ML061710116

NRC Form 303, Request for Analysis and Chain of Custody, Laboratory - Orise, for Braidwood Nuclear Generating Station, and Fax Cover Sheet

ML061710116
Person / Time
Site:	Braidwood
Issue date:	12/29/2005
From:	Gene Bonano - No Known Affiliation
To:	Office of Nuclear Reactor Regulation
References
FOIA/PA-2006-0115, FOIA/PA-2010-0209
Download: ML061710116 (7)

Text

I PAGE I OF-2 NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004) -

CONTROL NUMBER REQUEST FOR ANALYSIS AND C-CHAIN OF CUSTODY BRAIDWOOD LABORATORY - ORISE SAMPLE LOCATION (LICENSEE) LICENSE NO. DOCKET NO.'

Braidwnnd Nuclear Generatinp Statinn NPF-721NPF-77 50-456/50-457 SAMPLE SUBMITTED *

1. TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY

• E] ROUTINE 8 Water 500 ml 12/29/2005 . D URIE SURGENT.

SAMPLE COLLECTION INTERVAL

__MONTH DAY YEAR TIME START 12 8 2005 INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP 12 27 2005

___n_ Rnnnnn 63O-R29-9R26

" LIST DESIRED O LIST DESIRED ANALYSIS TO BE PERFORMED LLD (Optional) OTHER TYPE OF ANALYSIS (Specify) LLD (Optional)

D GROSS ALPHA (GA) . D

• GROSS BETA (GB) D GAMMA SPEC (GS) . NRC ENV LLD

'TRITIUM (H3) " 200 pCi./L

] CARBON-14 (C14) . D D-":IODINE-125 (1125) . "'

RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY FEE RECOVERABLE NO r YES IF YES, TAC NUMBER REMARKS Hold samples until notified by NRC Contact: Bill Snell (630-829-9871) or Gene Bonano (630-829-9826) with any questions or concerns.

Information in this record was deleted in accordance with the Freedom of informf1tion0 Act, exemptionS -.

FOk - -

NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.

NRC ORM303(4.204)PRITEDON RCYCED APE NRC FORM 303 (4-2004) PRINTED ON RECYCLED PAPER

PAGE 2 OF 2 U.S. NUCLEAR REGULATORY COMMISSION CONTROLNUMBER LABORATORY USE ONLY NRC FORM 303A (4-2004)

SAMPLE RECORD - Continued LABORATORY - ORISE BRAIDWOOD SAMPLE NAME COLLECTION REMARKS, PRESERVATIVE SAMPLE AND DESCRIPTION DATEITIME ANALYSIS REQUESTED, ETC.

NUMBER 12/14/2005 GW-121405-JS-VB3-4D .............................

NRC-60-R3 GW-121305-JS-VB3-9D ....... 2/1-3/-2005......

NRC-61-R3

.............. :...... ...

NRC.62-R3 GW-121405-JL-MW-113D . 12/1.4./2005 .....

1.....

10:l5aln

.... ... _

,.........

NRC.63 R3 GW-121205-JLP-2D '

NRC-64-R3 GW-121305-.JL-RW-2 @ 0' ........-....................

NRC-65-R3 GW-121305-JL-RW-2 @ 20' ..............................

NRC-66-R3 GW.121305-JL-RW-2 @25' . ...........................

!12/27/2005 *BraidwoodjLL NilC-67-R3

___,________ __."_"___12__2004:15om NRC-68-R3 . 12/08/2005 ..

~12/08/2005.. *.

... '~~~...y?.......*...... . '1~'

NRC.69-R3 *

..........................

NRC .............. ........-.. ,

• i *'.. .............................

• ...............

, ~. .................... ........o

......... ... °=................

• . ,

........ ............ ...

..

NRC FOR 303A [-2004..........................

PRI'fNTED ON RECYCLED PAPER

PAGE I OFUj NRC FORM S03 U.S. 1UCLEAP REGUILATOFRY COMMPISIOII LABORATORYUSE ONLY REQULJEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY SI.IPLE LOCATiO

--

(UCEIISEE)

LABORATORY

.- =.-----..--

BRADAVOOD NUCLIEAi GENERATING STATION SAMPLE SUBMITTED

--

r.

ORISE

--- - -

LIENSCE NO-NP1F-72/NPF-17 EF-7.. r I

"DOCKET/N-.

50-.456i50-457 PRIORITY I

I ttTOTAL TYPE VOLUM.1E " -- - . WEIGHT DATE SAMPLES. SUB.ITTED ROUTINE

~ ----- __ _ ~ ________ URGENT

-SAMPLE COLLECTION INTERVAL

_ _MONTH DAY YEAR TIME

____ ___ _ _____ ____ ____ START* _ _

INSPECTOR RESPONSIBLE TELEPHOOE NUMBER

• STOP DESIRED LIST (Optional) LIST DESIRED ANALYSIS* TTONLYIBEE PERFORMED EFOMDLLD OTHER TYPE OF A1AI-YSIS (Specify) LLD_(Optional LD(pinl

[ GROSS ALPHA (GA) " [ '

• 71 GROSS BETA (GB) " 71 GAMMA SPEC (GS) .fi piv,_.E* O I TR.ITIUM (1-3) 7

.CARBON-14. (C14)

El:ODINE-125 .(1125) TO ...

RELINQUISHED B *, _RECEIVED BY DATE TIME REASON F'OR CHANGE OF CUSTODY I R, FEE RECOVERABLE 71 NO 71 YES IF YES, TAO NUMBER

ZEMARKS INMIt: Q I ^ ^- --- .........

TRANSMISSION VERIFICATION REPORT TIME : 12/29/2085 15:45 NAME : US NRC RIII DNMS FAX  : 6305151259 TEL  :

DATE, TIME 12/29 15:45 FAX NO./NAME. 18652413248 DURATION 00:00:50 PAGE(S) 03 RESULT OK MODE. STANDARD ECM

NRC FORM 386 (Rill) UNITED STATES (4-2004)

NUCLEAR REGULATORY COMMISSION REGION III 2443 Warrenville Road, Suite 210 Uste, Illinois 605324352 TELEFAX TRANSMITTAL DATE: _ ý.. b, NUMBER OF PAGES:

(including this page) >3 CJ J.p SEND TO:

LOCATION:

FAX NUMBER: 6~,/4in'9YI m -VERIFY

] BY CALLING SENDER FROM: 0 t1j. P1 ^f 6 (SENDER)

TELEPHONE NUMBER: 630 - 8ýj- 48R FAX NUMBER: 630 - 515 - 1259 Ifyou do not receive the complete fax transmittal, please contact the sender as soon as possible at the telephone number provided above.

MESSAGE .

NOTICE This message Is Intended only for the use of the Individual or entity to which It Is addressed and may contain Information that Is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this message Is not the Intended recipient or the employee responsible for delivering the message to the Intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication Is strictly prohibited. If you have recelved this communication in error, please notify the sender Immediately by telephone and return the original to the above address , by U.S. Mail. Thank you.

PRINTED ON RECYCLED PAPER I=C NI~ FORM FORM 358 3M RM)

IRItI) (4-M0,)

(4.2004) PRINTED ON RECYCLED PAPER

TRANSMISSION VERIFICATION REPORT TIME :.12/29/2085 15:47 NAME : US NRC RIII DNMS FAX 6305151259 TEL

NRC FORM 386_ (Riul) 14.2004). . UNITED STATES NUCLEAR REGULATORY COMMISSION REGION III 2443 Warrenville Road, Suite 210 Usle, Illinois 605324352 TELEFAX TRANSMIITAL DATE:

- NUMBER OF PAGES:

(including this page) .3 13/4 /iA

/01 SEND TO: ~' I A,

LOCATION:

FAX NUMBER: 3 b m.Z(* 537- L--VERIFY BY CALLING SENDER FROM:

(SENDER)

K~  ?~ o4~i Afl TELEPHONE NUMBER: 630 - - FAX NUMBER: 630 - 515 - 1259

.IfYOU do not receive'the complete fax transmittal, please contact the sender as soon as possible at the telephone number provided above.

MESSAGI NOTICE This message is Intended only for the use of the Individual or entity to which it Is addressed and may contain Information that Is privileged, confidential, or exempt from disclosure under applicable law. If the reader of this message is not the Intended recipient or the employee responsible for delivering the message to the Intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication Is strictly prohibited. If you have received this communication In error, please notify the sender Immediately by telephone and return the original to the above address, by U.S. Mail. Thank you.

PRINTED ON RECYCLED PAPER RAC FORM NRC FORM 3M fRill) (4.20041 356MM (4.2004) pRWW ON RECYCLED PAPER