ML12089A591
| ML12089A591 | |
| Person / Time | |
|---|---|
| Site: | Indian Point  |
| Issue date: | 03/29/2012 |
| From: | GZA GeoEnvironmental |
| To: | Atomic Safety and Licensing Board Panel |
| SECY RAS | |
| Shared Package | |
| ML12089A590 | List: |
| References | |
| RAS 22130, 50-247-LR, 50-286-LR, ASLBP 07-858-03-LR-BD01 | |
| Download: ML12089A591 (86) | |
Text
{{#Wiki_filter:ENT00334B Submitted: March 29, 2012 FINAL QUARTERLY LONG-TERM GROUNDWATER Gz\)) - - - - - - MONITORING REPORT Q2 2010 (REPORT NO. 10) APPENDIX C: CHAINS OF CUSTODY
Page: 1 of J GEL Laboratories, LLC Project #: Enterav license Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 cae Number (\): GEL Work Order Number: Phone: (843)556-8171 PO Number: 50013510 Fax: (843) 766-1178 Collected by: Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .!!
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~ Pacific Central Mountain Other Chain of Custody Signatures Sample Shipping and Delivery Details Relinqul$bed By (Signed) Date TUnc Received by (signed) Date Time
, aELPM: (lleryl DulTy IC/tA.t ~~ A"\. '1( rz.},.t> 08tm I Z>6(.M..iOO> S To l.l\e:I~ 4/nJ10 own Method orShipmcnt' FF.DEX Dale Shiooed:
2 D lJ 2 Airbill#: 3 3 Airbill#: I ) Chain of Custody Number ~ Client Determined For Lab Receiving Use Only 2.) QC Codes: N~ Nonnal S;unple. TB ~ Trip Blank. FI>" Field Duplicate. ED = Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spil.c Duplicale Sample. G= Grab. C= Composite 3.) Field Filtered For liquid matrices. indicate with a V - for yes the sample was field filtered Of- N - for sample was not field filtered Custody Sl!allntacr?
- 4) Matrix Codes: D'Drinking Water. GW=Groundwatcr, ~"Surface Water, WW=Was'c Water, "'Water. ML~Misc Liquid, SO"Soil, SD=Scmment, SL=Sludge, S~Solid Waste, O"Oil. F-Filtor, P=Wipe, U=Vrine, F'-Fecal.l'I'=Nasal YES NO
- 5) Sample Analysis Requested: Analytical method rcque<ted (i e 82608, 6Ot0B!7470)\and number of containers provided far each (i e 8160B- 3,6010811470.4 - 1) Coo/a Temp :
- 6) Preservative: Type: Hi\..... Hydrochloric Acid, Nt = Nitric Acid, Sit'< Sodium Hydroxide. SA= Sulfuric Acid, AA= Ascorbic Acid. HX= Hexane, ST -:: Sodium Thiosulfate. lfno preservative is added -= leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of I GEL Laboratories, LLC Project #: Entergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.ge1.com for GEL's Sample Acceptance SOP** CharlestOn, SC 29407 COC Number (II: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ ~ -c: <-- Preservative Type (6)
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III {:. E- 0 ~ MW-SI-40-(015) 04- O~ 10 135~ N N GW Y N 1 1 1 1 2 Liter Poly MW-Sl-79-(015) b4 02 !l O 142\ N N GW Y N 1 1 1 1 2 Liter Poly MW-SI-I04-(013) p4 o~ Ie 1042 N N GW Y N 1 1 1 1 2 Liter Poly MW-Sl-135-(013) ~Io~ \0 \ \O~ N N GW Y N 1 1 1 1 2 Liter Poly MW-Sl-163-(013) 04 109 \e \ \ 3 i N N GW Y N 1 1 1 1 2 Liter Poly MW-Sl-189-(013) 0409 1)0 \ ,,~ N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Nonna1: ./ Rush: SpceilY: ISubject to Surcharge) IFax Results: Yes /~ Circle Deliverable: C of A I QC Summary I Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Ssmll!e Collecllon TIme Zone Ea~lerV Pacific Central Mountain Other I Chain of Custody Signalure-s Sample Shipping and Delivery Details Ii'> (Signed) In"" Time Received by (signed) Date Ti.me GEL PM: ERIN TRENT J/j7;/l lY~ 04112)10 080t() SEC\JIL£D 1~'(LAbE 041,2)'0 o~oo Method of Shipment: FEDEX Date Shipped: '.rA ~ 2 Airbill #: 3 3 Airbill #:
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'=Wipe. U=Urine. F=Feca1, N=NasaI YES NO Cooler Temp:
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Page: 1 of 1 GEL Laboratories, LLC Project #: Entergy GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL..Quote#: **Sec \VWW.gel.com for GEL's Sample Acceptance SOP** Charles!on. SC 29407 COC Number (t): Phonc; (843) 556-8171 GEL Work Order Number: PO Number: 50013510 fa.x: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~
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0: e ~ f- 0 ~ Z MW-66-21-(O 13) o4id1 \ ( \527 N N GW Y N 1 1 1 1 1 2 Liter Poly MW-66-36-(012) ~\'cF\ 110 \511 N N GW Y N 1 1 1 1 1 2 Liter Poly TAT Requested: Nonnal: ./ Rush: Specify: (Subject to SurtIwg<) IFa.x Results: Yes I ~ Circle Deliverable: C of A I QC Summary i Level I I Level 2 I Level 3 I Level 4 Sample_CQllection Time Zone Remarks: Are there any knowlI hazards applicable to these samples? /fso, please list tlte Irazards
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Page: J of I GEL Laboratories, LLC Project #: Enterav License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road G£LQuote#: QELP07-01i28 **See www.ge1.com for GEL's Sample Acceptance SOP** Charleston, SC' 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number. 50013510 Fax: (843) 766-1178 ('ol1ccted by: Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 -=.~ ~
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MW-66-21-(GB Ol) 4/~ '10 15~_ N N GW Y N 1 1 500 m! Poly MW-66-36-(GBO l) H/q I,D 1S'i~ N N GW Y N 1 1 500 m! Poly TAT Requested: Normal: ./ Rush: SpecifY: (SubjCC( to Surch"'Ee) \Fax Results: Yes f ~ Circle Deliverable: C of A f QC Summary f Levell f Level 2 f Level 3 f Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards iSamole Collection Time Zone
~ Ccntrnl Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl DufiY 1/'1A./\.. £ a, ~ '-i/\'2..h V O'ifon I ~J Jleh 'b\b~r=:. Lf(,-U,o O'f!Pr) Method of Shipment: FEDEX Date Shipped:
2 0 0 2 Airbill #: 3 3 Airbill#: I ) Chain of Custody Numb<r' Client Detmnined For Lab Recdving Use Onl)'
- 2) QC Codes: N~ Nonna! Sample. TB ~ Trip Blank. FD> Field Duplicate. EB ~ Equipment Blank. MS= Matrix Spike Sample. MS])= Matrix Spike Duplicate Sample, G= Grab. C= Composite
- 3) Field Filtered: For liquid matrice<. indicate with. Y - for yes the sample was field filtered OF N - for sample was not field filtered. Custody Saollntocl'
- 4) Matrix Codes: DDrinking Water, G~"'Groundwater, S\\"Surface Water, W","Waste Water, ","Water, MI.=Misc Liquid, S()OSoil, S])=Sedimcnt. SL~Sludge, S!FSolid Waste, O<>il, po,Filter, P=Wipe, U-Urine, po,Fccal, N-Nas.1 YES NO
- 5) Sample Analysis Requested Analytical method requested (i e 826OB, 6OIOBl7470)land number of containers provided for each (i e 8]60JJ. 3,60108/7470,4 -1) C()()/cr Temp.'
- 6) Preserv:uive Type: HA= Hydrochloric Acid. NI = Nitric Acid, S"" Sodium Hydroxide. SA~ Sulfuric Acid, AA~ Ascorbic Acid. HX= He.ane, ST ~ Sodium Thiosulfate. Ifno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of I GEl.. Laboratories. LLC Project #: Enterov LIcense Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GE!.P07-062& **See www.gel.com for GEL's Sample Acceptance SOP" Charleston, SC 29407 COC Number (II: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 5001 351 0 Fax: (843) 766-1178 Collected by: C'~\J Mf:;gb.f.)..J: 1 Mo.. ~e...lTOS Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) ProjecliSire Name: Indian Point Energy Center Fax#: (914) 734-6247 ~l~ <-- Preservative Type (6)
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I MW-46-(GBOl ) '-110--11"0 11'2..0, N N GW Y N 1 1 500 ml Poly TAT Requesl~d: Normal: ./ Rush: SpecifY: I (Subjc£1 to SurcllMge) Fill( Results: Yes I <ii-;;-";) Circle Deliverable: C of A ! QC Summary I Levell ! Level 2 I Level 3 I Level4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards ~m!lle Collecllon Time Zone
~ Pacific Cemml Mountain Other Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) D~l e Time Received by (signed) Date Time GEL PM: C heryl Duffy I ~~- ~ 4Abll 1""j tn""2 lbt::~~~(, ql\-:z,f, 0 \~L.. Method ofSlIipnl<lnr: FEDEX Dale Sh~->d :
U 0 2 2 Airbill!l: 3 3 AirbiU #: 1 ) Chain of Custody Nwn~r - Client Determined For Lab Receivillg Use Only 2.) QC Codes N~ Normal Sample, TB ~ Trip 81MI.. FD- field Oup!ltG~, £ 8 - Equipmont 81Mk. ~ts- Mrurix Spike Sample, MSD= Matrix Spike Duplicate Sample, G= Grab, C~ Composite 3.) Field Filtered. For liquid matrices. indial~ wllh a V. (or yes dte..",ple"... ndd mtmd .... N .ra<s:unplc was not field fillere:!. Custody Seal Intact? 4.) Matrix Cocks. DW=Drinking W.ter, CW*OrOl.lnllw",,,,., S\\!oSur~ \Voter. 'v\~IYIIS\' Willer, "Water.MI.-Mise Uquid, S()OSolI, SIFSc>iim<n~ SLeS!udge, S9-Solid Wasle, (FOil, F=Filter, l'=Wipc, {FUrin., F~Fecal, N=Nasai YES NO
- 5) Sample Analysis Requcs<ed Analytical method requested (i.e 826OB, 6010Bl7470j\and number of containers pi'Ovidcd for c;\ch (i.e 8160B- 3, 6OIOBI7.f'o.~ * ' ) Cooler Temp:
- 6) Preservative Type* HA~ Hydrochloric Acid. NI ~ Nitric Aeid, SlF Sodium Hydroxide. SA- Sulfuric Acid, AA~ As<:orbic ",old, IIX- Hexane, ST . SodiUltJ Tldreulf.,e:. li no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Project #: Enlemv License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GELP07-0628 "'See www.gel.com for GEL's Sample Acceptance SOP"' Charleston, SC 29407 cae Number Ill, Phone: (843) 556-8171 GEL Work Order Number: PO Numher: 50013510 Fax: (843) 766-1178 Collected by: C..-; tDWMB1L~U;:C }M, B?-t-ro..s Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ ,,~
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Page: I of 1 GEL Laboratories, LLC Projeci #: Entergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.ge1.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (1): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fin in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ ~ -i:i <-- Preservati'*e Type (6)
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Page: I of I aa Laboratories, LLC Project #: Entergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: **See www.ge1.com for GEL's Sample Acceptance SOP** Charleston. SC 29407 coe Number (I): Phone: (843) 55G-8171 GEL Work Order Number: PO Number: 50013510 Fa.: (843) 7615-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (S) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .:! AI-C:
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-=Wipe. U=lfrine, F=Fecal, N=Nasal YES NO Cooler Temp :
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Page: I of 1 GEL Ch aiD ° fC t d d ADaIy toleaI R eqUes t GEL Laboratories, LLC Project #: Entergy GW Mon Prog 0 us 0 y aD 2040 Savage Road GEL Quote #: **See www.gel.comforGEL*sSampleAcceptanceSOP**Charleston.Sc 29407 COC Number (tl: GEL Work Order Number: Phone: (843) 556-8171 PO Number. 50013510 Fa.~ : (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 ~ .ll ~
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(;3 e c:n MW-62-18-(0 13) P4 '3 \0 \S \; N N GW Y N Il 1 1 2 Liter Poly MW-62-37-(013) 1:>41i'3'10 '522 N N GW Y NIl 1 1 2 Liter Poly MW-62-53-(012) D4113110 \527 N N GW Y NIl 1 1 2 Liter Poly MW-62-71-(013) DU:I3\\O \?>4s N N GW Y NIl 1 1 2 Liter Poly MW-62-92-(013) b Lt I?J 1/0 \?> 3 ~ N N GW Y N Il 1 1 2 Liter Poly MW-62-138-(013) fr1..l h~/IO l~O'L N N GW Y N Il 1 1 2 Liter Poly MW-62-182-(013) O4h?/IO l~lg N N GW Y NIl 1 1 2 Liter Poly TAT Rcq\lcsted: Normal: ~_ Rush: _ _ Specify: _ _ (S\,bjCCl to Surchmx<) I Fax Results: Yes _ _1__ Go :) Circle Deliverable: C of A I QC Summary Level I I Level2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list tIre hazards ~1les;ti9n Time 7.,one Eastern Pacific Central Other _ __ Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Rrc:.'ved by (signed) Date Time GEL PM: ERIN TRENT I ~{L~l. t..fhLfI{O ((p9)11 .5i3i;L,(e6 ~-(,oRv:tbt;_tfht.J.;'I?_-.l(PS'D IMethodofShipmenr. FEDEX Date Shipped: 2 0 U 12 IAirbill #: 3 3 Airbill #:
- 1) Chain of Custody Number ~ Client Determined For Lab Receiving Use On(v 2.) QC Codes: N~ Normal Sample, TB ~ Trip Blank, FD= Field Duplicate, EB ~ Equipment Blank, MS= Malrix Spike Sample, MS1)= Matrix Spike Duplicate Sample, G= Grab, C~ Compo<ite 3.) Field Filtered: For liquid matrices, indicate witlJ a Y - for yes tlJe sample was field filtered o. N - for sample was not field fiI(ered Custody Seal Intact~
4.) Matrix Codes: DWoDrinking Water, GWoGroondwater. SWoSurface Water. ~Waste Waler, WoWater, ML~Misc Liquid. S~Soil. SD=Scdimcn~ SL~Sludge, S!FSolid Waste, O=OiI, F~Filtcr, P=Wipc. U=Urine, f'=Fccal, N=NasaI YES NO
- 5) Sample Analysis Requested: Analytical method requested (i e 826OB, 6OIOBn470jland number of containers provided for each (i.e. S260/J. 3. 60lOB!7470A -I), Cooler Temp:
6.) Preservative Type: HA~ Hydrochloric Acid. NI ~ Nitric Acid. S& Sodium Hydroxide, SA~ Sulfuric Acid. AA~ Ascorbic Acid. HX~ Hexane. ST ~ Sodium Thiosulfate. If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of I GEL Laboratories, LLC Project #: EnterQY License Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: QELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected by: Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ to! -0 <-- Preservative Type (6)
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(bhmm) .; en e 0 MW-62-18-(GBO 1) 4 h"2.ho iSn N N GW Y N 1 1 500 ml Poly MW-62-37-(GBOI) 4h~ilb Ih22 N N GW Y N 1 1 500 m1 Poly MW-62-53-(GBOI) Lf Jl"h \'D 1~'J,"'1 N N GW Y N 1 1 500 ml Poly MW-62-7l-(GBO1) Lt )0, *to \3~S N N GW Y N 1 1 500 ml Poly MW-62-92-(GBOl) ~I\D I/o \33& N N GW Y N 1 1 500 ml Poly MW-62-138-(GBOl) kJ\o/lo I\~z, N N GW Y N 1 1 500 ml Poly MW-62-182-(GBOl) 4h2> U) \&1~ N N GW Y N 1 1 500 ml Poly I TAT Requested: Normal: v' Rush: Specify: (Subj<ct to Surcharge) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level I I Level2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Samole Collection Time Zone
~Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl Duffy l~ ~~ 'Ih4/l0 [(£IS) lSfw,ac ~D~r; 4{,t,fllo I(P;;O f\-fethod of Shipment: FEDEX Date Shipped:
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Airbill#: Airbill #: For Lab Receiving Use Only Custody Seal Intacl? P=Wipc, U=Urine. F-=F~l. ~'=Nasal YES NO Cooler Temp:
-leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
~ New York State Department of Environmental Conservation CHAIN OF CUSTODY
- if 625 Broadway
" Albany, New York 12233-0001 Client: New York State Department of Environmental Conservation Anal vsis I Method Project: Entergy- Indian Point Ground Water Monitorin~
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Relinquished by: Date: Time: Received by: Date: Time: Shipment Method: AirBiII Number: Turnaround Time Required : _______________ Comments: This is a split sample witnessed by Alex Czuhanich (NYSDEC) Routine: Rush: Cooler Temp:
~ New York State Department of Environmental Conservation CHAIN OF CUSTODY 2 e 625 Broadway Albany, New York 12233-0001 Client: New York State Department of Environmental Conservation Anallfsis I Method Project: Entergy- Indian Point Ground Water Monitoring Sampled by: c.. r2L",Ia.JJ.-e::..-n r~IA"'" / M. {;t-I-ro.5 ..,. 0 N 00 M III ('I Client
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~ New York State Department of Environmental Conservation CHAIN OF CUSTODY .7 l' 625 Broadway
, Albany, New York 12233-0001 Client: New York State Department of Environmental Conservation Analvsis I Method Project:
Sampled by: Entergy- Indian Point Ground Water Monitoring C B~ M6 III T .,.. 0 GO N_ N Client
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Page: 1 of I GEL Laboratories, LLC Project #: Entem'L Ucense Renewal Proiecl GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GELP07-0628 **See \\'ww.gel.com for GEL's Sample Acceptance SOP" Charleston, SC 29407 coe Number rll: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 500135 10 Fax: (&43) 766-1178 Collected by: Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ '" -i; <-- Preservative Type (6)
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...'" ~ 0 MW-31-49-(GBOl) I Lf/'4ko 110'12.. N N GW Y N 1 1 500 ml Poly MW-31-63 -(GBO l ) Ltll Y, It-o l'6cb N N GW Y N 1 1 500 m1 Poly MW-31-85-(GBOl) 14h~ Jrt> l'Z..o"t N N GW Y N 1 1 500 ml Poly TAT Requested : Normal: ../ Rush: Specify: (Subjcct to Surcharge) IFax Results: Yes f ~ Circle Deliverable: C of A f QC Summary f Level I f Level 2 f Level 3 f Level 4 Remarks: Are there any known hazards applicable to these samples? lfso, please list the hazards Samole Collection 1'ime Zone
~Centrol Pacific Other
;\1ounttlin Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Tune Received by (signed) Date Time GEL PM: Cheryl Du fry 1(A/t.....O PJ. A- /I , . - ,
- t.lfl'~/10 /(9) 1 ~R:: .~7{)eAbr;: 4"4)' 0 'IoSb Method ofSbipment: FEDEX Date ShlDoed:
2 g \J 2 Airbill#: 3 3 Airbil1#: I.) Chain of Custody Number ~ Client Determined For Lab Receiving Use Only
- 2) QC Codes: N~ Normal Sample, TB ~ Trip Blank. FI>' Field Duplicale. EB ~ Equipment Blank, MSo- Mattix Spike Sample. MSD- Mattix Spike Duplicate Sample. ~ Grab. C~ Composite
- 3) Field Filtered: F('r liquid matrices. indicate with a Y - for yes the sample was field fi1t~ed Of- N - for sample was not field filtered Custody Seal Intact?
- 4) Mattix Codes: D'Drinking Water, G~"'Groundw_, SW=Surface Water, M"'Waste Water, W=W_, 1\n.~Misc Liquid, SOoSoil, SD=Sedimcn~ SL~Sludge, SS=Solid Waste, 0=0i1, l"Filter, ""'Wipe, U-Urine, l"Fccal, N-=Nasal YES NO
- 5) Sample Analysis Requested: Analytical method requested (i e 8260B, 6OI0Bl7470)land number of ""nlainers provided for each (i e 81608- J, 6010817470,1 - I). Cooler Temp:
- 6) Preservative Type HA~ Hydrochloric Acid. Nt ~ Nittic Acid, SIt- Sodium Hydroxide, SA- Sulfuric Acid, AA~ Ascorbic Acid, HX- Hexane, ST ~ Sodium Thiosulfate. Ifno preservative is added -leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Ch' f C t d d A I . IR GEL Laboratories, LLC Projool #: Entergy GW Mon Prog aID 0 us 0 y aD Da yhea equest 2040 Savage Road GaL Quote #: **See www.gel.comforGEL*sSampleAcceptanceSOP** Charleston.sc 29407 COC Number (1): GEL Work Order Number Phone: (843) 556-8171 PO Number: 5001 3510 ' Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 :§ ~ ~ <-- Preservative Type (6)
"CI.!l IU g E~ -.I .-. 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ =~ .~ f9 J5 e ......,......, Comments I B .-...
Collected by: Vb JMO :9 Send Results To: Patrick Donahue ] s Q
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I I S 1 ill "Date Collected "Time Collected QC Code Field Sample
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- For composiles - indicnle slarl and SIO!, daleilime (mm-dd-yy) (hhmm) : ~ {:. ~ 0 MW-31-49-(023) "t/;}-r:;ilO \o'i 7__ N N OW Y N Il 1 1 2 Liter Poly MW-31-63-(023) H"~/ro \'~06 N N OW Y N Il 1 1 2 Liter Poly MW-31-85-(023) 4/\Jr/lO \'UJ~ N N OW Y N Il 1 1 2 Liter Poly TAT Requested: Normal: ./ Rush: Specify: (Subject to SUIt!w&c) IFax Results: Yes I ~ Circ1eDeliverable: CofA I QCSumrnary ; Levell I Level2 I Level3 I Level4 Remarks: Are there any known haZllrds applicable to these samples? If so, please list tlte ItaZllrds Samole Collection Time Zone This is a split sample witnessed by Alex Czu/,aniclt (NYSDEC) ~ Pacific Central Other _ __
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I (.) A J ~ MY/I 'flu::> IlOR:! 1 ffi-fLtZ- ~-rr- n .1lJ'~ - tf (1- )I D (filS/) rM-'-eth: : . . o: . .:.d-'- Of- S-hl-*pm-e-"-nt-:;......::.:F-'- E-D-E-X- - - - - , r D
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2 0 0 2 Airbi11 #: 3 3 Airbill #: I) Chain of Custody Number = Client Determined For Lab Receiving Use Only
- 2) QC Code<: N= Normal Sample, TB = Trip Blank, ~ Field Ouplical.c, EII- Equipment Blan<. MS= Mattix Spi1<e Sample, MSD= Matrix Spike Duplicate Sample, G= Grab, C= Composite 3.) Field Filtered For liquid malrices, indicate with a Y - for yes the sample was field filtered o. N - for sample was Dot field filtered. Custody Seal Intact?
4.) Matrix Codes: DWrDrinking Water, G~undwater, SWrSwface Water, WW=Waste Wa1cr, WoWaler, ML=Misc Liquid, S()<Soil, SD=Sedimen~ SL=Sludge, SS=Solid Waste, !FOil, F=Filter, P=Wipe. U=Urine, F=FecaI, N=Nasai YES NO
- 5) Sample Analy,is Requested: Analytical method requested (i.e. 81608, 60108l7470)\and number of containers provided for each (i.e, 826M* 3, 6010B.r1470A -1) Cooler Temp:
6.) Preservative Type: HA= Hydroehloric Acid. NI = Nitrie Acid, SIP Sodium Hydroxide, SA= Sulfwic Acid. AA= Ascorbic Acid. HX= Hexane, ST = Sodium Thiosulfate, If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC ?roject #: Enlerav License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEl. Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 Coc Number (1): Phone: (843) 556-8171 GEL Work Order Number: PO Numher: 50013510 Fax: (843) 766-1178 Collected by: Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Projec.t/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ u
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=
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'" l- I-MW-53-82-(GBO 1) p4h4 \0 \Sllf N N OW Y N 1 1 500 ml Poly MW-53-120-(GBOl) ~4 14 J\b l~3b N N GW Y N 1 1 500 ml Poly I
I TAT Requested: Normal: ./ Rush: Specify: (Subject to Surcharge) IFax Results: Yes / ~ Circle Deliverable: C of A I QC Summary / Levell ! Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Samole Collection Time Zone
~Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Rc~shcd By (Si7l .i.dJOIC ./, Time Received by (signed)
$£cv(LE!>
Date Time GEL PM: Cheryl Duffy
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2 Airbill #: 3 3 Airbill #: 1 ) Chain of Custody Number - Client Determined For Lab Receiving Use Only
}) QC Codes: N~ Normal Sample. TB ~ Trip Blank. FD= Field Duplicate. EB ~ Equipment Blank. MS- Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample. G= Grab. C~ Composite
- 3) Field Filtered For Jiquid matrices. indicate with a Y - for yes the sample was field filtered OF- N - for sample was not field filtered Custody Seal Intact?
4.) Matrix Codes. DW=Drinking Water, G\\-'-Groundwater, SW=Surfacc Water. w\V=Waste Water, 'V=Water, ML~Misc Liquid, S~Soil. SD=Sediment, SL=Sludge, SS=Solid Waste, O=Oil, F=Filtcr, P=Wipe, U='Urine, F~Fecal, N=Nasal YES NO
- 5) Sampl~ Analysis Requesled AnalyticaJ method requesled (i.e 8260B, 6010Bl7470)\and number of containers provided for each (i e 8160~ J, 6010B.li470A - 1). COO/f!r Temp:
- 6) Preservative Type: HA- Hydrochloric Acid. NI = Nitric Acid, SH= Sodium Hydroxide. SA= Sulfuric Acid, AA~ Ascortie Acid, HX~ Hexane, ST ~ Sodium Thiosulfate. Ifno preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Projccr #: Enterg~ GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.ge1.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax:iS43) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ Got -c; <-- Preservative Type (6)
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, .... I I Ilost> I~Sit>~ £4/\LJlto IllJaJ Method of Shipment: FEDEX Date Shipped:
2_l"--L/ 2 Airbi11 #: 3 3 Airbill #: L) Chain of Custody Number - Client Determined For Lab Receiving Use Only
- 2) QC Codes: N= Normal Sample, TB = Trip Blank, FD= Field Duplicate, EB = Equipment Blank, MS= Matrix Spike Sample, MSIF Matrix Spike Duplicate Sample, ~ Grab, C= Composite
- 3) Field Filtered: For liquid matrices. indicru.e wilh a Y - (or yes the sampl~ was field filtered Of' N - for sample was not field Ci1ttm:d Custody Seal Intact?
4.) Matrix Codes: nWoDrinking Water. GWoGroundwater, SW=Surface Water. WWoWasle Water, W=Water. ML=Misc Liquid, SOoSoil, SD=Sediment, SL=Sludge, SS=Solid Waste. <FOil. F=Filter, P=Wipe, U=Urine, F=Feeal, N=NasaJ YES NO
- 5) Sample Analysis Requested: Analytical method requested (i e 826OB, 6010Bl7470)land number of containers pro';ded for each (i e. 826OB- J, 601OB/747004 -1) Cooler Temp:
6,) i'Teservative Type: HA= Hydrochloric Acid. NI = Nitric Acid, SH= Sodium Hydro,ude. SA= Sulfuric Acid. AA= Asoorbic Acid. HX= Hexane. ST = Sodium Thiosulfate, If no preservative is added = leave field blank C WHITE = LADORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Projecr#: Enterov Ucense Renewal Profect GEL Chain of Custody and Analytical Request 20<W Savage Road om. Quote #: GELP0706?8 **See www.gel.com for GEL's Sample Acceptance SOP" Charleston, SC 29<W7 CDC Number ((I: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected by: CAbfStJ ~/1.:ee...b{;t::1/VL, i31Ll-r~ Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 <- Preservative Type (6)
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- For composites - indicate start and stop dllleJlime (hhmm) ~ '" 0 MW-33-(GBOl) Y IlS hi) 1~5'i N N GW Y N 1 1 500 mlPoly TAT Requested: Normal: ./ Rush: Spt'cify: (Sulljeci to Sor<l."'I10) IFax Results: Yes i ~ Circle Deliverable: C of A I QC SummaI)' I Levell I Level2 I Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Samnle Collection Time Zone
~ Pacific Central Mountain Other Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl DuffY ltAP-l ~~ YA~Jro IS .?' /. I ,<;'-at.R."f:" S,"10Uf?-b 1.fJI~hn 153'2- Method of Shipment: FEDEX Date Shiooed:
2 U U 2 Airbill #: 3 3 Airbill #: I \ rl..~; __ . r.. _._A_ ..... 1 ** I.. ....... 1:_ .T"\._._ ~ For Lab Receiving Use Only Custody Seallnlact? P=Wipe, U=Urine, F=Fecal, lI."'NasaI YES NO Cooler Temp:
-leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
- Page
- j of 1 GEL Laboratories, LLC iPrOjtct #: Entergy GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road IGEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 roc Number (Il: Phone: (843) 556-8171 GEL Work Order Number:
PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ ow ii <-- Preservative Type (6)
; ~ ~
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(hhmm) .:! ...'" ;; i- E- '" c.:> C/J ! MW-40-27-(011) 04\ISI(0 '£00 N N GW Y N 1 1 1 1 2 Liter Poly MW-40-46-(012) ':)4/15 \0 \ b \Sl N N GW Y N 1 1 1 1 2 Liter Poly MW-40-81-(012) )Jt/J 5 10 121S"" N N GW Y N 1 1 1 1 2 Liter Poly MW-40-100-(014) ~4115 10 \2 ,,~ N N GW Y N 1 1 1 1 2 Liter Poly MW-40-127-(014) ~4/15! 10 1"3\_3 N N GW Y N 1 1 1 1 2 Liter Poly MW-40-162-(012) ~/.d15 110 14sc N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Nomlal: .,/ Rush: SpecifY: (Subject to Surcharge) IFax Results: Yes I Go:) Circle Deliverable: C of A I QC Summary / Level I I Level 2 I Level 3 / Level 4 Sample Collection Time Zone Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards
~Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Rece ived by (signed) Date Time GEL PM: ERlNTRENT I~ (j-~' '-III" In) /440 I<"~ (lr: 5.-rDrl Ac-.r 4JII~1c 0 144D Method of Shipment: FEDEX Date Shipped:
2 () \ \ 2 Airbill #: 3 3 Airbill #: I ) Chain of Custody Number ~ Client Determined For Lab Receiving Use Only
- 1) QC Codes N~ Normal Sample, TB ~ Trip Blank, FD= Field Duplicate, EB ~ Equipment Blank, MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample, G= Grab, C~ Composite
- 3) Field Filt.t::red For liquid matrices, indicate with It Y -for yes the sample was field filtered Of- N - for sample was not field fillered Cllstody Seal /lIIacJ?
- 4) Matrix Codes: D~Drinking Water, GW=Groundwater, S~Surfacc Water, WW=Waste Ware:r, ~Watcr, ML~Misc Liquid, S()OSoil, SD=Sedimen~ SL~ludge, SS=Solid Waste. 0=0i1, F~Filter, P=Wipe. U=Urine, F~FecaI. N<Nasal YES NO
- 5) Sample Analysis Requested: Analytical method requested (i e 8l60B, 6010Bn470)b.nd number of container.; provided for each (i e. 8::608- J, 6010/J/7470A -1). Cooler Temp:
- 6) Preservative Type: HA~ Hydrochloric Acid. NT ~ Nitric Acid. SH= Sodium Hydroxide. SA~ Sulfuric Acid, AA~ Ascorbic Acid, HX~ Hexane. ST ~ Sodium Thiosulfate, If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page. J of I GEL Laboratories, LLC Project #: En\erav License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GELP07-06~8 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 cae Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected by: C6 M6 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 .~
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TAT RequC5ted! Normal: ./ Rush : Specify: (Subjoc. to Surclwgc) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary / Level I I Level 2 I Level 3 / Level4 Remarks: Are there any known hazards applicable to these samples? lfso, please list the hazards Sample Collection Time Zone
~
Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date rune Received by (signed) Date Time GEL PM: Cheryl Duffy 1(A/l.J ~ ~!J~ku Il-/ L-J () I a;w u Sll1-l.A-h i:= 411(1) /10 144D Method of Shipment: FEDEX Date Shipped:
~
2 (') ? AirbiJI#: 3 3 Airbill #: I ) Chain of Custody Number - Client Determined For Lab Receiving Use Only
- 2) QC Codes N~ Nonnal Sample, TB ~ Trip Blank. FD= Field Duplicate, EB ~ Equipment Blank, MSz Mamx Spike Sample. MSD= Matrix Spike Duplicate Sample. G= Grab, c~ Composite
- 3) Field Filtered For liquid ma.trices. indicaLe with it Y -for yes the sample was field filtered OF- N - for sample was not field filtered Custody Seal Illtact?
- 4) Matrix Codes D'Drinking Water. GWoGroundwater, SW=Surface Water, '"","Was.e Water, '¥=Water, ML~Misc Liquid, S(>>Soil, SD=Scdiment, SL=Sludge, SS=Solid Waste, <>=Oil, F=Filter, P=Wipe, L"'Urine, F~Feca1, N=NasaJ YES NO
- 5) Sample Analysis Requested Analytical method requested (i e. 8260B, 6010Bl7470)land number of containers provided for each (i e 8J60lJ. 3, 60/0Bi i470A - t) Cooler Temp:
- 6) Preserv.mve Type HA"'" Hydrochloric Acid, NI = Nitric Acid, SH= Sodium Hydroxide. SA= Sulfuric Acid, AA= Ascorbic Acid, H.X= Hexane. ST = Sodium Thiosulfate. lfna preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
~ New York State Department of Environmental Conservation CHAIN OF CUSTODY
(, e 625 Broadway Albany. New York 12233-0001 Client: New York State Department of Environmental Conservation Anatvsis I Method Project: Enter!!V- Indian Point Ground Water Monitorin!! Sampled by: Britos, Mj!!uel ~ CIa M N N_ N Client
Contact:
Tim Rice (NYSDEC) Phone: 1\1
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! , / 117 I 7 l/
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u:. ..L---'" ~ Relinquished by! - ...., Date: Time: Received by: Date: Time: Relinquished by: Date: Time: Received by: Date: Time: Shipment Method: AlrBlII Number: Turnaround Time Required: ________________ Comments: This is a split sample observed by the NYSDEC Ro~i~: _____________________________________ Rush: Coo'erT~p: __________________________________________
Page: I of I GEL Laboratories, LLC Project #: Enterg~ GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEl. Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 coe Number II ): Phone: (843) 556-8171 GEL Work Order Number: PO Number. 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (S) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 .~ <101
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uric Acid, AA= Ascorbic Acid. HX= Hexane, ST = Sodium Thiosulfate, If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Project #: Enterov License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road (lEL Quote #: QELP07-0628 **See www.ge1.com for GEL's Sample Acceptance SOP** ChaJ"leston, SC 29407 COC Number Il l: Phone: (843) 556-S171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766- 1178 Collected by: Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: India n P oint Energy Center Fax#: (914) 734-6247 .~ 41 -0 <-- Preservative Type (6)
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... For composites - indicate start and 5tOP dale/lime ~ c.:l (hhmm)
MW-42-49-(GBOl) '1 /IIi) 11'0 125£1 N N GW Y N 1 1 500 ml Poly MW-42-78-(GBOl) 4/111111 0 132'1 N N GW Y N 1 1 500 ml Poly TAT Requested: Normal: ./ Rush : Specify: (Subj""l to Surtb~) IFax Results: Yes i ~ Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Samole Collection Time Zone Eastern) Pacific Central Other --- Mountain Chain of Custody Signa(ures Sample Shipping and Delivery Details Relinquished By (SI&11cd) Date Time Received by (signed) Date Time
\ GEL PM: Cheryl Duffy l ~ ~ (j ~ ~ t1 It fJ;(/f\ {L.J L/ i:\ I ~t:"Gu~t c\"7 ':'Jl2l1fh F 4 /1(011 7) Jt./4D Method of Shipment: FEDEX Date Shiooed:
2 7J U 2 Airbill ii: 3 3 Airbill #:
~ \ ..... L _. c ..... __ -' ... .
~.' - For Lab Receiving Use Only Custody Seal Intact?
r-=Wipe, L'=LTrine, F=Fcca1, ~Nasal YES NO Cooler Temp:
~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Enterg~ GW Man Prog GEL Chain of Custody and Analytical Request .2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number <<t Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~
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MW 49-(021) '1/1~hb 125'1 N N ow y N 1 1 1 1 1 2 Liter Poly MW-42-78-(OI6) L.f Il It! Ito l3'2.Q N N OW Y N 1 1 1 1 1 2 Liter Poly TAT Requested: Normal: ./ Rush: Speci1)': (Subject to Surcharge) IFax Results: Yes f Go:) Circle Deliverable: C of A f QC Summary f Levell I Level 2 f Level 3 f Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list tile hazards Sample Colle<a!_on T,me Zone
~ Central Pacific Othcr _ _ _
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT l~f fZ~~ t./(~(O I ciLlD 1 :s&-u...lE <.-roept~C;; Lfh~ftv J YL{D Method of Shipment: FEDEX Date Shipped: 2 0 (\ 2 Airbil1#: 3 3 Airbil1#: 1 ) Chain of Custody Number - Client Determined For Lab Receiving Use Only
- 2) QC Codes N~ Normal Sample, TB ~ Trip Blank, FD= Field OuplicaLC, EB ~ Equipment Blank, MS= Malrix Spike Sample, MSD= Matrix Spike Duplicate Sample, G= Grab, C~ Composite 3.) Field Fiher~d: For liquid matrices, indicate with a Y -for yes l1u: sample was field filtered OJ=. N - [oJ' sample was not field fillered Custody Sea/Intact?
- 4) Matrix Codes DWoOrinking Water, GWoGroundwater, SWoSurface Water, WWoWaste Water, W=Water, ML~Misc Liquid, S(}OSoil, SD=Sedimen~ SL~Sludge, SS=Solid Waste, 0=0i1, F~Filter, P=Wipe, U=Urine, F~Fecal, N=NasaI YES NO 5.) Sample Analysis Requested Analytical method requested (i.e. 8260B, 6010lll7470)land number of containers provided for each (Le. 8260~ 3, 601OB/747004 -1) Cooler Temp:
- 6) Preservative Type: HA~ Hydrochloric Acid. NI ~ Nitric Acid, SIF Sodium Hydroxide. SA~ Sulfuric Acid, AA~ Ascorbic Acid, HX~ Hexane, ST ~ Sodium Thiosulfate, If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Entergy License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: QELP07-0§28 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COCNumber"I: Phone: (843) 556-8171 GEL Work Order Number: PO Num.oor: 50013510 Fax: (843) 766-1178 Collected by: C* t6NAAEi.bU.I Iltl. B.~l-rD.c:', Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ 'lor -c <-- Preservative Type (6)
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~
Pacific Central Other - - -- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl Duffy I{AA-L~~ Lfit.ohrJ f,lS 1s'Y)"AA(lX S.7n1tE6 '-I1'1f) It 0 IllS" Method of Shipment: FEDEX Date Sh ipped: 2 0 /) 2 Airbill#: 3 3 Airbill#: 1 ) Chain of Custody Number""' C1irnt Iktcrmined For Lab Receiving Use Only
- 2) QC Codes N~ Normal Sample, TB ~ Trip Blank. F'D" Field Duplicate, EB ~ Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample, G= Grab. C~ Composite
- 3) Field Filtered For liquid matrices. indicate with a Y - for yes the sample was field filtered OF N -for sample was not fie1d filtered ClIstody Sea/Intact?
- 4) Malrix Codes DW=Drinking Water. G\\--'-Groundwater, SW=Surface Water, \VW=Waste Water, \","Water, ML~Misc Liquid, S~Soil, SD=Sedimen~ SL~Sludge, SS=Solid Waste, O=Oil, F=Filter, l'=Wipe, L'=Urine, F=Fecal. N=Nasal YES NO
- 5) Sample Analysis Requested Analytical method requested (i e 826OB, 6010Bl7470j\and number of containers provided for each (i.e. 8260B- 3, 6010Bi7470A -1) Cooler Temp:
- 6) Preservative Type: HA= Hydrochloric Acid. Nt = Nitric Acid, SH= Sodium Hydloxide. SA= Sulfuric Acid, AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate.lfno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
IPage: 1 of 1 GEL Laboratories, LLC
- Project tI: Enterg~ GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road
'GEL Quote #: **See www.gel.comfor GEL's Sample Acceptance SOP** Charleston, SC 29407 Icoe Number (l): Phone: (843) 556-8171 GEL Work Order Number: po Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .!!! a..-i:i <-- Preservative Type (6)
; :; ~
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~Central Pacific Other - ---
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT J Ut/'-.~ ~~ w~Jo IllS I &flM. t.t:" S7D il'l-bt::" L/ /7,,0" D \11& Method of Shipment: FEDEX IDate Shipped: 2 J u 2 Airbill #: 3 3 Airbill #:
] ) Chain of Custody Number - Client Determined For Lab Receiving Use Only
- 1) QC Codes N~ Normal Sample, TB ~ Trip Blank, FD= Field Duplicate, EB ~ Equipment Blank, MS= Matrix Spike Sample, MSIF Mattix Spike Duplicate Sample, G= Grab, C= Composite
.3~) Fidd filtt:red.. FOI' liquid matrices. indicate with 8: Y - for yes the sample was field filtered Of- N - [01 sample was not field filLered. Custody Seal Intact?
- 4) Matrix Codes DWoDrinking Water, GW--Groundwater, SWoSurface Water, ~Waste Water, W=Water, ML=Misc Liquid, S~Soi1, SIFSedimen~ SL=Sludge, SS=Solid Waste, 0=0i1, F=Fiiter, P=Wipe, U=Urine, F=Feeal, N=Nasal YES NO
- 5) Sample Analysis Requested: Analytical method requested (i e 8260B, 6010Bl7470)\and number of containers provided for ea<:h (i e. 8260B- 3. 6010B.l747004 . I) Cooler TeJllp; 6.) Preservative Type HA= Hydrochloric Acid. NI = Nitric Acid. S~ Sodium Hydroxide. SA= Sulfuric Acid. AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate, If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page; I of 1 GEL Laboratories, LLC Project #: Enterg~ GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number Ill: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .:! fi ~
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"C.!! cu g 51 5c 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ ;: B '""'
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0 (hhmm) 0: f-< 0 r:n MW 40-(016) bit Iq \0 \409 N N GW Y N 1 1 1 1 2 Liter Poly MW-41-63-(015) 04.I,q \0 }403 N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ./ Rush: Specii)<: (Subject to Surcharge) IFax Results: Yes / GU Circle Deliverable: C of A / QC Summary ,. Level I / Level 2 / Level 3 / Level 4 Sam ole Collection Time Zone I Remarks: Are there any known hazards applicable to these samples? [Iso, please list the hazards
~
I Pacific Central Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time ~ Received by (signed) Date Time GEL PM: ERIN TRENT IJf'A/\.! &~ ~hdiO III£.--..- i.('Elu.JZ[ S70~ Q(7£1tO (II~ Method of Shipment: FEDEX Date Shipped: 2 0 U 2 Airbill #: 3 3 Airbill #: 1\ ,..,,-_' ,~ For Lab Receiving Use Ollly MS= Matrix Spike Sample, MSIF Mat,;x Spike Duplicate Sample, ~ Grab, C~ Composite for sample was not field filLered, Cllstody $eallntact?
.v=Watcr, ML~Misc Liquid, SO=Soil, SIFSedimen~ SL~Sludge, SS=Solid Waste, O=Oil, F~Filter, P=Wipe, U~Urine, F~Fecal, N~Nasal YES NO of containers provided for each (i e. 8260B- J, 6010B!7470A - 1) Cooler Temp:
Uric Acid, AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate:, If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
ipage: I of 1 GEL Laboratories, LLC !Project #: Emerav License Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road I GF.L Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I ): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected by: C-e> M6 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ 4,J iii <-- Preservative Type (6)
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Address: 450 Broadway, Suite 3, Buchanan. NY 10511 ~ =e 0;5 Comments Collected by: Client Send Results To: Patrick Donahue ~
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i- i- i MW-41-40-( GBO 1) f:>4}1'11ro 14)," N N GW Y N 1 1 500 ml Poly MW-41-63-(GBOl) ~411g )'10 \Lt oLJ N N GW Y N 1 1 500 ml Poly TAT Requested: Normal: ,/ Rush: Specify: (Subject to Surcharge) [Fax Results: Yes / ~ Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Remarks: A re there any /":71own hazards applicable to these samples? If so, please list the hazards Sarnole Collection Time Zone
~Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Tin,.
GEL PM: Cheryl Duffy 101~ ~ LffwlcD (7{S I $au.. fl£ 51bQAbt" 4f~.LJko err'S Method of Shipment: FEDEX Date Shipped: 2 IJ u 2 AirhilI #: 3 3 Airbill #: I.) Chain of Custody Number - Client Detcrmincd For Lab Receiving Use Only
- 2) QC Codes N~ Normal Sample, TB ~ Trip Blank. FD= Field Duplica1e, ED ~ Equipment Blank, MS= Matrix Spike Sample, MSD= Matrix Spike Duplica1e Sample, G= Grab, C~ Composite
- 3) Field Filtered For liquid matrices, indicate with it Y -for yes the sample was field filtered OF N -for sample was not field filtered Custody Seal Intact?
- 4) Matrix Codes. DW=Drinking Water, GW=Groundwa1er, SW=Surfau Water. W\,,"Waste Water, ' .....Water. ML~Misc Liquid, SO-Soil. SD=Sediment, SL~Sludge. SS=Solid Waste. O=Oil. F=Filter, i>=Wipe. U=Urine, F=Fecal, l\'=Nasal YES NO
- 5) Sample Analysis Reques,ed Analytical method requested (i e 82608. 6010Bl7470)land number of contain"", provided for each (i e 8260iJ. 3, 6010B!7470A -1). Cooler Temp:
- 6) Preservative Type; HA~ Hydrochloric Acid. Nl ~ Nitric Acid, SH= Sodium Hydroxide. SA~ Sulfuric Acid, AA~ Ascorbic Acid, HX~ Hexane. ST ~ Sodium Thiosulfate. If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Laboratories, LLC Project #: Ente(!lY Ucense Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEl. Quote #; GELP07-0628 **See \V\vw.geJ.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (II; Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected by: eB ) M6 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ rI.I -c <-- Preservative Type (6)
; ~ t Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~
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(Mili"'ry) (Z) Filtered (ll Mattix(") co
=
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~ Pacific Central Mountain Other Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl Duffy ~.~ tflw/ID 11(5 l~~ S m~v\f:;t6 lffw(o /"IIS Method of Shipment: FEDEX Date Shipped:
2 0 U 2 Airbill#: 3 3 Airbill#:
- 1) Chain of Custody Number = Client Determined For Lab Receiving Use Only
- 2) QC Codes N~ Normal Sample. TB ~ Trip Blank. FD= Field Duplicate. EB - Equipment Blank, MS= Matrix Spike Sample. MSD- Matrix Spike Duplicate Sample. G= Grab, C~ Composite 3 ) Field Filrer~d: For liquid matrices. indicate with a Y - for yes the sample was field filtered Of- N - for sample was not field filtered Custody Seal Intact?
- 4) Matrix Cudcs: DW=Drinking Waler, G\\-'-Groundwater. S\\'oSurface Water, WWoWasle Water, W=\Valer, Ml.=Misc l.iquid, SQoSoil. SD=Sediment, Sl?Sludge, S~Solid Waste, O=Oil, F-Filter, P<Wipe, D=Urine, i""F<<al, l'I'-NasaI YES NO
- 5) Sample Analysi' Reques(ed Analytical method requested (i e 8160B, 6010Bl7470)'and number ofeon"';n." pmvided for each (i e 81608- 3, 6010B!7410A -I). Cooler Temp:
- 6) Preservative Type HA~ Hydrochloric Acid. NI ~ Nitric ... cid, StF Sodium Hydroxide. SA~ Sulfuric Acid, AA~ Ascorbic Acid, HX= Hexane. ST = Sodium Thiosulfate. If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Laboratories, LLC Project #: Enterg:;( GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (\': Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number o~ containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 i~i <-- Preservative Type (6)
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0 rzJ MW-45-42-(020) Ot./ h:o / r'J 110)2" N N GW Y N 1 1 1 1 2 Liter Poly MW-45-61-(020) b4.bo\,O 1113 N N GW Y N 1 1 1 1 2 Liter Poly TAT Requesled: Normal: ./ Rush: Specify: (Subjtt! to SurclUIIIl<' IFax Results: Yes I Go:) Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Remarks: Are t"ere any known lIazards applicable to tllese samples? If so, please list tile IIaUZTds Samole Collection Time Zone
~ Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: ERlNTRENT I~A j),~ ~ 4hdto illS 1 Gr.u AI2 t. CfO!2i'rfJ;; l/hdm 17/.'\ Method of Shipment: FEDEX Date Shipped:
2 O* U 2 Airbill#: 3 3 Airbill #: 1 ) Chain of Custody Number - Client Determined For Lab Receil'ing Use Only
- 2) QC Codes N~ Nonnat Sample, TB ~ Trip Blank, FI>= Field Duplicate, EB ~ Equipment Blank, MS= Matrix Spike Sample, MSIF Matrix Spike Duplicate Sample, Go Grab, C~ Composite 3.) fidd FilL~n~d FOI liquid malriccs. indicaLt: with a Y - [01 yro:s the sample was field filtered Of- N - for sample was not field fillered. Custody Sea/lnlact?
- 4) Matrix Codes: D\¥,Drinking Water. G~oundwater. S\¥'Surface Water, WW=Waste Water, W=Water, ML~Misc Liquid, S()OSoil, SI)=Sedimen~ SL~Sludge, SS=Solid Waste, O=Oil, F~Filter, P=Wipe, U=Urine, F=Fecal, N=Nasal YES NO
- 5) Sample Analysis Requested: Analytiea1 method requested (i c 826OB, 60101117470)land number of contain... provided for each (i e 8]60~ 3, 6010B/747QA - 1). Cooler Temp:
6.) Prescrvarive Type lL-\~ Hydroehloric Acid, Nl ~ Nitric Acid, Sit' Sodium Hydroxide. SA~ Sulfuric Acid. AA= Ascorbic Acid. HX= Hexane. ST ~ Sodium Thiosulfate. If no preservative is added -leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Projcct #: Entergy GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I': Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ 0:5 GoI
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(bhmm) ...'" ...." E- O r;; MW-56-53-(OO8) t,D4-/~/Jo 1523 N N GW Y N 1 1 1 1 2 Liter Poly MW-56-83-(OlO) blllw Ito 145"\ J N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Nom1a1: ~ Rush: Specify: (Subja:IIO Su .. ~c) \Fax Results: Yes / CNo":> Circle Deliverable: C of A / QC Summary / Level 1 I Level 2 I Level 3 I Level 4 Remarks: Are there allY known hazards applicable to these samples? If so, please list tile hazards Samole Collection Time Zone
~ Pacific Central Mountain Other Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Tune GEL PM: ERIN TRENT If./f/\,ll ~ ~ tJ/w/r{J Ill':; 1. <&. u 17. E" SIiJ~£ 4hcho Il(S Method of Shipment: FEDEX Date Shipped:
2 (J 1) 2 Airbi1l #: 3 3 Airbill #: 1 ) Chain of Custody Number"" ClienL Delcrmined For Lab Receiving Use Ollly 1.) QC Codes N~ Normal Sample, T8 ~ Trip Blank, FIF Field Duplicate, E8 ~ Equipment Blank, MS= Malrix Spike Sample, MSD= Matrix Spike Duplicate Sample, G= o..ab, C~ Composite 3.) Field filtt:red. For liquid mairiccs, indicate with a Y - for y~ the sample: was field filtered O~ N - for sample was not field filtered. Custody SealllllaCI?
- 4) Malrix Codes: DWoDrinking Water:, GWoGroundw.ter. SW=Su,f.ce Water, WW=Wasle Water, W=Waler, ML~M\SC LlqU1I1. so-Son, SD=S<:dtmcnt, SLOISlu., SS=Solid Waste, O=OiI, F~Fil"'r, 1'=Wipe, U=Urine, F~FecaI, N=Nasal YES NO 5.) ~ample Analysis Requested: Anal}tical method rcquested (i.e. 82608, 60108l7470)land numbel" of containers plt",lded for each (j.e. 8J6IlB- 3. 6()JOBnI70.~ _ I) Cooler Temp:
6.) Preservative Type: HA~ Hydrochloric Acid. NI ~ Nitric Acid. SH= Sodium Hydroxide. SA~ Sulfuric Acid, AAw ..o..corbi< Add, IfXw Hexane. ST - Sodi um Thiosulfale, If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Project #: EnterQY License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEl. Quote #: GELP07-0628 **See www.ge\.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (1): Phone: (843) 556-8171 GEL Work Order Number: PO Numher: 50013510 Fax: (843) 766-1178 Collected by: eel Mt3 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test)
.s ~""
Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ ~ <-- Preservative Type (6)
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= '"... ... ~
MW-56-53-(GBOl) P41 20/0 \523 N N GW Y N 1 1 500 ml Poly MW-56-83-(GBOl ) p4 20 10 \4S-\ N N GW Y N 1 1 500 ml Poly TAT Requested : Normal: ,/ Rush: - Specify: (SubJC!:t to Surcharge) IFilX Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level 1 I Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Sam ole Collection Time Zone Eastern Pacific C"eiitral Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquish~d By (Signed) Date Time Received by (signed) Date T ime GEL PM: Cberyl Duffy I~~ tl/WhO fiLS 1 .t6Lu wlt:- S1olLltb£ 411,o1r" \I~- Method of Shipment: FEDEX Date Shipped: 2 0 l) 2 Airbill #: 3 3 Airbill #: J ) Chain of Custody Number - Client Determined For Lab Receiving Use Only
- 2) QC Codes N= Nannal Sample. TB = Trip Blank. FD= Field Duplicate. EB = Equipment Blank. MSo Matrix Spike Sample, MSD= Matrix Spike Duplicate Sample. G= Grab. C = Composite
- 3) Field Filtered For liquid matrices. indicate with it Y -for yes the sample was field filte red OF- N -for sample was not field filtered . Custody Seal Intact?
4.) Manix Codes D'\"Drinking Water. GW=Groundwater. SW=Surfacc Water. WW=Waste Waler, ',,"Water, Mi..=Misc Liquid, SOoSoil, SD=Sediment, SL=Sludgc, SS=Solid Waste, O=Oil, F=Filtcr, r-Wipc, U=Urine, F=Fecal, N=Nasal YES NO
- 5) Sample Analysis Requcstcd Analytical method requested (i e 8260B. 6OIOBl7470)'oand number of containers provided roc each (i e S260B-3, 60[09!7470.4 -I) Cooler Temp:
- 6) PTeservarive Type HA~ Hydrochloric Acid. NI ~ Nitric Acid, Sit- Sodium Hydroxide. SA~ Sulfuric Acid, A!\.= Ascorbic Acid, HJ(= Hexane, ST = Sodium Thiosulfate, lino preservative is added = leave field blank C --
WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page; I of 1 GEL Laboratories, LLC Project #: Entergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road Gg LQuote#: **See www.ge1.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (1 ': Phone; (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (S43) 766-1178 C li ent Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~
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MW-lll-(032) 04\2" \0 \4416 N N GW Y N 1 1 1 2 Liter Poly TAT Requesled ~ Normal: v' Rush: Specify: Remarks: Are there any known hazards applicable to tllese samples? If so, please list tire hazards (Subjl:d to Surcho/ge, I Fax Results: Yes / - ( No ) Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Sample Collection Time Zone VEastem) Pacific Central Mountain Other
/ Chain of Custody Signatures Sample S hipping and Delivery Details Rel ~.hod By (Sisnedl L L Date TIme Rece ived by (silllled) Date Time QEL PM: ERIN TRENT (h~ j~o4f2,lro 1545" s.Ec..v(L~
I STn~GE 04/21110 1;::;45 Method of Shipment: FEDEX Date Shipped:
/
lK
/ 2 Airbill#:
3 3 Airbill # : I ) Chai n of Cuslody Number - Cli enL Determined For Lab Recei"ing Use Only
- 1) QC Codes N~ Nonnal Sample, T8 ~ Trip Blank, flF Field Dupl icate, [8 ~ Equipment Blan\:, MS= MatTix Spike Sample, MSIF Matrix Spike Duplicate Sample, G= Grab, C~ Composite
- 3) Fidd FLI~rc::d for liquid ma.tricc:s, indicale with it Y - for yes the sampJe was field filtered 0'-' N - [or sample was not field filLc::red Custody Seal Inlacl?
- 4) Matrix Codes DW=Drinking Water, G-Groundwaler, SW=SUTface Water, WW=Waste Warer, W=Water, ML~Misc Liquid, S(FSoil, SJ)=Sediment, SL~Sludge, SS=Solid Waste, O=Oil. F~Filter, P=Wipe, U=Urine, ~FeeaI. N=Nasal YES NO
- 5) Sample Analysis Requcsted .... nalytical metbod requested (i e. 8Z608, 6010Bn470)land number of containers provided for each (i e. 8160B- 3, 6010B/7470A -1) Cooler Temp:
- 6) Preservative Type: HA~ Hydrochloric Acid. NI ~ Nitric Acid. Silo Sodium Hydroxide. SA= Sulfuric Acid. AA~ Ascorbic Acid, HX- Hexane. ST ~ Sodium ThiosulfaLe. If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Laboratories, LLC Project #: Enl.erav Ucense Renewal Proiect GEL Chain of Custody and Analytical Request 20<W Savage Road OEL. Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COCNumber(ll: Phone: (843) 556-8171 GEL Work Order Number: POt-iumber: 50013510 Fax: (843)766-1178 Collected by: C6l M6 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ '" -t; <-- Preserv at ive Type (6)
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Address' 450 Broadway, Suite 3, Buchanan, NY 10511 r.I:I ....
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MW-lll-(GBOl) :>4/2d 10 \4J~l( N N GW Y N 1 1 500 ml Poly TAT Requested: Nonnal: ./ Rush : Specify: (Sub)<<l to Surch:uj:e) I Fax Results: Yes I ~ Circle Deliverable: C of A / QC Summ:uy / Level I / Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Sample Collection Time Zone
~Central Pacific Other Mountain
/ Chain of Custody Signatures Sample Shipping and Delivery Details I<<1~5hcd By (Signed) L ../dele Time Received by (signed) Date Time 1/ F//£)n:tY/\II Itt 04 1:21JJO GEL PM: Cheryl DuffY sECure.~
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\5'-fS 19"b f!.Ac, £ 04{2,]rO ets:' Method of Shipment: FEDEX Date Shipped:
lit( / , / y I I 2 Airbill ii: 3 3 Airbill#:
- 1) Chain of Custody NumbcT - Client Dci.C1"R'I'incd For Lab Receiving Use On~y
- 2) QC Codes N= Normal Sample. TB = Trip Blank. FD= Field Duplicate. EB = Equipment Blank. MS= Matrix Spike Sample, MSD- Matrix Spike Duplicate Sample. ~ Grab, C= Comp05ite
- 3) Field Filtel ed For liquid man-ices. indicate with a Y ~ for yes the sample was field fille, cd OF- N - for sample was not field filtered. Custody Seallnlacl?
- 4) Malrix Codes: OW-Drinking WaJ.er, G\\=GroundwaJ.eT, SW=Surface Water, ''Waste Water, 'V=IV.ter, !l.fi.=Misc Liquid, S<FSoil, SD=Sediment, SL=Sludge, SS=Solid Waste, o-Qil, F=Filter.I'=Wipe, D<Urine, F=Fcca1, N=Nasal YES NO
- 5) Sample Analysis Requested Analytical method requested (i e 8260B, 6010Bl7470~d number of containers provided f",' each (i,e 81608- 3, 601OBI747004 -1) Cooler Temp:
- 6) Preservative Type HA~ Hydrochloric Acid. Nl = Nitric Acid, SlP Sodium Hydroxide. SA= Sulfuric Acid, AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate. lfno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
- Page
- I of I GEL Laboratories, LLC Project #: Entergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (\): Phone: (843) 556-8171 GEL Work Order Number:
PO Number: 50013510 Fax: (843) 766-1178 C lient Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (S) (Fill in the number of containers for each test) IpTojeCtiSite Name: Indian Point Energy Center Fax#: (914) 734-6247 i~~ <-- Preservati ve Type (6) I Add ress: I 450 Broadway, Suite 3, Buchanan, NY 10511
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~ Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (SISJ,ed) Date Time Received by (signed) Da te Time GEL PM: ERlNTRENT I'~~~~ ~ J1-LhD 19-15 l~aS;"l)~6 4i21ho ISt-fS" Method of Shipment: FEDEX Date Shipped:
2 0 [J 2 Airbill#: 3 3 Airbil1#: 1 ) Chain of Custody Number - Client Determined For Lab Receiving Use Only
- 2) QC Codes: !'i= Normal Sample, TB = Trip Blank, FD= Field Duplicate. EB = Equipment Blank, MS= Matrix Spike Sample, MSD= Matrix Spike Duplicale Sample. G= Grab. C= Composite
- 3) field Filtered For liquid matrices. indicale wiLh a Y - for yes the: sample was field filtered Of- N - f01 sample was not field filLered Custody Scal Intact?
- 4) Matrix Codes: DWoDrinking Water, GW=Gmundwater. SW=Surf.ce Water, WW=Waste Water, ","Water, ML=Misc Liquid, S~Soil, SD=Sedimen~ SL=Sludge, SS=Solid Waste, 0=0i1. F=Filter, P=Wipe. U=Urine. F=Fecal, N=Nasal YES NO 5.) Sample Analysis Requested: Anal)1ical method requested (i e 826OB, 6010Bl7470jland number of container.; provided for each (i.e. 8260B- J, 6010B/7470.4 - 1). Cooler Temp :
- 6) Preservative Type: HA= Hydrochloric Acid. NI = Nitric Acid. SH= Sodium Hydroxide. S.'\= Sulfurie Acid, AA= Ascorbie Acid, HX~ Hexane. ST = Sodium Thiosulfate. If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
P3.ge: J of 1 GilL Laboratories, LLC Project #: Enterav License Renewal Proiect GEL Chain of Custody and Analytical Request 20M) Savage Road GEl . Q,lote #: GELP07-0628 **See www.geLcom for GEL's Sample Acceptance SOP** Charleslon, SC 29407 cae Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Pax: (843) 766-1178 Collected by: CbIMe:, Phone#: (914) 736-8405 Sample Analysis Requested (5; (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 .~
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t' == rn Collected QCCodc Field = rn QC Sample ID Filtered III Matrix <oil ~ << ...0 (mm-dd-yy) (Military) l') :;; U "B0
... For composites - indicate start and SlOp darei/jrne (hhrom) a: '"... !- 0 MW-55-24-(OBOl) 41u Ito Ho~ N N OW Y N 1 1 500 mlPoly MW-55-35-(OBOl) Lflu /10 \'1b\ N N OW Y N 1 1 500 ml Poly I MW-55-54-(OBOI) ~ I~ ItO I?:,S(P N N OW Y N 1 1 500 ml Poly TAT Requesllld: Nonnal: ./ Rush: Specify: I tSubjcc<<o Surch4tgcl Fax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level) I Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? Jfso, please list the hazards ISamnle Collection Time Zone
~ Centra)
Pacific Other - -- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquisbed By (Signed) Date Time Received by (signed) Date Time
\
GEL PM: Cheryl Duffy lCv-0.. ~ ~~ q/UAo lbl/S 1 .SEt;,uff S,--rDI2ilut Lf[uUo ISc..fS Method of Shipment: FEDEX Date Shipped: 2 7) V 2 Airbill #: 3 3 Airbill#: . \ .... L
- r ~ , '" < ~ , .
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)uplicale Sample. G= GTab. C= Composite Custody Seal Intact?
,I, SV=Sludge, SS=Solid Waste, O=Oil, F=Filter, l'>Wipe, U=Urine, F=Fecal, N=Nasal YES NO
)B17470A - 1) Cooler Temp:
, Sodiwn Thiosulfate. If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page:_ __ 1 of 1 GEL Laboratories, LLC Project #: Enterov License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote t: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOp** Charleston, SC 29407 COC Number (11: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 5001 3510 Fax: (843) 766-1178 Coll ected 1':/: C{?J M@:' Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Sit,; :-';.lme: Indian Point Energy Center Fax#: (914) 734-6247 .~ ~ -ti <-- Preservative Type (6)
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(hhmm) ..: I MW-I07-(GBOl) 4{~2.-Jr() {OIl N N GW Y N 1 1 500 mlPoly TAT Rt}~uesled: Normal: ,/ Rush: Specify: (Subjccl to Sun;lwge) IFa.~ Results: Yes / ~ Circle Deliverable: C of A / QC Summary / Levell! Level 2 / Level 3 / Level4 Remarks: A re there any known hazards applicable to these samples? If so, please list the hazards Samole Collection Time Zone Eastern') Pacific centml Other
- Chain of Cu stody Signatures Mountain Sample Shipping and Delivery Details Relinquish. d dy (Signed) Date Time Received by ($igncd) Date Tinte GEL PM: Cheryl Duffy 10Vl-j--!~ Lf!-2;zAIO 14 if6 1 ~rL'& STDQ.Ab.G t.U~J,v 144.S- Method of Shipmen!: FEDEX Date Shipped:
2 T~~ U 2 Airbill#: 3 3 Airbill#: ,\ ""L._~
, . , ._ _ _ . _~ __ ~ T For Lab Receiving Use Only luplicate Sample, G= Grab, C~ Composite Custody Seal Intact?
'.. SL~ludge, SS=Solid Wam, <FOil, F=Fiha, l'=Wipe, U=Urine, F=Fecal, l'I'"'Nasal YES NO 7B!7470A - 1) Cooler Temp:
~ Sodium Thiosulfate, If no preservarive is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Enterg~ GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, se 29407 coe Number 'li: Phone: (843) 556-8171 GEL Work Order Number: po Number: 50013510 Fax: (843) 766-1178 Client Namt': Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ G.I -c <-- Preservative Type (6) o£.J:J ~
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'" ...'" ~ 0 Ci5 MW-l;' 7-(009) 4 f22--Jto 1011 N N ow y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ./ Rush: Specify: (Subject to Surcburge) IFax Results: Yes / G::> Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level 3 I Level 4 SamDle Collection Time Zone Remarks: A f'f! there any known hazards applicable to these samples? If so, please list tile haZJIrds
~Central Pacific Other - - -
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquishe.! By (Signed) Date Time Received by (signed) Dale Time GEL PM: ERIN TRENT 1~1.. ~- 41221l'O rL1L1.<" l~(lt;; S7oQA-6f- 4/~.1t~ I'-ILl5 Method of Shipment: FEDEX Date Shipped: 2 \...' () 2 Airbill #: 3 3 Airbill #: I.) Chain o[C", '-"': Number Client Detennined For Lab Receiving Use Only
- 2) QC Codes: '" >.;onnal Sample, TB = Trip Blank, FD= Field Duplicate, EB = Equipment Blank, MS= Mattix Spike Sample, MSD= Mattix Spike Duplicale Sample, ~ Grab, C= C<l!Tlp<lSite
- 3) Fidd Fihen... : Fe! liquid malrices. indica1e with a Y - for yes the sample was field filtered Of' N - for sample was not field filLered Cuslody SeiJllnlacl?
- 4) Matrix Code<: "\=Drinking Water, G~oundwata. SW=Surface Water, w\\cWaste Water, W=Water, ML=Misc Liquid, S():Soil, SD=Scdimen~ SL=Sludge, SS=Solid Waste, O=Oil. F=Filtcr, P=Wipe. U=Urine, F=FecaI, N=Nasal YES NO
- 5) Sample Analysis Requested: Analytical method requested (i.e. 8260B, 6010Bf7470)\and numter of containers provided for each (i e. 8260IJ. 3,60108.1747004 -1). Cooler Temp:
- 6) Preservative cy;>e: ~ Hydrochloric Acid. NI ~ Nitric Acid, sao Sodium Hydroxide. SA= Sulfuric Acid, AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate. If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page; 1 of J GEL Laboratories, LLC Project fI: :=ntergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote # **See www.ge1.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COCNumil<:, (\ ': Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-11 78 Client Narn Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers [or each test) Project/Sitf'lame: Indian Point Energy Center Fax#: (914) 734-6247 -=""CI.~ " -=.,~ <- Preservative Type (6)
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1-0 ~ ~ 0 (/J Z MW 26-(020) Lf/~~lto l'il11.. N N GW Y N 1 1 1 1 1 2 Liter Poly MW-49-42-(020) 411.:~/IO IY~O[ N N GW Y N 1 1 1 1 1 2 Liter Poly MW-49-65-(020) IL.f1t-01to IS-I. N N GW Y N 1 1 1 1 1 2 Liter Poly TAT Re JufOsted: Normal: ./ Rush: Specify: (Subject to Surcharge) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level 1 I Level 2 I Level 3 / Level 4 Samole Collection Time Zone Remarks: re there any known hazards applicable to these samples? If so, please list tile hazards L Eastern) Pacific Central Other - - -
. Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquishe( i~ V (Signed) Date Time R<<ei.ed by (signed) Date Time GEL PM: ERIN TRENT lr~/ ~A/\.- ; L.//ZbiL() IlnifS l<.t;r JAll", s..-(O fl~b ~/'t6"o Iv-fb Method of Shipment:; FEDEX Date Shipped:
2
---, () 2 Airbill #:
3 3 Airbill#: ., ~.. ,~ .. ~ .. For Lab Receiving Use Dilly MS= Matrix Spike Sample, MSJ)= Matrix Spike Duplicate Sample, G= Grab, C~ Composite for sample was not field filtered. Custody Seal Intact? It'=W3J.er, ML~Misc Liquid. S<FSoil, SJ)=Sedimcn~ S1?Sludge, SS=Solid Waste, <>=Oil, F~FiJter, P=Wipe, U=Urine, F=Feeal, N=Nasai YES NO of containers provided for each (i.e 81601J. J. 6010Bi7470A -1) Cooler Temp: uric Acid. AA~ Ascorbic Acid. HX~ Hexane, ST ~ Sodium ThiosulfaJ:e. If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC 1Project #: Enterav License Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: GELP07-0§28 **See www.geLcom for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Nurnbn II): Phone: (843) 556-8171 GEL Work Order Number: PO Number 50013510 Fax: (843) 766-1178 Collected b J . Phone#: (914) 736-8405 (Fill in the number of containers for each test) U"M(S Sample Analysis Requested (S) Proj ectiS it*; "l""me: Indian Point Energy Center Fax#: (914) 734-6247 .~
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1>1 ...'" ... d Q MW-49-26-(GBOl) L.j /'tblto 141..\2.- N N GW Y N 1 1 500 ml Poly MW-49-42-(GBOl) 4hoho 111-\34 N N GW Y N 1 1 500 ml Poly 1 MW 65-(GBO 1) 14112,)10 1:-.'1"1 N N GW Y N 1 1 500 ml Poly TAT Reql..,;sted: Normal: ./ Rush: Specify: (Subject to Surcharge) IFax Results: Yes / ~ . Circle Deliverable: C of A / QC Summary / Levell / Level 2 / Level 3 / Level 4 Remarks: A re there any Iazown hazards applicable to these samples? If so, please list the hazards Samnle Collection Time Zone Eastern Pacific CCii'ii81 O".her - --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquishd 8y (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl DuffY 1{)v1... i.~-./\..~ '-/(1-01, D lloq~ l5li.l1R£ <.-rD~M£ '-Ih~lto Ifo't5 Method of Shipment: FEDEX Date Shipped: 2 !J u 2 ".irbill #: 3 3 Airbill#: 1 ) Chain of Custod) Number - Client .Determined For Lab Receiving Use Only
- 2) QC Codes: N~ NOImal Sample, TB ~ Trip Blank. FD= Field Duplicate, EB ~ Equipment Blank, MS= Matrix Spike Sample, MSD= Matrix Spike Duplicate Sample. G= Grab. C~ Composite
- 3) F;e1d Filtered For liquid matrices, indicate with a Y - for yes the sample was field filtered OF- N - for sample was not field filtered Cuslody Seal Inlact?
- 4) Matrix Codes: D\'I>=Drinking Water, GW=Groundwater, SW=Surface Water, \VW=Waste Water, W=Water, Ml.~Mi,c Liquid, SO=Soi~ SD=Sedimen~ SL~Sludge, SS=Solid Waste, O=Oil, F=Filtcr, P=Wipe, U=Urine, F~Fecal, N=Nasal YES NO
- 5) Sample Analysis Requested Analytical method requested ii e 826OB, 6010Bl7470)land numbel of containers provided for each (i e 8260B- 3, 6010Bi7470A . 1) Cooler Temp:
- 6) Preservative Type HA= Hydrochloric Acid. Nl = Nitric Acid, SH= Sodium Hydroxide, SA= Sulfuric Acid. AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate. Ifno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Entergy GW Man Prag GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 cee Number (1) : Phone: (843) 556-8l71 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .::: QoI
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ell f- f- = C/J B-l-(0O8) 4/*2:2,(, e 1~..J4 N N ow y N 1 1 1 1 2 Liter Poly I TAT Requested: NOffilal: ./ Rush: Specify: (Subject to Swduugc) !Fax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Levell I Level 2 I Level 3 I Level 4 Remarks: A,e there any known hazards applicable to these samples? If so, please list tile hazards Sample Collection Time Zone
~Central Pacific Other - - -
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I~L . t2-....---. - .!jh-l.t {t b 64'5 l~Jl.£ ~()~6 4iZld,o i .l::;?/!> Method of Shipment: FEDEX Date Shipped: 2 D U 2 Airbill #: 3 3 Airbill #:
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For Lab Receiving Use On~y MS= M.atrix Spike Sample, MSD= M.atrix Spike Duplicate Sample, G= G1"ab, C= Composite for sample was noL field fillered.. Custody SCJJllntact?
~Water, M.L=Misc Liquid, S(FSoil, SD=Sedimeot, SL=Sludge, SS=Solid Waste, O=Oil, F=Filter, P=Wipc, U=Urine, F=FecaJ, N=Nasal YES NO of containers provided for each (i.e 8160lJ. 3,60108/7470.4 -1) Cooler Temp:
Uric Acid, AA= Ascorbic Acid, HX= Hexane. ST = Sodium Thiosulfate. If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Pagt: I of I GEL Laboratories, LLC Project #: Enterav Ucense Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GELP07-062& "See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number 11': Phone: (843) 556-8171 GEL Work Order Number: PO :-': umber: 50013510 Fax.: (843)766-1178 Collected by* Cblm~ Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ " -i:i <-- Preservative Type (6)
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- For composires - indicate slart and stop date/time (hhmm) ...'" ~ Cj I B-l -tGB01 ) PL;/23ho I , \b44 N N GW Y N 1 1 500 ml Poly TAT RC(!ueslcd: Normal: ./ Rush: Specify: (SUbjC<:l to Surch;UXC) IFax Results: Yes / ~ Circle Deliverable: C of A f QC Summary f Level I / Level 2 f Level 3 ! Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards ~m nl e Co lI ~ion Time Zone EaslCm) Pacific cenual Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (silll'ed) Date Time GEL PM: Cheryl Dufry t r/Lr--.. J A./T. _ ~~ 'Ih.&/ m (9/5 I C&.LA.IR F: '7f}().-iJL-.tC: t/(up!t p )54S" Method ofShipml!Dl: PEDE:< Date Shiooed:
2 0 (\ 2 Airbill #: 3 1 \ (""I...~; _ _ .r. . _-I * .... T** I... ..... : _ .. n. * ~ 3 Airbill#: For Lab Receiving Use Only Custody Sealln/aCI? P=Wipe, l?Urine, F=Feeal, II'=Nasal YES NO Cooler Temp:
= leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: J of I GEL Laboratories, LLC Project #: Entercv License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (1,: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected by:
~J"'(? Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test)
Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ u ii <-- Preservative Type (6)
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'Date Collected (mm-dd-yy)
Collected (Military) QCCode (ll Field Sample Filtered (ll Matrix (01) 1 =
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E-o (j MW-63-18-(OBOl) 41wlto 11~z.z- N N OW Y N 1 1 500 ml Poly MW-63-34-(OBOl) ~~Itt7 \31-\ N N ow y N 1 1 500 ml Poly MW-63-50-(OBOl) Hfw/lb IUl~ N N OW Y N 1 1 500 mlPoly I MW-63-93-(GBOl) "Ilwll~ lvt2 N N OW Y N 1 1 500 ml Poly MW-63-112-(OBOl) c*llV4ho 12-3'1 N N ow y N 1 1 500 ml Poly MW-63-121-(OBOl) ~hJg"o 11.5~ N N OW Y N 1 1 500 ml Poly MW-63-163-(OBOl) "lhwho \LtW N N OW Y N 1 1 500 ml Poly MW-63-174-(OBOl) 1""IuoI,o '1't2-~ N N OW Y N 1 1 500 ml Poly TAT Requested: Normal: ./ Rush: Specify: (Subject to Surcharge) \ Fax Results: Yes / ~ Circle Deliverable: C of A / QC Summar), / Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Sample Collection Time Zone
~Central Pacific Other - --
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Tin",
, GEL PM: Cheryl Duffy l~g~~ c..lflkllO 19-/S I ~ eE SJci-Ar-" b Lj h.ro 1[0 ISlfs; Method of Shipment: FEDEX Date Shipped:
2 0 U 2 Airbil1#: 3 3 Airbill#: 1 ) Chain of CJstody Number = Client Determined For Lab Receiving Use Only
- 2) QC Codes N= Normal Sample. TB = Trip Blank. FD= Field Duplicate, EB = Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample. G= GTab, C= Composite
- 3) Field Filler,;L: For liquid matrices, indicate: with a: Y - for yes the sample was field filtered Of' N -for sample was not field filtered.. Custody Seallncact?
- 4) Matrix Codes: D~Drinking Water, G"-'-Graundwater, SW=Surface Water, w\V=Waste Water, 'V=Water, ML=Misc Liquid, S<FSoil, SD=Sediment, SL=Sludge, SS=Solid Waste, O=Oil, F=Filter, P=Wipe, U=Urine, F=Fecal, l\'=Nasal YES NO
- 5) Sample Analy;is Requested Analytical method requested (i e 8260B, 6010Bl7470)land number of containers provided for each (i.e 8260B- 3, 60IOBi7470A -1) Cooler Temp:
- 6) Preservativ~ Type HA= Hydrochloric Acid, Nl = Nitric Acid, SH= Sodium Hydroxide. SA= Sulfuric Acid, AA= .A..scorbic Acid, HX= Hexane, ST = Sodium Thiosulfate.lfno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page; I of 1 GEL Laboratories, LLC Project #: Enterg~ GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: uSee www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Numb.:r: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ Gi -i:i <-- Preservative Type (6)
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.. For romposilcs - indirate start and slop dare/time (mm-dd*yy) ;;
(hhmm) 0:: '"f- f- f- <JJ MW-63-18-(013) 4121n/'O 131.2- N N GW Y N 1 1 1 2 Liter Poly
~-63-34-(O 13 ) 41ZJpl ~I) I~~\ N N GW Y N 1 1 1 1 2 Liter Poly MW-63-50-(013) tf 1'2l# Ito 120(':' N N GW Y N 1 1 1 1 2 Liter Poly MW-63-93-(OI4) 41who 12.~2 N N GW Y N 1 1 1 1 2 Liter Poly MW-63-112-(013) 41uPft" 12.3'i N N GW Y N 1 1 1 1 2 Liter Poly MW-63-121-(013) 4/U4llo 1'25G\ N N GW Y N I 1 1 1 2 Liter Poly MW-63-163-(013) Lflwho Jtt20 N N GW Y N 1 1 1 1 2 Liter Poly
~-63-174-(O13) ILl I~fto H1-~ N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ,/ Rush: Spo.ICify: (5OOJ<<1 to Surcharge) IFax Results: Yes / Vo::> Circle Deliverable: C of A / QC Summary i Level I f Level 2 / Level 3 f Level4 Remarks: Are there any known lIazards applicable to tllese samples? If so, please list tile lIazards 1 ~3m"le Collection Time Zone Eastern) Pacific CCiilliI Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Si!;ll<<l) Date TUII. Received by (signed) Date Time GEL PM: ERIN TRENT I~()'~~ ()
't/21n/r 0 J5'-1C; i,')ECul.c Sfi>QAbC 4/v.,l!o 1.c::.4S Method ofShipmeot FEDEX Date Shipped:
2 2 Airbill #: 3 3 Airbill #: 1 ) Chain of ('us~()cty Number - Client Determined For Lab Receiving Use Only 1.) QC Code, ~_o t;ormal Sample, TB ~ Trip Blank, FO= Field Duplicate, EB ~ Equipment Blank, MS= Matrix Spike Sample, MS[)= Matrix Spike Duplicate Sample, G= Grab, C~ Composite 3.) Field filtcn:: I. j-~lJr liquid malricc:s, indicate: with a Y - for yes the salllpl~ was field filtered Of- N - [or sample was not field fillered. Custody Sea/Intact?
- 4) MilLri< CO(i<; OW-Drinking Waler. GW=Groundwater. SW=Surface Waitt, WWoWaste Willer, W=Walt:<, ML~Misc Liquid, S<FSoil, SD=Sediment, SL~Sludge, SS=Solid Waste, O=Oil, F~Filt.,., ~Wipe, U=Urine, F=fecal, N=NasaJ YES NO
- 5) Sample Am':I . i, Requested: Analytical method requested (i e 82608, 6OI0Bl7470)land number of containers provided for each (i e 8260~ 3, 60JOBi7470A -I) Cooler Temp:
- 6) Preservative T)'p< HA~ Hydrochloric Acid. NI ~ Nitric Acid, SH= Sodium Hydroxide, SA~ Sulfuric Acid, AA~ Ascorbic Acid, HX~ Hexane, ST ~ Sodium ThiosulfilLe, If no pr.. ervative is added ~ leave field blank. C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: J of 1 GEL Laboratories, LLC Project #: Enterov License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote '1: GELP07-0628 uSee www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 coe Number (I ' : Phone: (843) 556-8171 po Number GEL Work Order Number: 50013510 Fax: (843)766-11 78 Collected by: ~ 1 M~ Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ Go! ~
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- For composites - indicate start and S lOp date/time (hbmm) c
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MW-37-22-(GBOl) t-J 121" 0 12>1.3 N N GW Y N 1 1 500 ml Poly MW-37-32-(GBOl) y 11.-1/1 0 \11..5 N N GW Y N 1 1 500 mlPoly MW-37-40-(GBOI) 1412..1 il.-7 12'13, N N GW Y N I I 500 ml Poly MW-37-57-(GBOI) ILlh;1/tO n1$, N N GW Y N 1 1 500 ml Poly TAT R, ;.ucSled: Normal: ./ Rush : Speciry: (Sl1bje<l lo Sun:lwJ:o) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level 3 I Level 4 Remarks: "re there any known hazards applicable to these samples? If so, please list the hazards ISamnl ... C'-"lIeclion Time. Zo le Eastern) Pacific GeiiiraI Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl Duffy I /'~ -r".. ~ A ........ ' l./.(?"l (I 0 1,55 I Sta-tt2 t C;-;-o {2 A-6~ til? 7 Ito (755 Method of Shipment: FEDEX Date Shiooed: 2 V 0 2 Airbill #: -1 3 Airbill#:
, \ r'-... :... ~ ~-r .. ~ . ,~ . . ....1 *
- t.._. _ .... 1: _ _ * ~ ____ : _ _ ~
For Lnb Receiving Use Only ClIstody Seal Intact? po..Wipe. U=Urine, F-=Fecal, l\l:zNasal YES NO Cooler Temp:
; leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
IPage: I of I OEL Laboratories, LLC Project #: Entergy GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road tGELQuote # **See www.gel.com for GEL's Sample Acceptance SOP** Charleslon, SC 29407 CDC Number (I ): Phone: (843)556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1 178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 -=-=..c Ilol -a t
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.. F.:Jr ('omposiles - indicafe start and stop dute'time (hhmm) ~ '"... ... f- 0 r/J MW-37-22-(OlS) 4I'Ll to 1323 N N GW Y N 1 1 1 1 2 Liter Poly MW-37-32-(018) ~11.-1110 1125 N N GW Y N 1 1 1 1 2 Liter Poly MW-37-40-(018) '1/2./110 ,1.4-:; N N GW Y N 1 1 1 I 2 Liter Poly MW-37-57-(018) HfL..-1 I'D ~l~ N N GW Y N 1 1 1 1 2 Liter Poly TAT Rcqu~ed : Normal: ./ Rush: Specify: (Subjeet to SuJCllluoge) IFax Results: Yes / G::> Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Samole Collection Time Zone Remarks: Are there any know" hazards applicable to these samples? If so, please list tile IIazards
~ Pacific Central Mountain Other Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished Jy (SiSl,t:d) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I~ ~ -'"' '( L//z,-,hn 1155 I SGllAe ~-rOefl61S 4h'"1/ID liS5 Method of Shipment: FEDEX Date Shipped:
2 U_ (j 2 Airbill#:
.3 3 Airbill #:
I ) Chain ofClc>tod* C-:umbe, - Client Determined For Lab Receiving Use Dilly
- 2) QC Codes .'i~ Normal Sample, TB ~ Trip Blank, FO= Field Duplicate, EB ~ Equipment Blank, MS= Malrix Spike Sample, MSD= Malrix Spike Duplicate Sample, ~ Grab, C~ Composite 3.) Field Fih~ed FOI liquid matrices, inwcale with a Y -fol yes the sample: was field filtered 0':' N - for sample was not field filterc:d Custody Seal IlIlact?
- 4) MaJrix Codes DW-Drinking Water, GW-Groundwaler, SW-Surtace Waler, WW=Waste Water, W=Waler, ML~Misc Liquid, SO=Soil, SD=Sedimenr, SL:Sludge, SS=Solid Waste, ~il, F~Filter, I"'Wipc, U~Urine, F:FecaI. ~NasaJ YES NO 5.) Sample Analysis Requested: Analyrieal method requested (i e 82608, 6010Bl7470)land number of container. provided for each (i e 8160~ 3. 60JOBl7470.4 -1). Cooler Temp:
- 6) Presc:rvalive Type HA~ Hydrochloric Acid. NI ~ Nitric Acid, S~ Sodium Hydroxide, SA~ Sulfuric Acid. AA~ Aseorbic Acid, HX~ Hexane, ST ~ Sodium Thiosulfate. If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I Project #: EntergY_License Renewal Project GEL Chain of Custody and Analytical Request GEL Laboratories, LLC I GELQuo te#: GELP07-0628 **See www.ge l.com for GEL's Sample Accepta nce 2040 Savage Road COC Number (11: SOp** Charleston, SC 29407 PO Number: 50013510 GEL Work Order Number: Phone: (843) 556-8171 I Fax: (843) 766-1178 c6~M8 Collected by: Phone#: (914) 736-840 5 Sample Analysis Requeste d (5) (Fill in the number of container s for each test) I Project/S ite Name: Indian Point Energy Center Fax#: (914) 734-624 7 .~ 41 -D
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-Date Collected *Time Collected Field
.~
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- ~ QC (hhnlnll ~ ~
l- t- 0 MW-36 (GB OI) 04/28/10 1414 N N OW Y N I I I 500 ml Poly MW-36 (GB 01) 04/28110 1358 N N OW Y N 1 1 500 ml Poly MW-36 (OB OI) 04128/10 1546 I N N OW Y N 1 1 500 ml Poly I I I I TAT Requested: Normal: ./ Rush: (Subject '0 su<<l:wge)
~
Specify IFax Results: Yes I Circle Deliverable: C of A I QC Summar), I Level I I Level Remarks: Are there any known hazards applicable to these samples? 1/ 2 I Level 3 I Level 4 so, please list the hazards Sample Collection Time Zone
~
I Pacific I CCOIrol Other Chain of Custody Signatur es Mountain
/
Sample Shipping and Delivery Details 12?:~;;:;~r-Received by (signed)
!&c4!2gJ::
Date Time S£Cur 2.E ~ GEL PM:
° Cheryl Duffy
\710 lS1'lD~~E 04 (ZqJJ \710 Method ()rShipment:
~ HODEX Date Shipped: 2 Airbill# 3 3 1 ) Chain of Custody Number - Client Determined Allbill#;
- 2) OC ("od.. N- '1onnal Sompil:. T8 TITJI Blanl<. FD ' Field Duplic:3<O. &8 - Equipment Blank, ~lS
- M.It'" Spike S3mple. MSD ~ Ma"" Splko
- 3) Fteld Fdrerocl For liquid ma.nces. IMiate WIth.* y. rqr )'CS .he sample ..... field fliltred Duphcate S.mple. G
- Grnb. C ~ Composi.e For Lab Receiving Use On~v or - N - ror sample w:u not field filtered
- 4) Mllt'" Cod!':$ DW- Onnlung Wllet, GW"Croundwoll:f, SW~Surf~ w" .., WW.... e lls/ad)' Seallntaer?
v.... W'\OI. \\'*W.~, ML-."Iloc t.,quld, SO-s."I. SIPs"d,mt11l, SL-Sludge. SS-S<llid S I S:rmple .......1)'11. RO<jucnod Ana.!yll.,..1 methocll<queslod (I. Waste. (FOil. F~Filte,. J'oWipe, U=Urine. F~Fecal. N~Nasal 3261)'8, 60108l7470Alind numbeTafc:ont>ln... p'oYldocl ror""~ h c.IJJMJTI - 3, (.oJOH U7/lA
- I ) YES NO 6 ) P'*"""tlvcT)l>< HA . Hydtocblllfic ACId, NI - Nllrrc Add, SH Cooler Temp:
- Sodium Hydfo..d.. SA . Su lfurIC ACid. AA . """"b,c A<ld. 11:1: - )l""" . ., Sf Sodium Thlosul,., .. Ifno preservative is addod = leave field blank WHITE = LABORA TORY YELLOW = FILE C PINK = CLIENT
Page; I of 1 Project #; Enterg~ GW Man Prog GEL Chai n of Custody and Analytical Request GJ;:L Laboratories, LLC GEL Quote #: **See www.ge l.com for 2040 Savage Road GEL's Sample Accepta nce SOP** COC Number (I): C'harleslon. SC' 29407 PO Number: 50013510 GEL Work Order Number: Phone: (843) 556-8171 Client Name: Fax; (843) 766- 1178 Entergy Phone#: (914) 736-8405 Sample Analysis Requeste d (5) (Fill in the number of containers for each test) Proje,ctlSite Name: Indian Point Energy Center Fax #: (914) 734-6247 .~ u -c
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Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ !~e r Vi <0
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}0- ~ f- 0 m MW-36-24-(018) 04128/10 1414 N N OW Y N 1 1 1 1 2 Liter Poly MW-36-41-(012) 04/28110 1358 N N OW Y N 1 1 1 1 2 Liter Poly MW-36-52-(017) 04128/10 1546 N N OW Y N 1 1 1 1 2 Liter Poly TAT Requested : Nomlal: ,/ Rush:
Remark s: Are there any known hazards applicable to tlrese samples Specify: {Subject '0 SurcborgeJ IFax Results:
? If so, please list ti,e l,aZllrds Yes I ( No- ~ Circle Deliverable: C of A I QC Summary i Level I I Level 2 I Level 3 I Level 4 Sam ole Collect'on Time Zone
~ Centml Pacific Other Mounrnin Chain of Custody Si~nalures
~BY (Si~ed) / -h... Date Time Received by (liJlll<d) Date Time Sample Shipping and Delivery Details
/'N/~/a 04/2.~/,o f U GEL PM: ERIN TRENT I'I V/" \710 I 5FC smMrZE!> GE 04 (:2~ 10 \710 t (,
- v- Method of Shipment: FEDEX Date Shipped:
# ./
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----) I 2 Airbill #:
J 3 t ) Chain of Custody Number - Client Detennined Airbill #:
- 2) QC C"OC!CS ;0;- Nmnni S:unp!e. TB wtnp BI:mk. f'Do F,.ld Oupli=e.
ER - Eq.ipmcn, B!:>nk. ~S- MM. Spi.... SMtpIe. MSf)r M.t\'i. SI'fkc
- 3) Flc l ~ Fihcn:d f' liquid m.tne ... indica,. ",1Ih ~ V - for yes the OUpHc:ueS....",I'Io. C. Grab. C = Composi'e For Lab Receiving Use Oll~"
""'1'1. Wl1S field fillcrcd .... N
- rorumplc \VIIS nOi ficl~ filtered 4 I Moln, Codes O\Y<Dnnklns IV.'e<. C\~ndw..C1". 5""'SOO
... Water. W\Y<"'ilSIe w.'e<. \ Wata. ML- MISC Llqu,d. So-soIl. SJ>oScdlm<nL SL-S1udse. S~S<>lid Waste. <FOil. F=Fil,,,,. P=Wipc. ~Urine. F=Fecal. N=Nasai CustOdy Seal Intact?
- 5) Sample Anal~"!is Requested ,"nDl)'tiai n1Clhod T<l!uesled YES
(, e 8260B. 6OJ01II7470)land numbCf"r ~onlllin<lll provided for <.><h Ii . 8:6()~ J. 6O/08{1470,(
- 11 NO
- 6) P~>l;VC Typo tL\- Hydrochlonc .~cid. l'>1 ~ Nilric Acid. S~, Cooler Temp:
Sodium HydJo.ii!e. SA- Sulfuric Acid. AA- <\5<ori>ic Acid.1JX~ HCI<Mc. ST
- SodiIUTl Thiosulfiue. Ifno preservative is added = leave field blank WHITE = LABOR ATORY YELLO W = FILE ('
PTh'K = CLIENT
Page:_ _ _ 1 of 1 GEL Laboratories, LLC Project #: Entergl( GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (II: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .'!!
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-= ~ <-- Preservative Type (6)
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.=
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(hhmm) ..: ...'" ...= f5 0 if.i MW-32-149-(017) pt, 29/10 \350 N N GW Y N 1 1 1 1 2 Liter Poly MW-32-173-(015) b4 2~ '0 \545 N N GW Y N 1 1 1 1 2 Liter Poly I MW-32-190-(019) (J4 *2~ /0 \551 N N GW Y N 1 1 1 1 2 Liter Poly I MW-32-48-(OO6) b4 2~ 10 1I2~ N N GW Y N 1 1 1 1 2 Liter Poly MW-32-59-(017) D4 251 10 \ \ 30 N N GW Y N 1 1 1 1 2 Liter Poly MW 85-(020) b4tZ\> )0 \30¥ N N GW Y N 1 1 1 1 2 Liter Poly TAT RequQ!ed: Nomlal: ,/ Rush: Specify: (Subjm to SWllhMgC) IFax Results: Yes /~ Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level4 Remarks: Are there any known hazards applicable to these samples? lfso, please list the hazards Samnle Collection Time Zone
~ Central Pacific Other - --
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT lw......f ~--- .~~ QI"1-'id1O liiO 1 ,stc.M.{l£ S:7o{Ul-f-j £ ""Izgj I D It i 0 Method of Shipment: FEDEX Date Shipped: 2 0 U 2 Airbill#: 3 3 Airbill#: ~ \ ......1..._: _ '".... * -' .... T ~ .. - For Lab Receiving Use Oilly Custody Seal Intact?
"'Wipe. U=Urine, F~FecaI, N=NasaI YES NO Coole,. Temp;
= leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page:____ 1 of 1 GEL Laboratories, LLC Project #: Ente~License Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote II: GELP07-062.8 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 coe Number ill: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected by: C 0) Me Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 .~ 601
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~ ~
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- CO rcquired for sample specific "Dale Collected Collected QCCode Field Sample
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~ ....0
... For composites - indi('are star( and SlOP dare/time (mm-dd-yy)
(Military) (hhmm) (11 Filtered (J Matrix('" .2
~
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~
~ Cl MW-3 2-48-(GBO 1) t:>412~ \10 \ \2.~ N N GW Y N 1 1 500 m1 Poly MW-32-5 9-(GB01 ) p£.t12?rIO \\30 N N GW Y N 1 1 500 ml Poly MW-3 2-85-(GB01) pql2~ I ~O \"30~ N N GW Y N 1 1 500 ml Poly MW 149-(GB01) o4/2Sl!l 0 \350 N N GW Y N 1 1 500 ml Poly MW-?2-l73-(GB01 ) ~h?/IO \545 N N GW Y N 1 1 500 ml Poly MW**32-190 -(GBOl ) o4/2~!t c 155' N N GW Y N 1 1 500 ml Poly TAT Requ~led: Normal: ,/ Rush: Specify. (Subjtct to Sutch","&,,) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level 3 I Level 4
;Sam ple Collection Ti ne Z.one Remarks: Are there any known hazards applicable to these samples? Jfso, please list the hazards
~ Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Deliyery Details Relinquished By (Signed) Date Tim. Received by (signed) Date Time GEL PM: Cheryl Duffy 1 ~1.~ *1 4/zg110 liiO I S{;(.M/l..£ ~*mVl41<.'{'. '-Ikcstf"O lelO Method of Shipment: FEDEX Date Shipped:
2 0 0 2 Airbill #: 3 3 Airbill #: 1 ) Chain of Custody Nwnbcr - Clicnl Detennincd For Lab Receiving Use Only
- 1) OC Codes N~ Normal Sample, TB ~ Trip Blank. FJ); Field Duplicate. EB ~ Equipment Blank, MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample, 0- Grab, C~ Composite
- 3) Field Filtered For liquid matrices. indica.J.e with a Y -for y~ the sampl"! was field filtered OF N - for sample was nol field filtered. Custody SeallntaCl ?
- 4) Matrix Codes DDrinl.:ing Water. Gw-Groundwater, S\\"'Surfa<<; Water, 'v\\=Waste Waler, '\=Water, ML~Misc Liquid, ~il. S~Sediment, SL~Sludge, SlFSolid Waste, O=Oil, F=Filter, l'<Wipo, \PUrine, F=Fecal, l\'=Nasal YES NO Cooler Temp:
5) 6) Sample Analysi, Requested AnalYlical method requested (i e. 826OB, 6010Bl7470)land nunlbeT of containers provided for each (i e 8260S. 3, 60lOBI747004 - I). PTescrvalive 1 )llC HA~ Hydlochloric Acid, Nt ~ Nitric Acid, Sit" Sodium Hydloxidc. SA~ Sulfuric Acid, AA~ Ascorbic Acid, HX~ Hexane, ST ~ Sodium Thiosulfate, If no preservative is added ~ leave field bl""k . C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Project #: Enterav Ucense Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road IGEI. Quote #: QELP07-0628 **See www.gei.com for GEL's Sample Acceptance SOp** Charl eston. SC 29407 ,COC Number (1\ Phone: (843) 556-8171 GEL Work Order Number: .PONumiler: 50013510 F3l<: (843) 166-1 178 Collected by: C (3. (Vl (3 . Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .!!! .. -c <-- Preservative Type (6)
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TAT Rcqul.'Sted: Normal: ./ Rush: Specify: (~ubJoc, to Surc!wsc) lFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level3 I Level4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards S3Jl1Dle eoucel on Time Zone Eastern) Pacific CCiUraI Other - -- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Rtlinqui>"~d By (Signed) Date Time R=!ived by (signed) Date Time GEL PM: C'htllyl Du ffX l~J ~ 4hv,hD 15/S I W../'JJflE.- s:ToeAbc t../ fu,1r 0 15/5 Method orShipnlOJ11: FEDEX Date Shipped: 2 () U 2 Airbill #: 3 3 Airbill #: I ) Chain of Custody Nwnbcr - Client Dotermined For Lab Receiving Use Only 1 .) OC Cooc.s :oJ . !>lonna! S.mple. TB
- Trip 81",,1.. F1P Field Duplit;Olc. EB . Equipmcdl BIMk. MS- MMr!x Spike Somple. M5Jr )<.utrix SpIke OUphOiUC SlImp!e. Go Gnb. C = Composite 3 ) Field f ,It'.1ed f or liquid "",,"cos. indicatr with. V -for~ .. the $IItT1plc ...as Oeld filtered a. III - for ..",plc "'as IlOl field filtered Custody Seallmact?
4.) ~~::..>des D\"'DnnllnS WaleT. C\Vo(;rounCw;>le,.. s\~Surf"", \V.ter, W,Y.W&SIe W"'-cT, ' ....Water, ML- Mls. LiqUId. 5 0>S",I, SDsStdlmcru. SL.- SludSe. SSoSolid Waste, 0=0i1, li'-Filter, P=Wipe, U=Urin c. F=Fecal,l\'=Nasal YES NO 5.) S'pll -\naly, .. Reques,ed ,""Yli' melhod roquesled (I e 82608, 6010.BI7470)\lU\d lIunlbct of coullli!1dS proVIded fO(c<IdI (i c. 4!60~ 3, 601I)Bn470.~ - I' Cooler Temp:
- 6. ) Prac:" n'e Type HA~ Hydrochloric Acid. /II I
- Nitric Add. S'" Sodium Hydro><idt. S,\ - Sul""n. Aeid, AA~ AscorbIC Acid. HX~ He .."e. ST ~ Sodlum Thiosulrlllc. lf no preservari ve is added = leave field blank C WHITE = LADORA TORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Laboratories, LLC Project #: Enterg~ GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOp** Charleston, SC 29407 COC Number (11 : Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers ror each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .:,l CI.I -c <-- Preservative Type (6)
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l-E- 0 0:1 0 rn MW-3 0-69-(031) ::>4 2.'1 110 '25S N N GW Y N 1 1 1 1 2 Liter Poly MW* 3 0-84-_(022) 04 7,..'1/ rD l~ilO N N GW Y N 1 1 1 1 2 Liter Poly TAT RequllStcd: Normal: ,/ Rush: Specify: (Subjoa to Sur<harge) !Fax Results: Yes / G0 Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Sam ole Collection Time Zone Remarks: Are there any known lIazards applicable to these samples? If so, please list tile hazards Eastern) Pacific centiil Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinqu ish.d By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I~~~ 4h.C.J'D J96 l$t:ui2 6 S70~A6c- 4(Z-ct/fD /510 Method of Shipment: FEDEX Dale Shipped: 2 0 0 2 Airbil1#: 3 3 Airbill #:
- 1) Chain of Custody Number - Client Determined For Lab Receiving Use Only
- 2) QC Codes N~ Normal Sample, TB ~ Trip Blank, FIP Field Duplicate, ED ~ Equipment Blank, MS= Matrix Spike Sample, MSIP Mabix Spike Duplicate Sample, G= Grab, C~ Composite
- 3) Field Filtc;n:d For liquid matrices. indicmc with a Y - for yt:s the samplt: was field filtered Of N - for sample was not field filtered Custody Sea/lnlact?
- 4) Matrix Code'S DW'Drinking Water, GW=Groundwater, SW=Surface Waler, WW<Waste Water, W=Water, ML~Mi5C Liquid, S!FSoil, SIPSediment, SL=Sludge, SS=Solid Waste, O=Oil, F~Filter, P=Wipc, U=Urine, F~Fcca1, ~Nasal YES NO
- 5) Sample Anal,,", Requested: Analytical method requested (i e. 8260B, 6010Bl7470)land number of containers provided for each (i e 8260IJ. 3. 60IOBl7470A - I) , Cooler Temp:
- 6) Preservative TY))c HA~ Hydrochloric Acid, Nl ~ Nitric Acid, SlF Sodium Hydroxide, SA~ Sulfuric Acid, AA~ AscOlbic Acid, HX~ Hexane, ST = Sodium Thiosulfate. If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: j of J GEL Laboratories, LLC Project #: Entergy license Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GEI.P07-06 1 8 **See www.gel.com for GEL's Sample Acceptance SOp** Charleston, SC 29407 coe l\:umber (I): Phone: (843) 556-8171 GEL Work Order Number: po Number: 50013510 fax : (843)766-1178 Collected by: ee, M6 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ Q,I -ti <- Preservative Type (6)
; ~ ~
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*Time ~
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U ....0 (mm-dd-yy) -0
- For composites - indicate stan and SlOp date/rime (hhmm) I>: '"
!- !- 0 MW-58-26-(GBOl) (~4/3c/1 0 \~12 N N GW Y N 1 1 500 ml Poly MW-58-65-(GBOl) p4 f~o{,o 135' N N GW Y N 1 1 500 ml Poly TAT Requested: Normal: ./ Rush : Specify: (Subject to SurCharge) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level I I Level 2 i Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Sample Collection Time Zone
~ Pacific Central Mountain Other Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Tin,e Received by (signed) Date Time GEL PM: Cheryl Duffy 1.Wv{~ ,,{~} rr-. 14L/t5 I QX.u ~e: .sr~b';- t./ (3l> Jr1> ) '-f4~ Method of Shipment: FEDEX Date Shipped:
2 0- _V ? Airbill #: 3 3 Airbill#: 1 ) Chain of Custody Number ~ Cilent Determined For Lab Receiving Use Only ~) QC Codes N= Nonnal Sample, TB = Trip Blank. FD= Field Duplicate. EB = Equipment Blank. MS= Matrix Spike Sample. MSIF Matrix Spike Duplicate Sample. G= Grab. C= Composite .}) Field Filler :c: For liquid malnces, indicate with it Y -for yes the sample was field filtered Of' N -for sample was not fidd filtered Cllstody Sealilltact?
- 4) Matrix COLC,i D\,,"Drinking Water, G\\-'-Groundwater, S,,",Surface Water, W\,,"Waste Water, "'"Water, ML=Misc Liquid, S~Soii. SIFSediment, SL=Sludgc, SS=Solid WllSite, O=Oil, F=Fiirtr, P=Wipc, U-Vrine, F=Fecal,l'I"'Nasai YES NO
- 5) Sample A"a!ysis Requested Analytical method requested (i e 82608, 6010Bl7470)land number of containers provided for each (i e 8J60lJ. 3, 60JOBii470.4 - 1), Coo/I?r Temp:
- 6) Preser..*ativc Type: HA= Hydrochloric Acid. NJ = Nitric Acid, SIT SodiWTI Hydroxide. SA= Sulfuric Acid, AA'" Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate. If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC ProjclCl #: Enterg:i GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number 01, Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ IV
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[/J MW 26-(0 10) )4 30 \0 \4\2 N N GW Y N 1 1 1 1 2 Liter Poly MW-58-65-(OlO) :>4 30 10 135\ N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal : ./ Rush: Specify: (Subjetl to Surclurgc) IFax Results: Yes ! ~ Circle Deliverable: C of A ! QC Swmnary ! Level I ! Level2 ! Level 3 ! Level4 Remarks: Are there any know" haZllrds applicable to these samples? [Iso, please list the haZllrds Samole Collection Time Zone
~Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I_~ ~l '-11;2))/'0 LLJ.45 I~ tl-t; $7C>r2.Abf; ifl?V1to 14t..J b Method of Shipment: FEDEX Date Shipped:
2 0 U 2 Airbill #: 3 3 Airbill#: I \ .... L _~ _ r,.. ~ .. ~.' - For Lab Receiving Use Only Custody Seal Illtact?
'=Wipe, U~Urine, F~Fecal, ~Nasal YES NO Cooler Temp:
=leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Laboratories, LLC Project #: Entergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: "'See www.ge\.com for GEL's Sample Acceptance SOP"' Charleston, SC 29407 COC Number Ill: Phone: (843) 556-8171 GEL Work Order Number: PO Numbcr: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 -~ 101
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~ Central Pacific Other - - -
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: ERlNTRENT li'~~~~ ~h.D/'i7 J44~ ISt£;.L.Q2.P S70a.A&c '-/130/tO 1L/4~ Method of Shipment: FEDEX Date Shipped: 2 -U (J 2 Airbill #: 3 3 Airbill #: I \ ""1..._: _r.,..... * -' . . , _. ...... ....... For Lab Receiving Use Dilly Custody Seal illtact?
""'Wipe. \FUrine. F~Fecal. N=Nasal YES NO Cooler Temp:
=leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Project #: Enterav license Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GELP07-0!128 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC l\umber ' : Phonc: (843) 556-8171 GEL Work Order Number: PO Numher: 50013510 Fax: (843) 766-1178 Collected by: Ch,V\.t\~ Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .!: ,,-iii oS ,Q t <-- Preservative Type (6)
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- For composites - indicme searl and stop date/time (hhmm) c 0: ...'" ... d MW-50-42-(GBOl) 0;13.0/1 0 \1.3-\ N N GW Y N 1 1 500 ml Poly MW 66-(GBO 1) o~ (-who 1'41£ N N GW Y N 1 1 500 ml Poly TAT Requeslc:d: Nonnal: ./ Rush: Speciry: (Subjw to Surcharcc, Ifax Results: Yes f ~ Circle Deliverable: C of A f QC Summary f Level I f Level 2 f Level 3 f Level 4 Remarks: Are Ihere any known hazards applicable to these samples? If so. please list the hazards Samole Collection Time lone Eastern) Pacific CCiiimI Olher Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Tin\c Received by (sillJled) Date Time GEL PM: Cheryl Duffy
~e~~ 413bJ'D 14'"15 ~~rlA~ c<:'7Z>~ t..t1~J!l) IIi't b Method of Shipment: FEDEX Dale ShlpJ)I!d:
2 (} 0 2 Airbill li; 3 3 Airbill#: I ) Chain of Custody Number = Client Determined For Lab Receiving Use Only 2.) OC Codes N* Nonnal Sample, TB = Trip Blank. FD= Field Duplicate. EB = Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample. G- Grab, C~ Composite 3.) Fidd Filtered For liquid matrices. indicate with a Y -for yes the sample was field filtered OF N -for sample was not field filtered Custody Sea/lntacl?
- 4) Matrix Codes DW=Drinkins Water. GVlbGTOundwater. SW=Suriace Water, WVlbWaste WaleT, W=Wa1c<, ~n.=Mis< Uquid, so-Son. SlPSe.linlCnr, S.I?Sludge. SS>Solid Waste. O=Oil, F=Filtef, P=Wip<, U=Urinc, F=FecaI, l\'=Nasal YES NO 5.) Sample Anal) sis Requesled. Analytical method requested (i.e 8260B. 6010Bl7470jland number of containCf"S p/"",ded rO<" tuh (I.e. 80608-3, 601ClJ11470.~ _ I). Cooler Temp:
6.) Preservative Type' HA~* Hydrochloric Acid.. Nt ~ Nitric Acid, SH= Sodium Hydroxide. SA= Sulfuric Acid, AA~A5corti~ Acid, ttX- Hc.un**ST
- Sodiwn Thios-ulf.lle. If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: J of J GEL Laboratories, LLC Project #: Enterg~ GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote ¥: **See www.ge\.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Numre: ([1, Phone: (843) 556-8171 GEL Work Order Number: PO Numbe,' 50013510 Fax: (843) 766-1178 CliemName: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/S it, ~~~me : Indian Point Energy Center Fax#: (914) 734-6247 .!! GoO -c <-- Preservative Type (6)
; ~ t Address: 450 Broadway, Suite 3, Buchanan, NY 10511
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~Central Pacific Other
- Chain of Custody Signatures Mountain Sample Shipping and Delivery Details Relinqui,hed By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT l ifo/\... _0 ~ 5/:b/f() J01D 1S£u.<.f£ SrorL/16£ .>/~I (0 I (PIO Method of Shipment: FEDEX Date Shipped:
2 tJ (j ? Airbill #: 3 3 Airbill #:
,\ ...... L _* r~ , '" ~.' - For Lab Receiving Use Dilly Custody Seal Intact?
- '=Wipe, U=Urine, F=Fecal. N=Nasal YES NO Cooler Temp :
- leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LtC Project #: EnterQV license Renewal Prolect GEL Chain of Custody and Analytical Request 2040 Savage Road OEI. Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 CDC Number (Il: Phone: (843) 556-8171 GEL Work Order Number: PO Number 50013510 Fax: (843) 766-1178 COllected by: C6 I M(5 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of c*ontainers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 ;.c'" -c~
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- For composites - indicate start and SlOp date/time (hhmm) ..:
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~ Pacific Central Mountain Other Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished T>: (Signed) Date Time Received by (signed) Dare Time GEL PM: Cheryl Duffy I~l~~ 5/?:J/D {£Rto I c:Fr. 1 P r .'rr"no "'"~ F- ~(gJ,o ICR(o Method of Shipment: FEDEX Date Shipped:
{} U 2 2 Airbill #: 3 3 Airbill #: 1 ) Chain of Custody Number = Clienl Determined For Lab Receiving Use Only
- 2) QC Codes: N~ Normal Sample. TB ~ Trip Blank. FD= Field Duplicate. EB ~ Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spike Duplicale Sample. G= Grab. C: Composite
- 3) Field Filtered For liquid matrices. indicate with a Y - for yes the sample was field filtered OF- N - for sample was not field mtered. Ctwod)' Sell! IIIIOCl?
- 4) Matri, Codes DWoDrinking Water, G\,,"Groundwatcr, S\'PSurfacc Waler, W',,"Waste Water, ',,"Waler, ML~Misc Liquid, SOoSoil, SJ)=Sediment, SL:Sludge, SS=Solid Waste. O=Oi1. F=Filter. P=Wipe. U=l1rine, F~Fecal. !\'=Nasal YES NO
- 5) Sample Analysis Requested Analytical method requ.. ted (i e 8Z60B. 6010Bl7470)land number of containers provided for each (i e 8260B- 3. 6010B/7470,4 - I) Cooler Temp :
- 6) Preservative Type: HA: Hydrochloric Acid. Nt: Nitric Acid. SIF Sodium Hydroxide. SA~ Sulfuric Acid, AA~ Ascorbic Acid, HX~ Hexane, ST ~ Sodium Thiosulfale.lfno preservalive is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PL'\'K = CLIENT
Page: I of I GEL Laboratories, LLC ProJecl #: Enterov license Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: QELP07-062fi **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 coe l\umber (I ): Phone: (843) 556-8171 GEL Work Order Number: PO :\umber: 50013510 Fax: (843 ) 766-1178 Collected by: U 1Mb Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) P roject/S ite Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ u -Ci <- Preservative Type (6)
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I I MW-S4-37-(GBOl) sID/'O l'ioq N N GW Y N 1 1 SOO ml Poly MW-S4-S8-(GBOl) 5/?-.ho IY'l.~ N N GW Y N 1 1 SOO ml Poly MW -S4- 123-(GBOl) IS/-cll 0_ 150'6 N N GW Y N 1 1 SOO ml Poly MW-S4-144-(GBOl ) 61'3(,0 II~l N N GW Y N 1 1 SOO ml Poly MW-S4-1 73-(GBOl) 513(10 llLil N N GW Y N 1 1 SOO ml Poly MW-S4-1 90-(GBOl) 616110 1101 N N GW Y N I I SOO mlPoly TAT R,:qu.:ste~; Normal: ./ Rush: Specify: (Subjcclto Surdlllrge) I Fax Results: Yes / ~ Circle Deliverable: C of A / QC Summary / Level 1 / Level 2 / Level 3 / Level 4 Remarks: Are there any !..:nown hazards applicable to these samples? If so, please list the hazards Samole Collection Time Zone
~Central Pacific Other - - -
Mountain Chain of Custody Signatures Sample Shipping and DelJvery Details Re1inquish<d By lSigncd ) Date Tinle Received by (signed) Date Time GEL PM: Cheryl DlLfTy I~ .~ i 5!?:J.,o (Co(O 1~~57D~£ 6/'S)' ~ ((010 Method ofShipnlent: FEDEX Dale Shipped: 2 U U 2 Airbill #: 3 3 Airbill#: 1 ) Chain of Cuslody Number - Client Detennined For Lab Receil'illg Use 071/1'
- 2) QC Codes N = Normal Sample. TB = Trip Blank. FD= Field Duplicate. EB ~ E<juipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample. G" Grab. C= Composite
- 3) Fie!d FiltC1ed For liquid matrices. indicate with a Y - for yes tht: sample was field fi}[~red OF- N - for sample was not field filtered Cils/ody Sea/Ill /ace?
- 4) Matrix Codes DW=Drinking WateT, G""Groundwater, SW=Surface Water, ',",Waste Waler, ""Water, ML=Misc Liquid, S()OSoil, SD=Sedimen~ SL=Sludge, SS=Solid Waste, ()OOil. F=Filtef, P=Wipe, U=Urine, F=Fccal, l\'=Nasal YES NO
- ) Sample Analysis Requested
- \.nalytical mc:thod requested (i e 82608, 6010Bl7470)'and number of containers provided for each (i e 8160B- J , 60}OBl7470A -1) Cooler Temp:
- 6) Preservative Type HA= Hydrochloric Acid, Nl = Nitric Acid, Sfto Sodium Hydroxide. SAE Sulfunc Acid, AA= .A.scori>ic Acid, HX= Hexane, ST = Sodium Thiosulfate.lino preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC ?ro;ecl lt: Entergy: GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote # **See www.ge1.com for GEL's Sample Acceptance SOp** Charleston, SC 29407 COC Number (1,: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .:
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~ Central Pacific Other - - -
Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquishc~ Ill' (SIgned) Date Time Received by (signed) Date Time GEL PM: ERlNTRENT I ~~~}(. A./\ ~)31,o /lbl O 1 ~12..c. S7o~£ 51gj,o i (; I 0 Method of Shipment: FEDEX Date Shipped: 2 0 l) 2 Airbil1#: 3 3 Airbill #: 1 ) Chain of Custody Number = C'lic:nt Determined For Lab Receil'ing Use Only
- 2) QC Codcs N° "ormal Samplc, T B = Trip Blank, " IF Field Duplica1c, EB = Equipment Blank, MS= Matrix Spike Sample, MS))= Matrix Spike Duplicate Sample, Go Grab, C= Composite
- 3) Fidd Filtered Foc liquid ma1riccs" indicale Wilh a Y - for yes the samph:: was field filtered 0'" N - [or sample was nol field fillt:red. Custody SeallfJ/acl~
4.1 Maui. Codes: D""'Drinking WatC1". GWoGroundwaler. SW=Surface Water, WW=Waste Water, WoWater, MJ..~Misc Liquid, S(FSoil, S))=Sediment, SL~Sludge, S!FSolid Waste, <FOil, F=Filter, P=Wipe, LPLfrine, f=Fecal, N='Nasal YES NO
- 5) Sample Analysis Requested: Analytical method requested (i e 8260B, 6010Bl7470)\and number of containers provided for each (i.e. 8~60S. J , 60IOB!7470A
- 1) Cooler Temp :
- 6) Preservative Type HA= Hydrochloric Acid. NI = Nitric Acid. SlF Sodium Hydroxide, SA= Sulfuric Acid. AA~ Ascorbic Acid. HX~ Hexane, ST: Sodium Thiosulfate, If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of J GEL Laboratories, LLC Project #: Enterav license Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GET . Quote # ; GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC ]\;umber (1): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 ('olltcled by: O&,M-S Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ G.l -Ci <-- Preservative Type (6)
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Page: I of I GEL Laboratories. LLC Project #: Enterg~ GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See wwwogel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (841) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ Go) -i:i <-- Preservative Type (6)
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Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards (Subjecl to Suro/wgc) Yes Circle Deliverable: C of A I QC Summary i Levell I Level 2 I Level 3 I Level4 Samnte Collecllon Time Zone EastwU Pacific CeiitiiJ Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Ti.me GEL PM: ERIN TRENT J/'..../\. A t~ S/t.i lID \i2!5 lo~.lJv()~o c::?;Z()-oAA~ '94 Ito "\"125 Method of Shipment: FEDEX Date Shipped: 2 0 <J 2 Airbill #: 3 3 Airbill #: 1 \ rL_: _rro .. ___ ..J __ .... . . L _ .... " .. _ . n . .* _ For Lab Receiving Use Oilly Custody Sea/Intact? 1'-Wipe, U=Urine, F~Fecal, N=Nasal YES NO Cooler Temp:
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Page. 1 of 1 GEL Laboratories, LLC Project #: Entergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.geLcom for GEL's Sample Acceptance SOP** Charleston, SC 29407 coe Number (I): Phone: (843) 556-8171 GEL Work Order Number: po Number: 50013510 Fax: (843)766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ G.I -c <- Preservative Type (6)
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Page: I of I GEL Laboratories, LLC l'[ojccl ;/: Enterav License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road (iF.1. Quote #: GELP07-0628 **See www.ge\.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 cae Number (I): Phone: (843)556-8171 GEL Work Order Number: 'PQNumber: 50013510 Fax: (843) 766-1178 Collected by: COl M e Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ " -i:i
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MW-39-67-(GBOl) P5 0410 tS23 N N GW Y N 1 1 500 ml Poly MW-39-84-(GBOl) cDS 04 Ie 1532 N N GW Y N 1 1 500 ml Poly MW-39-102-(GBOl) p~ 04 I( \521 N N GW Y N 1 1 500 ml Poly MW-39-124-(GBOl) ~51 041,0 t232 N N GW Y N 1 1 500 m1 Poly MW 183-(GBOl) ~~51 oLi \0 \25 \ N N GW Y N 1 1 500 ml Poly MW-39-195-(GBOl) C~S O~ '10 \3\4 N N GW Y N 1 1 500 ml Poly TAT Requestl'd: Normal: ,/ Rush: Specify: (Subject to Surcharge) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? ljso, please list the hazards Samnle Collection Time Zone
~ Central Pacific Other Mountain I / Chain of Custody Signatures Sample Shipping and Delivery Details I. . . Rr,linquishcd By (SisnidJ~
5tC0~~Eb D~sfo:llo Date; { ,fme GEL PM: Cheryl Duffy W"/I"~ ,. 05 04 10 \~'2o IQD'a.AGE lb20 Method of Shipment: FEDEX Date Shipped: '( 77 2 Airbill #: 3 3 Airbill#:
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Page: I of J GEL Laboratories, LLC Project it: Entergy GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote .~: **See www.gel.com for GEL's Sample Acceptance SOp** Charleston, SC 29407 COC Num!:"T ( I): Phone: (843) 556-8171 GEL Work Order Number: PO Number 50013510 Fax: fM3} 766-1178 CHem Na'!,e: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (fill in the number of containers for each test) Project/Site l\ame: Indian Point Energy Center Fax#: (914) 734-6247 .~
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....0 IZi MW-52-11 -(OO5) 5/illo l22-", N N GW Y N 1 1 1 1 2 Liter Poly MW 18-(005) (16" /05 II () 1 h 1'1 N N GW Y N 1 1 1 1 2 Liter Poly MW-52-48-(005) ~D51 D5 110 \b43 N N GW Y N 1 1 1 1 2 Liter Poly MW-52-64-(005) IbS 107) \0 1252 N N GW Y N 1 1 1 1 2 Liter Poly MW-52-122-(OO5) ([)SlO$ 10 \457 N N GW Y N 1 1 1 1 2 Liter Poly MW 162-(005) b510shc , \239 N N GW Y N 1 1 1 1 2 Liter Poly MW-S2-181-(005) bS\~5 'II( \2~7 N N GW Y N 1 1 1 1 2 Liter Poly TAT Rl(lUesled: Normal: ./ Rush: Specify; tSubjccl to Surehargc) IFax Results: Yes / GL:> Circle Deliverable: C of A / QC Summary i Level I / Level 2 / Level 3 / Level4 Remarks: Arc there any knoWII Ilazards applicable to these samples? If so, please list tIle hazards Samole Collec\lon Time Zone
~Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details
. .J By (Signed) I I Date Time SEC 0($igngb Date J Tn:'! 1 GEL PM: ERlNTRENT
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- 1) Chain of Custody Number = Client Determined For Lab Receiving Use Ollly
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- 3) Fidd FiltcT<d. For liquid matrices, ind,cruc with .. Y -r,'f y.:su,< mmple wO$ field filtered ~~ N - for sample was not field filt.ered. Custod.v Seal Intact?
- 4) Matrix Codes* DW=Drinking Water, C\\-OTowu!Willet". S\\<oSurfaco Waler, WW, WtlStc Wo:.r:.r. W=Water, ML~Mis,: wquid.. so.Soi!. SI)oSodl""",~ SLwSludSO, SS-Solid Waste, O=Oil, F=Filter, P=Wipe, U=Urine, F~fecal, N=Nasal rES NO 5.) Sample Analysis Requcsted. Analytical method requested (i.e 8Z6OB, 6Ot0Bl7470)land number of contain." proVldcd for codt (i.e 816C1J. J . 6ClOBn41d" - I). Cooler Temp:
6.) Preservative Type: HA= Hydrochloric Acid. Nt = Nitric Acid. SH= Sodium Hydroxide. SA~ Sulfuric Acid. AA- .- ..-bic Add, lDC- H""""O, ST . Sodium ThiOfulwe, If no preservative is added = leave field blank C WHITE = LAB ORA TORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Project #: Entergv License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEl. Quote Ii: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number 50013510 Fax: (843) 766-1178 Collec ted hy: Phone #: (914) 736-8405 CB\M5 Sample Analysis Requested (5) (Fill in the number of containers for each test) ProjectiS ite ~: ame: Indian Point Energy Center Fax#: (914) 734-6247 .'!! q" -c <-- Preservative Type (6) of: .CI t
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= '" '" Cj MW-52-11-(GBOI) o5JofJIIO '?~Uo N N GW Y N 1 I 500 ml Poly MW-52-18-(GBOI) (D5Io~\' 0 \bl'1 N N GW Y N 1 1 500 ml Poly MW-52-48-(GBOl) (~5IQ5 tc 1643 N N GW Y N 1 1 500 ml Poly MW 64-(GllO 1) C~S b7 10 \252 N N GW Y N 1 1 500 ml Poly MW-52-122-(GBOl) (PS OSlO 1457 N N GW Y N 1 1 500 ml Poly MW-52-162-(GBOl) >S" O~ ~C .23'i N N GW Y N 1 1 500 ml Poly MW-52-181 -(GBOl) OS OS 10 \247 N N GW Y N 1 1 500 ml Poly I
TAT Rt"\/uested: Normal : ./ Rush: Specify: (Subjca to Surchru:!lc) IFax Results: Yes / ~ Circle Deliverable: C of A / QC Summary / Levell / Level 2 / Level 3 / Level4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Sam ole Collection Time Zone
~Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details RcU!&uisbua Ill' (Signed)} & tc
- Time, A Recdvcd by (signed) Date Time
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GEL PM: Cheryl Duffy S£Cu(2.Et> 05/07 \0 ILf15 I s,-rn l2.AG E o5lo7/rO /4],5 Method of Shipment: FEDEX Date Shipped: 2r..c. L~ I 2 I ) Airbil1 #: 3 3 Airbill#: 1 ) Chain of Custody Number =. Client Determined For Lab Receiving Use Only
- 2) OC Codes: N~ Normal Sample. TB = Trip Blank, FD= Field Duplicate. EB = Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample. G= Grab. C= Composite
.3) Field Filtered FO! liquid matrices. indicate with a: Y - for yes the sample was fi\:ld filtered OF- N - for sample was not fidd filtered Custody Seal Inlact ? 4.) Matrix Codes: D'Drinking Water, G'II-'-Groundwatcr, SVI'=Surface Water, WW=\'Iaste Water, \V=Water, l\,fi.=Misc Liquid, S(Y.;oil, SD=Sedimen~ SL=Sludge, SS=Solid Wast., IPOiJ, P-Filter, P=Wipe, L'=Urine, F=Fecal. N=Nasal YES NO
- 5) Sample Analysis Requested. Analytical method requested (i e 8260B, 6OI0Bl7470)land n"",ber of eontain"", provided for each (i.e. 8!60~ J , 60IOB/7470.4 -I) Cooler Temp:
- 6) Preservative Type HA~ Hydrochloric Acid. NI ~ Nitric Acid, SH= Soruwn Hydroxide. SA" Sulfuric Acid, AA= A,eomic Acid, HX= Hexane, ST = Sodiwn Thiosulfate.lfno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of I GEL Laboratories, LLC Project #: Entercv Ucense Renewal Proiect GEL Chain of Custody and Analytical Request 204{) Savage Road GEL Quote iI: GELP07-0628 **See www.gei.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (It Phone: (843) 556-8171 GEL Work Order Number: PO Number: 5001 3 510 Fax: (843) 766- 11 78 Coll ected ty: ct.) lY\6 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Silt Name: Indian Point Energy Center Fax#: (914) 734-6247 ~~~ <- Preservative Type (6)
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'" ... d I U3-Tl-(GBOl ) D5/c6/to leoszt N N GW Y N 1 1 500 ml Poly I U3 -TI-(GBOl ) (}SImi/\) 1'3.05 N N GW Y N 1 1 500 ml Poly TAT lWquested: Nonnal: ./ Rush: Specify: (subject to Surcharge) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summruy I Level 1 I Level 2 I Level 3 I Level 4 Remarks: ,4 re there any known hazards applicable to these samples? If so, please list (he hazards Samole Collection Time Zone
~ Central Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl D u lTy I V~ ~. 5 /-111'0 1'-11..-5 I,Cewe~ $7"oAAhP: sit/tO 14Z~ Melllod ofShiplIlent: FEDEX Date Shippe~ :
2 U U 2 Airbill #: 3 3 Airbill#: I ) Chain of Custody Number ~ Clien( Determined For Lab Receiving Use Only 2.) QC Codes: N= Normal Sample. TB ~ Trip Bl:utk. 1'1>- FicldDupJle\llt. Ell =E<!ulpmcn' BIluIk. !\1S--Molrix Spike Sample. MSD= Matrix Spike Duplicate Sample. ~ Gmb. C~ Composite 3.) Field Filtered: For liquid matrices. indicate wllll a V - (or yes Ill. _tplewlS r.eld fihered .... N * (or slIIDplc wasnOl field filtered. Custody Seal Intact? 4.) Matrix Cudes. DW=Drinking Waler, GW=GrowlIlwn.... S'V<!;urr""" WOICf, WW-Waste W:uer. , .....Walcr, MJ..-~!lsc Liquid, so-Son. SJ>oSedimcnt, SL=Sludge, SS=Solid Waste, <FOil. F=Filter, l'=Wipe. L""Urine, F~FeeaI, N=NasaI YES NO 5.) Sample Analysis RequesU:d: Analy(ical method requested (i.e. 8260B, 6010Bl7470l'and number of containcn ptOvided r",.C1ICh (i. e S!6fJ8- 3, 6010B11470.4 - I). (;()oler Tfmp: 6.) Preservative Type: HA= Hydrochloric Acid. NI = Nitric Acid, SH= Sodium Hydroxide. SA~ Sulfuric Acid, ,\A- Asa>rbie Acid, IIX- Henne, ST ~ SodiWll Thiosulfate.lfno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of I GEL Laboratories, LLC Project #: Entergl:: GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.geJ.com for GEL's Sample Acceptance SOp** CharleSton, SC 29407 COC Number (I): 'Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (S) (Fill in the number of containers for each test) iProjectlS itc Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ '" iii
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U3-Tl -(028) o5/oSfto l(o~tj N N GW Y N 1 1 1 1 2 Liter Poly U 3-T2-(033) .Cf5"/Ol/w 1'b.?5 N N GW Y N 1 1 1 1 2 Liter Poly j I I TAT RequeSted: Normal: .(' Rush: Specify: (Subjccl to S"rth~e) IFax Results: Yes / Go-=:> Circle Deliverable: C of A / QC Summary / Levell / Level2 / Level 3 / Level4 Remarks: Are there allY knowlI hazards applicable to these samples? If so, please list the hazards SampteCoJlecrion Tlm~Zone
~ Centrol Pacific Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details R* .linquish~ Sy (S igned) D ate Time Received by (signed) Date Time GEL PM: ERIN TRENT I 'N"--fj ~ 5/,/1 D 1J..t1-S 1 ~\13al /Z.£" ~'"1o 1?Af.£: 'Jf-,jl D J'fJ,5 MeLhod of Shipment: FEDEX Dale Shipped:
2 U U 2 AiTbill #: 3 3 Airbill #: For Lab Receil*ing Use Ol1ly M8- M<Urix Spike Sample, ~1SI)o MaIti. Spike Oupliwc Sample, 0- Grob, C~ Composite rcr sample "'.... n Ol field fih"'cd. Custody Seal If/tact?
.,....w..ct. Mt-Misc: Liqu ,d, sOoSon, S.D-Sedimenl. SWlud&<, S~So1id Waste, O=Oil, F~Filtcr, P=Wipe, U=Urine, F~FecaI , N=NasaI YES NO of c.oo[8jncrfprov/ded (.)r...,b (i.e. 81608- 3, 6C/ 08l 747IJ.* - J) Cooler Temp:
uric Acid. ."-A- Asalrbic M id. llXF aexane. ST - Sodlwn Thiooulf",e. 1f no preservative is added ~ leave field blank C WIDTE = LABORATORY YELLOW = FILE PINK = CLIENT
Page; I of 1 GEL Laboratories, LLC Project #: Enterov license Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (11: Phone: (843) 556-8l71 GEL Work Order Number: PO Number: 50013510 Fa~ : (843) 766-1178 Collected by: M.Or,tos Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ IW
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MW-67-39-(GBOl) OS 'ob(\O \53/? N N GW Y N 1 1 500 ml P01y MW-67-105-(GBOI) ~ Ob 10 \54" N N GW Y N 1 1 500 ml Poly MW-67-173-(GBOl) ::>15 obf/o '603 N N GW Y N 1 1 500 ml Pcly MW-67-2l9-(GBOl) CDS' ot 10 \ \5\ N N GW Y N 1 1 500 ml Poly MW-67-276-(GBOl) <bS\Obl/'O 'Z20 N N GW Y N 1 1 500 mlPoly MW-67-323-(GBO l) ~5lob (c \230 N N GW Y N 1 1 500 ml Poly I MW-67-340-(GBOl) b~lob La 122l! N N GW Y N 1 1 500 m1 Poly I TAT Requested: Normal: ./ Rush: Specify: (Suhj<<110 sun:horgo) Ira;"Results: Yes / ~ Circle Deliverable: C of A / QC Summary / Level I / Level2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? if so, please list the hazards SamDle Collection Time Zone Eastern) Pacific centrol Other - - - Mountain Chain of Custody Signatures Sample Shipping and Delivery Details
/
I~~Y~;~ ~ 05J~b (}O'710 ~~~f :5~_~IleO t110 GEL PM: Cheryl Duffy Method Of Shipment: FEDEX IDale Shipped: 1)( // f J 2 Airbill#: v3
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~Wipc, L'=l'rine, F=Fe<:aJ, ~Nasa1 YES NO Cooler Temp:
~ leave field blank C WHITE = LADORA TORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Laboratories, LLC Project #: Entergy GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GELQuote#: **See www.geI.com for GEL's Sample Acceptance SOp** Charleston, SC 29407 COC Number (1): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fa."(.; (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 ~~"5 <-- Preservative Type (6)
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(bhmm) 0: '"r- ~ is d U5 ;Z MW-67-39-(0 13) bsloJIOl153g1 N N GW I YI N I 1 1 1 1 1 2 Liter Poly l MW-67-105-(012) ¢slobl lol\S4bl N N GWIY I N I I 1 1 2 Liter Poly MW-67-173-(0 13) Ds10Mlo l\Go31 N N GW I YI N I 1 1 1 1 2 Liter Poly MW-67-21 9-(012) N 1 1 1 1 2 Liter Po...::IY!....-._--l GW I YI N I MW-67-276-(012) N N GW Y N 1 1 1 1 1 2 Liter Poly MW-67-323 -(012) DS \061101 \2~OI N N GW I Y I N I 1 1 1 1 1 2 Liter :oly MW-67-340-(012) ps\ob\\oI12:2~ I N N GW I YI N I 1 1 1 1 1 2 Liter Poly TAT Requested: Normal:~_Rush: _ _ _ Spccify: _ _ _ (Subj"ccttosurcIulrgC) ~IIX R:ulis: Yes Go:) Circle Deliverable: C of A I QC SummaI)' I Level I I Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? /fso, please list the hazards Pacific Other MOllntain
/ _ _I _ Chain of Custody Signatures Sample Shipping and Delivery Details ~~5i:Z~f7t~Da~sJo:r;~ I~~E 05/0(,1\0 Date Time GEL PM: ERIN TRENT 171 0 , \;/0 Method of Shipment: FEDEX Date Shipped; (J)1/~ "./ .-.,..-- I
~ 12 Airbi11 #: Airbil1 #:
'3 3 I ) Ch:rin or Custody Number = Client Determined For Lab Receiving Usp O,,~v 2.) QC Codes: N= Normal Sample, TB = Trip Blank, FIF Field Duplicate, EB = Equipment Blank, MS- Matrix Spike Samplc, MSD= Matrix Spike Duplicate Sample, G= Grnb, C= Composite 3.) Field Filtered: For liquid matrices. indicate with a Y - for yes the sample was field filt~d. 0-" N - for sample was not field filtered Custody Seal Intact>
- 4) Matrix Codes: DWoDrinking Water. GW=Groundwater, SWoSurface Water, WW=Waste Water, WoWater, ML=Misc Liquid, S~Soil, SD=Sediment, SL=Sludge, SS=Solid Waste, <>=Oil, F=Filter, P=Wipe, U=Llrine. F-=fecal, N=Nasal YES NO 5} Sample Analysis Requested Analytical method ",quested (i e 82608, 6010Bl7470)land nwnber ofoomainer.; provided for each (i e. 8~60JJ. 3. 6010B/747004 -1). Cooler Temp:
- 6) P=~ative Type: HA= Hydrochloric Acid, NT = Nitric Acid, SII' Sodium Hydroxide, SA= Sulfuric Acid. AA= Ascorbic Acid, HX= Hexane. ST = Sodium Thiosulfate, If no preservative is added = leave field blank C WHITE = LADORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Enterg~ GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number' II: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~
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, I i~29 N N GW Y N 1 1 1 1 1 2 Liter Poly TAT Requested: Normal: -I' Rush: Specify: (Subject to Surcharge) \Fax Results: Yes / Go-:> Circle Deliverable: C of A / QC Summary / Level 1 / Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? /fso, please list the hazards I~ample Collection Time Zone Eastern) Pacific centr;;.1 Other - - -
Mountain
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~~/ LL JVV ~ osloil() I'" I , \130 S"'fCui OCt) 1 s"\O tN'-k.. 6sho(,o , \130 Method of Shipment: FEDEX Date Shipped: 2 Airbill #: I 3 Airbi11 #: 1 ) Cham o[ Custody Numbe r - Client Detennined For Lab Receiving Use Only
- 2) QC Codes N= ~<onnal Sample, TB = Trip Blank, FD= Field Duplicate, EB = Equipment Blank, MS= Matrix Spike Sample, MSJ)= Matrix Spike Duplicate Sample, ~ Grab. C= Composite
- 3) Fidd FilLc:n::d FOI liquid matrices. indicate with a\'- for yes the sample was field filtered Of' N - fOf sample was not field filtered, Custody Seallntace
- 4) Matnx Codes DWoDrinking Water, GW=Groundwater, SW=Surface WaLer, WW=Waste Water, W=WaLer, ML=Misc Liquid, SO=Soil, SJ)=Sediment, SL=Sludge, SS=Solid Waste, O=Oil. F=Fillcr, l'=Wipe, U=Urine, F=FccaI, N=Nasal YES NO 5.) Sample Analysis Requested: Analytical method requested (i e 826OB, 6010Bl7470)land number of containe.. provided for each (i e 8160B- 3, 60JOBi7470A - 1) Cooler Temp:
- 6) Preservative Type HA= Hydrochloric Acid, NI = Nitric Acid, SH= Sodium Hydroxide. SA~ Sulfuric Acid, AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate, If no preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Pag,,: I of I GEL Laboratories, LLC Project #: EnterllV License Renewal ProieCl GEL Chain of Custody and Analytical Request 2040 Savage Road GEl Quote #; GELP07-06~8 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COCNumbel (I): Phone: (843) 556-8171 GEL Work Order Number: PO :-':umher 50013510 Fax: (843) 766-1178 Collecled b;: M\ ~ e... v
~itoS Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test)
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f- \:) MW-60-35-(OBOl) ~P5 '\0 1\0 IS5~ N N OW Y N 1 1 500 ml Poly MW-60-53-(OBOl) <be; 1\0 110 Ib3i N N ow y N 1 1 500 ml Poly MW-60-72-(OBOl) bs'1\0 110 121\ N N OW Y N 1 1 500 ml Poly MW-60-135-(OBOl) 05 0 110 \22l N N OW Y N 1 1 500 ml Poly MW 154-(OBO 1) bs lio 10 1232 N N OW Y N 1 1 500 ml Poly MW-60-176-(OBOl) bs- ftc) :ro lo2G\ N N ow y N 1 1 500 ml Poly I TAT RC4lll.'$ted: Normal: ./ Rush: Specify: (Subia:lloSurc~.) IFax Results: Yes I ~ Circle Deliverable: C of A ! QC Summary I Level I f Level 2 I Level 3 I Level 4 Remarks: Are there any lalOwn hazards applicable to these samples? If so, please list the hazards ~1DI~ Colleclion Time ZOne
~ Centrel Pacific Other - - -
Mountain i / Chain of Custody Signatures Sample Shipping and Delivery Details
~ (SiSft; ) l ..) Dale Time Rccci ..(d by (siSfted) Date Time GEL PM: CheTYI Duffy stCU~ ,7y/ /. ~~7tJ1~ oshorro \/30 IS-l-O~t. 05/10 \10 \730 b?' p , Method of Shipment: FEDEX Date Shinned:
2 Airbill#: 3 _.. 3 Airbill#: ., .... , ,~ For Lab Receil'ing Use Only MS= Mattix Spike Sample. MSD= Mattix Spike Duplica!e Sample. Go Grab. C~ Composite
~ for sample was not field filtered Clls/od)' Senl IlIIaCl ?
'¥oWator, Ml.=Misc Liquid, Si>'Soil, SD=Sediment, SL=Sludge, SS=Solid Waste, O=Oil, F=Filtcr, P=W!pe, U~Urine, F~Fe<aJ, l\'-Nasal YES NO
. of containers provided for each (i e 8160B- 3, 6010Bi7470A - I) CoollY Temp:
ruric Acid, AA= Ascorbic Acid, HX= Hexane. ST = Sodium Thiosulfale. If no preservative is added == leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: J or I GCl laboratories, llC Project #: Enlerav Ucense Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road GF.l. Quote it: GFLP07-0628 **See \'{w\V.ge1.com for GEL's Sample Acceptance SOP** Charl eston. SC 294m COC :\umber II I: Phone: (843) 556-8171 GEL Work Order Number: PO~umher: 50013510 Fa1(: (S4:t) 766-1178 Coll ected by: M\~e,\ f) r;l- 0<; Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test)
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;- ~ 0 LAF-002-{OBOl ) Des/, 1/ 10 \3~4 N N OW Y N 1 1 500 ml Poly TAT Reqacsled: Normal: ,/ Rush: Specify: (SuIlje" to Surthor&t) IFax Results: Yes ; ~ Circle Deliverable: C of A ! QC Summar)' ! Levell ! Level2 / level 3 / level 4 Remarks: Are there an:)! hlOwn hazards applicable to these samples? If so, please list the hazards i Sam ole Collecllon TIme Zone
~ Central Pacific Other - - - -
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~ Signed) I L~I~ Time Received by r.iJ1l1edl Date Time GEL PM' (,heryl Du frv 5£(.ue8')
Y / '/ I L/ //yA0I~ 5J",", 0 ,400 I c...~ tZAt::.£ sir-,) , 0 ,400 Method orShiPOlenr; FEDEX Date ShIDtlCd: ']jr / .,;- I 2 I Airbill #: 3 3 Airbill#: 1 ) Cha-in ('IfCU5tod,;v Number == Client fXtcrmined For Lab Receiving Use Only
~) OC Codes ~~ Normal Sample. TB ~ Trip Blank. ~ Field Duplicatc. EB ~ Equipment Blank. MS: MJtri, Spike Sample. MSIF Matrix Spike Duplicate SJrnple. G= Grab. C~ Composite .l.) Field Fi!tcred FI....r liquid matrices. indicale with a Y -for yes the sample was field filtered 0f' N - for sample was not field filtcled CUS!O<l' Seal [mact> ~) ~1atrix Codes D'~Drinking Water, GW=Groundwatcr. S\V=Surfacc Water, \V,V=Wastc Water, \V=Water, ML=Misc Liquid, S<FSol1, S])=Scdimcnt, SL=Sludgc, Sg"Solid Waste, O=Oil, F=Filter, P=Wipe, U=Urinc, F=fecal.1\=~asaJ )1'.$ NO '5 J Sample: AnalySIS Reqllcst~d .A..nalytical methl'Ki requested (i e 82608, 6010Bn470J\and number of colltainers provided for each (i e 8260B- 3,60108/747004 - 1) Cooler Temp:
6 I PresetVJlive Type HA~ Hydrochloric Acid. NI ~ Nitric Acid, Sit- Sodium Hydroxide. SA~ Sulfuric Acid. AA~ Ascorbic Acid. HX~ Hexane. ST ~ Sodium Thiosulfate. If no preservative is added ~ le.lvC field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page; Project it: Entergy I of GW Man Prog 1 GEL Ch" aID 0 f C us t 0 d y aD d ADa Iy t"leaI R eques t GEL Laboratories. LLC 2040 Savage Road GEL Quote #: **Sec www.gel.comforGEL*sSampleAcceptanceSOP** Charleston. SC 29407 COC Number ' ": GEL \Vork Order Number: Phone: (843) 556-8 171 PO "umber: 50013510 Fa;;:: (843) 766- I 178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) I"roJecllS ite Name: Indian Point Energy Center Fax #: (914) 734-6247 :§ ~ ~ <-- Preservative Type (6)
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\. ._-: '~~Signed) .L !lI=t< _ I Time S£(;~(£E'~ Date Time GEL PM: ERIN TRENT IV.f'L '/xJ,.:;{~ 0 /n 1,0 1400 I s.::n::::>Q..Ac::'t 5 f,,{\O \ 400 Method of Shipment FEDEX Dale Shipped' ft1. rJI ~ / " 2 Airbill #:
3 J Airbill #:
- 1) Cha:n of Custody Number - Cl ient Detennined For Lab Receivin Use OlIlv
~) QC Codes ~= Normal S3ITlple. TB = Trip Blank, FIF Field Duplicate. EB = Equipmcm Blank, M~ Matrix Spike Sample, !\'ISD= ~.1atlix Spike Dupl:catc Sl\mp]c, G= Gt-ab, C= CompO$:te g . .3 ) Fidd Filtered Fo! liquid matrices. tnrncale with a Y - for y~ tht: samplt: was fidd filtered ot:- N -[01 sample was nOl field filtered Cuslod~v Sea/Intact?
- 4) Mamx Cooes D\V=Orinking Water . G\¥=:GToundwat~. S\r-Surface Water. 'VW:Wastc Wattt. W=Walcr. ML=Misc Liquid. S0=5011. SD=ScdimenL SL=Sludgt'. S~So1id Waste. Q-:;Oil. F=Flltcr. p.:,:Wi~. U=lI rin~. f"=::Fecal. N=-Nasal rES NO
- 5) Sampk Analysis Requested: Analytical method requested (i e 82608, 6010B17470)\and number of containm provided for each (i e 8~60B- 3. 60108l 747004 .1) Cooler Temp:
(5 ) Preservative Type H.I\.= Hydrochloric Add. NI = Nitric Acid. SH= Sodium Hydroxide. s ..\:= Sulfuric Acid. A.<\= Ascorbic Acid., HX= Hexane. ST = Sodium Thiosulfate. If no preservative is added = leave field blank _ _ _ _---'C"--,_ _ _ __ WHlTE = LABORATORY YELLOW = FILE PI~K = CLIENT
Page: J of I GEL Laboratories, LLC Project #: Enlerm'_Ucense Renewal Project GEL Chain of Custody and Analytical Request 2040 Savage Road GF.tQuote#: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 cae Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected hy: M, fu;tos Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .!! ~ ~
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( TAT Requested: Normal: ./ Rush: SpecifY: (Subject to Surcharge) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level 1 I Level 2 I Level 3 I Level 4 Sam ole Collection Time Zone Remarks: Are there any known hazards applicable to these samples? lfso, please list the hazards Eastern) Pacific central Other - - - Mountain
/
Chain of Custody Signatures Sample Shipping and Delivery Details f1;~-::Fi;#& Received by (signed) Date Time GEL PM: Cheryl Duffy SECUre~ oshT;e rrO t431 l~eA(;E 05 j'7 ,/\0 \,43\ Method of Shipment: FEDEX Date ShiQIled: rtf / / v I I 2 Aitbill#: I{ 3 Airbi1l#: t ) Chain of Custody Number r- Client Dctmnined For Lab Receiving Usc On(r 2.) OC Codes: N~ Normal Sample. TB ~ Trip Blank. ~ Field Duplicate. EB ~ Equipment Blank. MS- Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample. G= Grab. C~ Composite
.3) Field Filtered: For liquid matrices. indicate with a Y - fOT yes the sample was field filtered O~ N - for sample was not field filtered Cus/ody Seal Inracl!
- 4) Matrix Codes: D',,"Drinking Watet, G\\Groundwater, S\\."'Surface Water. "",,"Waste Water, W=Water, ML~Misc Liquid, S()OSoil, SIFScdimcnt, SL~Sludgc, SS=Solid Waste, O=Oil, F=Filter, i"'Wipe, V-Urine, F=Fecal, N=Nasal YES IVO
;) Sample Analysis Requested Analytical method requested (i e 8260B, 6010Bn470)land number of containe" provided for each (i e 8260B- J, 60108/7470.4 - 1) Cooler Temp:
- 6) Preservative Type: HA.... Hydrochloric Acid. Nl .. Nitric Acid, SIf-:" Sodium Hydroxide, SA= Sulfuric Acid, AA-= Ascorbic Acid, HX= Hexane, ST "... Sodium Thiosulfate. If no preservative is added = lea.ve field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Laboratories, LLC Projcct #: Enterg~ GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEt. Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I): Phone: (843) SSG-8m GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 ~~] <-- Preservative Type (G)
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~ Pacific Central Mountain Other
/ I Chain of Custody Signatures Sample Shipping and Delivery Details
~ . _ ~1I~d) J L Date Time Received by (signed) Date Tin",
GEL PM: ERIN TRENT ru./~~rA SEC.v!tE!> V---.J os/n[\o , 143\ 1~*e.A.~E os{\,(,o I I
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~ I L/ 2 Airbi1l #: 3 3 Airbill #: For Lab Receiving US~ Only Cus/oci." Seal/mad!
~Wipe. U=Urine, F=Fccal, "'"Nasal YES NO Cooler Temp:
= leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Entergy License Renewal Proiect GEL Chain of Custody and Analytical Request 2040 Savage Road GEl-Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 coe Number [l I: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Collected by: M-..fM. t-D~ Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) I Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ '" -t:i <-- Preservative Type (6) oS ..c:::a ~
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/ Chain of Custody Signatures Sample Shipping and Delivery Details R~cd By (Sif!,1lCd) I Date Time Received by (signed) Date Time
- ~ ~ 1'M/~ )) ,j Si: c...u (l. f !:> GEL PM: Cheryl Duffy 7 Ll.- 05 I~ 10 r
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fJ; L-/ ?7 I 2 Airbill#: 3 3 Airbill#: I ) Chain of Cusl.><iy Nwnbcr =Client I:>ctennined For Lab Receiving Use Only
- 1) QC Codes: N= Norma! Sample. TB = Trip Blank, FIF Field Duplicate. EB = Equipment Blank. MS= Matrix Spike Sample. MSl)= Matrix Spike Duplicale Sample. G= Orab. C = Composi<e
- 3) Field Filtered For liquid matrices, indicate with it Y - for yes the sample was field filtered Of' N - for sample was not field filtered Custody Seal Inlact?
- 4) Matrix Cod., D'Drinking Water. G\\-'-Groundwater, SWoSurface Water, "",,"Waste Water, '",Water, Ml.=Misc Liquid, S~Soil, Sl)=Scdiment, SL=Sludge, SS<Solid Waste, O=Oil, F=Filter, l'<Wipe, {pUrine, F=Feca!, N=Nasa! YES NO
- 5) Sample Ana! 'sis Reques<ed Analytical method requested (i e 8260B, 6010Bf1470)land number of containers provided for each (i e 8260B- 3, 6010Bii470A -I), Cooler Temp:
- 6) Prcserva<ive "ype HA= Hydrochloric Acid. NI = Nitric Acid, SlY Sodiwn Hydroxide. SA- Sulfuric Acid, AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate. lfno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Enterg~ GW Mon Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.geLcom for GEL's Sample Acceptance SOP" Charleston, SC 29407 coe Number (ll: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (FiJI in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ t.l -i:i <- Preservative Type (6)
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~Centro]
Pacific Other Mountain I Chain of Custody Signatures Sample Shipping and Delivery Details R.lu~ishcd. By (Signed) j ~03J.. Time R~"ived by (signed) DIW: Time GEL PM: ERIN TRENT
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I/J/ 1'-::;: tff lh4 OS-)\~ Jill \, 3D l ~iA~E OS{,~J,O , 130 Method of Shipment: FEDEX Date Shipped: 2~ /,/ ~ I I 2 Airbi11 #: 3 3 Airbill #: 1 ) Chain of CUSlody Numtx:r - Client Oetenruned For Lab Receil'ing Use Ollly
- 2) QC Codes N~ Normal Sample, TB ~ Trip Blank, FD= Field Duplicate, EB ~ Equipment Blank, 'IIl~ Matrix Spike Sample, MSI)= Matrix Spike Duplicate Sample, G= Grab, C~ Composite 3 ) Fidd Filtt."red FOI liquic.1 malrices, indica1e wiLh it \:' - for yes the sample: was field filtered. Of- N - [01 sample: was nol field filLcl ro Custody Seal Intact?
- 4) Matrix Codes DW:Drinking Water, GW=GroWldwate1", SW=Surface Waler, WW=Waste Water, W=Walcr, ML~Misc Liquid, S(FSoil, SI)=Sediment, SL;Sludge, SS=Solid Waste, O=Oil, F~Filter, P=Wipe, tJo<Urine, F~Fecal. N=Nosal YES NO
- 5) Sample Analys;s Requested: Anal}1ical method requested (i e 826OB, 6010Bl7470)land number of containers provided for each (i e. 8260lJ. 3,60108/747004 -I). Cooler Temp:
- 6) Preservalive Type HA; Hydrochloric Acid. NI ; Nitric Acid. SIi' Sodium Hydroxide. SA~ Sulfuric Acid. AA~ Ascorbic Acid, HX~ Hexane. ST ~ Sodium Thiosulfale. If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Enterg~ GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote II: **See www.ge1.com for GEL's Sample Acceptance SOP*'" Charleston, SC 29407 COC Number (It Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax #: (914) 734-6247 .!! ~
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- 3) Field Filtered: Fe! liquid malrices. indicale with a Y - for yes the sample was field filtered 01'- N - fol' sample: was not field filtered. Custody Seal Intact?
- 4) Matrix Codes: D~Drinking Water. GW<Groundwater. SW=Surface Water. WW'Waste Water, W=Water, ML=Misc Liquid, S()OSoil, SIFSediment, SL=Slucige, SS=Solid Waste. 0=0i1. f~Filter, P=Wipc, U=Urine. f=F<CaI, N=NasaI YES NO 5.) Sample Analysis Requesled Analytical mahod requested (i e 8l6UB, WlUBJ747U)\and number of containers pcovided for each (i e 1i~60B- J . 60JOBl7470A - 1) Cooler Temp:
- 6) Preservative Type: HA= Hydrochloric Acid. NI ~ Nittic Acid. S1I= Sodium Hydroxide. SA= Sulfuric Acid. AA~ Aseornic Acid. HX~ Hexane. ST = Sodium Thiosulfate.lfno preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of I GEl.. Laboratories. LLC Projecl #: Entemv License Renewal Proiec1 GEL Chain of Custody and AnalytiCal Request 2040 Savage Road GE(~ Quote #: GELP07-0628 **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Conected hy: M. 6 r,tos.. Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the nllmber of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 ~~~ <-- Preserval;v" Type (6)
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= leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Laboratories, LLC Project #: Entergy GW Mon Prgg GEL Chain of Custody and Analytical Request 2040 Savage Road GELQuote#: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 ~~i <-- Preservative Type (6)
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E- E-" f-o 0 ~ MW-31-49-(024) 06 ~1 10 H3C N N GW Y N 1 1 1 I 2 Liter Poly MW-31-63-(024) p,- '/'01' , c .\2 \9 N N GW Y N 1 1 1 1 2 Liter Poly MW-31-85-(024) p6 en \0 \2aa N N GW Y N 1 1 1 I 2 Liter Poly
/
TAT R.:quested: Normal: v' Rush: Specify: (Subject to Sun;harge) IFax Results: Yes I Go:) Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? llso, please list the hazards Sam ole Collection Time: Zon.:
. ~Central Pacific Other - - -
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/ Chain of Custody Signatures Sample Sbipping and Delivery Details R.II~, ,;iI.wI "(Signed) I_~ Time Received by (si&no:d) Dale 1'imc:
GEL PM: ERIN TRENT ,/ /;/,0 uL)/d f64 0('/07/'0 , 14ckl~tf£E OGf 7/'O 14 oS" 0 Method of Shipment: FEDEX Date Shipped: I~ .£./ v- I 2 Airbill#: 3 3 Airbill #: J ) Chain OfC:JSlody Number = Clieot Iktcnnined I For Lab Receivillg Use Only
- 2) QC Codes: N = Nonnal S:unple. TB =Trip Blanl.:, FD = Field Duplicar.c. EB = Equipment BlanL:. MS = Matrix Spike Sample, MSD = Matrix Spike DupliC'd1e Sample, G = Gro:ib. C = Composite:
3.) Fidd FiitctC'u: For liquid matrices, indicate with a* Y - tor yes [he: sample: W~ field filtered or* N* for sample was not tic:ld filtered. CuslOdy Seal/mac!? I
- 4. ) M ..trix ewes: DW=Drin.king Water, GW;(]ruundwatcr, SW=Su[face Wau.r, WW=Waste Water, W=Water, ML=Misc Liquid. S<>=5oil. SD=Sediment. SL=Sludge, SS=Solid Waste, O=Oil, F=Filter, P=Wipc:, U=Urine, F=Fccal, N=Nasal YES NO 5,) Sample Anwysis Requested: Analytical method requested (i,e. 82608. 6010Bn470A) and number of containers provided for each (i.e. 82608 - 3, 60J0Bl7470A -]) Cooler Temp:
6, ) Preservative Type: HA = Hydrochloric Acid. NI = Nitric Acid, SH = Sodium Hydroxide, SA = Sulfuric Acid, AA = Ascorbic Acid, HX = Hexane, ST = Sodium Thiosulfate, lfno preservative is added = leave field blank C WHITE = LABORATORY YELLOW =FILE PINK =CLIENT
GEL Laboratories. LLC Page: Project #: 1 Entergy GW Mon Prog of ------'-'-------l GEL Chain of Custody and Analytical Request 2040 Savage Road GELQuote#: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 COC Number (iJ: Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247
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~ . . Time I / 14\It1ece!5i~.tB) Date ,08 Time GEL PM: ERIN TRENT
~A ~ O"JO~ JO 06/
d) I s"nJ(2,AG.£- 1\ 0 f4\0 Method of Shipment: FEDEX Date Shipped: 2 _'-1. - '-L. ...-' 2 Airbill #: 3 I 3 Airbill #: 1.) Chain of Custody Numher = Client Determined For l1J.b Receivillg Use Only 2_) QC Codes: N =Normal Sample. TB =Trip Blank. FD =Field Duplicate. EB =Equipment Blank, MS =Matrix Spike Sample. MSll =Matrix Spike Duplicate Sample. G =Grnb. C =Compo,ite 3.) Field Filte~d: For liquid matrices. indicate with a - Y - for yes the sample wa... field filtered or - N - for sample: was not field filtered. CUSTOdy Seal/llIa:'1? 4.) Matrix Codes: DW=Drinking W3J.cr, GW=Groundwatcr. SW=Surfacc Water. WW=Waste Water, W=Watcr. ML=Misc Liquid. So--SoiJ. SD=Sediment. SL=Sludge. SS=Solid Waste. <>=Oil. F=Fihcr. P=Wipe. U=Urinc. F=Fccal. N=NasaJ YES NO 5.) Sample Analysis Reque"ed : Analytical method requested (i.e 82608. 6Il10Bf7470A) and numnc:r of containers provided for eoch (i.e . 82608 *3. 601OBf1470A - I). Cooler Temp: 6.) Pre~rvaIive Type: HA = Hydrol.!hloric At:id. NI = Nitric Acid. SH = Sodium Hydrox.ide. SA = Sulfuric Acid. AA = Ascorbic Acid. HX =Hexane. ~ = Sodium ThiosulFllle,If no preservatlve i!i .added =leave field blank C WHITE = LABORATORY YELLOW = FILE PINK=CLffiNT
Page: 1 of t GEL Laboratories. LLC Project #: Enterg~ GW Man PrQg GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote #: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston. SC 29407 COC Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (51 (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 ~~i <-- Preservative Type (6)
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[Il C> f-< 0 CI) MW-32-59-(018) ~~/DGf'(O \453 N N GW Y N 1 1 1 1 2 Liter Poly MW-32-85-(021 ) D~ o'i',c 1203 N N GW Y N I 1 1 1 2 Liter Poly MW-32-149-(018) ';)C:JcR, .10 \252 N N GW Y N 1 1 1 1 2 Liter Poly MW-32-173-(016) o~/ocf :10 \223 N N GW Y N 1 1 1 1 , 2 Liter Poly MW-32-190-(020) :)b 09 '/0 '24~ N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ,/ Rush: Specify: (Subject 10 Sur<:har];e) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Samole Collection Time Zone
~ Central Pacific Other - - -
Mountain I / Chain of Custody Signatures Sample Shipping and Delivery Details L:J1mqu~ (Si~dlJJ Date Time 1~~ad>c Da~~/~i~/ro GEL PM: ERIN TRENT JIlt ..... U.MI~ o6iO'1f\O , \~\r:;; \GIS Method of Shipment: FEDEX Date Shipped: f . . . .1 / 11"-- I 2 I r Airbill #: 3 3 Airbill#: 1.) Chain of Custody Number = Client Determined For wb Receivillg U<e Ollly 2.) QC Codes: N = Nonnal Sample, TB =Trip Blank. FD = Field Duplicate. EB = Equipment Blank, MS = Matrix Spike Sample. MSD = Matrix Spike Duplicate Sample. G = Grab, C = Composite 3 ) Field Filtered: For liquid mntriccs. indicate with a* Y
- for yes the ~mple was field filtered or - N - for S3mpJe was not field t'ilte~d Cusrody Seal Intact?
4.) Motrix Codes: DW=Drinking Water. GW=Groundwater. SW=Surfacc Water. WW=Wa.<;tc Water. W=Walcr. ML=Misc Liquid, 80=Soil, SD=Sediment, SL=Sludge. SS=Solid Wa<;te, O=Oil, F=Filter, P=Wipe. U=Urine, F=Fecal. N=Nasal YES 1'-10 5.) Sample Analysis Requested: Analytical method requested (i.e. 82608. 6010Bl7470A) and number of containers provided for each (Le. 8260B *3. 60IOBf7470A - 1). Cooler Temp: 6.) Preservative Type: HA = Hydrochloric Acid, Nt = Nitric Acid, SH = Sodium Hydroxide, SA = Sulfuric Acid. AA = Ascorbic Ac..-id, HX = HexlUlc, ST = Sodium Thiosulfate, If no preservative is added = leave field blank C
~=LABORATORY YELLOW = FILE PINK=CLffiNT
Page: J of J GEL Laboratories. LLC Project #: Entergv GW Man Prog GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: **See www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 coe Number (I): Phone: (843) 556-8171 GEL Work Order Number: PO Number: 50013510 Fax: (843) 166*11 78 Client Name: Entergy Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .u <-- Preservative Type (6) I,
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MW-44-66-(016) ~D6 10 lO \~"3C N N GW Y N 1 1 1 1 2 Liter Poly MW-44-102-(01 7) Db 10 10 13\ ~ N N GW Y N 1 1 1 1 2 Liter Poly h ... , ~"'2
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TAT Requcsted: Normal: ./ Rush: Specify: (Subject to Surehal'ge) J Fax Results: Yes / CNo:> Circle Deliverable: C of A / QC Summary i Level I I Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Samnle ColI~tion Time Zone Eastern') Pacific Ciiiilrol Mountain Other Chain of Custody Signatures Sample Shipflin~ and Delivery Details I/~NB:iiliD:bIIO\il~eD r-rOC Rcceh-ed by (Jlgnedb Date Time GEL PM: ERIN TRENT I S~~J~ C:;"Tb l.::2E OGf\O {,O \loD Method of Shipment: FEDEX Dale Shipped: ~
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For wb Receiving Use Only Custody Seal Intact? YES AO Coole" Temp. e WHITE :; LABORATORY YELLOW = FILE PINK = CLIENT
Page: Project #: I of Enterav License Renewal Proiect I GEL Ch aln ° 0f C US t 0d Y an d A na IYtoleaI R equest GEL Laboratories, LLC 2040 Savage Road GE'- Quote #: GELP07-0628 **See www.geI.comforGEL*sSampleAcceptanceSOP** Charleston.sc 29407 COC Number (I): Ph . 8 )
, GEL Work Order Number: one. ( 43 556-8171 PO Numher: 50013510 Fax: (843)766-1178 Collected by: _M~ e.,..\ 6 r,-Tt, s Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test)
Project/Site Name: I~dian Point Energy Center Fax #: (914) 734-6247 :§ 1: ~ <-- Preservative Type (6)
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MW-44-102-(GBOl) <p&!,O 10 \"3\3 N N GW Y NIl 500 ml Poly MW-44-66-(GBOl) ( ,,'/'0\0 IS 30 N N GW Y N Il 500 ml Poly I TAT Requested: Normal: ./ Rush: Specify: (Subje<:ttoSureharge) lFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Levell I Level2 I Level3 I Level4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Sam ole Colle<:uon T"me ZON EasIIlTll) Paci fic CCiilr:II Other _ __ Mountain
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A JL Date ( Time r Re~eivtd by (~S!!) StvU (£..f=~ Date I, Time r GEL PM: Cheryl Duffy
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1CU:""'/ ' I 2 Airbill#: I{ 3 Airbnt #: 1 ) Chain of Custodv Number ~ Client Determined 2.) OC Codes: N~ ~orm.l Sample, TB = Trip Blank. FD= Field Duplicate. EB = Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate S3111ple, G= Gnb. C= Composite For Lab Receiving Use On~)'
- 3) Field Filtered for liquid matrices, indicate with. Y - for yes the ,ample was field filtered o. N - for sample was not field filtered Custody Sea/lnlacl?
- 4) Matrix Codes: D'Drinking W ater. GW=Groundwater, SW=Surf.ce Water, w\V=Waste Water, """'Water, ML=Mise Liquid, SOoSoil, SD=Scdimcnt. SL=Sludge, SS=Solid Waste, ()=()il, i>"Filter, P=Wipe, U=Urine, i>"feeal,l'I'=Nasal YES NO
- 5) Sample Analysis Requested Analytical method rcqueSled (i e 8260B, 6010Bn470jland number of containers provided for each (i.e 8260B- 3,60108.1747004 - 1) Cooler Temp .'
- 6) Preservative Type: HA"'" Hydrochloric Acid, Nt = Nitric Acid, Sl-t' Sodium Hydroxide, SA= Sulfuric Acid, A.o\= Ascorbic Acid, HX= Hexane, ST :::!: Sodium Thiosulfate. If no preservative is added -= leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT}}