ML060970187

From kanterella
Jump to navigation Jump to search
Request for Analysis and Chain of Custody
ML060970187
Person / Time
Site: Braidwood  Constellation icon.png
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 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)

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

  1. TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY d /.ROUTINE SAMPLE COLLECTION INTERVAL

. l MONTH DAY YEAR TIME START Li _ _ __ _ _

INbP R PONS17 / TELEPHONE NUMBER . STOP _ _ _

/c4°/ti 630 ~sf 87STO P 2>

ANALYSIS TO BE PEORMEDIST DESIRED O TYPE OF ANALYSIS LLD DESIRED LIST (Optional)

ANLSSTLEP RE LD (Optional) OTETYEFAAYSS(Specify)

E GROSS ALPHA (GA) .

GROSS BETA (GB) .

GAMMA SPEC (GS) enntVArCMC h D TRITIUM (13) Au 4d Probi -ia, L Wan_ _.

E] CARBON-14 (C14)

D IODINE-125 (1125) .

RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY FOP ALEDPAR NO RECO Al . t 0 \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 sk o/

>_/s IP_/ap-L b-- D -r - , i.z. ./

_, /./.

/. f......,

2s S ~P?

, - pq__z. . . . . . . _...

31 7gs/A UO/& l~s DSBiL -J P-- t17 . ...2/ .P~

ff - ' aL-g- 2..............

9S-12 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