ML12338A636
| ML12338A636 | |
| Person / Time | |
|---|---|
| Site: | Indian Point |
| Issue date: | 03/29/2012 |
| From: | GZA GeoEnvironmental |
| To: | Atomic Safety and Licensing Board Panel |
| SECY RAS | |
| References | |
| RAS 22130, 50-247-LR, 50-286-LR, ASLBP 07-858-03-LR-BD01 | |
| Download: ML12338A636 (86) | |
Text
{{#Wiki_filter:FINAL QUARTERLY LONG-TERM GROUNDWATER MONITORING REPORT Q2 2010 (REPORT NO. 10) APPENDIX C: CHAINS OF CUSTODY ENT00334B Submitted: March 29, 2012 United States Nuclear Regulatory Commission Official Hearing Exhibit In the Matter of: Entergy Nuclear Operations, Inc. (Indian Point Nuclear Generating Units 2 and 3) ASLBP #: 07-858-03-LR-BD01 Docket #: 05000247 l 05000286 Exhibit #: Identified: Admitted: Withdrawn: Rejected: Stricken: Other: ENT00334B-00-BD01 10/15/2012 10/15/2012
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I~age: 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterav license Renewal Project 2040 Savage Road IGEI. Quote #: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (Il: GEL Work Order Number: Phone: (843)556-8171 PO Number: 50013510 Fax: (843) 766-1178 ('ollected by: Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) ProjccliSite Name: Indian Point Energy Center Fax#: (914) 734-6247 ,,~ <-- Preservative Type (6) £...Ci ~ "'C ~ '" ] e-~ f Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ :l f ~ = 3 Comments Collected by: Client Send Results To: Patrick Donahue e ro Note: extra sample is C ~ ~ ~ CO required for sample specific ~ -= ~ 'Date Callocted
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(hhmm) = ~ 0 MW-Sl-40-{GBOl) IYI gJJo l~O\\ N N GW Y N 1 1 SOO ml Poly MW-Sl-79-(GBOl) y J~)I D 141_.... N N GW Y N 1 1 SOO ml Poly MW-SI-I04-(GBOl) 4/?)ho la-l~ N N GW Y N 1 1 500 ml Poly MW-Sl-135-(GBOl) 4/~"o \\)0'8 N N GW Y N 1 1 500 ml Poly MW-Sl-163-(GBOl) ~j~J@ 1J4?- N N GW Y N 1 1 500 ml Poly MW -Sl-189-(GBOl) UhJ}b \\lUJ N N GW Y N 1 1 SOO ml Poly TAT Requested' Normal: ./ Rush: Specify: (SubjeClto Surchllr£c) 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: A re there any known hazards applicable to these samples? if so, please list the hazards ~amille Colleclion Ttme Zone ~ 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: C"heryl DufTy I~J.,. ¢-L~ A.oO'\\ i( rz.),t> D8tm I z>6tM.1OO> s To l.l\\e:I~ 4/1[.110 own Method orShiprmnc FFJ)EX DateShip~: 2 D lJ 2 Airbill#: J 3 Airbill#: I ) Chain of Custody Numb<:r ~ Client Determined For Lab Receiving Use Only 2.) QC Codes: N~ NonnaJ S;unple. TB ~ Trip Blank. FI>" Field Duplicate. ED = Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spil.c Duplicate 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 Sf!allntacr?
- 4) Matrix Codes: D'Drinking Water. GW=Groundwatcr, ~"Surface Water, w\\"'Wastc Water, W*W.ter. 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 Requ.,ted: Analytical method rcque<ted (i e 82608, 6OI0B!7470)\\and number of containers provided far each (i e 8160IJ. 3,6010811470.4 - I)
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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.ge1.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (I I: GEL Work Order Number: Phone: (843) 556-8171 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 ~ 0 ~ (hhmm) E-MW-SI-40-(OlS) 04-O~ 10 135~ N N GW Y N 1 1 1 1 2 Liter Poly MW-Sl-79-(OlS) b4 02 1) 0 142\\ 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 I MW-Sl-13S-(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 ) 104 09 1)0 \\,,~ N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Nonna1: ./ Rush: SpcGify: ISub.J'lCt to Surchargc) I Fax Results: Yes / Go-=:> Circle Deliverable: C of A I QC Summary I Level 1 / Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Samnte Collection TIme Zone Ea.~terY Pacific Central Other --- Mountain I Chain of Custody Signalure-s Sample Shipping and Delivery Details ~ '--"y (Signed) /D,.., Time Received by (signed) Date Ti.me GEL PM: ERIN TRENT ./}Z/I lY~ 04112)'0 o&otO SEC\\JIL£D 041,2))0 o~oo FEDEX 1~'(LA.bE Method of Shipment: Date Shipped: v::.. ~ 2 Airbill #: 3 3 Airbill #: "~ For Lab Receivillg Use 0111)' Custody Seal Intact? '=Wipe. U=Urine. F=Feca1, N=NasaI YES NO Cooler Temp: = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Man Prog 2040 Savage Road GELQuote#:
- Sec 'NWW.gel.com for GEL's Sample Acceptance SOP**
Charleston. SC' 29407 COC Number (t): GEL Work Order Number: Phone; (843) 556-8171 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 .~ 101 ~ <-- Preservative Type (6) -=.rJ ~ "C ~ ~ g ~~ E r-- 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ ~ e t;/) ~ c CJ r-- t;/) M ~ ~....., ~ Comments ~ 0 e Collected by: Send Results To: Patrick Donahue ~ ~ M dl 0'< Note: extra sample is Q
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.. For ronrposifes - indicate start and stop dale/time (mm-dd*yy) (bhmm) ~ e ~ f-0 ~ Z 0: MW-66-21-(013) o4ld1 \\ ( \\527 N N GW Y N 1 1 1 1 1 2 Liter Poly MW-66-36-(012) 04\\'0'1 110 \\5\\1 N N GW Y N 1 1 1 1 1 2 Liter Poly TAT Requested: Nonnal: ./ Rush: Specify: ISubj""- to Surdwgc:) I Fax Results: Yes I CNo":> Circle Deliverable: C of A I QC Summary i Level I I Level 2 I Level 3 I Level 4 Remarks: Are there any knowlI hazards applicable to these samples? /fso, please list tlte Irazards Sample_CQIle<:lion Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details ~ .. ~ By (Signed) I,L Date Time Receh-.:d by (signed) Date Time GEL PM: ERIN TRENT 1/"/- ~,\\ /d~ 04/09/\\0 ib2c S£DJ (2 E9 J I Ib20 I~G'E olilo9 \\0 Method ofShipmenr: FEDEX Date Shipped: I~ U It' I 2 I I Airbill #: 3 3 Airbill #: For Lab Receiving Use Only Custody Sea/Intact> '=Wipe. U=Urine. F=Fe<:a1. N=Nasal YES NO Cooler Temp: = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: J of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterqy License Renewal Proiect 2040 Savage Road GELQuote#: QELP07-01i28
- See www.ge1.com for GEL's Sample Acceptance SOP**
Charleston, SC' 29407 COC Number (I): GEL Work Order Number: Phone: (843) 556-8171 PO Number. 50013510 Fax: (843) 766-1178 C'ollected 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 .~ ~ -= <-- Preservative Type (6) -=.CI ~ ~ ~i t! Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .r. _ = .s
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Collected by: Client Send Results To: Patrick Donahue e ro Note: extra sample is ~ 'Q ~ ~ m required for sample specific "Time
- Date Collected
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en Sample ill Collected QC Cod. Field Sample w = CIl QC s c (Mllitory) Filtered (1 Matrix(.4} 0 0 '6 \\J ~
- For ('omposiJes - indicate start and stop tlate/lime (mm*lId-yy)
(hhmm) = '" 0 MW-66-21-(G'S01) 4/~ '10 15~ N N GW Y N 1 1 500 m! Poly MW-66-36-(GBOl) H/q I,D 1S'i~ N N GW Y N 1 1 500 m! Poly TAT Requested: Normal: ./ Rush: SpecifY: (Subject 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 ~ Pacific Centrol 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/'1 A./\\.. £ a, '-i/\\'2..h V I ~J Jleh 'b\\b~r=:. Lf.(I-UIO ~ 0_'&00 08ttD 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 Saol (ntocl'
- 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<lil, ~Filter, P=Wipe, U-Urine, F=Fccal, N-Nasal rES NO
- 5) Sample Analysis Requested Analytical method requested (i e 8260B, 6OIOBl7470)land number of containers provided for each (i e 8]60JJ. 3,60108/7470,4 -1)
C()(){~rTllmp :
- 6) Preserv:uive Type: HA= Hydrochloric Acid. Nt = Nitric Acid, S"" Sodium Hydroxide. SA~ Sulfuric Acid, AA~ Ascorbic Acid. HX= He.ane, ST ~ Sodium Thiosulfate. lfno preservative is added = leave field blank C
WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of I GEL Chain of Custody and Analytical Request GEt. Laboratories. LLC Project #: Enterov License Re newal Project 2040 Savage Road GEL Quote #: GE!.P07-062&
- See www.gel.com for GEL's Sample Acceptance SOP" Charleston, SC 29407 COC Number (II:
GEL Work Order Number: Phone: (843) 556-8171 PO Number: 5001 3510 Fax: (843) 766-1178 Collected by: C.~M~lA-:L. / Mo.. ~e...lTOS Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) ProjecliSite Name: Indian Point Energy Center Fax#: (914) 734-6247 ~l~ <-- Preservative Type (6) "O..!!... gil 5 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = 8 c .~ Comments c Collected by: Client Send Results To: Patrick Donahue ~ ro Note: extra sample is (!J =. o:l required for sample specific .~ 'S ~
- Time "Dale Collected
~ e QC Sample ID Collecled QCCode Field Sample = '" 0( c 0 (Military) I" Filtered (II Matrix ("J U..... I .. For composites - indicate start and SlOp dale/rime (mm-dd-n) (hhmm) ~ ~ " MW-46-(GBOl) Lf!o.-Jro 112.0, N N GW Y N 1 1 500 ml Poly TAT RequcsIl'd; Normal: ./ Rush: SpecifY: (SubjO<:I to SurcllMie) I FII~ Results: Yes I ~ Circle Deliverable: C of A ! QC Summary I Level 1 ! Level 2 ! Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards ~m!l!e Collecuon Time Zone ~ Pacific Centm! Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) O~te Time Received by (signed) Date Time GEL PM: Cheryl Du ffy I~Yr~ 41\\6/1'1"'") l <rtt, "'2 lbt::~~~(, l4/\\':;f, 0 \\~L... Method ofSlIipn>enl: FEDEX Dale ShiJlJ1Cd: 2 U 0 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.. FI>' field Oup!1CI\\k, £ B - Equiprn.:nl Blon"- ~ts-MJwix Spi\\. Sample, MSD= Matrix Spike Duplicate Sample, G= Grab, C~ Composite 3.) Field Filtered. For liquid matrices, indiCII'" with. V -f", yes the...,pl...... fidd mtC1'ed "" N -fa<s:unplc was no< field filtere:!. Custody Seal Intact? 4.) Matrix Cocks. DW=Drinking Water, C\\\\IoCroundwM..., S\\\\'"Sur!.x. Wilier. W" " WIISI. IVal.., ' ¥oW.uer. Ml.P~fu<: Liquid, SOoSolI, SIFScdi""",t. SL"li!lIiIse, SS>SoIid Wasle, <FOil, F=Filter, l'=Wipe. {FUrine, F~Fecal, l'FNasaJ YES NO
- 5) Sample Analysis Requcsted Analytical method requesled (i.e 826OB, 6010Bl7470j\\and number of containers ptOvided iorcilch Ii e 8160B-J, 6OIOBl7JiQ.~
- I)
Cooler Temp:
- 6) Preservative Type' HA~ Hydrochloric Acid. NI ~ Nitric Aeid, SlF Sodium Hydroxide. SA-Sulfuric Acid, M - ASCor.... Acid, t1X-Hexane, ST w SodiUltJ Th I=lr~lc:, Ifno preservative is added ~ leave field blank C
WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entemv License Renewal Proiect 2040 Savage Road GEL Quote #: GELP07-Q628 "'See www.gel.com for GEL's Sample Acceptance SOP"' Charleston, SC 29407 cae Number Ill, GEL Work Order Number: Phone: (843) 556-8171 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 .~,,~ <-- Preservative Type (6)
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-a ~ !I.o g E~ !i Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c _ c ~ or.. e c .~ Comments Collected by: Client Send Results To: Patrick Donahue 8 o;l Note: extra sample is c CI.l ~ CO required for sample specific ~ -=
- Time
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.~ 9 e QC Sample ID Collected QC Code Field Sample = c (Military) (2) Filtered (J Matrix ("I Q ~ 0 '6 0 ... For compos/fer - indicate start and stop dare/time (mm-dd-yy) (hhmm) ~ '0 po, po, U3-4D-(GBO 1) 'i I 12JI 0 12Sl N N GW Y N 1 1 500 ml Poly I I I TAT Requested: Normal: ./ Rush: Specify: (Subject to SlItchalgc, I Fa.x Results: Yes / ~) Circle Deliverable: C of A / QC Summary / Level 1 I Level2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Sanmle CollectIon Time ZOn<! ~ PaCific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished fiy (Signed) Date Time Received by (signed) Date Tin,. CherYl Duffy I~~ 411~1,() GEL PM: \\'iSO' I StiGut2ES1o~G: Y /(2'/10 \\30\\ Method of Shipment: FEDEX Date Shipped: ~ 1J () 2 Airbilt #: 3 3 AUbill #:
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r r- ~ For Lab Receiving Use Only CuslOdy Seal Intact? I'=Wipe, U=Urine, F=Fccal, N=NasaJ YES NO Cooler Temp: = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.ge1.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (1): GEL Work Order Number: Phone: (843) 556-8171 PO Number. 50013510 Fax: (843) 766-1178 Client Name: Entergy Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fi1\\ 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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~ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 "" ~ c ~ (JJ 0\\ til <II 8 c 8 "3 ~ Comments = M.B,CB. 8 u 0 Co1\\eeted by: Send Results To: Patrick Donahue ] - I!.l 0\\ Note: extra sample is =
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= en = f-0 co (JJ U3-4D-(024) 04\\,21\\0 \\2~'1 N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ../ Rush: Specify: (Subject to Surcharge) I Fax Results: Yes f CNo":) Circle Deliverable: C of A f QC Summary f Level I I Level 2 f Level 3 f Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list tire hazards Samole Collection Time Zone ~ Pacific Central Other --- Mountain / Chain of Custody Signatures S3mple Shipping and Delivery Details R~ished By (Signe1'L Date Time Recti,*ed by (signed) Date Time GEL PM: ERIN TRENT fl \\M~ o4h3}ID \\~Q \\ SEc.v~~ o4h3\\rO \\~O \\ FEDEX I ~. I s:rD (LA GtE Method of Shipment: Date Shipped: ~. 2 Airbill #: 3 3 Airbill #: For Lab Receiving Use OIl~V Custody Seallnlacl~ '=Wipe. U=Urine, F=Fecal. N=Nasal YES NO Cooler Temp: = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: J of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Mon Prog 2040 Savage Road GEL Quote#:
- See www.ge1.com for GEL's Sample Acceptance SOP**
Charleston. SC 29407 coe Number (I): GEL Work Order Number: Phone: (843) 55G-8171 PO Number: 50013510 Fa.,: (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 .:! AI-C: <-- Preservative Type (G)
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5 en 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ ~ c 0\\ ~ ", e. S2- ~ c Comments M6)c..f> E <l 0 Collected by: Send Results To: Patrick Donahue M 0\\ Note: extra sample is c e;
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- Time 03
- 5
'Date Collected .~ = e E E Sample ID Collected QC Code Field Sample ~ ~ <= QC (Military) 0 ) Filtered (l) Matrix(") :; ~ .p E 2 u 03
- For composites - indicnre start and slap dareltimf!
(mm-dd-yy) (blrmm) c t-- C 0=
- f.
- f.
UJ MW (020) o4/t2.1, 0 \\\\32 N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ./ Rush: Specify: (Subject to Surcharge) I Fax Results: Yes / G0 Circle Deliverable: C of A I QC Summary I Level I / Level 2 / Level 3 / Level 4 I Remarks: Are t"ere any known hazards applicable to these samples? If so, please list the hazards Sample Collection Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signature.~ Sample Shipping and Delivery Details ~ ~ By (Signed) j Date Time Received by (signed) Date Time GEL PM: ERIN TRENT /.. )/J..Jf&. o4/J3ilo \\~o2. S'ECv(t!> 04/\\3'10 \\~O2. ~ I s."T"t:> fAG ~ M ethod of Shipment: FEDEX Date Shipped: ~ ~ 111 2 Airbi11 #: 3 3 Airbi11 #: For Lab Receiving Use Ollly Custody Sea/Intact? -=Wipe. U=lfrine, F=Fecal, N=Nasal YES NO Cooler Temp: = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Ch ° f C t d d A I to I R t GEL Laboratories, LLC Project #: Entergy GW Mon Prog aiD 0 us 0 y aD Da y lea eq U es 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 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 ~.ll ~ I I I I I I I I <-- Preservative Type (6) -co!!... - 0." ~ e*~.. ~ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511
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'Date Collected u e E S 1 ill Collected QC Code Field Sample g a: ~ .2 >= c:: QC amp e dd (Military) Fntercd (ll Matrix ('l:;; ~ '3 'C (;3 e
- For composites - indicate st(m and stop date/time (mm-
-yy) (hhmm) ~ ~ {:. E-0 c:n MW-62-18-(013) b4 '3 \\ 0 \\S \\; N N GW Y N Il 1 1 2 Liter Poly MW-62-37-(013) 1:>4 h'3' 10 '522 N N GW Y NIl 1 1 2 Liter Poly MW-62-53-(012) 0411311 0 \\ S 27 N N GW Y NIl 1 1 2 Liter Poly MW-62-71-(013) t>U ll3\\\\O \\~45 N N GW Y NIl 1 1 2 Liter Poly MW-62-92-(013) b Lt I?J I/o \\?> 3 ~ N N GW Y N Il 1 1 2 Liter Poly MW-62-138-(013) 'tcJ..l h61,o l~Ot. N N GW Y N Il 1 1 2 Liter Poly MW-62-182-(013) O4h;7../'D l~lg N N GW Y NIl 1 1 2 Liter Poly TAT Requested: Normal: ~_ Rush: __ Specify: __ ISt,bjecltoSurcl!att!<) I Fax Results_: __ Yes __ I __ CNo :::> Circle Deliverable: C of A I QC Summary Level I I Level2 I Level 3 / Level 4 SIIe<:lion Time 7.one Eastem Pacific Central Other __ _ Remark.<i; Are there any known hazards applicable to these samples? If so, please list tIre hazards Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time ~.iv<d by (signed) Date Time GEL PM: ERIN TRENT I ~jL~ l t..fh t-fl (O l(P9J\\I.5:£i:M e. 5,.-C:oRtAbt; tfhy,},o jloS'D IMethodofShipmenr: FEDEX Date Shipped: 2 0 -V /2 /Airbill #: 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 4.) Matrix Codes: DWoDrinking Water. GWoGroondwater. SWoSurface Water. WWoWaste 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
- 5) Sample Analysis Requested: Analytical method requested (i e 826OB, 6010Bn470jland number of containers provided for each (i.e, S260/J. 3. 60lOB!7470A -I),
6.) Preservative Type: HA~ Hydrochloric Acid. NI ~ Nitric Acid. S& Sodium Hydroxide, SA~ Sulfuric Acid. AA~ Ascorbic Acid. HX~ Hexane, ST ~ Sodium Thiosulfate. Ifno preservative is added ~ leave field blank WHITE = LABORATORY YELLOW = FILE PINK = CLIENT Custody Seal Intact~ YES NO Cooler Temp: C
Page: 1 of l GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project#: Enter~_License Renewal Project 2040 Savage Road GEL Quote#: QELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 coe Number (I): 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 .~ to! -0 <-- Preservative Type (6)
- ~ ~
g E~ S Address: 450 Broadway, Suite 3, Buchanan, NY 10511 -" * = ~.. e * °B Comments Collected by: Client Send Results To: Patrick Donahue 8 o:l Note: extra sample is ] 0 - ~ Q) ...
- CO required for sample specific
-Time 'Date Collected i E ~ <n Sample ID Collected QC Code Field Sample = <n QC 0 <<
- 0 (Militory)
(I) Filtered (3) MatTix(~1 '6 U "ii..
- For composites - indic-afe stan and stop date/time (mm-<ld-n)
(bhmm) en e 0 MW 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 ml Poly MW-62-53-(GBOI) Lf h"h \\'D I~'J,~ N N GW Y N 1 1 500 ml Poly MW-62-7l-(GBO1) 4 }O, *to \\3~S N N GW Y N 1 1 500 ml Poly MW-62-92-(GBOl) 41\\b I/o \\33& N N GW Y N 1 1 500 ml Poly MW-62-138-(GBOl) H,/\\o/IO 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 TAT Requested: Normal: v' Rush: Specify: (subject to Surcharge) I Fax 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 ~ 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 l~ ~~ 11"41,0 £(9) 1Sfw,12-C ~D~~ 4{,t,fllo I(P;;O f\\-fethod of Shipment: FEDEX Date Shipped: 2 U () 2 Airbill#: 3 3 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 if 625 Broadway Albany, New York 12233-0001 Client: New York State Department of Environmental Conservation Project: Entergy-Indian Point Ground Water Monitorin~ Sampled by: M.Btito~JC. Be~mC(~\\ V Client
Contact:
Tim Rice (NYSDEC) Phone: (518) 402-8574 Sample
Description:
Date Time Sample Composite No. of Sample Location Completed Completed Matrix or Grab Containers MW-62-18-(013) P't. 3,0 \\'517 GW Grab 1 MW-62-37-(013) Pli 1"3*'0 \\ 5 "2'2. GW Grab 1 MW-62-53-(012) plf, 113 110 1521 G\\V Grab 1 MVV-62-71-(013) ~ "~'IO \\345 GVV Grab 1 MW-62-92-(013) b4113 liD '33~ GW Grab 1 MW-62-138-(013) D4/('h./1t) \\ Pro z.. GW Grab 1 MW-62-182-(013) 04/~/tI) ,~,~ GW Grab 1 Relinquished by: ~ ~ Date: 0.., /13 J I D Time: I~l'i Relinquished by: 0 0 Date: Time: Relinquished by: Date: TIme: Shipment Method: III .t:..l!I c.. CII -< m ell ell en M.., e ell It) 2 "i' ~.;, Z Z C) C) II.. Received by: Received by: Received by: AirBiII Number: CHAIN OF CUSTODY Anal ~sis I Method 0 CD ~ M N N c;; CD N M N M N N M N III ~ m ~ 0 N 0 E E ~ r-. ~ ~ r-.
- l M
~ M ~ en M M.. E en N ~.... ~ ~ N N N en M N CII
- N M.....;, E
III "l: :;: ci. 0 Q..c ~
- J 0
C).... 0..: z z D.. D.. D:: en..... .... 0 X X X X X X X X X X X X X X X X X X X X X IJ .J '--. [... [U/t.. Date: 411 flo Time: lY'l.. '1 Date: Time: Date: Time: 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 2 e 625 Broadway Albany, New York 12233-0001 Client: New York State Department of Environmental Conservation Project: Entergy-Indian Point Ground Water Monitoring Sampled by: c.. r2L",Ia.JJ.-e::..-n r~IA"'" / M. {;t-I-ro.5 Client
Contact:
Tim Rice (NYSDEC) Phone: (518) 402-8574 Sample
Description:
Date Time Sample Composite No. of Sample Location Completed Completed Matrix or Grab Containers MW-31-49-(023) '-I ilL/ltD toi..\\L GW Grab 1 MW-31-63-(023) ILfA~Ao \\1,06 GW Grab 1 MW 85-(023) tt fI'f/ro \\ 'Z..:oq GW Grab 1 j I I Relinquished b~ J -"".--;{.~ Date: o~ 1141\\ () Time: \\52<6 Lf L--" ? I I Relinquished by: Date: Time: Relinquished by: Date: Time: Shipment Method: CHAIN OF CUSTODY Anallfsis I Method 0 00 M N III Oi ('I .c III co ('I D.Qj M ('oj It).., N ('oj N < III III E ~ cti ~ 0 ('I 0 1/1 1/1 E ~ ~ ~ ~ en M It) ~ CO) ~ M..,. ('oj en CO) CO) L-e e ~ <Ii' It) E :;:; en ('oj..,.... E ~ ('oj ('I N 00 en M ('I... CI) a, N '?.... a, .iJ :s :s cis 0 N 1:. en 51 Z Z III.;:: "';" 0 D.
- )
C) C)
- u. C)...
- n.
0 < z z n. n. 0:: CI)... ... 0 X X X X X X X X X A ~ I, Received by: Jh-- L.. c.;:v'1...- Date: i.f) {~'Ie Time: (S ~ r T Received by: Date: Time: Received by: Date: Time: 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 . 7 l' 625 Broadway Albany, New York 12233-0001 Client: New York State Department of Environmental Conservation Project: Entergy-Indian Point Ground Water Monitoring Sampled by: C B \\ M > Client
Contact:
Tim Rice (NYSDEC) Phone: (518) 402-8574 Sample Descri No. of Sample Location Containers \\5\\4 GW Grab 1 MW-53-120-(019) 143h GW Grab 1 j III .r:. III E-li < m !II !II !II !II o 0 ... (5 ~ CHAIN OF CUSTODY Analvsis I Method T 0.,.. GO..., N 01 co N N N ~1~1111Iil~I~I~I~I~I~I~I~ ~ 0 T'" ~IOI N N : ~ ~.!. u Z Z ~ ~ ~ ~ ~ u u < z z ~ ~ U) ~ _ N It)..., N N ~ ~I~I~ N I ~ I .s:::. en..
- J
~ U 0 x XIX X x XIX X l,... ~ Relinquished by: 7/Z/BbJJl ~ ~ Date:041,4110 Time: 1527 ReceivedbYJl---.C: C/C,/L-Date:'f/,"f!JDTime: {<;i:l...1 I Relinquishedbl_V:y -.~ Date: Time: Received by: Date: Time: 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: __________________________________________ _
Page: I of J GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterav License Renewal Project 2040 Savage Road GEL Quote #: GELP07-0628
- See \\\\'ww.gel.com for GEL's Sample Acceptance SOP" Charleston, SC 29407 COC Number (I):
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 .~ '" -i; <-- Preservative Type (6)
- ; ~
g S'~ t Address: 450 Broadway, Suite 3, Buchanan, NY 10511 0 r.Il., e c "5 Comments Collected by: Client Send Results To: Patrick Donahue ~ ro Note: extra sample is 0 ~ . l: ~ rcquired for sample specific
- Time
~ 'Date Collected ~ E -= CIl Sample ID Collected QC Code Field Sample ~ CIl QC c 0 (Military) [2) Filtered [J} Matrix (04)
- 8 U
- For ('omposites p indicate slart and slop date/time (mm-dd-yy)
(hhmm) ~ 0 MW-31-49-(GBOl) '1/'4ko 110'12.. N N GW Y N 1 1 500 ml Poly MW-31-63-(GBOl ) Lt/l Y, ko l"bcb' N N GW Y N 1 1 500 m1 Poly MW-31-85-(GBOl) l'-t /\\ ~ Jrt> l'Z..o"t N N GW Y N 1 1 500 m! Poly I TAT Requested: Normal: ../ Rush: Specify: (Subjcct to SurchatJ!e) ~ax Results: Yes f ~ Circle Deliverable: C of A f QC Summary f Level I f Level2 f Level 3 f Level 4 Remarks: Are there any known hazards applicable to these samples? lfso, please list the hazards ISamole Collection Time Zone ~ Pacific Centrol Other ---
- \\1ountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed)
Date Tune Received by (signed) Date Time GEL PM: Cheryl Duffy 1(A/t.....O P7_~ t.ff14JlO '09:l I~::.s7UeAbr;: 4"4)' 0 l/pSb Method ofSbipment: FEDEX Date Shtpped: 2 g \\J 2 Airbill#: 3 3 Airbill#: For Lab Receiving Use Only Custody Seal Intact? ,"",Wipe, U-Urine, F=Fecal, N-=NasaJ YES NO Cooler Temp: -leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Man Prog 2040 Savage Road ORLQuote#:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (1): GEL Work Order Number: Phone: (843) 556-8171 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) ProjecliSire Name: Indian Point Energy Center Fax#: (914) 734-6247 ~ -= <-- Preservative Type (6) -=.CI ~ "CI.!l IU g E~ ~ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c _ c ~ V) 't: I VJ.. ~ c S-V) e Comments 8 u 0 I Collected by: Vb J M $ Send Results To: Patrick Donahue M 0-. Note: extra sample is Q e=-
- o.
~ V) E ~ required for sample specific
- Time
~ E o:s
- l
- Date Colleeted
-= t' E E .~ Sample ill Collected QCCode Field Sample y =
- l QC c
Iii (MIlItary) (1) Filtered (~ Matrix c") Q i:i ~
- "8 0
t:
- For composites - indicate start and SlOp dale/rime (mm-dd-yy) 0 (hhmm) f-<
V) MW-31-49-(023) ~~/lO \\0'-\\ 7 N N OW Y N 1 1 1 1 2 Liter Poly MW-31-63-(023) I "i ",-\\/ro \\'~06 N N OW Y N 1 1 1 1 2 Liter Poly MW 85-(023) 4/\\Jr/lO \\"UJ~ N N OW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ./ Rush: Specify: (Subjtcl to Surth~) I Fax Results: Yes I ~ Circle Deliverable: C of A I QC Summary ; Level I I Level 2 I Level 3 I Level 4 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 10/1 -' P.vt-
\\ Lf/I'filb I(t)~
1 ffxLUZ- ~71'n.1lI~- 1{f)'D (f/JSl) Method of Shipment: FEDEX Date Shipped: 2 U U 2 Airbi11 #: 3 3 Airbill #: 1 ) Chain of Custody Number = Client Determined For Lab Receiving Use Only
- 2) QC Code<: N= Normal Sample, TB = Trip Blank, ~
Field Ouplica1e, 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 Water, W<Waler, ML=Misc Liquid, S()<Soil, SD=Sedimen~ SL=Sludge, SS=Solid Waste, !FOil. F=Filter, P=Wipe. U=Urine, F=Fecal, 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 = Nitric 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: I of 1 GEL Ch* f C t d d A I ti I R t GEL Laboratories, LLC Project #: Enterav License Renewal Proiect aln 0 US 0 Y an na y ca eques 2040 Savage Road GEL Quote #: GELP07-0628
- See www.gel.comforGEL*sSampleAcceptanceSOP**
Charleston.sC 29407 Coc Number (1): GEL Work Order Number: Phone: (843) 556-8171 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 ~ J;: ~ <-- Preservative Type (6)
- i~
Address: 450 Broadway, Suite 3, Buchanan, NY 1 0511 ~ = ~ .~ i Comments Collected by: Client Send Results To: Patrick Donahue 1l ~.s Note: extra sample is 1.0 OJ "Time ~ ~ -"eo CO required for sample specific
- tDatC' Collected GI
~ SlID Collected QC Code FIeld Sample ~ i! ell QC amp e (Milillry) (2) Filtered (l Matrix ("
- s
~ 2
- For composires - indicare sraH and $lOp dare/rime (mm*dd-YJ)
(hhmm) ~ ~ ~ 0 MW-53-82-(GBOD p4h4 \\ 0 \\Sllf N N OW Y NIl 500 ml Poly MW-53-120-(GBOl) ~4\\4J\\b l~3b N N GW Y N I l 500mlPoly I I I TAT Requested: Normal: ./ Rush: Specify: (Subjcct to Surcharge) I Fax Results: Yes / ~ Circle Deliverable: CofA I QCSummary / Levell! Level2 I Level) I Level4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Samole Collection Time Zone ~ Pacific Central Other ___ _ Mountain Chain of Custody Signatures Sample Shipping and Delivery Details
- -shCd~Siit~3IC r T~e S£tJriE~
Dater. r TUne j-=:G:.::E:.:;::L..:..P:..:.;M::....: ----=C:..:.;h::.:...!...:eryll~D:..::u~ffy _____,_-------------- V/llf. n~ o411Q 110 1650 1 ~iJAf-r. tl41\\~\\IO (f-SO Method of Shipment: FEDEX Date Shipped: I~..Y" . ~ I I 2 Airbill #: 3 3 A~ill~
- 1) Chain of Custody Number - Client Determined For Lab Receiving Use Onl '
}) 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 liquid matrices. indicate with a y. for yes the sample was field filtered 0> N - for sample was not field !iltered Custody Seal Intact?
4.) Matrix Codes. DW=Drinking Water, G\\\\-'-Groundwater, SW=Surface 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) Sample Analysis Requesled Analytical method requesled (i.e 8260B, 6010Bl7470)land number of containers provided for each (i e 8260B-J, 60JOBii470A
- n COO/f!r Temv'
- 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 Chain of Custody and Analytical Request GEL Laboratories, LLC ProjeCT #: Enterg~ GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.ge1.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (n: GEL Work Order Number: Phone: (843) 556-8171 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 .~ Got -c; <-- Preservative Type (6) -=.c ~ "CI.!!~ 450 Broadway, Suite 3, Buchanan, NY 10511 g E~ ~ 0 Address: ~
- c Vl 0'1 VJ WI e 0
-~ ~ -.0 Comments Collected by: C S I M 6 ' Send Results To: Patrick Donahue ~ u 0 ~ <lJ 0'1 Note: extra sample is ~ b
- a.
~ Vl E u u -.0 required for sample specific
- Time
..0 o:l
- I
'Date Collected ~ c E Sample ID Collected QCCode Field Sample ~ = -s ~ "-§ '0 QC c ~ (!\\:Illitary) (~ Filtered !>1 Matrix ('I e '6 u ~ (..}
- For rompositcs - indicate s(011 and stop date/time (mm-dd-yy)
(bhmm) f-0 Cii Z 0:: MW-53-82-(O 15) p4h4ho 1'5\\4 N N ow y N 1 1 1 1 1 2 Liter Poly MW-53-120-(019) b41\\~hO \\~3b N N OW Y N 1 1 1 1 1 2 Liter Poly TAT Requesled: 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 Remarks: Are there any known hazards applicable to these samples? lfso, please list the hazards Sam ole CQllection Time Zone Tlris is a split sample witnessed by Alex Czullaniclr (NYSDEC) ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details R<:lin~By (Signed) ~~ Time Received by (signed) Date Time GEL PM: ERIN TRENT I/<J 1 £ "\\ ~./'U1~o41141ID Iln5b I~Sit>~ £4/\\LJIIQ IllJ(;O Method of Shipment: FEDEX Date Shipped: 21"--.L/ I / Airbi11 #: 2 3 3 Airbil1 #: 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. WWoWaste 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 provided for each (i e. 82601J. 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 = LADORA TORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC PrOject #: Enlerov Ucense Renewal Prolecl 20<W Savage Road GEl. Quote #: GELP0706?8
- See www.gel.com for GEL's Sample Acceptance SOP" Charleston, SC 29<W7 roc Number ((I:
GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1178 Collecled 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 .~ '" iii <- Preservative Type (6) -=..c ~ '1: ~ '" g ~~ ~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c ~ = !;I.l
- 'I e
= .~ Comments Collected by: C'Iient Send Results To: Patrick Donahue ~ ro Note: extra sample is 0 cu ... o:l required for sample specific ~ ~
- Time
~
- t E
- Date Collected
<Il QC Sample ID Collected QCCode Field Sample y 0:. <Il = 0 (Military) ,2, FilLered (JI Matrix,oil 0 <t '6 U
- For composites - indicate start and stop dllleJlime (mm-dd-n)
(hhmm) ~ c 0 MW-33-(GBOl) yllS"v 1~5'i N N GW Y N 1 1 500 mlPoly TAT Requested: Normal: ./ Rush: Spt'cify: (Subjeci to SUr"thDrgo) I Fax Results: Yes i ~ Circle Deliverable: C of A I QC Summary 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 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 dA'/'-l ~~ yA7) Jro 15 :~ ? I,<;'-at.R.'f:" S,"10Uf?-b 1.fJI~hn I ~3"2-Method of Shipment: FEDEX Date Shioned: 2 U U 2 Airbill #: 3 3 Airbill #: I \\ rl.. ~; __.r .. _._A_..... 1 ** I.. ....... 1:_.T"\\._._ ~ For Lab Receiving Use Only Custody Sea/lnlact? 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 J GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Man Prog 2040 Savage Road GEL Quote#:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 roc Number (Il: GEL Work Order Number: Phone: (843) 556-8171 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)
- ~ ~
] E"~ ~ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 "".. c u C/J 0\\ IJ'J '" 5 .E 8 ~ C/J Comments li Collected by: C 6 MB u 0 Note: extra sample is Send Results To: Patrick Donahue M 8-0\\ .li 0
- c c
II C/J E required for sample specific -Time D
- I
- t g
E 'Dale Collected Collected Field Sample ~ ~
- I E
.p QC Sample ID QCCode c E c:: (Miliury) (ll Filtered ('l Matrix (4) ~ 0 (mm-dd-yy) 'ii u ,., For ('omposires - indicate Sian and stop dare/lime c.:> - (hhmm) f-ro 1-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) ,*/'J5 10 121S"" N N GW Y N 1 1 1 1 2 Liter Poly MW 100-(014) ~4115 10 \\2,,~ N N GW Y N 1 1 1 1 2 Liter Poly MW-40-127-(014) ~4/15J 10 1"3\\.3 N N GW Y N 1 1 1 1 2 Liter Poly MW 162-(012) ~Ld15 IJO 14sc N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Nomlal: .,/ Rush: SpecifY: (Subject to Surcharge) I Fax Results: Yes I Go:) Circle Deliverable: C of A I QC Summary / Level 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 Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time ERlNTRENT GEL PM: I~ (j-~' '-IJIII frD /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 Custody Seal/iliaCI?
- 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~FecaJ. 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::60B-J, 6010/J/7470A -1).
Cooler Temp:
- 6) Preservative Type: HA~ Hydrochloric Acid. NT ~ Nitric Acid. SH= Sodium Hydroxide. SA~ Sulfuric Acid, AA~ Ascomic 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterov License Renewal Proiec1 2040 Savage Road GEL Quote#: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 cae Number (\\l: GEL Work Order Number: Phone: (843) 556-8171 PO Numher: 50013510 Fax: (843) 766-1178 Collected by: C 6 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 .~ ~ -c <-- Preservative Type (6)
- .&. ~
'1:J.!:! " ] e~ ~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ .S rI.I.. e. Comments Collected by: Client Send Results To: Patrick Donahue e ro Note: extra sample is I ~ - C> U ~ ~ rcquired for sample specific ~ ~ $Time
- Date Collecled
~ e Vl Sample ID Collected QC Code Field Sample = til QC I c (Military) (ll Filtered (J) Matrix C") C> ~ 0 (mm-dd-yy) '6 U 0 '" For composires - indicate start and SlOp dare/lime (hhmm) r-MW-40-27-(OBOl) 04 15 10 \\bOO N N OW Y N 1 1 500 mlPoly MW--40--46-(GBOl) 04 'IiI?> '\\0 \\b\\~ N N OW Y N 1 1 500 m1 Poly MW-40-81-(OBOl) p4 15 10 1215 N N ow y N 1 1 500 m1 Poly MW 1 OO-(OBO 1) p4 15 10 12lb N N ow y N 1 1 500 m1 Poly MW-40-127~(GBOl) ~4 15 10 \\ 3 \\"3 N N ow y N 1 1 500 ml Poly MW-40-162-(GBOl) 04 Islro 1~5'o N N ow y N 1 1 500 ml Poly I TAT Requested! Normal: ./ Rush: Specify: (Subjoc. to Surclmrgc) Ipax Results: Yes I ~ Circle Deliverable: C of A I QC Summary / Level I I Level 2 / 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 Cheryl Durry GEL PM: I/'A./l..l.~ tiJ,1D!iv I L./ L-/() I a;w u S"1r'itl+-h i:= 4//lJ)/1P 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 Ill/act?
- 4) Matrix Codes D'Drinking Water. GWoGroundwater, SW=Surface Water, \\VW=Waste Waler, 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, 60/0Bii470A - I)
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 ( e 625 Broadway CHAIN OF CUSTODY Albany. New York 12233-0001 Client: New York State Department of Environmental Conservation Analvsls I Method Project: Enter!!\\'- Indian Point Ground Water Monitorin!! Sampled by: Britos, Mjguel ~ CIa N M Client
Contact:
Tim Rice (NYSDEC) Phone: (518) 402-8574 1\\1 N .s:: J! II) _ N .e-M N 10 M QI N N .., N Sample
Description:
0( II) III E ~ 0 N 0
- I =
E ~...... 0>.. Sample 0> M 10 .2 N ::l ~ M ~
- 0>
Date Time Composite No. of II:' ~ 10 E 0> N..... E N N '! '".., ~.... GI e e u -E N..,..-..
- a.
U N .s:: Sample LocatIon Completed Completed Matrix or Grab Containers Z Z III '7 U .c
- l r.
(5 ~ ~ LL ~ I-
- a.
0 0( z z a. a. a:: (/) l-I- 0 MW-40-27-(O II ) b4hsll C \\bOO GW Grab 1 X X X MW-40-46-(O I2) b4/ts Ie \\f, )¥ ow Grab 1 X X X MW-40-81-(OI 2) ~Lf{'5 Ie 12'5 ow Grab I X X X MW 1 OO-{O 14) D4 )(sllo \\2, k, ow Grab I X X X MW-40-127-(014) p~ /ts lj o \\3i3 ow Grab 1 X X X MW-40-162-(012) D411s1Lt: 1~50 GW Grab 1 X X X , / 117 I 7 l/ \\L}, 'i j/-v~ /83Ci. 0'+ J, 5 ' f 0 Time: \\ b 2b ReceIved by: ~ C - C~ate : '1. I)' C Time: l {,}f Relinquished by:/ J/. ' Date: Relinquished bYY- ~ ~ c Date: Time: Received by: Date: Time: Relinquished by: Date: Time: Received by: Date: Time: Shipment Method: AlrBlll 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Projcet #: Enterg~ GW Man Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number II): GEL Work Order Number: Phone: (843) 556-8171 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) Proj~IISile Name: Indian Point Energy Center Fax #: (914) 734-6247 .~ <101 -= <-- Preservative Type (6) -=..Q ~ "C.!:! G.I g ~~ 5 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 -=
- c Vl 0-,
(I} '" 8 S Vl Comments -= Collet"tcd by: C.~IA:£./t)/\\ -UrfCl::. Send Results To: Patrick Donahue ~ 0 0 ] M d) 0-, Note: extra sample is e 2;
- p.
~ Vl E required for sample specific ~
- Time
~ = E <:1 to Surchar&e) jFax Results: Yes / ~ Circle Deliverable: C of A / 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 Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Tune Received by (signed) Date Time GEL PM: ERIN TRENT l~~/'"'\\' '-I {,SAc9 1532-18£tUtf3 ~()CM-6e 1/;'5 flO 1532-Method of Shipment: FEDEX Date Shipped: 2 () U 2 Airbill #: 3 3 Airbill #: , \\ rL._:_ rr-.. _._.J....., Co MS= Marrix Spikc Sample, MSI)= Matrix Spike Duplicate Sample, G= Grab. C= Composite For Lab Receiving Use Ollly fur sample was not field fi1l~ed Custody Sealllllacl? >\\=Watcr, ML=Misc Liquid, S()<Soil, SI)=Sedimen~ SL-Sludge, SS=Solid Waste, O=Oil, F=Filter, r=Wipe, U=Urine, F=Fecal, N=Nasal YES NO of container.; provided for each (i e 8260B-3.60108/747004 - 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
Page: I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterov License Renewal Prolect 2040 Savage Road GEL Quote #: QELP07-0628
- See www.ge1.com for GEL's Sample Acceptance SOP**
ChaJ"leston, SC 29407 COC Number Il l: GEL Work Order Number: Phone: (843) 556-S171 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 P oint Energy Center Fax#: (914) 734-6247 .~ 41 -0 <-- Preservative Type (6)
- ~ t
] s~ M Address; 450 Broadway, Suite 3, Buchanan, NY 10511 .., * = ~ ~., e
- s =
Comments e ro Collected by: CI ient Send Results To: Patrick Donahue ~ Note: extra sample is ] e <I) ~ t:Q rcquired for sample specific "'Time ~ r "Date Collected e QC Sample ID Collected QC Code Field Sample u I>: = '" = 0 (Militlry) (1) Filtered (J Matrix ("1 C 'C u ... For composites - indicale start and 5tOP dale/lime (mm-<ld-n) (hhmm) ~ c.:l MW-42-49-(GBOl) '1 /lIiJ1l'O 125£1 N N GW Y N 1 1 500 ml Poly MW-42-78-(GBOl) 4/1111110 132'1 N N GW Y N 1 1 500 ml Poly TAT ReQuested: Normal: ./ Rush: Specify: (Sub)"". to Surcb..-;;e) IFax 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 Samole Collection Time Zone Eastern) Pacific Central Other --- Mountain Chain of Custody Slgna(un!s Sample Shipping and Delivery Details Relinquished By (S'gllcd) Date Time Received by (signed) Date Time Cheryl Duffy \\ C1 /tf.&;(,fl GEL PM: I t/v<-.. ~ g {L.J L/ i:\\ I ~t:"Gu~t c\\"7':'Jl2l1fh F 4 II (0" 7) J4LJD Method of Shipment: FEDEX Date Shiooed: 2 7J u 2 Airbill ii: 3 3 Airbill #: , \\ rh<>;....... £f".....,.."." lrt.T ** _"-_ '-1: __
- n._
- --..1 For Lab Receiving Use Only Custody Seallnlacl?
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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg::,:: GW Man Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number <<t GEL Work Order Number: Phone: (843) 556-8171 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 .~ 1Iol-i:i <-- Preservative Type (6) -S.Q ~ ~..2! IIol g e~ 5 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ := e rJ) 0\\ "B rJ) M 8
- of:
Comments Collected by: M. Britos u 0 6 Send Results To: Patrick Donahue ~ ~ M Ol 0\\ Note: extra sample is =
- r::
- 0.
~ rFJ e M ~ ], * '-' 'D required for sample specific
- Time a
0:1
- oj
'Oate Collected ~ ~ E E .~ ~ Sample ID Collected QCCode Field Sample = .g QC ~ (Milltary) (2) Filtered (l) Matrix (4) .2 0( 2 (mm-dd-yy) U
- c
- For composites - indicate start an.d stop dale/lime
= '" 0 i (hhmm) t-rJ) 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 I TAT Requested: Normal: ./ Rush: SpeciiY: (Subject to Surcharge) IFax Results: Yes f Go:) Circle Deliverable: C of A f QC Surnrruuy 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 Collegj_on TIme Zone ~ Pacific CentroJ 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 ~f ~~~ '-Il~o I'iLfD 1 :s&-u...LE <.-roept~c=: Lfh~ftv J Y L{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=Nasal YES NO 5.) Sample Analysis Requested Analytical method requested (i.e. 8260B, 6010lll7470)land number of containers provided for each (i.e. 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enlergy License Renewal Proiect 2040 Savage Road GELQuotetl: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COCNumber"I: GEL Work Order Number: Phone: (843) 556-8171 PO:-!um.her: 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) -=.c ~ "'CI ~ ;., 1 E~ E Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = r.IJ ~ e .s ~ Comments Collected by: Client Send Results To: Patrick Donahue ] ~ <Ii Note: extra sample is (l) Il CO required for sample specific
- Tlme
~ ] 'Date Collected Collected Field Sample .~ ~ ~ QC Sample ID QCCode c: ~ 0 (Military) m Filtered (' Matrix (01) U C
- For composifes - indicate start and stop dare/lime (mm-dd.y~)
(hhmm) ~ ell ~ 0 MW-43-28-(GBOl) '1 h,,/lo l'3>3B N N GW Y N 1 1 500 ml Poly MW-43-62-(GBOl) '-\\l\\~/\\o ,;\\1 N N GW Y N 1 1 500 m1 Poly I TAT Requested: Normal: ./ Rush: Specify: (Subject to Surcharge) ]Fax Results: Yes I ~ Circle Deliverable: C of A,I QC Summary / Level 1 f Level 2 i Level 3 I Level4 Remarks: A re 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 Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time Cheryl Duffy L/J.whn GEL PM: 1(,AA-l..-- ~~ fll~ 1s'Y)"AAUX,.~7n1tEQ t.JiwiJQ tliS" 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/Inlact?
- 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, ~Wipe, L"'Urine, F=Fecal. N=Nasal YES NO
- 5) Sample Analysis Requested Analytical method requested (i e 826OB, 6010Bl7470j\\and numhc:r 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
!Page: I of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project tI: Entergy: GW Man Prog 2040 Savage Road ,GEL Quote #:
- See www.gel.comfor GEL's Sample Acceptance SOP**
Charleston, SC 29407 Icoe Number (l): GEL Work Order Number: Phone: (843) 556-8171 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)
- ; ~
] ~~ 5 VJ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ :l s d "B C/J Comments = Collected by: c,'\\?"tN.II\\'6/2bI;t"]: 1M..~1o:Jend Results To: Patrick Donahue 8 0 Note: extra sample is ~ - M ~ '" Q 2; p., = C/J § required for sample specific ~ ~ *
- Time od e
E 'Date Collecled ~ .:l S '.;::l QC Sample ID Collected QCCode Field Sample =
- l
= ~ E (Military) (2) Filtered PJ Matrix (4) ]
- "8 a
U 0:1
- For composites - indicme start and slop dale/lime (mm-dd-yy)
(hhmm) ~ en Q ~ d r/l MW-43-28-(015) ~/lql to l~ N N GW Y N 1 1 1 1 2 Liter Poly MW-43-62-(015) 4\\\\'iho \\-;\\"1 N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Nomlal: ./ Rush: Specify: (Subject to Surcharge) I Fax Results: Yes I G0 Circle Deliverable: C of A / QC Summary I Level 1 I Level 2 I Level 3 I Level4 Remarks: Are there any knowlI hazards applicable to these samples? I/so, please list tile hazards Samole Collection Time Zone VEaste~ 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 IUt/\\-.~ ~~ w~Jo IllS I&~t.t:" S7D il'l-bt::" L/ /wll D \\1/~ Method of Shipment: FEDEX Date Shipped: 2 J l) 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 - COl' 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, O=Oil, 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 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; I of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergl' GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number Ill: GEL Work Order Number: Phone: (843) 556-8171 PO l'.:umber. 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 ~ iii <-- Preservative Type (6) fi ~ t "C.!! cu g 51 5 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ ;: B C/l c 8 .~ C/l Comments c 0 0 Collected by: Ce, MP, Send Results To: Patrick Donahue ~ 0 Note: extra sample is 0 e; 0- ~. r:n 6 required for sample specific ~ ~
- Time
~ .~ e § "Dale Collected ~ ~ § QC Sample ID Collected QCCode Field Sample ~ c (Militllry) <') Filtered (l) Manix('\\') 0 ~ ]
- E 0
(mm-dd-yy) ~
- For romposites - indicate start and SlOp dale/time 0
0 (hhmm) 0: f-< 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) b4. I,q \\0 }403 N N GW Y N 1 1 1 1 2 Liter Poly I TAT Requested: Normal: ./ Rush: Specii)<: (Subject to Surcharge) IFax Results: Yes / ~ Circle Deliverable: C of A / QC Summary,. Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? [Iso, please list the hazards Sam ole Collection Time Zone ~ Pacific Central Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time ~ Received by (signed) Date Time ERIN TRENT GEL PM: IJf'A/\\.! &~ ~hdiO I,I£.--..- i.('E{u.'{Z£ S.70~ Q(7£1tO (II~ Method of Shipment: FEDEX Date Shipped: 2 0 U 2 Airbill #: 3 3 Airbill #: 1\\,..,,-_' ,~ MS= Matrix Spike Sample, MSIF Mat,;x Spike Duplicate Sample, ~ Grab, C~ Composite For Lab Receiving Use Ollly for sample was not field filLered, CI/S(Ody $eallll/aCl'? .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. 8260/J. 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
I Page: I of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterov License Renewal Project 2040 Savage Road i(jF.L Quote #: QELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (I ): GEL Work Order Number: Phone: (843) 556-8171 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)
- ~ t g ~~
5 Address: 450 Broadway, Suite 3, Buchanan. NY 10511 ~ = e 0; Comments Collected by: Client Send Results To: Patrick Donahue 8 ~ Note: extra sample is ~ '0 - II) "3 ~ required for sample specific
- Time
,Q "Date Collected ~ E Sample ill Collected QC Code Field Sample ~ = QC c ~ 0 (Military) (1) Filtered") Matrix <'&1 .2 '3 u
- For composites - indicQre slart and stop date/time (mm-dd-n) 0 d
I (hbmm) i-i- MW 40-( GBO 1) f:>4}\\ '1 1,0 14)," N N GW Y N 1 1 500 ml Poly MW-41-63-(GBOl) ~41\\g )'10 \\ Lt oLJ N N GW Y N 1 1 500 ml Poly TAT Requested: Normal: ,/ Rush: Specify: (Subject to Surcharge) I 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 ~ Pacific Central Other ---- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Tin,. ~ Lfi-zdcD GEL PM: Cheryl Duffy Ity(~ {7{S I Sftu.. fl...£ s1b.eAb~ 4f?LJ/(o (((5 Method of Shipment: FEDEX Date Shipped: 2 f) U 2 AirhilI #: 3 3 Airbill #:
- 1) 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 Duplicate 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 SeallnlaCI?
- 4) Matrix Codes. DW=Drinking Water, GW=Groundwater, SW=Surfau Wate>. W\\,,"Waste Water, '..... Water. MI.~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
P3ge: I of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entefgy_Ucense Renewal Proiect 2040 S3vage Road GEt. Quole #: GELP07-0628
- See \\V\\vw.geJ.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number ( II; GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1178 Collected by: eB) 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 .~ rI.I -c <-- Preservative Type (6)
- ~ t g 5~
E Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ : e. 's Comments Collected by: Client Send Results To: Patrick Donahue e <>l Note: extra sample is ~ co II) l; m required for sample specific
- Time
-Date C"lIocted e QC Sample ill C<lllected QC Code Field Sample y I': en = = co 0 (mm-dd-yy) (Mili"'ry) (Z) Filtered (ll Mattix(") U ]
- For composites - indkate start and stop dare/rime (bhmm)
= ell co 0 I': MW-45-42-(GBOl) Ot-/ 'W}IO IlOI3 N N GW Y N 1 1 500 ml Poly MW-45-61-(GBOl) 04 20 \\ to 1113> N N GW Y N 1 1 500 ml Poly TAT Requested: Normal: ,/ Rush: Specify: (Subject to Surch~e) IFax Results: Yes / ~ Circle Deliverable: C of A I QC Summary / Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any kJlown hazards applicable to these samples? If so, please list the hazards Sample Collection Time Zone ~ P3Cific Central Other ---- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time Cheryl Duffy tflw/ID GEL PM: ~.~ 11(5 I~~ S rogv\\f:;t6 lffWro /"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""Fe<al, l'I'-NasaI YES NO
- 5) Sample Analysi' Requested Analytical method requested (i e 8160B, 6010Bl7470)'and number ofeontain." 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (\\': 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 o~ containers for each test) Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 i~i <-- Preservative Type (6) "'C ~ t ] ~~ c;;- o Address: 450 Broadway, Suite 3, Buchanan, NY 10511 G = .5 0-CIl ... :3 8 rzJ Comments ~ M.B* <.) 0 Note: extra sample is Collected by: C(3 Send Results To: Patrick Donahue 1l ~ <"1 ~ 0-Q b c-o rzJ S required for sample specific ~ ], ~ "Time ~ 0:1
- 1
- O'dle Collceled Collected Field Sample
~ ~ E E C QC Sample ID QCCode ~ = E (Military) (2) Filtered (') MaIJix c") 0 OJ .t:: 0 U 0:1 ., For composites - indicate start and stop date/time (mm-dd-yy) ~ e ~ 0 (hhmm) 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) t>~, bo' 10 1113 N N GW Y N 1 1 1 1 2 Liter Poly I I (Subj~ to S.r<:hAJE<1 I Fax Results: Go':) TAT Requesled: Normal:./ Rush: Specify: Yes I 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 ~ 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: ERlNTRENT I~A j),~ ~ 4hdto illS 1 ~.u AI2 t. CfO!2i'rfJ;; ifhdm 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) Prescn>arive Type lL-\\~ Hydroehloric Acid, NI ~ 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Man Prog 2040 Savage Road GEL Quote#:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (I': GEL Work Order Number: Phone: (843) 556-8171 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 .~ GoI ~ <-- Preservative Type (6) 0:5.Q ~ "'CI.!! ~ g e~ t 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ :: e r/:J 0-, = S 1 ~ Comments ('6 I MO u 0 Note: extra sample is Collected by: Send Results To: Patrick Donahue M 8-0-, CS = ~ r/:J E required for sample specific ~ ~ ~
- Time OJ e
e 'Dale Collected "£ I:li 8 "-g QC Sample ID Collected QC Code field Sample =
- l
= = e (Military) (2) Fl1tered(]) Matrix (4) ~. 0 (mm*dd*yy) U OJ
- For composifes* indicate start and stop dale/lime (bhmm)
E-O r;; MW-56-53-(008) "D4-/~l/o 1523 N N GW Y N 1 1 1 1 2 Liter Poly MW 83-(010) blllw 10 145"\\ N N GW Y N 1 1 1 1 2 Liter Poly ) TAT Requested: Nom1al: ~ Rush: Specify: (Sub.J~ ** o Su.. ~o) IFax Results: Yes / CNo:> Circle Deliverable: C of A / QC Summruy / Level I 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 Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Tune GEL PM: ERIN TRENT d/V"\\l.- ) ~ L)/W/rlJ illS I. <&.. u 17. E" SIiJ~£ 4hcho Il(S Method of Shipment: FEDEX Date Shipped: 2 lJ () 2 Airbi1l #: 3 3 Airbill #: 1 ) Chain of Custody Number"" ClienL Delcrmined For Lab Receiving Use Ollly 1.) QC Codes N~ Normal Sample, TB ~ Trip Blank, FIF Field Duplicate, EB ~ 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) Matrix Codes: DWoDrinking Water:, GWoGroundwater. sW=Su, face Water, WW=Waste Water, W=Waler, ML~M... llquld, S(>>SoIl. SD=Scduncnt, S.l.ooSludgt, SS=Solid Waste, 0=0i1, F~Filter, 1'=Wipe, U=Urine. F~Feca1, N=Nasal YES NO 5.) ~ample Analysis Requested: Anal}tical method requested (i.e. 82608, 6010Bl7470)land numbel" of containcn pIo\\~ded for each (1.e. 8~6/J1J. 3. 6()IOB!U7o.~
- I)
Cooler Temp: 6.) Preservative Type: HA~ Hydrochloric Acid, NI ~ Nitric Acid, SH= Sodium Hydroxide. SA~ Sulfuric Acid, AA- !ucorbie Add, UX-Hexane. ST - Sodium Thiosulfale, If no preservative is added ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: EnlerQY License Renewal Proiect 2040 Savage Road GEl. Quote #: GELP07-0628
- See www.ge\\.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (1): GEL Work Order Number: Phone: (843) 556-8171 PO Numher: 50013510 Fax: (843) 766-1178 Collected by: ee, Mt3 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Proj ect/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ "" ~ <-- Preservative Type (6) .s ~ ~ -.: ~ '" 1 e~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 -= * =
- fI}
... e ] Comments = Collected by: Client Send Results To: Patrick Donahue e o:! Note: extra sample is ] ~ ~ .
- ttl required for sample specific
- Time
.c
- Date Collected i
~ e rIl Sample ID Collected QCCode Field Sample = rIl QC I 0 c 0 (mm-dd-n) (Milituy) (2) Filtered (1 MatriX<oIJ U "3 I
- For composites - indicate start and slop date/time (hhmm)
= 0 ~ MW-56-53-(GB01) ~I 20/0 \\523 N N GW Y N 1 1 500 ml Poly MW-56-83-(GB01) p4 20 10 \\4S-\\ N N GW Y N 1 1 500 ml Poly TAT Requested: Normal: ,/ Rush: Specify: (SublCl:t to Surdulrgtl IFax 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 Geiitral Other ---- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquish~d By (Signed) Date Time Received by (signed) Date Tim e GEL PM: Cberyl Duffy I~~ 4Iwfto t1JS 1.ta.u wlt:- S1olLltb£ 4l-volr" \\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= Nonnal 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 filtered OF-N -for sample was not field filtered
. Custody Seal Intact? 4.) Manix Codes D'\\"Drinking Water. GW=Groundwater. SW=Surface 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 ror 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 J GEL Chain of Custody and Analytical Request GR Laboratories, LLC Project #: Entergy GW Man Prog 2040 Savage Road GELQuote#:
- See www.ge1.com for GEL's Sample Acceptance SOP**
Charleston. SC 29407 COC Number (1': GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (S4l) 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 .~ 11.1 ~ <-- Preservative Type (6) -=.c ~ ""I:l ~ Col g e~ l: rn 00 I Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~. ~ ~ 0\\ r.t.l ... 5 = "03 rn Comments = Collected by: C t> ~ u 00 M5 Send Results To: Patrick Donahue ~ ~ M <Ll 0\\ Note: extra sample is 0 b
- 0.
] ~ rn E required for sample specific "'Time ~ E c<S
- l
'Date Collected i e E "-g QC Sample ID Collected QCCode Field Sample = .2 = e (Militlry) (. ) Filtered (3) Matrix (4) .~ "3 ~ 2 (mm-dd-yy) U c<S
- For composites - indicare start and stop dale/time (hhmm)
{:. en ~ MW-lll-(032) 04\\2" \\0 \\4416 N N GW Y N 1 1 1 1 2 Liter Poly (Subj... -t to Surdwgc) I Fax Results: TAT Reques(ed ~ Normal: v' Rush: Specify: Yes / e No ) Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to tllese samples? If so, please list tire hazards Sample Collection Time Zone VEastem) Pacific Central Other ---- Mountain J" Chain of Custody Signatures Sample Shipping and Delivery Details Reli~<h"" By (Signed) L.L Date Tllne Received by (signed) Date Time QEL PM: ERIN TRENT ~o4r2,lro s.Ec..v(L~ o4/2d,o (h~ 154S 10::;45 FEDEX l STn~GE Method of Shipment: Date Shipped: ~ /~. 2 Airbill#: 3 3 Airbill #: I ) Chain of Cuslody Number - ClienL Determined For Lab Recei"ing Use Only
- 1) QC Codes N~ Nonnal Sample, T8 ~ Trip Blank, flF Field Duplicate, [8 ~ Equipment Blan\\:, MS= MatTix Spike Sample, MSIP MatTix 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) Matri. Codes DW=Drinking Water, G-Groundwaler, SW=SUTface Water, WW=Waste WaJcr, W=Watcr, ML~Misc Liquid, S(FSoil, SIPSediment, SL~Sludge, SS=Solid Waste, O=Oil. F~Filter, P=Wipe, U=Urine, ~FceaI. 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 Thiosulfate. If no preservative is added ~ leave field blank C
WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: EnterQY Ucense Renewal Proieot 20<W Savage Road GEl. Quote #: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COCNumber(ll: GEL Work Order Number: Phone: (843) 556-8171 PO Number. 50013510 Fax: (843) 766-1178 iCollected by: C 6 1 M 6 Phone#: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) ProjecilSile Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ '" -t; <-- Preserv at i ve Type (6) ~:;t ] E~ ~ I Address' 450 Broadway, Suite 3, Buchanan, NY 10511 -= ~
- r.I:I
.... e = "f Comments = Collected by: Client Send Results To: Patrick Donahue e crS Note: extra sample is +-' ~ 0 Q) ~ t:O rcquired for sample specific ~ ~
- Time
- Date Collected
.~ 1f E QC Sample ID Collected QC Code Field Sample g (Military) (Jl Filtered (3 Matrix("') Q ] 0 U ... For composites - indicaJe stan and stop date/lime (mm-dd-yy) (hh."n1 0 0 MW-lll-(GBOl)
- >4/21\\ 10 \\4Jtl(
N N GW Y N 1 1 500 ml Poly TAT Requested: Nonnal: ./ Rush: Specify: lSub)<<, to Surclwj:e) I Fax Results: Yes I ~ Circle Deliverable: C of A / QC Summary / 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 ~ Pacific Central Other ---- Mountain / Chain of Custody Signatures Sample Shipping and Delivery Details Rc:l~shed By (Signed) L.ide1e Time Received by (signed) Dale Time GEL PM: Cheryl DuffY (7// . f: I sECure.~ 04{2,]ro 1/ F//£)n",Yl1A !IX 04 21 (0 l-S-'-f~ 19"b f!.Ac, £ ets:' Method of Shipment: FEDEX Date Shipped: i1lL / /' y I I 2 Airbill ii: 3 3 Airbill #:
- 1) Chain of Custody NumbcT - Client OctC11Tlincd 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.er, SW=Surface Water, WW=Waslc Water, W=IV.ler, !l.fi.=Misc Liquid, S<FSoil, SD=Sedimenl, SL=Sludge, SS=Solid Waste, o-Qil, F=Fill<:r,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 8160~ 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Mon Prog 2040 Savage Road GEL Quote#:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (\\): GEL Work Order Number: Phone: (843) 556-8171 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) PTojectiSite Name: Indian Point Energy Center Fax#: (914) 734-6247 i~~ <-- Preservati ve Type (6) "'CI..!! u Co.... 5 e O;:;; 5 C;; 0 I Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~. 't:: en.. e. S ] rn M Comments il ~ Collected by:c.:~M.$l,A.j..1 M,,4.e.l-roS Send Results To: Patrick Donahue u 0 6 Note: extra sample is "2 ~ s:: Q) a-. c
- 0.
~ CZl E M required for sample specific ~ "S. '-' \\0
- Time-o;j
- l
.~ E E 'Dale Collected E .~ "0 QC Sample ID Collected QC Cock Field Sample ~ ~ .2 ~ ...I<: (Military) (~ Filtered til Matrix!") c ] 0 u ~
- For composites - indicate starr and SlOp date/time (mm-dd-yy) c 0
Z (hhmm) 0: E-rn MW-55-24-(014) 4.lullo 1t10g N N GW Y N 1 1 1 1 1 2 Liter Poly MW-55-35-(013) t.f/2-\\Jro Ht>l N N OW Y N 1 1 1 1 1 2 Liter Poly MW-55-54-(014) '-i 12-1 Ao 135~ N N OW Y N 1 1 1 1 1 2 Liter Poly I TAT Requested; Normal:./ Rush: Specify: (Subjc<t to SUleh",!;c) IFax Results: Yes I - (No ) Circle Deliverable: C of A I QC Summary i Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any bzown hazards applicable to these samples? If so, please list the hazards Samole Collection Time Zone ~ Pacific Central Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (SI!;Iled) Date Time Received by (signed) Date Time GEL PM: ERlNTRENT 1'VvV-~~ ~ J 7-\\ Ito J9-15 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 Cllstody Seal 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.'\\.= Sulfuric Acid, AA= A.. comie 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 Chain of Custody and Analytical Request GilL Laboratories, LLC Project #: Enterav License Renewal Proiect 2040 Savage Road GEl. Q,lote #: GELP07-0628
- See www.geLcom for GEL's Sample Acceptance SOP**
Charleston, SC 29407 cae Number (I): GEL Work Order Number: Phone: (843) 556-8171 PO Numher: 50013510 F3X: (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 .~ 11.1 -ti <-- Preservative Type (6) .;..c ~ "C.!:! " 1 E~ f Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ : e w.; Comments Collected by: Client Send Results To: Patrick Donahue e c:\\l Note: extra sample is 1; 11.) ~ a:l required for sample specific
- Time w
- Date Collected of t'
= rn QC Collected QCCodc Field Sample = rn Sample ID ~ = 0 (Military) l') Filtered I*Il Matrix <oil U "B ... For composites - indicate start and SlOp darei/jrne (mm-dd-yy) (hhrom) 0 0 a: MW-55-24-(OBOl) 41u Ito Ho~ N N OW Y N 1 1 500 mlPoly MW 35-(OBO 1) Lflu /10 \\'1b\\ N N OW Y N 1 1 500 ml Poly I MW-55-54-(OBOl) ~ I~ ItO I?:,S(P N N OW Y N 1 1 500 rnl Poly TAT Requesled: Nonnal: ./ Rush: Specify: (SubjQC\\ 10 Surtblltgel I Fax 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? Jfso, please list the hazards I Samole Collection Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquisbed By (Signed) Date Time Received by (signed) Date Time Cheryl Duffy 1Cv-0.. ~ GEL PM: \\ tilUAo ISc..fS ~~ (r;;4s 1 SEi:.uff S,--rDl2ilut tf[uUO Method of Sbipment: FEDEX Date Shipped: 2 0 V 2 Airbill #: 3 3 AirbiU#: \\ .... L r ~ ~, )uplicale Sample. G= GTab. C= Composite For Lab Receiving Use Only Custody Seal Intact? ,I, SL=Sludge, SS=Solid Waste, O=Oil, F=Filter, l'>Wipe, U=Urinc, F=Fccal, 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterov License Renewal Project 2040 Savage Road GEL Quote t: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (11: GEL Work Order Number: Phone: (843) 556-8171 PO Number: 5001 351 0 Fax: (843) 766-1178 Collected 1-:" Chl Me, 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)
- ; t g ~~
~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 c .5 til., e ~ Comments c Collected ;~i. ':'lient Send Results To: Patrick Donahue e o:! Note: extra sample is '0 (1) ~ CO rcquired for sample specific' .... Time 'Date Collected ~ ~ e if) QC Sample ID Collected QCCod. Field Sample . if) ~ c 0 (Mllitlry) (l) Filtered tTl Matrix (.) i u .,..I; or composites - indicate starr and stop dare/time (mm-dd-Y)') (hhmm) c:> MW-I07-(GBOl) 4 b:z.-Jrv to II N N GW Y N 1 1 500 mlPoly TAT Re ~uesled : Normal: ,f Rush: Specify: (SI1bjcc. to Sur<hotge) IFa.x 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? ljso, please list the hazards SamIl.le Cllllection Time lime ~ Pacific Central Other ---- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquish. d dy (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl Duffy l~ ~~.~ lf/~2AIi) 1446 1 ~rLr; STDQ.A!-:2G tl/nhv 144.l? Method of Shipment: FEDEX Date Shipped: 2 U U 2 Airbill#: 3 3 Airbill #: 1 ) Chain ofC'"<1O<iy 'lumber - Client Determined For Lab Receiving Use Only
- 1) QC Codes:
~,~., N"rmal 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 matrices, indicate with a Y - [or yes the sample was field filtered OF-N - for sample was not field filtered Custody Seal Intact?
- 4) Matrix Codes: D'VoDrinking Water, G~'-Croundwater, SW=Surface Water, WW=Waste Water, W=Watcr, ML~Misc Liquid, SOoSoil, SD=Sediment, SL~Sludge, SS-Solid Waste, O=Oil, F=Filtcr, l'=Wipe, U=Urine, F=Fecal, l'I"'Nasal YES NO
- 5) 'ample Analysis Requesled: Analytical method requested (i e. 8260B, 6010Bl1470j\\and number of containers provided for each (i e 82608-3, 60JOB/7470A -1)
Cooler Temp:
- 6) Preservative Type: HA~ Hydrochloric Acid, Nl ~ Nitric Acid, 511= 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 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Man Prog 2040 Savage Road GEL Quote#:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, se 29407 coe Number 'li: GEL Work Order Number: Phone: (843) 556-8171 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 ~ "C.!:! '-1 g ~:g 5 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 cij :: 8 ~ 't:: 2 's ~ Comments c Co\\1ectedby C8,IVlJS ~ u 0 Note: extra sample is Send Results To: Patrick Donahue 0'1 e; 0-l ~ E required for sample specific 'Dale Collected
- Timc
~ c § 0:1
- l Collected Field Sample g!
E .~ QC Sample ill QCCod. ~ c E (Military) (2) Filtered (l) Matrix (4) .S i:i. ~ 0 (mm-dd-yy) ~ 0:1 ,-F(.* romposiles - indicate start and stop datdlime (hhmm) ~ 0 Ci5 MW-J;' 7-(009) 4 f12.--Jto 1011 N N ow y N 1 1 1 1 2 Liter Poly TAT Requested: Normal:./ Rush: Specify: (Subject to Surcborge) IFax Results: Yes / Go-:> Circle Deliverable: C of A I QC Summary I Level I I Level 2 I Level 3 I Level 4 Remarks: A f'f! there any known hazards applicable to these samples? If so, please list tile haZJIrds SamDle Collection Time Zone ~ Pacific Central 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. ~- 41221lu rL1LLL)_ 1~(lt;;S7oQA-6f-4/~.ht> I'-ILl5 Method of Shipment: FEDEX Date Shipped: 2 () 2 Airbill #: 3 3 Airbill #: I.) Chain o[C", '-"': Nwnber 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<>rnp<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=Surfacc Water, WW=Waste Water, W=Water, ML=Misc Liquid, S():Soil, SD=Sedimen~ SL=Sludge, SS=Solid Waste, O=Oil. F=Filtcr, P=Wipe. U=Urine, F=FccaI, 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: HA= 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project t/;
- =ntergy GW Mon Prog 2040 Savage Road GEL Quote #
- See www.ge1.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COCNumil<:, (\\': GEL Work Order Number: Phone: (843) 556-8171 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 .~ " -= <- Preservative Type (6) -=.Q ~ ""CI ~., 1 ~~ 5 fiJ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c ~ c 0-, r.rJ ... 5 c 8 ] (/J M c
- -£ Comments Collected by: 6&)M~
~ <.l 0 6 Note: extra sample is Send Results To: Patrick Donahue M
- 4) 00-
~ c
- 0
- 0.
(/J E M required for sample specific
- Time
~ -= OJ
- I
'D 'Date Collected ~ e E E .~ "0 QC Sample ID Collected QCCod. Field Sample ~ =
- I
- t; c
E ..;.( (Military) (1) Filtered 1>1 Mani.x{") "3
- -8 0
U d .J::
- ?'or romposilcs - indicate start and stop date/time (mm-dd-yy)
(hhmm) ~ ~ ~ 0 (/J Z 1-0 MW 26-(020) Lf/~~lto l'il11.. N N GW Y N 1 1 1 1 1 2 Liter Poly MW 42-(020) 411.:~/IO Iz.t ~O[ N N GW Y N 1 1 1 1 1 2 Liter Poly MW 65-(020) I L.f1t-01to IS-I. N N GW Y N 1 1 1 1 1 2 Liter Poly TAT ReJufOsted: Normal: ./ Rush: Specify: (Subject to Surchargc) I Fax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level 1 I Level 2 I Level 3 / Level 4 Remarks: L re there any known hazards applicable to these samples? If so, please list tile hazards Samole Collection Time Zone Eastern) Pacific Central Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquishe( i~ V (Signed) Date Time Rc<<iv"", by (signed) Date Time GEL PM: ERIN TRENT If AA---J: ~A/\\.- ~ L.//lbiL() ItJl4S l<.t;r 1.t.U. s.-(O Q.,~r; ~/t6!to 1(.,45'" Method ofShipmeot: FEDEX Date Shipped: 2 0 2 Airbill #: 3 3 Airbill#: ., ~.. ,~ ~.. MS= Matrix Spike Sample, MSJ)= Matrix Spike Duplicate Sample, G= Grab, C~ Composite For Lab Receiving Use Dilly 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=Fecal, 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 Chain of Custody and Analytical Request GEL Laboratories, LLC 'Project #: Enterav License Renewal Project 2040 Savage Road
- See www.geLcom for GEL's Sample Acceptance SOP**
iGEL Quote #: GELP07-0628 Charleston, SC 29407 'coe Nurnbn II): GEL Work Order Number: Phone: (843) 556-8171 po Number 50013510 Fax: (843) 766-1178 Collected bJ. U"M(S Phone#: (914) 736-8405 Sample Analysis Requested (S) (Fill in the number of containers for each test) Pro j ectiS it*; "l" "me: Indian Point Energy Center Fax#: (914) 734-6247 .~ 0l0I -0 <-- Preservative Type (6) -s..CI t "'C.!! 11.1 ~ E~ 5 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ :; e J: Comments = Collected by: Client Send Results To: Patrick Donahue e oj Note: extra sample is ] Q (1) ~ t::O required for sample specific ~ -= ~
- Tirnc
'Date Collected ~ ~ e QC Sample ID Collected QC Code Field Sample =: = '" (Military) (') Filtered <3 Matrix (oil Q ~ a (mm-dd-yy) U
- For composites - indicate start and stop date/time (hhmml
~ Q d =: 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 I 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 ~I O".her ---- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquishd 8y (Signed) Date Time Received by (signed) Date Time Cheryl DuffY i:'~~~ L/f'l6/'D GEL PM: t{)tA., l~q5" I 5tf 1.1 R.£ '--rD~M£ '-I h~ It 0 Ifo't5 Method of Shipment: Date Shipped: FEDEX 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 Custody 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
Pa.ge: 1 of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Man Prag 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 CDC Number (1): GEL Work Order Number: Phone: (843) 556-8l71 PO Number: 50013510 Fax: (843i766-1178 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 -i:i <- Preservative Type (6)
- ..c
- at
"'CI ~ II ] e-=! .~ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 -= ~ = C/J 0\\ ~ l1l'i 5 8 l! C/J Comments = Collected by: U,"" B> 8 u 0 Note: extra sample is Send Results To: Patrick Donahue U 0\\ =
- r::
- 0.
~ ~ C/J E ~ ~ required for sample specific tTime 8 o:l
- I
'Date Collocted .~ ~ e a Sample ID Collected QCCode Field sample " co: =
- I QC
= = ~ (Military) (l) Filtered (1) MIUri~) = .0: ]
- -8 0
u ~ For' composites - indicate start and slop date/lime (mm-dd-yy) (hhmm) ell =,:: c:; co: 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 10 SURhargc) !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 ~ 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~La....---., - ~~{tb 154'5 l~Jl.£ ~()~6 4iZld,o i.1::;q; FEDEX Method of Shipment: Date Shipped: 2 D U 2 Airbill #: 3 3 Airbill #: ,\\ r"L_' ,~ ~.. - MS= M.atrix Spike Sample, MSD= M.atrix Spike Duplicate Sample, G= G1"ab, C= Composite For Lab Receiving Use On~y for sample was noL field fillered.. Custody Sea/Intact? ~Water, M.L=Misc Liquid, S(FSoil, SD=Sedimeot, SL=Sludge, SS=Solid Waste, O=Oil, F=Filler, 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
Page: I of J GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterav Ucense Renewal Proiect 2040 Savage Road GEL Quote #: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP" Charleston, SC 29407 COC Number (l ':
GEL Work Order Number: Phone: (843) 556-8171 PO :\\umber: 50013510 Fax: (843) 766-1178 Collected by' CbIM~ 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) ~..!! G.I 1 ~~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ c In... 8 c ~ Comments Collected by. Client Send Results To: Patrick Donahue e ~ Note: extra sample is ] ~ - CI.l s Il ~ required for sample specific
- Time
~ -= 1
- I' "Dale Collected
.~ QC Sample ill Collected QCCode Field Sample I': (Military) (') Filtered (11 Matrix (./01 ] 0 U
- For composiTes - indicate start and stop dare/time (mm-dd-yy)
(hhmm) s ell ~ 0 B-l-{GBOl) O~123ho lb44 N N GW Y N 1 1 500 m1 Poly J TAT Requested: Normal:./ Rush: Specify: (subJec.t to Surdl"'l:e) IFax Results: Yes / ~ Circle Deliverable: C of A / QC Summary / Level I / Level 2 I Level 3 I Level 4 Remarks; Are there any known hazards applicable to these samples? ljso, please list the hazards ISample Col/wion Time Zone Eastern) Pacific "CeiWiI Other ---- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Tin,c Received by (signed) Date Time GEL PM: Cheryl Duffy t~ J i3~ ___ ~~ 4hlRi m (9/s I t:.:F/ ~ .~ E: ~ -rf)Q.JJ,I... ~ t/(up/, c;> IS~s" Method ofShipmeot: PEDEX Date Shipped: 0 - D 2 2 Airbill#: 3 3 Airbil1#: 1 ) Chain of CU.( [00: Number - Client Determined For Lab Receiving Use Only 2.) QC Codes. !; - Normal Sample. TB = Trip Blank. fD' Field Duplicate. EB = Equipment Blank. MS> Matri, Spike Sample. MSD= Matrix Spike Duplicate Sample. G> Grnb. C= Composite 3.) Field Fi!terl:;l~' F~1r liquid matrices, indicate with a Y -for yes the sample was field filtered 01'- N - for sample was not field filtered. Cuslody SeallnlaCI?
- 4) Matrix Code' U\\\\cDrinlJng Waler. GW<Groundwaler, S~=Surface Waler, \\"Waste W~r, 'Waler, MI.=Misc Liquid, S()OSoil, SD=Sediment, SL=Studge, S!f'Solid Waste, (FOil, y.oFilter. P=Wipe, U=Urine. y.oFeeal,l'I"'Nasal YES NO
- 5) Sample Analysis Requested Analytical method requested (i e 8260B, 6010Bl7470jland number of containers provided for each (i.e 8260B-3, 6010B/7470A - I).
Cooler Temp: 6 I Preservative TylX' HA~ Hydrochloric Acid. Nt - Nitric Acid, 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
Plge: J of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entercv License Renewal Proiect 2040 Savage Road GEL Quote #: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (1,: GEL Work Order Number: Phone: (843) 556-8171 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) -=.c ~ "0 ~ "" g e~ e Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ := 8 * .~ Comments Q ro Collected ly Client Send Results To: Patrick Donahue Note: extra sample is Q Q) 0:1 rcquired for sample specific Q
- Time
.c 'Date Collected 1 E = (/) QC Sample ill Collected QCCode Field Sample = (/) -<
- 0 (Military)
(ll Filtered (ll Matrix (01) U ] .. For composites - indica.te start and SlOp date/lime (mm-dd-yy) (hhmm) ~ Q (j E-o E-o MW-63-18-(OBOl) 41wlto 11~z.z-N N OW Y N 1 1 500 ml Poly I 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*j{V4ho 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 163-(OBOl) yhwho HW N N OW Y N 1 1 500 ml Poly MW-63-174-(OBOl) I'-liuo/,o '1't2-~ N N OW Y N 1 1 500 ml Poly TAT Requested: Normal: ./ Rush: Specify: (Subject to Surcharge) IFax Results: Yes / ~ Circle Deliverable: C of A / QC Summary / 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 ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Tin", Cheryl Duffy GEL PM: l~g~~ c..lflkllO 19-/S I ~ eE SJci-Ar-" b 4 ruo 1[0 ISlfs; Method of Shipment: FEDEX Date Shipped: 2 0 C....J 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..
Custod), Sea/Intact?
- 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Mon Prog 2040 Savage Road GEL Quote #: uSee www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 CO(' Number (I): GEL Work Order Number: Phone: (843) 556-8171 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 .~ Gi -i:i <-- Preservative Type (6)
- ~ t
~ E~ 5 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = B <JJ 0-, c O§ <JJ Comments Collected by: U I M:Bo e u 0 Note: extra sample is Send Results To: Patrick Donahue ] ~ OJ 0-, c
- I:
0-c ~ tn 5 required for sample specific ~ ~. '--' 'Time
- I
~ e S
- Dale Collected
~ ~ S 'p QC Sample ID Collected QCCode Field Sample =
- I c::
c S (Military) ~I Filtered (.1) Matrix C'-' 0 U .. 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 1 2 Liter Poly MW-63-34-(013) 41ZJpl ~I) I?'~\\ N N GW Y N 1 1 1 1 2 Liter Poly MW-63-S0-(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-(OI3) 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 ~W-63-163- (013) Lf/zvho Jttbo N N GW Y N 1 1 1 1 2 Liter Poly MW-63-174-(013) ILl I~fto H1-~ N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ,/ Rush: Spt(:ify: (Sub)<<1 to Surcharge) I Pax Results: Yes / ~ 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 I ~amDle Collection Time Zone Eastenv Pacific Geiiiml Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Si!;Jlcd) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I ~'~~ 'i(21n{' 0 J5~ C; i,')ECul.c Sfi>QAbC 4/v.,l!o 1.c:,4S Method ofSltipmeot: FEDEX Date Shipped: 2 6 () 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) Malri. Cod"; OW-Drinking Waler. GW=Groundwater. SW=Surface Waitt, WWoWaste Water, 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 Thiosulfate, If no pr.. ervative is added ~ leave field blank.
C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: J of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterov License Renewal Proiect 2040 Savage Road GEL Quote '1: GELP07-0628 uSee www.gel.com for GEL's Sample Acceptance SOP** Charleston, SC 29407 coe Number (I ' : GEL Work Order Number: Phone: (843) 556-8171 po Number 50013510 Fax: (843)766-1178 Collected by: ~ \\ 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! ~ <-- Preservative Type (6)
- ~ ~
] ~~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .z: s C ~ til.. e 1 Comments Collected by: Client Send Results To: Patrick Donahue "= ro Note: extra sample is ~ 0 til ~ required for sample specific ~ ft.
- Time
'Dale Collected ~ e en QC Sample ID CoHeeled QCCode Field Sample 1>1: ~ en c 0 (Military) (ll Filtered (ll Marrix(.I) Q U
- For composites - indicate start and SlOp date/time (mm-dd-yy)
(hbmm) c ~ <.::) 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, ~,u~Sled: Nonnal:./ Rush: Specify: (Subject loSurclw}: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 "-710wn hazards applicable to these samples? If so, please list the hazards ISamnle C'""lIection Time Zon~ Eastern) Pacific GeiiiIal Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time Cheryl Duffy tJ(?"r (I 0 GEL PM: l/A/'L I/-..~ liS5 I St"a-tt2 t C;-;-o {2 A-6~ tf/77/to (755 Method of Shipment: FEDEX Date Shipped: 2 U 0 2 Airbill#: .1 3 Airbill#: , \\ r'-... :... ~~-r.. ~.,~...... 1 ** t.._~ _.... 1: __ * "' __ For LAb 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
I Page: I of I GEL Chain of Custody and Analytical Request OEL Laboratories, LLC I Project #: Entergy GW Man Prog 2040 Savage Road IGEL Quote #
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 ICOC Number (I): GEL Work Order Number: Phone; (843)556-8171 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 -= Ilol -a <-- Preservative Type (6) -=..c t "C.!! ILl "& e~ ~ r-, 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c ** r/J 0\\ U':l .. ::3 S ] ~ Comments = Collected hy: CAS I ~ (b. 8 0 Note: extra sample is Send Results To: Patrick Donahue 1 '0 M <Ll 0\\ tS
- 0.
r/J § required for sample specific ~ ~ -Time "Dale Collectod E E Sample ID Collected QCCode Field Sample ~ =
- l E
QC c § 0 (mm-dd-yy) (Milit... y) (2) Filtered {l) Matrix{") U .. F.:Jr ('omposiles - indicafe start and stop dute'time ~ -0 0 (hhmm) f-r/J MW-37-22-(OlS) 4/1,,"1 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) ih'/'O ,1.4-:; N N GW Y N 1 1 1 1 2 Liter Poly MW-37-57-(018) HfL..-1 I'D ~l~ N N GW Y N 1 1 1 1 2 Liter Poly TA T Rcqu~led : Normal; ./ Rush: Specify: (Subjc:d to Surchlu-!le) IFax Results: Yes / CN2> Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any know" hazards applicable to these samples? If so, please list tile IIazards Samole Collection Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished Jy (SiSlltdi Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I~ M -" ~ q I 'l. -"r~ 1155 1..%/ LdZ ~TOelt6tS 4/-z'"1I,o 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= Ma!rix Spike Sample, MSD= Malrix Spike Duplicate Sample, ~ Grab, C~ Composite
- 3) Field Fih~ed Fo. liquid matrices, inwcale with a Y -fol yes the sample: was field filtered 0':' N - for sample was not field filLen: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, ~ i l, F~Filter, I"'Wipe, 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~ 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 Chain of Custody and Analytical Request GEL Laboratories, LLC I Project #: Enlergy_License Renewal Prolect 2040 Savage Road GEL Quote #: GELP07-0!;i28
- See www.gel.com for GEL's Sample Acceptance SOp**
Charleston, SC 29407 COC Number ( 11: Phone: (843) 556-8171 I GEL Work Order Number: PO Number 50013510 Fax: (843) 766-1178 Collected by: C6i M!'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 .~ 41 -D <- Preservative Type (6)
- .D
~ "'CI ~ GJ g E~ ~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c ~ c ell." e.. Comments Collected by: Client Send Results To: Patrick Donahue ~ <<l Note: extra sample is e d) ~ ~ o:l required for sample specific ~
- i.
~
- Time Z>
-Date Collected 5 ~ Sample ID Collected QC Coc!e Field Sample ~ g QC F"11!<red ll) Matrix 1.11 e ~ 0 (Mmtary) ~ '" For composites - indicate start and J/Op date/time (mm*dd-yy) (hhmml ~ 0 l-t- MW-36-24-(GBOI) 04/28/10 1414 N N OW Y N I I 500 ml Poly MW-36-41-(GBOI ) 04/28110 1358 N N OW Y N 1 1 500 ml Poly MW 52-(080 I) 04128/10 1546 N N OW Y N 1 1 500 ml Poly TAT Requested: Normal: ./ Rush: Speciry (SubJo.ct '0 SUI.barge) 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? 1/ so, please list the hazards Sam ole Collect.on Time Zone ~ Pacific CenlraJ Other - - - Mountain / Chain of Custody Signatures Sample Shippjng and Delivery Details ~!'Iwsn~BY (Signed) Pale TIme Received by (signed) Date TIme GEL PM: Cheryl Duffy Ih~ /. ~d ~0412f?/)O S£Cur2.E ~ 04/Zq/IO \\710 \\710 lS~~GE Method orShipmenr: I'EDEX Date Shipped: ~ r - 2 Ailbill#. 3 3 AtlbUI #; 1 ) Chain of Custody Number - Client Determined For Lab Receiving Use On~v 2 ) QC Codes N- '1.nnal S>mple. T8 TIlP Bbnl.. FD - Field Duplica.e. ED k Equlpmcnl Blank, MS - M>1n. SplkcS.mple. MSD ~ M.,n, Spike Duph",t.S.mple, G - Grnb. C ~ Composi.e
- 3) FIeld Frlterod For liquid mII.nce<,.ndia.e Wlth a -y. ror rl$lhe sample _ field r.lltfod or -N -rot sample wu no. r,*.ld filtortd ClIslody Seallntaer?
- 4) Mlltno Codl$ DW~Dnn1una Wiler, CW..cround~h:', SW' Surface ""..... W\\V-W..... WI,.,. "'. WIW, ML-,"',se t.,quld, SO-SO,I, SlPS<d,mtnl, SL~Sludge. 5S-SOlid Waste. (FOil. F~F i lter. J'oWipe, U=Urine. F~Fecal. N~Nasal YES NO S I s>mple...... 1)'0,. ReqUC>Jed Anal)'1lal mOlhod leqUO$IC<f (1.826GB, 6010et7470A) and numberofcon.. onc:tl proVided forooeh (I ~ 81MJfi - J, (.oIOH '-17M* I)
Cooler Temp: 6 I l',eservronve T>'P" HA - Hydroclrlo". "<td, NI - Nit". "d6. SH - Sodium HydlO.. de, SA - Sulrune ACid. fI.A - Asoolbl.lwd, II X ~ II.,...,., ST Sod,um Thlosulr.te. Ifno preservative is added = leave field blank C WHITE = LABORA TORY YELLOW = FILE PINK = CLIENT
Page; 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #; Enterg~ GW Man Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
\\harleslon. SC' 29407 toe Number (I): GEL Work Order Number: Phone; (843) 556-8171 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) Proje,ctlSite Name: Indian Point Energy Center Fax #: (914) 734-6247 .~ u -c <-- Preservative Type (6) -=.c ~ ~ !~ r Vi <0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 VJ ... e .~ 0- ~ S ~ Comments M(3 'J 0 Collected by: Ct3. Send Results To: Patrick Donahue ~ ~ M a-Note: extra sample is 0
- s c..
~ rn E required for sample specific ~
- Time
~
- l
-i e E
- Dale Collected Collected QC Code Field Sample
~ =
- l E
E QC Sample ill = E filtered Pl M3.trix,q 0 (mm-dd-yy) (Militor)") V c
- C
~ l-
- For romposites - indirme slaH and slop dalcltime c
~ 0 (bhmm) 0:: J0-E- rn 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: Specify; (Subj<<t to Surtb.rgej I Fax Results: Yes I - (No :> Circle Deliverable: C of A I QC Summary i Level I I Level2 I Level 3 I Level4 Remarks: Are there any known hazards applicable to tlrese samples? If so, please list ti,e l,aZllrds Sample Colleaton Time Zone ~ Pacific Central Other --- Mountain Chain of Custody SiRn31ures Sample Shipping and Delivery Details ~BY (Si~ed) / -b.. Date Time Received by (siJ!ll<d) Date Time GEL PM: ERIN TRENT 5FCUrZE!> (; r (VI'* N/~ /a o4 12~ /,o \\7 10 IS lb rzAG£ 04 2.~ 10 \\710 Method of Shipment: FEDEX Date Shipped: 'tf ~ - v - ./ ) 2 Airbill #: 3 Airbill #: For Lab Receiving Use OIl~l' Custody Seal Intact? /=Wipc. ~Urine. F=Fecal. N=oNasal YES NO Ccoler Temp: ~ leave field blank (' WHITE = LABORATORY YELLOW = FILE PTh'K = CLIENT
Page: ___ 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg:::l GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 coe Number (II: GEL Work Order Number: Phone: (843) 556-8171 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 .'!! <u-c; <-- Preservative Type (6) .; -= ~ "'C.!! G.I g ~~ E en 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ :i 8 0<, c e-i ~ Comments Collected by: M. Britos I e. 6 u 0 Note: extra sample is Send Results To: Patrick Donahue i ~ M <l) 0<, =
- r:
Po. ~ tZJ § required for sample specific ~ "3 ~
- Time E
E "DaLe Collected Collected QCCode Field Sample ~ ~ = E ~ QC Sample ID ft C ~ (Military) (2' Filtered (~ Matrix (4) = ~ "3 0 (mm-dd-yy) U f5 ... For ('omposiles - indicate start and stop date/time (hhmm) = 0 if.i MW-32-149-(017) pt, 29/10 \\350 N N GW Y N 1 1 1 1 2 Liter Poly I MW-32-173-(015) b4 2~ '0 \\545 N N GW Y I N 1 1 1 1 2 Liter Poly I MW-32-190-(019) K:J4 r2&> /0 \\551 N N GW Y N 1 1 1 1 2 Liter Poly MW-32-48-(OO6) 104 2~ 10 112~ N N GW Y N 1 1 1 1 2 Liter Poly MW-32-59-(017) b4 */2S? 10 \\ \\ 30 N N GW Y N 1 1 1 1 2 Liter Poly MW 85-(020) b4t2~ )0 \\30¥ N N GW Y N 1 1 1 1 2 Liter Poly TA T R.eque~!ed: Nomlal: ,/ Rush: Specify: (Subjw to SWllhMgO) I Fax 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 ~ 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 1 f/V'..-p.2...... .~~ ql2-~\\O lilO 1 Stut(2.£ s':7o{Ulh£ '-IhK/ID ({iD 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterav License Renewal Project 2040 Savage Road GEL Quote II: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 coe Number ill: GEL Work Order Number: Phone: (843) 556-8171 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 -iii <-- Preservative Type (6) .;:.D ~ ~.!! '" ] ~~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 is :: e .5 Comments c Collected by: Client Send Results To: Patrick Donahue e ro Note: extra sample is c CI) ~ ~ CO rcquired for sample specific ~ -Time e "Dale Collected
- e
~ 'f1 QC Sample ID Collected QCCode Field Sample = 'f1 ~ ~ c 0 (Military) (11 Filtered (J Matrix('" .2 ~ (mm-dd-yy) ... For composites - indi('are star( and SlOP dare/time (hhmm) ~ ~ Cl 0:: MW-32-48-(GBO 1) t:>412~ \\10 \\ \\2.~ N N GW Y N 1 1 500 m1 Poly MW-32-59-(GB01 ) b412~r1O \\\\30 N N GW Y N 1 1 500 ml Poly MW-32-85-(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 I MW-?2-l73-(GB01 ) ~h?/,o \\545 N N GW Y N 1 1 500 ml Poly MW**32-190 -(GBOl ) 04 f2~!t c 155' N N GW Y N 1 1 500 ml Poly TAT Requested: Normal: ,/ Rush: Specify: (Subject to S\\ll"ch:n-gc) I Fax 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? Jfso, please list the hazards I Sample Collection Time Zone ~ 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 1 W\\.1.~ *1 ifJ-zgh 0 )//0 1 S{;(MIl..£~*mVAA'{'. '-Ikcstf"O Ic/o 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 Duplicale. 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.
Cuslody SeallnlaCl?
- 4) Matrix Codes DDrinl.:ing Waler. Gw-Groundwater, S\\\\"'Surfa<<; Waler, 'v\\\\=Waste Waler, '\\=Waler, ML~Misc Liquid, ~il.
S~Sediment, SL~Sludge, SlFSolid Waste, O=Oil, F=Filter,l'<Wipo, \\PUrine, F=Fecal,l\\'=Nasal YES NO
- 5) Sample Analysi, Requested AnalYlical method requested (i e. 826OB, 6010Bl7470)land nunlbeT of containers provided for each (i e 8260S. 3, 60lOBI747004 - I).
Cooler Temp:
- 6) PTeservalive 1 )llC HA~ HydJOchloric Acid, NI ~ Nitric Acid, Sit" Sodium Hydroxide. 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 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: EnterQV Ucense Renewal Proiect 2040 Savage Road GEl, Quote #: QELP07-0628
- See www.geLcom for GEL's Sample Acceptance SOp**
Charleston. SC 29407 ,COC Number (1\\ GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1178 Collected by: C (3. M (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)
- ~ t g s~
5 Address' 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = e c '3 Comments = Collected by: Client Send Results To: Patrick Donahue 8 cd Note: extra sample is ] 0 (\\) ~ ~ I=Q required for sample specific g <Date Collected
- Time
~ E '" QC Sample ID Collected QCCode Field Sample c ~ ~ = (Military) Filte.... Vt Matrix (") 0 15 '3 0 .. For composites - indkOle start and slop date/rime (mm-<ld-n) (hhmm) c ~ 0 0: MW-30-69-(GBOl) 04 2Gfl\\c \\25;- N N GW Y N 1 1 500 mlPoly MW-30-84-(GB01) .f:ilJ 2f11to I~ N N GW Y N 1 1 500 ml Poly I I TAT Requcsted: Normal: ./ Rush: Specify: (Sub)co, to Surelwsc) 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 SDJ1IDle Col/cellon Time Zone Eastern) Pacific CCiitraJ Other ---
- v!ountaln Chain of Custody Signatures Sample Shipping and Delivery Details Relinquhl\\td By (Signed)
Date Time Rcaived by (signed) Date Time GEL PM: C'hel)'J Du rry I~J ~ 4)2V1he> /5/5 tW'/'Hfl[,5:ToeAbC t.!fv,lro J5/5 Method ofShipl1l<tJ11: FEDEX Dale Shipped: 1 () U 2 Airbill #: 3 3 Ai,biD #: I ) Chain of Custody Nwnbcr - Client Dotermined For Lab Receiving Use Only }.) DC C.,.,.. N- !oIorm2l S.",ple. TB - Trip BI.. I.. fir Field Duplic;ue. EB
- Equipment Blonk. ~ts-Mouix Spike Somplc. MSD-MAtrix SpIke Oupho.ue Sample. 0- Gnb, C= Composite
- 3) I'id d F',1ed For UquJd Il\\iIlnCc:s. indleau: with. Y -for),," lI1eSllmple Waf field fihcrcdo. N -f<<Ampl...... "'" field filtered Custody Seal/llIact'!
4,) ~1Jmi~::.>dc. D\\\\I<Dnni<,"s WIIlCT. C\\\\IoQround.......... S\\,,"SunllOC W.ter, W'.... WOSl. WOLCT, ' "Water, ~1L.M\\St Liqwd. SO>S";I, SDsSodimeru. St.- Sludge, S3-Solid Waste, 0=0i1, li'-Filter, P=Wipe, U=Urinc. F=Fccal,l\\'=Nasal YES NO 5.) Sampi<... nalysos Rcq... tcd -"."IYliC&! method,cq_II,d (t c 82608, 6010Bl7410)\\,'U.dnUJ1lbcr or coruniOCfS proVIded rOfcacli (i c. 41608-3, 601(JBfl47(J,~
- I)
Cooler Temp: 6.) Pre.cn f)'e Type HA~ Hydrodtlaric Acid. I'll - Nitric Acid. S"" Sodium Hydro>ride. S,,& Sulfunc... cid, AA-IIICo,tll. Acid. HX~ He.. nc, ST - Sodlum TbiCliluICOIc.lf no preservarive is added = leave field blank C WHITE = LADORA TORY YELLOW = FILE PINK = CLIENT
Page: I of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Man Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOp**
Charleston, SC 29407 COC Number (11: GEL Work Order Number: Phone: (843) 556-8171 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) -=.CI ~ "C..!:! l1li g s-=2 E en 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c * = 0\\ en WI 8 = S ~ ~ Comments Collected by: M. Britos IcC? ~ u 0 Note: extra sample is Send Results To: Patrick Donahue ~ 0\\ b 0- ~ rn E required for sample specific ~
- Time
.0 E 0:1 .2 'Date CoIJceLed .~ e ~ ~ a QC Sample ID Collected QCCode Field Sample = -g c:: = E (Milita.y) (ll Filtered ()) Matrix (4) ] 0 (mm-dd-yy) \\.I 0:1
- For ('onrposiles - indicate sfart and slop date/rime 0
(hhmm) f-l- E-rn MW-30-69-(031)
- >4 2.'1 110 '25S N N
GW Y N 1 1 1 1 2 Liter Poly MW
- 30-8~(022) 04 7,..'1/ rD l~ilO N
N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ,/ Rush: Specify: (Sub.ica to Sun:lwge) ! Fax Results: Yes / - ( No :> Circle Deliverable: C of A / QC SumntaJ), / Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any known lIazards applicable to these samples? If so, please list tile hazards Sam ole Collection Time Zone Eastern) Pacific centiil Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details R.clinquish.d By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I~~~ 4h.C1{ I D J96 l$t:ui2 6 S70~A6c-4(Z-CZ/fD /5/15 Method of Shipment: FEDEX Date 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~ Ascmbic 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterav License Renewal Proiec1 2040 Savage Road GEL Quote #: GEI.P07-061 8
- See www.gel.com for GEL's Sample Acceptance SOp**
Charleston, SC 29407 coe l\\:umber (I): GEL Work Order Number: Phone: (843) 556-8171 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)
- ~ ~
g e~ ~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ : e of Comments Collected by: Client Send Results To: Patrick Donahue ~ ro Note: extra sample is '0 - ~ Q) CO rcquired for sample spccific ~ u
- Time "Date Collected
- i
~ E til Sample ID Collected QCCode Field Sample I>: = til QC c 0 (Military) (l) Filtered(} Matrix (4) U
- For composites - indicate stan and SlOp date/rime (mm-dd-yy)
(hhmm) -0 0 I>: MW-58-26-(GBOl) (~4/3c/1 0 \\~12 N N GW Y N 1 1 500 ml Poly MW-58-65-(GBOl) p4/~o{ 10 135' N N GW Y N 1 1 500 ml Poly TAT Requested: Normal: ./ Rush: Specify: (Subject to SurCharge) I Fax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Level I I Level 2 i Level 3 / Level 4 Remarks: A re there any known hazards applicable to these samples? If so, please list the hazards Sample Collection Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Datc Tin,e Received by (signed) Date Time GEL PM: Cheryl Duffy LWvt~ t.f{3bJ iT'. J4L/6 I QX.u ~e:..s. r~b';- t./ ( 3l> Jr1> ) '-f4~ Method of Shipment: FEDEX Date Shipped: 2 0-U ? 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=Siudgc, SS=Solid WllSite, O=Oil, F=FiirCf, P=Wipc, U-Vrine, F=Fecal,l'I"'Nasai YES NO
- 5) Sample AIla!ysis Requcsted Analytical method requested (i e 82608, 6010Bl7470)land number of containers provided for each (i e 8J60B-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 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Projtcl #: Enterg~ GW Man Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number 01, GEL Work Order Number: Phone: (843) 556-8171 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 -= <-- Preservative Type (6) .;..Q t -= ~ Q.I ] E~ 5 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ :: S [/J 0\\ S [/J Comments 1l Collected by: C. 6) M & e u 0 Send Results To: Patrick Donahue ] ~ (!) 0\\ Note: extra sample is ~ 6 Po = CZl § required for sample specific:
- Time
~ ~ § °DateCoIlc:cted 0= e E .~ QC I Sample ID Collected QC Cod. Field Sample = .9 ~ ~ 0 (Military) (21 Filtered (J) Matrix (-4) U E5
- Por ('omptJsj/cs - indicate start and stop date/time (mm-dd-yy)
(hbmm) CO! "0 d [/J MW-58-26-(OlO) )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 RC<luested: Normal:./ Rush: Specify: (Subjttl to Surcharge) IFax Results: Yes ! ~ Circle Deliverable: C of A ! QC Swmnary ! Level I ! Level2 ! Level 3 ! Level4 Remarks: Are there any know" haZ/lrds applicable to these samples? [Iso, please list the hazards Samole Collection Time Zone ~ 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 10A-..l ~l '-II ;2))/'0 L445 I ~ tl-t; >{c>r2.Abf; ifl?V1 to 14'1 b Method of Shipment: FEDEX Date Shipped: 2 a 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 I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #; Entergy GW Man Prog 2040 Savage Road GEL Quote #: "'See www.ge\\.com for GEL's Sample Acceptance SOP"' Charleston, SC 29407 COC Number Ill: GEL Work Order Number: Phone; (843) 556-8171 PO NtJmbcr: 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 ii <-- Preservative Type (6) £'..CI ~ 'C.!! Q.I ~ i~ 5 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 rIl !ill e .5 (/l 't:: s S2- ~ ~ e -.0 Comments Collected by: c.bl\\vt& 0 ~ Note: extra sample is Send Results To: Patrick Donahue ] - ~ <1.) 0- =
- S-
- o.
c ~ (/l § required for san1ple specific ~ -.0
- Time l:'
oj E E "Date Collected ~ ~ E .~., QC Sample ID Coll<cted QCCode Field Sample = .g c ~ (MIlitary) (n Filtered (l) Matrix(") = '3 e (mm-dd-yy) U .0: Z
- For composites - indicate start and Slop dale/lime (hhmm) c
= E-- 0 V5 MW-50-42-(021) o"\\/~fto l?-~ N N GW Y N 1 1 1 1 1 2 Liter Poly MW 66-(026) Id-t/w/lo H1V N N GW Y N 1 1 1 1 1 2 Liter Poly TAT Requested: Normal; ,/ Rush: Specify: (Subject to Surcharge) I Fax Results: Yes f G0 Circle Deliverable: C of A f QC Summary f Level I f Level 2 f Level 3 f Level4 Remarks: Are there any knowlI hazards applicable to these samples? If so, please list the hazards Samnle Collection Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time ERlNTRENT li'~~~~ GEL PM: ~h.DJ'i7 J44~ IStc.ue.P S70a.Abc '-/130/tO 1L/4~ Method of Shipment: FEDEX Date Shipped: 2 0 (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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterav license Renewal Project 2040 Savage Road GEL Quole#: GELP07-0228
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC l\\umber : GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1178 Collected by: Ch,V\\.t\\ \\2:7 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 <-- Preservative Type (6) oS,Q t "C ~ '" ] s-~ 5 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c 0 = ~.. e .5 Comments c Collecled by: (']ient Send Results To: PatriCk Donahue e ro Note: extra sample is ~ 'c - Q) ~ 0:1 required for sample specific
- Time
~
- Date Collected
.~
- I E
rJl QC Sample ID Collected QCCode Field Sample 0: = rJl c (Military) ") Filtered{l) Matrix (.&1 c S a u
- For composites - indicOle searl and stop date/time (mm-dd-yy)
(hhmm) c c d MW-50-42-(OBOl) 0;13,0/1 0 \\1.3-\\ N N OW Y N 1 1 500 ml Poly MW 66-(OBO 1) O~ (WILD 1'41£ N N OW Y N 1 1 500 ml Poly TAT Requesttd: Normal: ./ Rush: Specify: (Subjw to Surchor&c) I Fa...: 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 Sam Die Collection Timc Zone Eastern) PaCIfic CCiiimI Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Tin\\c Received by (sisned) Date Time GEL PM: Cheryl Du ITy lVv\\......Q ~~ '1 I 3 bhCL 1'1'-15 ~~r.JA~ <:..U>~ t..t1~JLl) IIi'tb Method of Shipment: FEDEX Date ShIpped: 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, GVlbGroundwater. SW=Suriace Water, WVlbWaste WaleT, W =WateT, ~n.=M~ 1.Jquid, SO-Soil, S"D-Sc.1imcnr, S.LaSludge, ss-Solid Waste, O=Oil, F=Filter, P=Wip<, U=Urinc, F=FecaI,l\\'=Nasal YES NO 5.) Sample Anal) sis Requesled. Analylical method requested (i.e 8260B, 6010Bl7470jland number of containc<s pro';c!cd for.,.,h (l.e. 8!60~3, 6010iJ11410.~ _ I),
Cooler Temp: 6.) Preservative Type' HA~* Hydrochloric Acid, Nt ~ Nitric Acid, SH= Sodium Hydroxide. SA= Sulfuric Acid, AAr ~c Aoid. ttX-He.uonc, ST
- Sodium ThiosulfOle. If no preservative is adc!cd = leave field blank C
WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Man Prog 2040 Savage Road GEL Quote ¥:
- See www.ge\\.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Numre: ([1. GEL Work Order Number: Phone: (843) 556-8171 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/Sit, ~~~me : Indian Point Energy Center Fax#: (914) 734-6247 GoO -c <-- Preservative Type (6)
- ~ t
] E~
- 0 Address:
450 Broadway, Suite 3, Buchanan, NY 10511 ..c _ c (/l 0\\ U'l VI 8 = 0 ] (/l Comments c ~ '-' ~ ("ol1ecled by: C 6 I M 5 0 u 0 e-Send Results To: Patrick Donahue y
- 11)
Note: extra sample is "2 M 0\\ 0 ~ c.. (/l E M required for sample specific -.0 "Time c.<S
- l E
E °Date Collecled ~ E .~
- 4)
QC Sample ID Collected QC Cod. Field Sample CO ~
- l E
~ (Military) (.) Filtered (ll Matrix) 0
- B 0
C) U 0:$
- For composites - indirate start and slop daleJlime (mm-dd-yy)
~ 0 en Z (hhmm) CO f-o UI-CSS-(014) ()5/0~ho IS5¥ N N OW Y N 1 1 1 1 1 2 Liter Poly I TAT R~C. ut'Slcd : Normal: ./ Rush: Specify: (SubJOCI to SURhargc) IFax Results: Yes I G0 Circle Deliverable: C of A f QC Summary i Level I f Level 2 f Level 3 f Level 4 Remarks:,ire there any known hazards applicable to these samples? Ifso, please list the hazards Samole Collection Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinqui,hed By (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT 1/~_a ~ 5f~/fD J01D 1S£u.<.f£ SrorL/16£.>/ ~I (0 I (PIO Method of Shipment: FEDEX Date Shipped: 2 J <..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 Chain of Custody and Analytical Request GEL Laboratories, LtC Project #: Entergy license Renewal Project 2040 Savage Road GEL Quole #: QELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (Il: GEL Work Order Number: Phone: (843) 556-8171 PO Number 50013510 Fax: (843) 766-1178 COllected by: C6 I M f) 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 <-- Preservative Type (6)
- .c ~
-c..!:!... g ~:g ~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 -"
- e Ul.. e
'3 Comments e Collected by: Client Send Results To: Patrick Donahue e ro Note: extra sample is 0 - ~ (1) ~ CO required for sanlple specific
- Tirnc:
"Date Collected 1f E ~ QC Sample ill Collected QCCode Field Sample 0 6 = 0 (Military) (2) Filtered(]) Matrix (")
- c
'3
- For composites - indicate start and SlOp date/time (mm-dd-n)
(hhmm) OIl 0 0 U l-CSS-(OBO 1) (~Sl O'3}tO 15Si? N N OW Y N 1 1 500 mlPoly TAT R~ Ueslcd : Normal: ./ Rush: Specify~ (Subjl:CltoSurdwse) IFI1.'< 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 Sample Collection Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished T>: (Signed) Date Time Received by (signed) Dare Time GEL PM: Cheryl Duffy I Dr.A... Jl i~~ S/?d,O {CRlo I r:..£c,u..i.£.<:;TI)(J tA-~ F... l,;;(g,} I 0 ICR(o Method of Shipment: FEDEX Date Shipped: 2 0 U 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= Marrix 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 £i(tered Ctwody S(!JJIIIIIOCl?
- 4) Matrix Codes DWoDrinking Water, G\\,,"Groundwatcr, S\\'PSurfacc Water, W',,"Waste Water, ',,"Water, ML~Misc Liquid, SOoSoil, SD=Sediment, SL:Sludge, SS=Solid Waste, O=Oil. 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 Thiosulfate,lfno preservative is added ~ leave field blank
-- C WHITE = LABORATORY YELLOW = FILE PL'\\'K = CLIENT
Page; I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entemv license Renewal Proiect 2040 Savage Road GEL Quote #: QELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 coe l\\umber (I ): GEL Work Order Number: Phone: (843) 556-8171 PO :->umbcr. 50013510 Fax: (843) 766-1178 Collected by: U ~lV\\.b 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 -Ci <- Preservative Type (6) -= ~ ~ ~ ~~ ~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ ~ e c of Comments c Collected by: Client Send Results To: Patrick Donahue 8 ~ Note: extra sample is ~ - - 0 t!) ~ CO required for sample specific g ~
- Time
.c e
- Dat~ Collected
~ C/} QC I Collected QCCode Field Sample u ~ C/} Sample ID c (Military) '2l Filtered (l Matrix (.. ) 0 S 0 U .,. For composites - indicare start and sfOp date/time (mm-dd-n) (hhmm) 0 0 I g: f-o r MW-S4-37-(GBOl) sID/'O l'ioq N N GW Y N 1 1 SOO ml Poly MW-S4-58-(GBOl) 5/~ho IY'l.~ N N GW Y N 1 1 500 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 '-Il N N GW Y N 1 1 500 ml Poly MW-S4-1 73-(GBOl) 513(10 llLil N N GW Y N 1 1 500 ml Poly MW-54-190-(GBOl) 616110 110l N N GW Y N I I 500 mlPoly TAT R~ :qu.:sted; Normal:./ Rush: Specify: (Subjcclto Sun;hargc) 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 ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Re1inquish<d By lSiS"od) Date Tinle Received by (signed) Date Time GEL PM: Cheryl Duffy IGV'-i.~i 5!?:J.,o (Co(O 1~~57D~£ 6/'S)' ~ (folD Method oiShipnlent: FEDEX Date 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 Duptieate. EB ~ E<juipment Btank. 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 Wat<:r, G""Groundwater, SW=Surface Water, ',",Waste Water, ""Water, ML=Mise Liquid, S()OSoil, SD=Sedimen~ SL=Sludge, SS=Solid Waste, <FOil. F=Filtef, P=Wipe, U=Urine, F=Feeal, 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, Nt = 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 Chain of Custody and Analytical Request GEL Laboratories, LLC J>ro;e<;\\ It: Entergy: GW Mon Prog 2040 Savage Road GEL Quote #
- See www.ge1.com for GEL's Sample Acceptance SOp**
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 .: ~ -0 <- Preservative Type (6) -=..c e 'l:.!! &I g E~ t en 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = e 0-c 0 r--. ~ C'"> C ~ ~ Comments Collected by: Ch/I'\\I\\/'S. e ~ u 0 6 Note: extra sample is Send Results To: Patrick Donahue ~ ~ ~ 0\\ 0
- r:
0.. ~ 00 E C'"> ~ ~ '>l:> required for sample specific
- Time
~ "5 5 .g
- Date Collected a
] QC Sample ID Collected QC Code Field Sample u =
- l
~ c E (!liilitary) (>, Filtered (31 Matrix (.01) 3
- .a 0
u u .. P(lr composites - indirare start and stop date/rime (mm-dd-yy) 0 0 US
- z
(hhmm) ~ f-o MW-54-37-(013) !;/'bjlo Ii D"1 N N GW Y N I I I I I 2 Liter Poly MW-54-58-(013) e:;/;Jro l't~; N N GW Y N I I I I I 2 Liter Poly MW-54-123-(013) 5/3kc 160'6 N N GW Y N I I I 1 I 2 Liter Poly MVV-54-144-(013) fJ/2J1/7 l \\ L-\\ l N N GW Y N 1 I I I I 2 Liter Poly M\\V-54-173-(013) £0/0110 Ht.{1 N N GW Y N I 1 1 I 1 2 Liter Poly MW-S4-190-(013) qfallo iZoI N N GW Y N I 1 I I I 2 Liter Poly TAT Requcsted: Normal: ~ Rush: Specify: (SubjlX' to Surtlwge) IFax Results: Yes / ~ Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? I/so, please list the hazards Sample CollectIOn Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquishc~ Ill' (S'SJled) Date TIme Received by (signed) Date Time GEL PM: ERlNTRENT I~~~)(* A./\\ ~J3l10 Ilbl O 1~I2..c.S7o~£ 5I~,o i (; I 0 Method of Shipment: FEDEX Date Shipped: 2 0 0 2 Airbill#: 3 3 Airbill #: 1 ) Chain of Custody Number = C'lic:nt Determined For Lab Receil'ing Use Only
- 2) QC Codcs N° "ormal Samplc, TB = 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: DV¥=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 requeSled (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 I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enlerav License Renewal Proiect 2040 Savage Road GF.1. Quote #; GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC ]\\;umber (1): GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1178 C'ol1<!Cled 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) -=..c ~ "'CI.!! '" ] i~ ~ Address: 450 Broadway, Suite 3, Buchanan. NY 10511 ~ {I'J ... e ~ .~ Comments ~ 0 cd Collected by: Client Send Results To: Patrick Donahue v Note: extra sample is ~ ~ 0 Q) ~ r:o required for sample specific ~ ~
- Timc
.JO
- Da.te Collected i
- f E
Vl QC Collected QCCode Field Sample =0: = Sample ID = 0 (Military) (" Filtered (ll Matrix('-\\ U cJ
- For composile.s - jru/icale starf and SlOp dale/time (mm-dd-yy)
(hhmm) ~ l-I- MW-57-11-(GBOl) I sic*! / I 0 ll-&iJ N N GW Y N 1 1 500 ml Poly MW-57-20-(GBOl) ~/4/IO 11'1 "t5 N N OW Y N 1 1 500 ml Poly MW-57-45-(OBOl) S-/lf/IO \\~ZL\\ N N OW Y N 1 1 500 ml Poly TAT Requested. Normal: ./ Rush: Specify: (SubJcct to Surdllusc) I Fax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Levell 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 Samnle Collection Time Zone Eastem') Pacific central Other --- Moonmin Chain of Custody Signatures Sample Shipping and Delivery Details Relinquished By (Signed) Date Time Received by (signed) Date Time GEL PM: Cheryl Duffy I&v\\.J ~ '\\)/'1 It-o \\Il.-S 1 <ju-l,{jLb )IO~ 'G4<-t h 0 11-z,5 Method of Shipment: FEDEX Date Shipped: "2 T5 U 2 Airbill #; 3 3 Airbill #: 1 ...... 1._: _rro __
- _ -'
~.. - For Lab Receiving Use Only Custody Seal Intact? ~Wipe. U:Urine, F=Fecal, 1\\=Nasal YES NO Cooler Temp: ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Chain of Custody and Analytical Request GEL Laboratories. LLC Project #: Enterg~ GW Mon Prog 2040 Savage Road GEL Quote #:
- See wwwogel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (I): GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (S43) 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)
- ~ t
- c."" g e ";; ! rn 0 Address: 450 Broadway. Suite 3, Buchanan, NY 10511 ~
- c tI}
rI'!. B S IZl Comments c ~ Collected by: C6, MB-a M 0 b Note: extra sample is Send Results To: Patrick Donahue 1! <l.l 0 t; Cl. IZl E required for sample specific ~ ~ u -.0 -Time E oj
- l
- Dal<: Collected
~ E E 0';::: d) QC Sample ID Collected QC Code Field Sample =: ~
- l C
c E ~ (Milito,)") (1) Filtered (ll Matrix(") e ~ "3 0'::; 2 E5 oj
- F" r ~()mflOS;/a - indicate slarl and SlOp dale/rime (mm-dd-Y)")
(hhmm) ~ <IJ
- f.
0 - Z IZl MW-57-11-(OO6) sJ4/1O l2~ N N GW Y N 1 1 1 1 1 2 Liter Poly MW-57-20-(OO6) '5/Y/(D 112.46 N N GW Y N 1 1 1 1 1 2 Liter Poly MW-57-45-(OO7) '6/~!tD \\1J'Z.-t4 N N GW Y N 1 1 1 1 1 2 Liter Poly TAT Requesled: Nonnal: '" Rush: Specffy: (Subjt<1 to Sun:lwgc) IFax Results: Yes I GU Circle Deliverable: C of A I QC Summary i Level I I Level 2 I Level 3 I Level4 Re.marks: Are there any known hazards applicable to these samples? If so, please list the hazards Samnle Collection Time Zone ~ Pacific Central Other Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Relinquisbed By (Signed) Date Time Received by (signed) Date Ti.me GEL PM: ERIN TRENT 1/'.....AA ~ 5/~11D \\125 lo~.lJv()~o c::?;Z()-oAA~ '94 Ito llZ5 Method of Shipment: FEDEX Date Shipped: 2 0 Q 2 Airbill #: 3 ,3 Airbill #: I \\ 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: ~ leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page. J of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.geLcom for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC NLUnber (I): GEL Work Order Number: Phone: (843) 556-8171 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) ..s ~ ~ "C..!:! 101 ] E~ r 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 tij :: 8 c en 0\\ 2- ~ Comments iO Collected by: C 6 J <.) 0 Note: extra sample is M6 Send Results To: Patrick Donahue ~ Q) 0\\ 0 ~
- 0.
en 5 required for sample specific -= ~
- Time
.~ <'<I
- s E
- Dale Collected Field Sample 01 E
c=: QC Sample ID Collected QCCode c:
- s E
(Military) (11 filtercd (l) MalriX(4J 0 ~ 0 (mm-dd-yy) U
- C
<'<I
- For rOnlposi/es. indi("(1le slart lind stop dale/time (hhmm) 0:
{:. f-0 cZi MW 67 -(008) pSI 04 10 1523 N N GW Y N 1 1 1 1 2 Liter Poly MW 84-(008) bC; 04 '10 11532 N N GW Y N 1 1 1 1 2 Liter Poly MW-39-102-(008) p'5 04 'I,D fS27 N N GW Y N 1 1 1 1 2 Liter Poly MW-39-124-(008) 4~5 04 to 1232 N N GW Y N 1 1 1 1 2 Liter Poly MW-39-183-(OO8) bS\\04 Ie \\2.SI N N GW Y N 1 1 1 1 2 Liter Poly MW-39-195-(OO8) bslo4 lit': \\3\\4 N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Nom1al: vi' Rush: Specify: (Subject to Surcharge) IFax Results: Yes f G0 Circle Deliverable: C of A f QC Summary f Level I f Level2 f Level 3 f Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list tire hazards Samole Collection Time Zone ~ Pacific Central Other - -- Mountain I Chain of Custody Signatures Sample Shipping and Delivery Details R * ~SiJlll;S ) /,It c Time ) ~ ~~~~f~E D:sl~4ef 10 ERIN TRENT 7'1. GEL PM: f{g.~ 05/04 10 \\~c \\620 1/ Method of Shipment: FEDEX Date Shipped: ~.L-/ V 2 Airbill#: 3 3 Airbill #: I, r'\\.. ** :_ ~.r-.. ~.. _"".. "'I.* L__ ..... 1: _.,, __, _ ~ For Lab Receiving Use Dilly Cuswd"v Seo/ llltaci ~ ""Wipe, U=Urine, F~Feca1, N=Na<al YES NO Coo/ar Temp: = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: '--___ of ___ ---'- I'roject ;I: Entergy License Renewal Project Gel. Quote #: GELP07-0628 CDC Number (II: PO Number: 50013510 GEL Chain of Custody and Analytical Request
- See www.ge\\.com for GEL's Sample Acceptance SOP**
GEL Work Order Number: GEL Laboratories, LLC 2040 Savage Road Charleston, SC 29407 Phone: (843)556-8171 Fax: (843) 766-1178 Collected by: C 0 J 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 ~ <-- Preservative Type (6) ..c ~ C. Address: 450 Broadway, Suite 3, Buchanan, NY 10511 Collected by: Client Send Results To: Patrick Donahue 'Date Collected
- Time Sample ID Collected I QC Codel Field
~ Sample (Military) I" Filtered (' Matrix (.)
- For composites - indicare start and stop dare/lime (mm-<ld-n)
(bhmm) ~ 5 = 'B Comments ~ co;j Note: extra sample is ~ II) t j:Q required for sample specific ..c .~
- t e
<Il QC = <Il = 0 '6 u ~ ~ 0 0 MW-39-67-(GBOl) P5 0410 tS23 N N GW y N 1 1 500 ml Poly MW-39-84-(GBOl) 05 04 Ie 1532 N N GW y N 1 1 500 ml Poly MW-39-102-(GBOl)
- )~ 04 Ie \\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 ml Poly MW 183-(GBOl) c~51oLi '0 \\25 \\ N N GW y N 1 1 500 ml Poly MW-39-195-(GBOl) ~f>S /Oq 10 \\3\\4 N N GW y N 1 1 500 ml Poly TAT RequeSll'd: Normal: ~ ~ Rush: Specify: ___ (Subj<CI to Surcharg<) lFax Results: Yes ~ 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? ljso, please list the hazards Sam Ie Collection Time Zone Eastern Pacific Central Other ___ _ Mountain I / Chain of Custody Signatures Sample Shipping and Delivery Details ~inqUishCd By (SisnU Date Time Received by (siS/l"::~ Date Timl I<:Z -=---, pI I I r 5fCut2t:""'~ f 05 04 10 \\~'2o 1~(l.AGE os 04 10 r*v ~ 2 GEL PM: Cheryl Duffy Date Shipped: 'b20 IMethodofShipment: FEDEX Airbill #: 1' 3 3 Airbill#: 1 ) Chain of Custody Nwnber = Client Determin(:d
- 2) QC Codes: N= Normal Sampk. TB = Trip Blank. FlP Field Duplicato. EB = Equipment Blank. MS= Matrix Spike Sample. MSD= Matrix Spike Duplicate Sample. G= GTab, C= Composite For Lab Receiving Use Only
- 3) Field Filtt::r~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) !\\'.atrix Codes ll',,"Drinking Water. GW=Groundwater, SW=Surface Water. ",,\\kWast. Water. 'V=Water, ML=Misc Liquid, S()OSoil. SD=Sedirnent, SL=Sludge, SlFSolid Waste. ~il. F=Filter,I'=Wipe, U=Urine. F=Fecal. N-Nasal YES NO
- 5) Sample Anal),i, Requested Analytical methoo requested (i e 826OB. 6OJOBl7470)land numl>eT of containers provided for each (i e 8160~ 3,60108/7470,4 -1)
- 6) Preservative Type HA= Hydrochloric Acid. Nt = Nitric Acid, SH= Sodium Hydroxide. SA= Sulfuric Acid. AA= Ascorbic Acid, HX= Hexane, ST = Sodium Thiosulfate. Ifno preservative is added = leave field blank WHITE = LAB ORA TORY YELLOW = FILE PINK = CLIENT Cooler Temp; C
Page: I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project it: Entergy GW Mon Prog 2040 Savage Road GEL Quote.~:
- See www.gel.com for GEL's Sample Acceptance SOp**
Charleston, SC 29407 COC Num!:"T (I): GEL Work Order Number: Phone: (843) 556-8171 PO Number 50013510 Fax: (S43) 766-1178 Chcm 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 .~ IU ~ <-- Preservative Type (6)
- ..0 ~
~ &l ] i~ - 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ (/J 0-. U} <II e .~ S (I) Comments c Collected by: c.." MPL e u 0 Note: extra sample is Send Results To: Patrick Donahue "l! ~ M Q) 0-- 0 e;
- 0.
(/J § required for sample specific ~ "Time ~
- f E
ro 'Dale Collected e E QC Sample ID Collected QC Cod.e Field Sample 0:; ~ (Military) (ll Filtered (~ MatrixC"J .2 ]
- -8 0
U
- For ('omposiles - indicate start and stop dale/time (mm-dd-yy) 0 C
IZi (hhmm) a: E-< MW-52-11 -(005) 5/illo l1. J.~ N N GW Y N 1 1 1 1 2 Liter Poly MW 18-(005) l 5" /05 110 I hi" N N GW Y N 1 1 1 1 2 Liter Poly MW-S2-48-(00S) ~D51f)5 110 \\f>43 N N GW Y N 1 1 1 1 2 Liter Poly MW 64-(005) IbS '07) \\0 1252 N N GW Y N 1 1 1 1 2 LiterPoty MW-52-122-(005) ([)SlO$ \\0 \\457 N N GW Y N 1 1 1 1 2 Liter Poly MW 162-(005) bslosllc \\239 N N GW Y N 1 1 1 1 2 Liter Poly I 'II( \\247 MW-S2-181-(005) bs\\()s N N GW Y N 1 1 1 1 2 Liter Poly TAT Rl(!Uesled: Normal: ./ Rush: Specify; tSubjC<:1 to Surclu!rge) IFax Results: Yes / <:No") 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 ColleCltM Time Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details ..J By (Signed) I I Date Time ,~i~E D~5J;;'/\\O GEL PM: ERlNTRENT 10 ~ 05 /O"!J 110 J Lf--;..5 Nz.,s Method of Shipment: FEDEX Dale Sbipped: ~ ~ v~ I
- I J
Ii! 2 Airbill #: 3 3 Airbill #: 1 ) Chain of Custody Number = Client Determined For Lab Receiving Use Ollly
- 2) QC Codes N= Normal Sample, TB - Trip B~k> fDoo riele OupliQle., EB - Equipmtnt 8!onk, ~1S= Matrix Spike Sample, MSD= Matrix Spike Duplicate Sample, G= Grab, C-Composite 3 ) Fidd FiltcT<d. For liquid matrices, ind:Co'lIc with. Y - f<>r Y<$ <he,"",pIe wilS field I1ltered Of 1'/- for sample was not field filt.ered.
Custo<{v Seal Intact?
- 4) Matrix Codes* DW=Drinking Water, C\\~WlllCf. S'll'oSurface Wotc<, W,.... W.. t. W""". W=Water, ML~Mise uqllid. SO-Soi!. SI)oSedl mcn~ SL-Sludg.e, S9-Solid Waste, O=Oil, F=Filter, P=Wipe, U=Urine, F~fecal, N=Nasal YES NO 5.) Sample Analysis Requcsted. Analytical method requested (i.e 8Z6OB, 6Ot0Bl7470)land number of containets prOVIded for w:h (i.e 81601J. J. 6Ol0817470.4 - I).
Cooler Temp: 6.) Preservative Type: HA= Hydrochloric Acid. Nt = Nitric Acid. SH= Sodium Hydroxide. SA= Sulfuric Acid. M - i\\Seorbic Ad d, BX-H<1W\\e. ST - Sodium ThiOfUif.1te, If no preservative is added = leave field blank C WHITE = LAB ORA TORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy License Renewal Proiect 2040 Savage Road GEl. Quote Ii: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (I): GEL Work Order Number: Phone: (843) 556-8171 PO Number 50013510 Fax: (843) 766-1178 Collected hy: CB\\M5 Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) ProjectiS ite ~: arne: Indian Point Energy Center Fax#: (914) 734-6247 q" -c <-- Preservative Type (6) of:.CI t -=.!:! ~ ] E~ .~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ ::: e ~ Comments ~ Collected by: Client Send Results To: Patrick Donahue e ro Note: extra sample is ~ II) ~ .~ ~ tIl required for sample specific
- Timc
'Date Collected ~ E rn Sample ill Collected QCCode Field Sample = rn QC c (Military) ('l Filtered (J) Mauix(4,
- 2)
] 0 (mm-dd-yy) '" For composires - indicate slart and SlOp date/rime (hhmm) = en Cj MW-52-11-(GBOI) o5JofJIIO I?JUo N N GW Y N 1 I 500 ml Poly MW-52-18-(GBOI) CD50!>\\ 0 \\blg N N GW Y N 1 1 500 ml Poly MW-52-48-(GBOl) <1=>51Q5 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~ iC.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 RC*1./uested: Normal: ./ Rush: Speoify: (Subjcet to Surr.1uugc; 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 ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details Reli'19..uishua Ill' (Signed)) tc
- Time. A
~Cl:ived by (s.igned) Date Time Cheryl Duffy SECu(2.Et> osiJ:J7 fro 14. t. 5 GEL PM: 191 -. 'j1'.y,,I/;(A. 05/07 \\0 1L/2S I So -rn li.AG E 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 Intact? 4.) Matrix Codes: D'Drinking Water, G'II-'-Groundwater, SVI'=Surface Water, WW=Waste Water, \\V=Water, l\\,fi.=Misc Liquid, S(Y.;oil, SD=Sedimen~ SL=Sludge, SS=Solid Waste, (POi!, 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= Sodiwn 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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterov License Renewal Proiect 204{) Savage Road GEL Quote iI: GELP07-0628
- See www.gei.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (It GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1178 Collected ty: ct.) fl\\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) "'1:1 ~... -; 2-~ E Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = e ] Comments ~ Collected by: Client Send Results To: Patrick Donahue 8 ~ Note: extra sample is +-' ~ CI) c ~ ~ rcquired for sample specific
- Time
], -Dale Collected ~ ~ e QC Sample ill Collected QCCode Field Sample ~ c (Military) (11 Filte<ed(l Matrix ('" .g f 0 (mm-dd-yy) U
- For composites - indicate start and stop dare/lime (hhmm)
~ 0 d U3-Tl-(GBOl) D5/c6/to leoszt I N N GW Y N 1 1 500 ml Poly U3-T2-(GBOl) t£Jlrn/m 1'3.05 N N GW Y N 1 1 500 ml Poly TAT lWqucSled: Nonnal:./ 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 Remarks:,4 re there any known hazards applicable to these samples? If so, please list (he hazards Samole Collection Time Zone ~ 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 Du lTy IV~ ~ 5/-; /1"0 14')..5 I,Cewe~ $70AAhP:sbJlo 14Z~ Metbod ofShiplII,,"t: FEDEX Dale Shipped: 2 U U 2 Airbill #: 3 3 Airbill#: I ) Chain of Custody Number ~ Clien( Determined For Lab Receiving Use Only 2.) QC Codes: N= Normal Sample. TB ~ Trip BI:mk. YDo Field DupJfc= Ell. Equipment 814nk. MS-MAlrix Spike Sample. MSD= Matrix Spike Duplicate Sample. ~ &ab. C~ Composite 3.) Field Filtered: For liquid matrices. indicate with ~ Y - (or yd tho..,,,plew", field filtered Of' N * (or sample WO$nOt field filtered. Custody Seal Intact? 4.) Matrix Codes. DW=Drinking Waler, GW=Groumlv.-att:r, S\\\\loSur(occ Ww:r, " '\\V-Wa!te \\V'I1er, \\""Willer. M1..~!lsI: Liquid, SO-SOO. SD-Sedimcnt, 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 containers p<Ovidcd ror_h (i.e 8J6fJ8-3, 6010B11470.4 - I). Cooler Temp: 6.) Preservative Type: HA~ Hydrochloric Acid. NI ~ Nitric Acid, SH= Sodium Hydroxide. SA~ Sulfuric Acid,;v..e AscOOJie Acid, IIX-fiCXMe, ST ~ SodiWll Thiosulfate.lfno preservative is added = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC 'Project #: Enterg~ GW Man Prog 2040 Savage Road GEL Quote#:
- See www.geJ.com for GEL's Sample Acceptance SOp**
CharleSton, SC 29407 COC Number (I): GEL Work Order Number: "Phone: (843) 556-8171 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 .~ '" iii <-- Preservative Type (6) £.Q~ "C ~ IU g e~ l! C> Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = 8 ~ (/) ~ oj S ~ Comments c Collected by: CbJ Mi7 8 0 Note: extra sample is Send Results To: Patrick Donahue "2 I!l 0-, 0
- r:
0- ~ (/) 5 ~ required for sample specific "'Time 0$
- J
'Date Conected .~ =- a ~ "-§ Sample ID Conected QCCode Field SaJTIj>1e 0:
- s QC
~ (Military) (1) Filtered (3) Matrix (01) c:i ~ e
- + For (omposites - indicate slart find SlOp dale'lime
<mm-dd-yy) ~ ~ 0 ~ (I>h.tom) ~ E-(/) U3-Tl-(028) OS/OS/ro 1(O~'J N N GW Y N 1 1 1 1 2 Liter Poly U3-TI-(033)
- OS-/Ol/w 1'b.?5 N
N GW Y N 1 1 1 1 2 Liter Poly j I I I TAT RequeSted: Normal: .(' Rush: Specify: (Subjcct to SurthOlKC) IFax Results: Yes / - (No ::> Circle Deliverable: C of A / QC Summary / Level I / Level2 / Level 3 / Level4 Remarks: Are there allY knowlI hazards applicable to these samples? If so, please list the hazards Sample Collecrion Tlm~Zone ~ Pacific Central Other --- Mountain Chain of Custody Signatures Sample Shipping and Delivery Details R"linquishccl Sy (Signed) Date Time Received by (signed) Date Time GEL PM: ERIN TRENT l'~~ 5J,/I D ltt1-S 1 ~~U /Z.£" "')io2.AbF '::JhJlD 142-5 Method of Shipment: FEDEX Dale Shipped; 2 9 (J 2 AiTbill #: 3 3 Airbill #: M~ MlUrix Spike Sample, MSIF Motri. Spike Dul'liwc Sample, 0- Cirob. C - Composite For Lab Receil*ing Use Ol1ly for!l1!mplc "'lIS nO! field Ilh",cd. Custody Seal If/tact? 'Mow.. <:t. Ml.-Misc LIquid, SOOSOU, S1)=Scdimcnt. SL-Slud&<, S,"Solid Waste, O=Oil, F~Filtcr, P=Wipe, U=Urine, F~FecaI, N=Nasal YES NO of _uU~crsploV!dri r..r oacb (i.e. 8260B-J. 60108.11470.4
- J)
Cooler Temp: uric.... cid. M - Asool1lic... cid. llX~ Hexane. ST - SodiW1lThiosulfllle. If no preservative is added ~ leave field blank C WIDTE = LABORATORY YELLOW = FILE PINK = CLIENT
Page; I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: EnterQV License Renewal Proiect 2040 Savage Road GEl. Quote #: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston. SC 29407 COC Number (11: GEL Work Order Number: Phone: (843) 556-8l71 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) ProjectlSite Name: Indian Point Energy Center Fax#: (914) 734-6247 .~ IW ~ <-- Preservative Type (6)
- ...c ~
~ ~~ E Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = e = '3 Comments Collected by: Client Send Results To: Patrick Donahue ~ ro Note: extra s.'UTIple is 1 II) t o:l required for sample specific "'Time 1- 'Date Collected ~ ~ e Sample ID Collected QC Code Field Sample ~ QC 0 (Military) ('I FillCfCd e.l Matrix) U 'E
- For composites - indicate slart and stop date/time (mtn-eld-yy)
(bhmrn) en 0 \\:) ~ ~ MW-67-39-{GBOl) OS obl\\O \\53!? N N GW Y N 1 1 500 ml P0ly MW-67-105-(GBOl) ~ Ob fo \\54" N N GW Y N 1 1 500 ml Poly MW-67-173-(GBOl)
- )15 obf/o H;o3 N N
GW Y N 1 1 500 ml Pc.ly MW-67-219-(GBO1) CDS" ot 10 \\ \\S\\ N N GW Y N 1 1 500 ml Poly MW-67-276-(GBOl) CbS\\Obl/'O \\Z20 N N GW Y N 1 1 500 mlPoly MW-67-323-(GBOl) ~S'IOb (c \\230 N N GW Y N 1 1 500 ml Poly MW-67-340-(GBOl) bSj06 Lo \\2211 N N GW Y N 1 1 500 m1 Poly TAT Requested: Normal:./ Rush: Specify: (Subject to Surcharg.) I Fa:" Results: Yes / ~ Circle Deliverable: C of A / QC Summwy / Level I / Level2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? if so, please list the hazards SamDle CollectiDn Time Zone Eastern) Pacific centrol Other --- Mountain / Chain of Custody Signatures Sample Shipping and Delivery Details
- ~~v~;~ ~
05J~b ()O"IO SeCd~£~.f :5Jo~rleO t110 Cheryl Duffy GEL PM: I Date Shipped: lc:::..rn~ Method Of Shipment: FEDEX 11{f // ( I 2 Airbill#: V 3 3 Airbill ll: For Lab Receil'ing ()~l' Only Custody Seal Intacl? ~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 Project #: Entergy GW Mon Prog GELQuote#: coe Number (1): PO Number: 50013510 GEL Chain of Custody and Analytical Request
- See www.geI.com for GEL's Sample Acceptance SOp**
GEL Work Order Number: GEL Laboratories, LLC 2040 Savage Road Charleston, SC 29407 Phone: (843) 556-8171 Fa."(.; (843) 766-1178 Client Namc: 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
- !a ~ t 6 e~
Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~
- C r.I'J VI e 5
c "3 Collected by: M. 'B (2.. \\ Th S, Send Results To: Patrick Donahue ] 8. ~ ~..... Sample ID
- For ('ompositf:'S - indkate sInH and stop dale/time MW-67-39-(O 13)
MW-67-105-(012) MW-67-173-(013) MW-67-219-(012) MW-67-276-(012) MW-67-323-(012) MW-67-340-(012) ~ 1i
- Date Collected (mm-dd-yy)
~ime Collected (MIIi~ry) (bhmml QC Code I Field I Sample 1" Filtered (~ Matrix (~ "= ~ ~ 0: ~ E = c.. ~ bsfaJIOl153g1 N ¢510blllol\\S4bl N ps1oMlol'Go31 N N DS \\061101 \\2~OI N ps\\ob\\\\oI12:2~ I N N N N N N N N 0: r-GW I YI N I 1 GWIYI N II GW I YI N I 1 GW I YI N I GW Y N 1 GW I YI N I 1 GW I YI N I 1 M ~ E .~ is 1 1 1 1 1 1 1 v:l ~ u., 0-v:l 0:1 E ~ d 1 1 1 1 1 1 1 <:) ~ rn o Q\\ E
- l
.~ e U5 1 1 1 1 1 ~ ~ '-D "i) ~ .~
- Z 1
1 1 1 1 1 <-- Preservative Type (6) Comments Note: extra 3ample is required for sarnple specific QC 2 Liter Poly 2 Liter Poly 2 Liter Poly 2 Liter PO;..::lY!.....-_-l 2 Liter Poly 2 Liter :>oly 2 Liter Poly TAT Requested: Normal:...:!_Rush: _ _ Spccify: ___ (SubjcctIOSurc:hmgC) I F8XR:uliS: --~ ~ 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? /fso, please list the hazards Mountain Pacific Other I i Chain of Custody Signatures Sample Shipping and Delivery Details ~'2Z!i~~b'&EDa~5Jo:r;~ 17\\ 0 l~mE Date Time 05/0(;,1\\0 GEL PM: ERIN TRENT (J.JP~ j,/ I ~ 12 '3 I ) Ch:rin or Custody Number = Client Determined 3 \\;/0 Method of Shipment: Airbill#: Airbil1 #: 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 FEDEX Date Shipped:
- 4) Matrix Codes: DWoDrinking Water. GW=Groundwater, SWoSurface Water, WW=Waste Water, WoWaler, ML-Misc Liquid, S~Soil, SD=Sediment, SL-Sludge, SS=Solid Waste, <>=Oil, F=Filter, 1'=Wipe, U-Llrine. F-=fecal, N=Nasal
- 5) Sample Analysis Requested: Analytical method ",quested (i e 82608, 6010Bl7470)land nwnber ofoootainer.; provided for each (i e. 8~60JJ. 3. 6010B/747004 -1).
- 6) P=~ative Type: HA= Hydrochloric Acid, NT = Nitric Acid, Sit' Sodium Hydroxide, SA-Sulfuric Acid, AA= Ascorbic Acid, HX-Hexane. ST - Sodium Thiosulfate, If no preservative is added -leave field blank WHITE = LADORA TORY YELLOW = FILE PINK = CLIENT For Lab Receiving Usp On~v Custody Seal Intact>
YES NO Cooler Temp: C
Page: 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Mon Prog 2040 Savage Road GEL Quote#:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number' II: GEL Work Order Number: Phone: (843) 556-8171 iPONumber: 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 .~ IU iii <-- Preservative Type (6) -=.Q ~ "'C..!! IU ] e~ 5 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 -= ~ c (/) 0\\ CI'l "" e c 8 i (/) Comments = ~ Collected by: MIOAlt>). & t0S e <) 0
- e.
Send Results To: Patrick Donahue ~ ~ 0 0\\ Note: extra sample is = :r: Q.. ~ (/) E M ~ required for sample specific 0
- Time
~ 0:1
- s
'-0 9 E E 'Date Collecled E .p
- 0)
QC Sample ID Collected QC Code Field Sample u =
- s to
c ~ -"i (Military) (') Filtered (3) Matrix (-4) = i:i s
- -8 0
<) (mm-dd-yy) !:l Z ... FOI composites - indicate start and Jl op date/time ~ C (hhmm) f-f- E-(/) MW-60-35-(013) PS\\OhO 155$? N N GW Y N 1 1 1 1 1 2 Liter Poly MW-60-53-(013) ~5 ilo rIO \\ c.?> I N N GW Y N 1 1 1 1 1 2 Liter Poly MW-60-53-(013)-B N N GW Y N 1 1 1 1 1 2 Liter Poly MW-60-53-(013)-D 05 '10 10 \\b3\\ N N GW Y N 1 1 1 1 1 2 Liter Poly MW-60-53-(013)-S ~5'/lo/ro \\63\\ N N GW Y N 1 1 1 1 1 2 Liter Poly I MW-60-72-(013) 05 hO~IO I '2. \\\\ N N GW Y N 1 1 1 1 1 2 Liter Poly MW-60-135-(013) Os, I'~~IO \\22\\ N N GW Y N 1 1 1 1 1 2 Liter Poly MW-60-154-(013) as. '10(10 \\232 N N GW Y N 1 1 1 1 1 2 Liter Poly MW-60-176-(013) 05 '\\0'110 i~29 N N GW Y N 1 1 1 1 1 2 Liter Poly I TAT Requested: Normal: -I' Rush: Specify: (Subject to Surcharge) I Fax Results: Yes / Go-::> Circle Deliverable: C of A I QC Summary I Level I I Level 2 / Level 3 I Level 4 Remarks: Are tlrere any known hazards applicable to tlrese samples? /fso, please list tire hazards ~ample Collection Time Zone Eastern) Pacific centr;;.1 Other --- Mountain / / Chain of Custody Signatures Sample Shipping and Delivery Details ~~d By (S i~lcd!L / Date Time Received by (signed) Date Time GEL PM: ERIN TRENT I' L.t.2 Jl!.~ ~ 0510/1 n S"'fCui oct) 6S)ltO{ 10 1130 1 s"\\OtN'~ \\130 Method of Shipment: FEDEX Date Shipped: ~-.L/ I'" I, 2 Airbill #: 3 Airbi11 #: 1 ) Cham o[ Custody Number - 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 - fOl' sample was not field filtered.
Custody Seallntace
- 4) Matnx Codes DWoDrinking Warer, GW=Groundwater, SW=Surface WaLer, WW=Wasle 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
Pall~ : I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enternv License Renewal Proiect 2040 Savage Road GF.I Quote #;_ GELP07-06~8
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COCNumbel (I): GEL Work Order Number: Phone: (843) 556-8171 PO ~umher 50013510 Fax: (843) 766-1178 Collecled b;: M\\ Q".() e.. ~'(tos Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) v Project/Site Name: Indian Point Energy Center Fax#: (914) 734-6247 .~.. -c <-- Preservative Type (6)
- .c ~
"'C ~ ~ g ~~ 5 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = e .s ~ Comments = Collected by: Client Send Results To: Patrick Donahue s oj Note: extra sample is I ~ - Q.) ~ (:Q rcquired for sample specific ~ ~
- Time "Date Collected fi' e
QC Sample ID Collected QC Code Field Sample ~ 00:. '" ~ = (Military) (], Filtered (J MatriX(4) 0 U .. For romposites - indicate start and stop date/lime (mm-dd-yy) (hbmm) c \\:) 00: f-MW-60-35-(OBOl) ~P5 1\\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 72-( OBO 1) bs' 1\\0 110 121\\ N N OW Y N 1 1 500 ml Poly MW-60-135-(OBOl) 05 0 110 \\221 N N ow y N 1 1 500 ml Poly MW-60-154-(OBOl) bs lie 10 1232 N N ow y N 1 1 500 ml Poly MW-60-176-(GBOl) bs-ftc) :ro lo2G\\ N N ow y N 1 1 500 ml Poly I TAT Req,.r.-sted: 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 Level4 Remarks: Are there any lalOwn hazards applicable to these samples? If so, please list the hazards ~1DI~ Collection Time Zone ~ Pacific Central Other --- Mountain i / Chain of Custody Signatures Sample Shipping and Delivery Details ~ (SiSft;,;) J ~ Date Time Rccci,*cd by (siSfted) Date Time CheTYI Duffy stCU~ os/lo \\10 GEL PM: ,7 77 /. ~.~ Yl-ll~ osilorro \\/30 ISl-O~t. \\(3D Method of Shipment: FEDEX Date Shipped: bf p 2 Airbill#: 3 3 Airbill#: ,~ ~.. MS= Mattix Spike Sample. MSD= Mattix Spike Duplica!e Sample. Go Grab. C~ Composite For Lab Receil'ing Use Only ~ for sample was not field filtered CUStOdy Seal/iliaCI? '¥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 eaeh (i e 8160B-3, 6010Bi7470A - I) Cooler 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 of I GEL Chain of Custody and Analytical Request GEL laboratories, llC Project #: Enlerov Ucense Renewal Proiect 2040 Savage Road GF.l. Quote it: GFLP07-0628
- See \\'{w\\V.ge1.com for GEL's Sample Acceptance SOP**
Charleston. SC 21)407 COC :\\umber II I: GEL Work Order Number: Phone: (843) 556-8171 PO~umher: 50013510 Fax :(84~)766-11 7 8 Collected by: Mlcwe,\\ ~r;t 0<; Phone #: (914) 736-8405 Sample Analysis Requested (5) (Fill in the number of containers for each test) Project'Site Name: v. C (914) 734-6247 Indian POint Energy enter Fax #: .~... ~ <-- Preservat i ve Type (6) -5 ~ ~ ~ ~ ~ g S-] E Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c 0 !I.l '" e = "i Comments Collected by: Client Send Results To: Patrick Donahue ro Note: extra sample is ~ - - d)
- o::l required for sample specific
~
- Timc
- Date Collected
- r
= (/J Collected QCCode Field Sample w a: (/J QC Sample ID = Filtered Q) 0 (Military) Matrix (~I i U 3
- For composites - indicare start and SlOp dale/lime (mm-drl-~'~' )
(hhmm) ~ 0 a: LAF-002-(OBOl) 05{,I{IO \\3~4 N N OW Y N 1 1 500 ml Poly I I I TAT Req;tcs:ed: Normal: ,/ Rush: Specify: (SubjeCl to Su",b~eJ IFax Results: Yes
- ~
Circle Deliverable: C of A ! QC SUmma!)' ! Level I ! Level2 / level 3 / level 4 Remarks: Are there an:)! hlOwn hazards applicable to these samples? If so, please list the hazards I Samole Collecuon Tune lone ~ Pacific Central Other ----
- vtount3in
/ Chain of Custody Signatures Sample Shipping and Delivery Details ~Signed) I L~ te Time Received by (siJll1edl Date Time Cheryl Du lTv 5tc.U~8) sir-,j, 0 GEL PM' U"//~I //y~~ Sk1" 0,400 ,400 I c:tn 12At::,£ Method o(ShipOIem: FEDEX Date Sh'Pped: ~' /./- -.Y--" 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 Duplicate. 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 lUS!OtZl' 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=Fi1t~r, P=Wipe, U=Urinc, F=f~cal.1\\=~asaJ rES NO '5 J Sample: AnalySIS Reqllcst~d.A..nalytical methl'Ki requested (i e 82608, 6010Bn470J\\and number of comainers provided for each (i e 8260B-3,60108/747004 - 1) Cooler Temp: 6 I PresetV:uive 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 l WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page; I of 1 GEL Ch" f C t d d A I t" I R t GEL Laboratories. LLC Project it: Entergy GW Man Prog aID 0 us 0 y aD Da y lea eques 2040 Savage Road GEL Quote #:
- Sec www.gel.comforGEL*sSampleAcceptanceSOP**
Charleston. SC 29407 COC Number '": GEL \\Vork Order Number: Phone: (843) 556-8171 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) f'roJecr/Site Name: Indian Point Energy Center Fax #: (914) 734-6247
- § ~ ~
<-- Preservative Type (6) "C.!! u ] E~ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = B
- r
~ 't:: ~ ~ ~ Comments r
- j.
0 u Collected by: M, ~ J l-e... \\ ~ f oS Send Results To: Patrick Donahue ] -i 5: ~ §; 2:.. Note: extra sample is ~ l: ~ r/l E . d fi I 'fi OJ "Time ~ ~ E ~
- l
-0 requIre or samp e specI Ie 'Dale Collecled E SlID Collecred QC Code FIeld Sample ~ ~ .2 E t: ~ QC amp e dd (Militan') (2J Filtered (ll Mattix 141 ~
- 5
.'t:: ('j e u
- For rompo!>itcs - indicate start nnd 5(01' dme/(imC!
(mm- -"'y) (hhmm*) c2 ~ ~ ~ 0 en Z LAF-002-(013) ID5/II_b 0 1344 N N GW Y NIl 1 1 1 2 Liter Poly TAT Requested: Normal: ./ Rush: SpecIfy: (S~bJCCl lo s\\.,thorge) I Fax Results: Yes I ~ Circle Deliverable: C of A I QC Summary i Levell i Level2 I Level 3 I Level 4 Remarks: Are there any know" hazards applicable to these samples? If so, please list tile hazards Samolc Colleclton T,me Zone Easlem) Pacific centr:il Other __
- -..1ountaln Chain of Custody Signatures Sample Shipping and Delivery Details
\\. '_7 ~~igned) .L !!>.U: _ I Time S£(;~(£E'; Date Time GEL PM: ERIN TRENT Iv;.h"/ 'x1t::;{tj(j; 0 /n 1,0 1400 I s.:n::>-aA(;'£ 5 k,{\\O \\ 400 Method of Shipment FEDEX Dale Shipped- ~\\. tY /.... / 2 Airbill #: 3 Airbill #:
- 1) Cha:n of Custody Number - Client 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=lIrin~. 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: I I I I (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: I of I GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: EnlemY_License Renewal Project 2040 Savage Road GEL Quote #: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 cae Number (I): GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1178 Collected hy: M, eu;1-os 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 ~ ~ <-- Preservati ve Type (6)
- ~ t g ~]
5 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ = e = .~ Comments Collected by: Client Send Results To: Patrick Donahue ~ ro Note: extra sample is e ttl ~ ~ ~ 1t ~ CO required for samnle specific "Time E 'Date CoBetted CIl Sample ill Collected QC Code Field Sample ..:. en QC c (Military) Filtered (ll Matrix (A) 0 0 (mm-dd-yy) U ] ... For composites - indicate start and SlOp dale/time (hhmm) 0 f-f- MH-5-(GBOl) (Psln /, 0 IQI~ N N GW Y N 1 1 500 ml Poly ( TAT Requested: Normal: ./ Rush: SpecifY: (Subject to Surcharge) I Fax 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? lfso, please list the hazards Sam ole Collection Time Zone Eastern) Pacific central Other --- Mountain / Chain of Custody Signatures Sample Shipping and Delivery Details f/£~~ o5J,T;errO Received by (signed) Date Time GEL PM: Cheryl Duffy f43J SECUre~ 05 j'7 /\\0 \\,43\\ l~eA(;E Method of Shipment: FEDEX Date Shipped: rtf // v I I 2 Aitbill#: I{ 3 Airbi11#: 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 Water, 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 - \\)
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 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Projcct #: Enterg~ GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 COC Number (I): GEL Work Order Number: Phone: (843) SSG-8m 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) "'C..!! u ] e~ - en 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ 0\\ CIl .., e c S Of ~ Comments Collected by: M. ~:toS !l u 0 Send Results To: Patrick Donahue "2 - M 0 0\\ Note: extra ssmple is 0
- r:
- 0.
rn E u ~ ~ required for sample specific "Time
- l
- Dale Collected c
E Collected Field Sample ~ ~ E QC Sample ID QCCode c
- l c
(Mllit.ry) Filtered (31 Matrix(4l. << E 0 (mm-dd-yy) (2) U
- c
.. For co"'posites. inriir-afe start and stop date/rime (hbmm) {; f-' " ~ a: MH-5-(OO9) 4'5"1" I, 0 lOIS N N GW Y N 1 1 1 1 2 Liter Poly TAT Requested: Normal: ./ Rush: Specify: (Subjc<:l toSurchorge) IFax Results: Yes / ~ Circle Deliverable: C of A / QC Summary / Level I / Level 2 / Level 3 / Level 4 Remarks: Are t!tere any knowlI hazards applicable to t!tese samples? If so, please list tile hazards ISamDlc Collection Time Zone ~ Pacific Central Other --- Mountam / I Chain of Custody Signatures Sample Shipping and Delivery Details
- 31f.
.. '~ntd) J.L Date Time Received by (sij!lled) Date Tim" GEL PM: ERIN TRENT rv./~~1A os/nf\\G 143\\ SEC.\\JJtE~ OS/\\I(\\O ) it 5\\ FEDEX 1~*tA~E: Method ofShiprnent: Date Shipped: ~ L/ ~ I 2 I I Airbi11 #: 3 3 Airbill #: For Lab Receiving US~ Only Custody Seal/mad! ~Wipe. U=Urine, F=Fecal, "'"Nasal YES NO Cooler Temp: = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Entergy License Renewal Proiect 2040 Savage Road GEl-Quote #: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 coe Number [l I: GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1 178 Collected by: M. (lu. :1-0<; 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:i <-- Preservative Type (6) oS ..c:::a ~ "'I:I..!:! ~ ] ~~ 5 Address: 450 Broadway, Suite 3, Buchanan, NY 10511
- = e 'j Comments Collected by
- Client Send Results To
- Patrick Donahue o:j Note: extra sample is
~ 'c Q) ~ CO required for sample specific ~ ~ ~
- Time
.D "'Date Collccted -i E CIl QC Sample ID Collected QCCode Field Sample II: ~ CIl ~ (Military) <'I Filtered I'l MatrixC"1 Q ] 0 U
- For romposi(tI$ - indicate start and SlOp date/time (m m-d~-H)
(hhmm) c Q 0 II: B-6-(GBOl)
- >sl!<i?I! 0 oQ40 N N
GW Y N 1 1 500 ml Poly TAT RequeSted: Normal: ,/ Rush: Specify: (SlIbjca to Surciw!;c) IFax Results: Yes / ~ Circle Deliverable: C of A / QC Summary / 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 SamDle Collection Time Zone Eastern Pacific central Other ---- Mountain / Chain of Custody Signatures Sample Shipping and Delivery Details R~ed By (Sif;lCdl I Date Time Received by (signed) Date Time Cheryl Duffy ~~,~ 11 £b-..,
- )r.J Si
- c...u (l. f !:>
OSJ1~ Ito GEL PM: 'M /~ 05 Ia> )0 \\)30 I ~~C;F:- 1\\30 Method of Shipment: FEDEX Date Shipped: rJ:. L-/ 77 r r 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=Fecal, 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) Preserva<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 Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Mon Prog 2040 Savage Road GEL Quote #:
- See www.geLcom for GEL's Sample Acceptance SOP" Charleston, SC 29407 coe Number (ll:
GEL Work Order Number: Phone: (843) 556-8171 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) -=.c e "C.!! u ] ~~ ~ Vi' 0 Address: 450 Broadway. Suite 3, Buchanan, NY 10511 ""
- c 0\\
III., 5 S v:J Comments ~ '-../ fV\\. ~:rcC u 0 Note: extra sample is Collected by: Send Results To: Patrick Donahue ] ~ M d.l 0\\ 0 e; P-o ~ v:J E required for sample specific ~ ~ ~ -Time a oj
- l
-Date Collected ~ E a .~ QC Sample ID Collected QCCod. ' Field Sample 0= =.g c E (Military) (ll Filtered (J) Matrix C") 0 U 'C oj
- For romposilcs - indirate start and.'iIOp dale/,ime (mm-dd*yy)
(hhmm) ~ ~ E-O v:J B-6-(OO8)
- )s)\\~lJO D9qo N
N GW Y N 1 1 1 1 2 Liter Poly I I TAT R..... u<<:Stcd: Normal: .(' Rush: Specify: (Su~= to Suldlarge) I Fax Results: Yes / CN0 Circle Deliverable: C of A / QC Summary / Levell / Level 2 / Level 3 / Level4 Remarks: Are there any know" IIazards applicable to tllese samples? If so, please list tile IIaZ/lrds Samnle Collection Time Zone ~ Pacific Centrol Other ---- Mountain I Chain of Custody Signatures Sample Shipping and Delivery Details Relit~hcd By (Sisned)iLh.031e Titne R~tived by (silllled) Ollie Time GEL PM: ERIN TRENT ~c..u~£}) OS{,~JIO I/J/ L' -;:; f1-'tIV lfJU. 0 s ), -q ltD , 130 \\, 30 l ~iA~E Method of Shipment: FEDEX Date Shipped: 2~ 1.,/ ~ 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=GroWldwater, 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, \\Jo<Urine, F~Fecal. N=Nosal YES NO
- 5) Sample Analys;, Requested: Anal}1ical method requested (i e 826OB, 6010Bl7470)land number of containers provided for each (i e 8260B-3,60108/747004 -I).
Cooler Temp:
- 6) Preservative Type HA; Hydrochloric Acid. NI ; Nitric Acid. SIi' Sodium Hydroxide. SA~ Sulfuric Acid. AA~ Ascorbic Acid. HX~ Hexane. ST ~ Sodium Thiosulfate. If no preservative i, added ~ leave field blank C
WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Project #: Enterg~ GW Man Prog 2040 Savage Road GEL Quote II:
- See www.ge1.com for GEL's Sample Acceptance SOP*'"
Charleston, SC 29407 COC Number (It GEL Work Order Number: Phone: (843) 556-8171 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 ~ ii <-- Preservative Type (6) ';...CI f:! "C..!! ~ ] e~ E Gl 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c " = ~ ~ '" e = S .~ ~ Commt:nts M. e,r,to> Q 0 Collected by: Send Results To: Patrick Donahue ~ M OJ 0\\ Note: extra sample is 0 6-0- if.! E ~ required for sample specific
- Time
05\\20\\\\0 \\42£ 142~ S"t-D AGE ~ethod of Shipment: FEDEX !Date Shipped: ~ ~.-/' 7-2 Airbi11 #: 3 3 Airbil1#: I ) Chain of Custody Number ~ Clienl Determined For Lab Receiving Use On~l' 2.) QC Codes: N~ Normal Sample, TB = Trip Blank, rD= Field Duplicate, [8 ~ Equipment Blank, MS= Matrix Spike Sample, MSIF Malrix Spikc Duplicate Sample, ~ Grab, C~ O,mposite
- 3) Field Filtered: Fe! liquid malrices. indicale with a Y - for yes the sample was field filtered 01'- N - for 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, SD=Sediment, SL~Sludge, SS=Solid Waste. 0=0i1. f~Filter, P=Wipc, U=Urine. f~F<CaI, ~Nasa\\
YES NO
- 5) Sample Analysis Requested Analytical melhod requested (i e 8l6UB, WIUBJ747U)\\and number of containers pcovided for each (i e 1i~60B-J. 60JOBl7470A - 1)
Cooler Temp:
- 6) Preservative Type: HA= Hydrochloric Acid. NI ~ Nitric 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 Chain of Custody and AnalytiCal Request GEL Laboratories. LLC Project #: Enterav License Renewal Proiect 2040 Savage Road GEl. Quote #: GELP07-0628
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston. SC 29407 COC Number (I): GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766-1178 Conected hy: M. 6 r,t os. 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 ~~~ <-- Preserval;v" Type (6) -o.!! "" g ~~ ~ Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .=
- C
~ '".., e c .~ Comments c Collected by: Client Send Results To: Patrick Donahue e cd Note: extra sample is ~ ~ 0 Q) ~ ~ ~ ~ CO rcquircd for sample specific "Time 'Date Coll<<ted .~ = E Sample ID Collected QC Code Field Sample = '" QC (Military) ~l Filtered (1 Matrix(.&l .2 0( 3 0 (mm-dd-yy) U .. For composites - indicate start lInd SlOp dme/tinle (hhmm) ~ en e:: 0 r,- MW-35-(GBOl) 4Ds:i20\\'O \\3"2.5 N N GW Y N 1 1 500 rol Poly I TAT ReQue.sted: Normal: ./ Rush: Specify: ISubie.. to Surch:usc) IFax Results: Yes / ~ Circle Deliverable: C of A / QC Summru)' / Level 1 / Level 2 / Level 3 / Lc"el 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards .Samole Collection Time Zone ~ Pacific Cenfro1 Other - -- Mountain L Chain of Custody Signatures Sample Shipping and Delivery Details I \\...L/L ~Y (Signed) J./!:att Time ~ Re~~~ateosf~~',o \\42( GEL PM: (,heryl DufTy l/:L ...,. l f/'tJ/ ~ O~(20 ~\\O \\~2( ~ethod of Sbipment: FEDEX Date Shipped: ~f '././ f I 2 Airbill #: '3 3 Airblll#: For Lab Receiving Use Only Clls/ad)' Seal IntOCI? r=Wipc, U=Urine. ~Fecal. 1\\~NasaJ YES NO Cooler Temp: = leave field blank C WHITE = LABORATORY YELLOW = FILE PINK = CLIENT
Page: 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories, LLC I Project #: Entergy GW Man Prgg 2040 Savage Road GELQuote#:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 I COC Number (I): GEL Work Order Number: Phone: (843) 556-8171 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 N arne: Indian Point Energy Center Fax#: (914) 734-6247 ~~i <-- Preservative Type (6) "CI ~ '" g E =! ~ [i;' 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ al 8 ~ ~ s S2. ~ Comments c Collected by: M l ~-e., \\ _5 t' ito $ Send Results To: Patrick Donahue 8 u 0 Note: extra sample is ~ ~ 0- " e P-i v:l E required for sample specific v
- Time
~ "S .2
- Date Collected
~ e E Sample ID Collected QCCode Field Sample 'll ~ = .g E 'i:: QC c ~ (Military) m Filtered (J) Matrix (<41 S 0 (mm-<ld-yy) '0 u
- For composites - indicate start and Slup dale/rime (bhmm) f-o 0
~ E-E- 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 I 1 1 1 2 Liter Poly MW-31-85-(024) 06 en \\0 \\2aa N N GW Y N 1 1 1 I 2 Liter Poly / TAT R.:quested: Normal: v' Rush: Specify: (Subject 10 Sun;harge) IFax Results: Yes I Go:) Circle Deliverable: C of A I QC Summary I Levell I Level 2 I Level 3 I Level 4 Remarks: Are there any known hazards applicable to these samples? llso, please list the hazards Samole Collection Time: ZonO! ~ Pacific Other Central Mountain / Chain of Custody Signatures Sample Sbipping and Delivery Details Re;LI *.,f n,. (SI&ncd) I ~ Time Received by (.ignc:d) Date 1'ime GEL PM: ERIN TRENT I/ l/L> uLlid t64 0('/07/'0 14c,.S£cuttE.D OGf07/'O ~_S.')-n t.AC.." 'E 14 oS" Method of Shipment: FEDEX Date Shipped: IV- £:/ v-I I 2 Airbill#: 3 3 Airbill #: J ) Chain OfC:JSlody Number = Clieot Iktcnnined 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!? 4.) M.. trix ewes: DW=Drin.king Water, GW;(]ruundwater, 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=Fecal, N=Nasal YES NO 5,) Sample Anwysis Requested: Analytical method reque:sted (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
Page: 1 of 1 GEL Ch' f C t d d A I t' I R t GEL Laboratories. LLC Project #: Entergy GW Mon Prog am 0 us 0 y an na Y lea eques 2040 Savage Road GEL Quote #:
- See www.gel.comforGEL*sSampleAcceptanceSOP**
Charieston. SC 29407 COC Number OJ: GEL W k 0 d N b Phone: (843) 556-8171 PO Number: 50013510 or r er urn er: 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 ~.l!: 1 <-- Preservative Type (6) -a ~ ;.I g ~~ ~ 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 1li a .E C3 C(:: ~ ~ Comments t,j 0.... 8 u 0 I. Collected by:,v\\. u <' ( \\ d) g Send Results To: Patrick Donahue ~ ~ g '* Cl\\ ~ote: extra samp e IS. ~----~~-~~~~~~~--------~-----~~~~~-~--~--~--~= i ~ E ~ ~ ~~~b~~~~
- Oate Collected
":I ~ 5 E'- SlID Collected QC Code Field Sample
- l
~ a;::l c: QC amp e odd (Mifilary) Filtered,J) Matrix,'> ~ r:i "3 ~ e
- For composites - indicate stan and stop date/time (mm
-yy! (hhmm) .:i! ~ {; ~ 0 en MW-30-69-(032) o~\\o~ho 1\\23'2 N N GW Y NIl 1 1 2 Liter Poly MW-30-84-(023) 06\\021, 0 111.*tct N N GW Y NIl 1 1 2 Liter Poly TAT Requested: Nonnal: ./ Rush: Specify: (Subject to Surchorge) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary / Level I I Level2 / Level 3 / Level4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hawrds Sam ole Collection Time Zone Eastern) Pacific central Other ___ _ Mountain / I Chain of Custody Signatures Sample Shipping and Delivery Details ....,.... )\\... d) Time I I 14\\ t1ece!5i~tB) Date, ime GEL PM: ERIN TRENT I /Iifi-"" ¥~! ~ O"JO~/JO I 5fu(2Ar-.~ o6/~8 10 r 4\\ 0 Method of Shipment: FEDEX Date Shipped: 2 If...., -'" 2 Airbill #: 3 I 3 Airbill #: I.) Chain of Custody Numher - Client Determined For l1J.b Receivillg Use Onl\\' 2.) QC Codes: N = No.-mal 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 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 blta.~*r? 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 (Le. 826OB. 6Il10Bf7470A) and numherofcontainers provided foreoch (i.e. 82608 *3. 601OBf1470A -I). Cooler Temp: 6.) Pre~rvaIive Type: HA = Hydrol.!hloric Ae;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 Chain of Custody and Analytical Request GEL Laboratories. LLC Project #: Enterg~ GW Man PrQg 2040 Savage Road GEL Quote #:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston. SC 29407 COC Number (I): GEL Work Order Number: Phone: (843) 556-8171 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) "CI.!: Q,I ~ s~ ~ Vi 0 Address: 450 Broadway, Suite 3, Buchanan, NY 10511 &j ~ 8 ~ ~ c ~ I S CI) Comments c f'I\\ l ON* ~ \\ e:, (' -;to So Send Results To: Patrick Donahue s u 0 Collected by: os <'l
- 0) a-Note: extra sample is
.2j
- r:
0- ~ CI) E '3 Jl required for sample specific V "'Date Collected "'Time ~ 5 E o:s .2 Sample ID Collected QCCode Field Sample 'e ~ = '5 E i:: QC c § (Military) I2J Filtered Il) Matrix(~) C> S g (mm-dd-yy) U
- For composites - indicate start and stop date/time (hhmm)
[Il C> f-< 0 CI) MW-32-59-(018)
- >~I oGi' (0 \\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) ';)"'cR,.10 \\252 N N GW Y N 1 1 1 1 2 Liter Poly MW-32-173-(016) o~/o'f :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 i I TAT Requested: Normal: ,/ Rush: SE!!cify: (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? If so, please list the hazards Samole Collection Time Zone Eastern) Pacific Central Other - -- Mountain I / Chain of Custody Signatures Sample Shipping and Delivery Details L:lImqu~ (Si~dlJJ Date Timi: 1~~g2E: Da~~/~i~ /(0 GEL PM: ERIN TRENT J//,-. UMl~ 06[0'1(\\0 \\~\\C;; 'GIS Method of Shipment: FEDEX Date Shipped: r.......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 Duplicale. 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 - I), 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: 1 of 1 GEL Chain of Custody and Analytical Request GEL Laboratories. LLC Project #: Entergy GW Man Prog 2040 Savage Road GEL Quote#:
- See www.gel.com for GEL's Sample Acceptance SOP**
Charleston, SC 29407 coe Number (I): GEL Work Order Number: Phone: (843) 556-8171 PO Number: 50013510 Fax: (843) 766*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 (914) 734-6247 I Fax#: III.u <-- Preservative Type (6) I
- ~ t
- 0. 'C 6 e ";;:;
r-. 0 I Address: 450 Broadway, Suite 3, Buchanan, NY 10511 .c * = ~ [/) ~ til '" 3 = .~ S CIl Comments I 3 Collected by: M,~~\\ f)r:TD£' r-. u 0 Send Results To: Patrick Donahue ] (!) 0\\ Note: extra sample is I . ~ 0- ~ [/) >= required for sample specific ~ ~ .g U
- Time ro
'Dale Collected t' e E E Sample ID Collected Qe Code Field Sample ~ 0= =
- 5 0::
QC = E (MiIlI.. y) (l) Filtered (l) Matrix f", .2 0 'C U
- C ro
,.. For romposites - indir(J1e start and slop dale/time (mm-dd-yy) (bhmm) ~ E-O [/) 0= f-MW-44-66-(016) ~D6 10 lC \\~"3C N N GW Y N 1 1 1 1 2 Liter Poly MW-44-102-(017) (Db, 10 1O 13\\='l N N GW Y N 1 1 1 1 2 Liter Poly h... , ~ -:z. ..J "..,,, TAT Requested: Normal: ./ Rush: Specif)': (Subject to Surcharge) [Fax Results: Yes / ~ Circle Deliverable: C of A / QC Summary i Levell I Level 2 / Level 3 / Level 4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards ISamnle ColI~lIon Time Zone Enstenl) Pacific central Other --- Mountain Chain of Custody Signatures Sample Ship()in~ and Delivery Details I/~N B:ii/ i D:" I, 0 \\il~eD Reechoed by (J!!Il1edb Date Time GEL PM: ERIN TRENT r-rOC S~c.,u~~ OGJ,O{'O \\loD 1 c:; '1"b ~E Method of Shipment: FEDEX Dale Shipped: ~ ~ I 1 r AiTbill #: 2 3 3 Airbill #: For wb Receiving Use Only Custody Seal Intact? YES AO Coole" Temp. e WH)T[ = LABORATORY YELLOW = FILE PINK = CLIENT
Page: I of I GEL Ch ° f C t d d A I to I R t GEL Laboratories, LLC Project #: Enterav license Renewal Proiect aln 0 US 0 Y an na Y lea eques 2040 Savage Road GEl, Quote #: GELP07-0628
- See www.geI.comforGEL*sSampleAcceptanceSOP**
Charleston.sc 29407 COC Number (I): GEL Work Order Number: Phone: (843) 556-8171 PO Numher: 50013510 Fax: (843)766-1178 Collected by: M l Q"J e...\\ 5 r,-Tb 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) "C.!! '" Address: 450 Broadway, Suite 3, Buchanan, NY 10511 ~ ~.~ .~ ~ Comments Collected by: ('lient Send Results To: Patrick Donahue ] ~ ~ Note: extra sample is 'Time ~ i ~ ~ required for sample specific I "'Date Collected ~ c (/') SlID Collected QC Code FIeld Sample ~ ~ g QC amp e (Military) Filtered (J Matrix ("
- 6 i5 3
- 2
- For composites - indicate start and stop date/time (mm-dd-n )
(hhmm) .= ~ ~ c.::> MW-44-102-(GBOl) (P&110 10 \\"3\\3 N N GW Y NIl 500 ml Poly MW-44-66-(GBOl) (,,'/'0\\0 1530 N N GW Y N Il 500mlPoly I TAT Requested: Normal: ./ Rush: Specify: (Subje<:ttoSureharge) IFax Results: Yes I ~ Circle Deliverable: C of A I QC Summary I Levell I Level2 I Level3 / Level4 Remarks: Are there any known hazards applicable to these samples? If so, please list the hazards Sam Die Collection Tme ZO.M Eastern) Pacific &iiirni Other __ _ Mountain / Chain of Custody Signatures Sample Shipping and Delivery Details Rclin/ui$h~ By (Sign,:d) J L Date ( Ti S<<E-00<<(r~~ Dale I Timer t-=G::;E::;:L:::....:.P..:..M:.:,:=--_C.::.:.:. he::;TV..L:.-I.:::D..=u..:.,ffy:L.. ______ -.-__________________ _ oLII. /1) /M-lm obllO\\lO \\(oet) ~l"o~AGrf 0"110 to 170C~ethodofShipment: FEDEX Date Shipped: CfI:""'/ ' I 2 Airbill#: '{ 3 Airbm #: WHITE = LABORATORY YELLOW = FILE PINK = CLIENT For Lab Receiving Use On~)' Custody Sea/lnlacl? P=Wipe, U=Urine, F=Feeal, l'I'=Nasal YES NO Cooler Temp: ~ leave field blank C}}