ML061710024
| ML061710024 | |
| Person / Time | |
|---|---|
| Site: | Braidwood  |
| Issue date: | 12/08/2005 |
| From: | Gene Bonano Division of Nuclear Materials Safety III |
| To: | |
| References | |
| FOIA/PA-2006-0115, FOIA/PA-2010-0209 | |
| Download: ML061710024 (10) | |
Text
PAGE I OF 2 NRC FORM. 30a U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY BRAIDWOOD LABORATORY
-ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO. DOCKET NO.Rraidwnrd Nuclear Generating Station 50-456/50-457 SAMPLE SUBMITTED# TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY*3 Water 500 ml .. 12/08/2005 E ROUTINE___________~~JURGENT.
5 Water 250 ml .SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START 12 7 2005 INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP 12 8 2005 Gen, Unn nnn 630-29-QR2-26 LIST DESIRED LS EIE ANALYSIS TO BE PERFORMED LLD (OptIonaR OTHER TYPE OF ANALYSIS (Specify)
LIST DESIRED IL Otoa "LLD (Optional)
D GROSS ALPHA (GA) -El GROSS BETA (GB) .1"-71 E GAMMA SPEC (GS) * .-f TRITIUM (H3) 200 pCi/L. E.CARBON-14 (C14) -. r--l-- IODINE-125 (1125) m m m mm RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY FEE RECOVERABLE 9 NO E] 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.All eight samples are from residencial wells, UTMOST PRIORITY....
'SID NO GAMMA SPEC, ONLY TRITIUM ANALYSIS, COUNT DOWN TO ENVIRONMENTAL LLD NOTE:
Qn3MbthR jIltWIJSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.NRC FORM 303 ,(444orance With theFreedom of kiformattoh Act, exemptions.IN&'l6-11 X. ......_..~PRINTED ON RECYCLED PAPER PAGE 2 OF 2 NRC FORMA 303A U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY 1-20'4) CONTROL NUMBER SAMPLE RECORD -Continued LABORATORY
-ORISE I3 IIDWO0D SAMPLE SAMPLE NAME COLLECTION REMARKS, PRESERVATIVE NUMBER AND DESCRIPTION DATEJTIME ANALYSIS REQUESTED, ETC.1210712005 NRC-52-R13 " ':". .'=Braidwood, IL) .... 11.........
Sample from kitchen sink bypass water..............................
softener.12/08100.r21...d......................
Sample from kitchen sink bypass water I___RC-54-___
_ Braidwood,__
)_-__ .8:30am................................
.softener.NRC-56-R3 _ 12/08/2005 NRC-4-R32J~Y Braidwood, I... ... ....... Sample from kitchen sink bypass water fn-.............................
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softener.NC-55-R3 il...12/0.7/2005....
NR" ....... ..1/0/205.NRC5MW3 12/07/2005 NRC-58-R3 el .12/07/2005 NRC-59-R3 12/07/2005-RC..ORM ....PN ORYE E.....
°.°. ........ ..........
- ........I.............................
....i.. ..i.. .. .. .. ..NRC FORM 303A {4-2004)PRINTED ON RECYCLED PAPER PAGE 1 OF 2 NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY LABORATORY
-0RISE SAMPLE LOCATION (LICENSEE)
LICENSE NO. DOCKET NO.Braidwood Nuclear Generating Station 50-456150-457 SAMPLE SUBMITTED# TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY Water 500 M1 []ROUTINE____ ___ URGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START 12 7 2005 INSPECTOR RESPONSIBLE TELEPHONE NUMBER Wilioi n~l __________13082-971 STOP 12 7 2005 Willilm,,Rnpii , 3fl.R20-9)71 LIST DSIREDLIST DESIRED ANALYSIS TO BE PERFORMED LISTOTHER TYPE OF ANALYSIS (Specify)LLD (Optional)
LLD (Optional)
D GROSS ALPHA (GA) _---_G GROSS BETA (GB)
- i---I TRITIUM (H3) 200 pCEl D I CARBON-14 (C14) " L IODINE-125 (1125) .-RELINQUISHED BY RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY FEE RECOVERABLE NO YES IF YES, TAC NUMBER REMARKS Hold samples till notified by NRC Contact: Bill Snell (630-829-9871) or Gene Bonano (630-829-9826)
NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.NRC ORM203 4-204)I'RIi~UUN ECYCED APE NRC FORM 303 (4-20N)PRI ED ON RECYCLED P ER PAGE 2-. OF 2.-...NRC FORM 303A U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4"2004) CONTROL NUMBER SAMPLE RECORD -- Continued LABORATORY
-ORISE SAMPLE SAMPLE NAME COLLECTION REMARKS, PRESERVATIVE NUMBER AND DESCRIPTION DATE/TIME ANALYSIS REQUESTED, ETC............................
- , °....... *............
." .........
..".v.N~iC FORM ~0................................
.'A~NRC FORM 303A (4-2004)I"PRINTE O ;:N RECYCLEID P E'IR PAGE OF NRC FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY LABORATORY
-ORISE SAMPLE LOCATION (LICENSEE)
LICENSE NO. DOCKET NO.SAMPLE SUBMITTED# TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY ROUTINE_ _ _ _ __ _ _ _ _ _ _ _ _ I EURGENT SAMPLE COLLECTION INTERVAL MONTH DAY YEAR TIME START INSPECTOR RESPONSIBLE TELEPHONE NUMBER STOP.LIST DESIRED LIST DESIRED ANALYSIS TO BE PERFORMED LLD (Optional)
OTHER TYPE OF ANALYSIS (Spec[iy)
LLD (Optional)
-GROSS ALPHA (GA)_ D EL GROSS BETA. (GB) El E GAMMA SPEC (GS) -D TRITIUM (H3) -I- CARSON-14 (C14) I-]U IODINE-125 (1125) .,DBY, ,IDECE)DB " ATE TI ME/* REASON FOR CHANGE OF CUSTODY FEE RECOVERABLE
-NO YES IF YES, TAC NUMBER REMARKS NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.NRC FORM 303 (4-2004)PRINTED ON RECYCLED PAPER PAGE OF NRC FORM 303A U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY I4.2o64) CONTROL NUMBER SAMPLE RECORD -- Continued LABORATORY
-ORISE SAMPLE SAMPLE NAME COLLECTION REMARKS, PRESERVATIVE NUMBER AND DESCRIPTION DATE/TIME ANALYSIS REQUESTED, ETC.
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....,.....,.........
....'< -'.. .. .. .. .., .. ... ....... .. ... .. .... .. ... .NRC~~~.. FOR ........ ....0.4. ...W NRCY A E NRC FORM 303A (4°2004)PR[It ED ON RECYCLED PAPER TRANSMISSION VERIFICATION REPORT TIME NAME FAX TEL: 12/88/2885 14:38: US NRC RIII DNMS: 6385151259 DATETIME .12/88 14:36 FAX NO./NAME 18652413248 DURATION .88:81:87 PAGE(S) 83 RESULT ' OK MODE STANDARD ECM NRC FORM 386 (Rill)(4-2004) .UNITED STATES NUCLEAR REGULATORY COMMISSION REGION III 2443 Warrenville Road, Suite 210 Usleo Illinois 60532-4352 TELEFAX TRANSMI1TAL DATE: U.; "0 NUMBER OF PAGES: (including this page)C) Irj ZA5 ThA~SEND TO: LOCATION: FAX NUMBER: ________.__
L- VERIFY BY CALLING SENDER FROM: (SENDER)(9r gF 7I) .),a f+0,1 TELEPHONE NUMBER: 630 -inA)-.e 9c FAX NUMBER: 630 -515- 1259 If you do not receive the complete fax transmittal, please contact the sender as soon as possible at the telephone number provided above.MESSAGE f-4--- ýrb 6'/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.NI~ FORM 3M @UU) (4-2004) PRItITED ON RECYCLED PAPER NRC FORM 3W OM (4-M)0,.PRINTE On RECYCLED PAPER TRANSMISSION VERIFICATION REPORT TIME : 12/88/2085 14:48 NAME : US NRC RIII DNMS FAX : 6305151259 TEL DATE,TIME 12/08 14:39 FAX NO./NAME 13014155397 DURATION 88:01:81 PAGE(S) 83 RESULT OK MODE STANDARD ECM NRC FORM 386 (Rill).(4-2004)
F1&4; p C Iý J UNITED STATES NUCLEAR REGULATORY COMMISSION REGION III 2443 Warernville Road, Suite 210 Usle, Illinois 60532-4352 TELEFAX TRANSMITTAL DATE: SEND TO: LOCATION:!0 6*NUMBER OF PAGES: (including this page)'.3 I tj bLAiPI FAX NUMBER: 3 6_/ ./(5__5"3
%n VERIFY BY CALLING SENDER FROM: (SENDER)CeA e Z-t1 t TELEPHONE NUMBER: 630 -07 ,FAX NUMBER: 630 -515 -1259 If you do not receive the complete fax transmittal, please contact the sender as soon as possible at the telephone number provided above.MESSAGE NOTCE 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.TR ...........
203 RNTDONREYLE AP1 I=C FORM 33a OM (4.2004)PRWNED ON PAPER