analysis

1129_ICPMS 1-129LL (1)

Holding Time

6 Months

Preservative

NaOH to pH gt 9

-shy -r--shy rshy -shyr--shyr---shy -shy-shy ~

~o4 ~lt

----~--shy ---shy --shy r-shy ---- ---shy -shy -

DateTime Received By Print Sign DateTimeRelinqfBI ~n( L JU~L6 2009 5 S IA 11 ICHPRC

IReceived By

I 9 mnb ~_ Vlt1lOtr-()IrM~

JUN 2 Relinquished By DateTime DateTime

oggtUJUN I 9 550 tJ og3 0 JlIN I 9 O DateTime DateTimeRelinqtmd]dlian

0130 JUN amp150 JlIN I 9 70Q9CHoq~

DateTime DateTimeRelinquished By

Matrix bull

S ~ Soil J)S Dnnn Solin SF Seeiment J)J Dnnn T-i(llIi SO Solie T Tiswe SJ Slnege WI Wine W Weter J l-ielllici o Oil V Veetation A Air X Other

FINAL SAMPLE I Disposal Method (eg Return to customer per lab procedure used in process) Disposed By DateTime

DISPOSITION Page 31 of 32

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32

Page 35: Analytical Data Report of Water Samples Collected For I-129 ......Post Spike (PS): No preparation was performed therefore no PSs were analyzed. Matrix Spike (MS): Not applicable. Other

---------shy

COC

CHPRC CHAIN OF CUSTODYSAMPLE ANALYSIS REQUEST S09-006-422

Page J of 1 Collector DJSpar1cs ContactIReQuester Telephone No MSIN IAX

DHnH Widri iOQ-176-2RiR

SAF No Samplin20rieJn Purchase OrderCharee Code ltOQ_006 Hanford Site

Proiect Title HNF-N-5OA- J I 3 Ice Chest No Temp Sl fRV Il INF )009

Shipped To (Lab) Method of Shipment Bill of LadinelAir Bill No t Sciences I [iov Vehicle

Protocol Priority 45 Days

Offsite Property No ltIlRV

POSSIBLE SAMPLE HAZARDSIREMARKS SPECIAL INSTRUCTIONS Hold Time Total Activitv Exemotion Yes IJ No I bullbull Contains Radioactive Material at concentralions that arc not regulated for transportation per 49 CFR bUI are not Site-Wide Generator Knowledge Information Form applies releasable per DOE Order 54005 (19901993) ESL - Hold all samples until all 10 arc received and run the complete sel at ONE time

---------shy

Sample No Lab ID bull Date Time NolType Container Sample Analysis

B20PP7 W ~I)q ol 15 1x125-mL GP 1129_ICPMS 1-129LL (1) ---shy -t---shy --shy r--- ---shy ---shy ~ OJl)

~ 1-7J-O

---- --shy------shy

---------shy

Holding Time

6 Months

----shyt-

~ ---shy

Preservative

NaOH to pHgt 9

---shy ---- -shyRelinquished By Dalcrrirne

DJSpar1cS

Received By -

CrtdJ11z ~ Datcrrimc

tZ dJUL 1 4 2009 -

JUL ore1W1009 200

iYbDjrr4 lC2009

Dateffime

Matrix bull eceived By Print Sign Daterrime~ I1111 n R 2009 -SSudt- S Soil os Orum Solid

Datelfime Sf Sediment 01 Drum I i(mi SO Solid 1 Ti~lle

Received By

S1 Shui1c WI WineJUL 1 4 2009 Q-v jvJCA~ W Woter L iClllirl 0 Oil V VClclLllion

A Air X Other

DaleTime R~Ccived By

FINAL SAMPLE I Disposal Method (eg Return 10 cusromer per lab procedure used in process) Disposed By Dateffime

DISPOSITION

p- lt II )IlAJ

Page 32 of 32