ML060970187
| ML060970187 | |
| Person / Time | |
|---|---|
| Site: | Braidwood  |
| Issue date: | 12/02/2005 |
| From: | NRC/RGN-III |
| To: | |
| References | |
| FOIA/PA-2006-0115, FOIA/PA-2010-0209 | |
| Download: ML060970187 (2) | |
Text
PAGE OF U
NRC FORM 303 (4-2004)
U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY CONTROL NUMBER REQUEST FOR ANALYSIS AND CHAIN OF CUSTODY LABORATORY - ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
BRAIDWOOD NIJCLFAR GENERATING STATION 456/457 SAMPLE SUBMITTED I
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY d
/.ROUTINE SAMPLE COLLECTION INTERVAL l
MONTH DAY YEAR TIME START L i _
INbP R
PONS17
/
TELEPHONE NUMBER STOP
/c4°/ti 630
~sf 87STO P
2>
ANALYSIS TO BE PEORMEDIST DESIRED O
TYPE OF ANALYSIS LIST DESIRED ANLSSTLEP RE LD (Optional)
OTETYEFAAYSS(Specify)
LLD (Optional)
E GROSS ALPHA (GA)
GROSS BETA (GB)
GAMMA SPEC (GS) enntVArCMC h
D TRITIUM (13)
Au 4 Pro d
bi
-ia, L Wan_
E] CARBON-14 (C14)
D IODINE-125 (1125)
RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY FOP RECO ALEDPAR NO Al 0
t
\\WS NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.
NRC FORM 303 (4-2004)
PRINTED ON RECYCLED PAPER
PAGE OF_
NRC FORM 303A U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
CONTROL NUMBER SAMPLE RECORD - Continued LABORATORY - ORISE SAMPLE SAMPLE NAME COLLECTION REMARKS, PRESERVATIVE NUMBER AND DESCRIPTION DATE/TIME ANALYSIS REQUESTED, ETC.
&C I IP_/ap-L,
./
> sk
_/s o/ b-- D -r -
i.z................
/.
/./. f......,
2s pq__
31 P-UO/& DSBiL P~
S
~P?
z.............
7 gs/A l~s -J - t17 2/
ff aL-g-2..............
9S-1 2 1aSDS 81-5......
C I2S-S-Bb-12 ----.
/0 Ps-3 b
/..
R.
F 0
'I I...
NRC FORM 303A (4-2004)
PRINTIED UN REC;YCLED PAPER