ML060970189
| ML060970189 | |
| Person / Time | |
|---|---|
| Site: | Braidwood  |
| Issue date: | 12/02/2005 |
| From: | NRC/RGN-III |
| To: | |
| References | |
| FOIA/PA-2006-0115, FOIA/PA-2010-0209 | |
| Download: ML060970189 (11) | |
Text
PAGE OF_
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.
B1RAIDWOOD NTJUCLFAR GFNFRATING STATION NPF-72INPF-77 50-456/50-457 SAMPLE SUBMITTED
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY ROUTINE
_ URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP ANALYSIS TO BE PERFORMED LIST DESIRED OTHER TYPE OF ANALYSIS (Specify)
LIST DESIRED GROSS ALPHA (GA)
D L
GROSS BETA (GB)
D GAMMA SPEC (GS)
E J TRITIUM (H3)
El CARBON-14 (C14)
O IODINE-125 (1125)
O RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY
.2 1 P1 FEE RECOVERABLE E
NO
- l YES IF YES, TAC NUMBER REMARKS NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.
_NRC FORM 303 (4-20DI)
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PAGE PAGEOF_
NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4.2004)
REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY LABORATORY - ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
BRAID)XVOOD NTJCTFAR G.ENERATING STATION NPF-72/NPF-77 50456150-457 SAMPLE SUBMITTED NPF-72/NP__77 50456__50__457
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY ROUTINE
_URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP LIST DESIRED LIST DESIRED ANALYSIS TO BE PERFORMED LLD (Optional)
OTHER TYPE OF ANALYSIS (Specify)
LLD (Optional)
LI GROSS ALPHA (GA)
L GROSS BETA (GB)
D E] GAMMA SPEC (GS) sI L
TRITIUM (H3)
L CARBON-14 (C14)
L D
IODINE-125 (1125)
RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY I2-b-fO.
1 D
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.12 FEE RECOVERABLE L
NO L
YES IF YES, TAC NUMBER REMARKS 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 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY LABORATORY - ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
BRAIDWOOD NUJCLEAR GENERATING STATION NPF-72/iNPF-77 I50-456/50-457 SAMPLE SUBMITTED 5
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- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY EH ROUTINE gURGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR I TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP ANALYSIS TO BE PERFORMED LID (OptIonal)
OTHER TYPE OF ANALYSIS (Specify)
LID (Optional l GROSS ALPHA (GA)
D E
GROSS BETA (GB) l E
GAMMA SPEC (GS)
E TRITIUM (H3)
CARBON-14 (C14)E E
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RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY j1 A-t2
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FEE RECOVERABLE E
NO E
YES IF YES. TAC NUMBER REMARKS NOESAMCY L9SoAR5-O6-qS NOTE-SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.
NRC FORM 303 (4 2004)
PRINTIED ON RECYCLEU PAPER
PAGE OF NRC FORM 303 (4-2004)
U.S. NUCLEAR REGULATORY COMMISSION REQUEST FOR ANALYSIS AND CHAIN OF CUSTODY LABORATORY - ORISE LABORATORY USE ONLY CONTROL NUMBER SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
l1RAIDWOOD NITCLEAR GFNFRATING STATION NPF-72/NPF-77 50-456/50-457 SAMPLE SUBMITTED
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY LI ROUTINE
__j URGENT SAMPLE COLLECTION INTERVAL l
MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER T
DSTOP ANALYSIS TO BE PERFORMED LID (Optional)
OTHER TYPE OF ANALYSIS (Specify)
LID (OptionEaD D
GROSS ALPHA (GA)
LIl D
GROSS BETA (GB)
L D
GAMMA SPEC (GS)L D
TRITIUM (H3)
D CARBON-14 (C14)
El D
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RELINQUISHED BY RECEIVED BY DATE TIME
- REASON FOR CHANGE OF CUSTODY FEE RECOVERABLE LINO LIYES IF YES, TAC NUMBER REMARKS AWg> kW/Z0o -.3 5 GL11 NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.
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PAGE OF NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
REQUEST FOR ANALYSIS AND CONTROLNUMBER CHAIN OF CUSTODY LABORATORY - ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
BRAIDWOOD NJ ClEFAR GEINERATING STATION NPF-72/NPF-77 I50-456/50-457 SAMPLE SUBMITTED l
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY ROUTINE URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP ANALYSIS TO BE PERFORMED LIST DESIRED OTHER TYPE OF ANALYSIS (Specify)
LLD (Optional)
L GROSS ALPHA (GA)
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GAMMA SPEC (GS)O TRITIUM (H3)O L
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YES IF YES, TAC NUMBER REMARKS NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.
NRC FORM 303 (4 2004)
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PAGE OF NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
REQUEST FOR ANALYSIS AND CONTROLNUMBER CHAIN OF CUSTODY LABORATORY - ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
BRAIDIWOOD Nu CLFAR GI.NFRATING. STATION NlF-72INPF-77 50456/50-457 SAMPLE SUBMITTED
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY ROUTINE g_
_URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP ANALYSIS TODBE PER*ORMED LIST DESIRED OTHERTYPE CFANALYSIS (Specify)
LIST DESIRED ANLSST EPROMDLLD (Optional)
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LLD (Optional)
GROSSALPHA (GA)
D L
GROSS BETA (GB)
D GAMMA SPEC (GS)
LI; L
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NRC FORM 303 (4 2004)
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PAGE OF NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY LABORATORY -- ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
BRAIDWOOD NTJCI,EAR GFNFRATING STATION NPF-72/NPF-77 50-456/50-457 SAMPLE SUBMITTED
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBM PRIORITY ROUTINE g_
URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP ANALYSIS TO BE PERFORMED LIST DESIRED OTHER TYPE OF ANALYSIS (Specify)
LLD (Optional L
GROSS ALPHA (GA) 1 L
GROSS BETA (GB)O j
GAMMA SPEC (GS)O TRITIUM (H3)L El CARBON-14 (C14)O E
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YES IF YES. TAO NUMBER REMARKS NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.
NRC FORM 303 (4-2004)
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PAGE OF NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
REQUEST FOR ANALYSIS AND CONTROLNUMBER CHAIN OF CUSTODY LABORATORY-ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
SRAIDWOOD N
MCLEAR GFNERATING STATION NPF-72/NPF-77 50-456/50457 SAMPLE SUBMITTED
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY Li ROUTINE URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP ANALYSIS TO BE PERFORMED LID (Optional OTHER TYPE OF ANALYSIS (Specify)
LID (Optiona GROSS ALPHA (GA)
D GROSS BETA (GB)D E
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I RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY 10-LSLtb Z..:
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NRC FORM 303 (4-2004)
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PAGE OF NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY LABORATORY -- ORISE SAMPLE LOCATION (LCENSEE)
LICENSE NO.
DOCKET NO.
RRAIDWOOD NI CWIFEAR GFINERATING STATION NP-72/NPF-77 50-456/50-457 SAMPLE SUBMITTED NPF________
50_456150_457
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY ROUTINE
_ _ URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP ANALYSIS TO BE PERFORMED LLD_(Optional)
OTHER TYPE OF ANALYSIS (Specify)
LLD (Optional)
GROSS ALPHA (GA)
El E
GROSS BETA (GB)E E
GAMMA SPEC (GS)
E L
TRITIUM (H3)
I CARBON-14 (C14)
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IODINE-125 (1125) j RELINQUISHED BY RECEIVED BY DATE TIME
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YES IF YES, TAC NUMBER REMARKS
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NRC FORAI 303 (4 2004)
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PAGE OF_
NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
REQUEST FOR ANALYSIS AND CONTROLNUMBER CHAIN OF CUSTODY LABORATORY-ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
BRAIDWOOML NTC!EAR GENMERATING STATION NPF-72/NIPF-77 50-456/50-457
______________SAMPLE SUBMITTED
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY
] ROUTINE l
l gj_
URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER SO I STOP ANALYSIS TO BE PERFORMED LLD (Optional)
OTHERTYPE OF ANALYSIS (Specify)
LID (Optional L
GROSS ALPHA (GA)
L Li GROSS BETA (GB)O L
GAMMA SPEC (GS) n D
TRITIUM (H3)
Li CARBON-14 (C14)
El U
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LI RELINQUISHED BY RECEIVED BY DATE TIME
. REASON FOR CHANGE OF CUSTODY 4_____
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FEE RECOVERABLE LI NO YES IF YES, TAC NUMBER REMARKS I
NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.
NRC FORM 303 (4-2004)
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PAGE OF NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)
REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY LABORATORY-- ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO.
DOCKET NO.
RRAIDWOOI) NIJCI SEAR GENERATING STATION NPF,-72/LN'PF-77 50-456/50-457 SAMPLE SUBMITTED 50-456/50457
- TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY 2
ROUTINE
_URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP LIST DESIRED LIST DESIRED ANALYSIS TO BE PERFORMED LLD (Optional)
OTHER TYPE OF ANALYSIS (Specify)
LLD (Optional)
L GROSS ALPHA (GA)
L GROSS BETA (GB)O
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GAMMA SPEC (GS)O
[
TRITIUM (H3)L
[
CARBON-14 (C14)L IODINE-125 (1125) l RELINQUISHED BY RECEIVED BY DATE TIME
. REASON FOR CHANGE OF CUSTODY 12-12-I, FEE RECOVERABLE L
NO L
YES IF YES, TAC NUMBER REMARKS NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.
NRC FORM 303 (4 2004)
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