ML061710023
| ML061710023 | |
| Person / Time | |
|---|---|
| Site: | Braidwood  |
| Issue date: | 12/07/2005 |
| From: | Gene Bonano Division of Nuclear Materials Safety III |
| To: | |
| References | |
| FOIA/PA-2006-0115, FOIA/PA-2010-0209 | |
| Download: ML061710023 (7) | |
Text
PAGE / OF* Ip NR'C FORM 303 U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004)REQUEST FOR ANALYSIS AND CONTROL NUMBER CHAIN OF CUSTODY LABORATORY
-ORISE SAMPLE LOCAT N (LICEKSEE)
J l ,f' LICENSE NO. DOCKET NO.SAMPLE SUBMITTED ( ) 44rF." .-50-# TOTAL TYPE VOLUME DATE SAMPLES SUBMITTED PRIORITY fla. / M N " A/I I', IA [Ii ROUTINE.5"00,i "SAMPLE COLLECTION INTERVAL________Y MONTH DAY .YEAR ITIME 1 ~ 1 9lO $Ai'f'- /~LI. ___ START 1/1 0 O INSPECTOR RESPONSIBLE
& TELEPHONE NUMBER STOP " "_____SLIST DESIRED ANALYSIS TO BE PERFORMED LLD (Optional)
OTHER TYPE OF ANALYSIS (Specify)
LIST DESIRED LLD Optinal)LLD (Optional)
GROSS ALPHA (GA) "I-GROSS BETA (GB) 'El" , GAMMA SPEC (GS) II.TRITIUM (H3) I D r CARBON-14 (C14) E-" ' IODINE-125 (1125)RELINQUISHED BY
- RECEIVED BY DATE TIME REASON FOR CHANGE OF CUSTODY___ __ 1ý ,6Z N -e5 6 w 'FEE RECOVERABLE jNO E YES IF YES, TAC NUMBER / 5- / 0 REMARKS 5,e e,- FbAA 303A Information in this record was deleted in accordance with the Freedom of tnformatioff Act, exemptionsFl
_ _________FOIA -CA ,6 -,,'.r 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 3 NRC FORM 303A U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4.2004) CONTROL NUMBER SAMPLE RECORD -Continued LABORATORY
-ORISE Braidwood SAMPLE NUMBER SAMPLE NAME AND DESCRIPTION COLLECTION DATEITIME REMARKS, PRESERVATIVE ANALYSIS REQUESTED, ETC......4-R -l-l# Vell BDWW-6692)
(#5 on N]RC-24-R3
- iap. ...11/30/2005 500 ml bottle ,z N'RC-25-113 l ell.JBDWW-6690)
(#3 on cap)11/30/2005 500 ml bottle N1RC-26-R3(BDWW-6691)
(#4 on cap)11/30/2005 500 ml bottle ".NRC127-R3 e "1210 250 mil bottle NR 27 Ri ............
NRC-28-R3 Lake #1 (BDWW-6688)
(#1 on cap)11/30/.2005 113 full, 500 ml bottle NRC-29-R3 Lake #2 (BDWW-6689)
(#2 on cap) .....1.3.....0./2005.......
1/3 full, 500 ml bottle NRC-30-R3 GW-120605-JL.G-1 " 500 ml bottle NRC-31-R3 GW-1206054L-G-2
.............................
500 ml bottle ..r NRC-32i-R3 GW-120605-JL-G-3
......................--......
500 ml bottle NRC-33-R3 GW-120505-JI,-P-9
........................
250 ml bottle NRC-34-R3 GW-120505.JL-P-10
.............................
250 ml bottle NRC-35-R3 GW-120505-JL-P-11
.............................
250 ml bottle NRC-36-R3 GW-120505-JI.;-P-12
.............................
250 ml bottle NRC-37-R3 GW-120505-JL-S-1 250 ml bottle NRC-38-R3 GW-120505-JL-S-2 250 ml bottle NRC-39-R3 GW-120505-JL-S-3
............................
250 ml bottle NRC-40-R3 GW-120505-JL-S-4
"..............................
250 ml bottle NRC-41-R3 GW-120505-JL-S-5 250 ml bottle NRC-42-R3 GW-120505-JL-S-6
..............................
250 mil bottle NRC-43-R3 GW-120605-JRB-D-1 12/06/2005 500 ml bottle 10:25am ,.
NRC-44-R3 GW-120505-JRB-D-2
........1.2052005........
250 ml bottle NRC-45-R3 GW-120605-JB-P-4
..... 12/0.6/2005
..... 250 ml bottle I.__*_8:25am NRC-46-R3 GW-120605-JRB-P-8
.....9.0..0...am.............
250 ml bottle 9:00am/, NRC-47-R3 GW-120505-JRB-VB2-6
........ .......0.5.2P...5.....
250 ml bottle NRC-48-R3 GW-120505-JRB-VB3-4
.....1.0...5.2.00.5......
250 ml bottle 2:25pn 7._NRC-49-R3 GW-120505-JRB-MW-113
......2./-0.5/.2-0-05
..... 250 ml bottle____________
BD-VB34____(Special
___Well) ___........__
3:57Pm NRC-50-R3 BD-VB3-4 (Special Well) 11130/2005 1Qt/IL (cubitalner)
__ __ __ _ __ __ _ __ __ _ __ __ _.....__ __ __ _ 3:00pmo .__ _ _ _ _ _ _ _ _ _ _ _ _ _ _NRC FORM 303A (4-2004)PRINTED ON RECYCLED PAPER I PAGE 3 OF 3 NRC FORM 303A U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004) CONTROL NUMBER SAMPLE RECORD -Continued LABORATORY
-ORISE Braidwood SAMPLE SAMPLE NAME COLLECTION REMARKS, PRESERVATIVE NUMBER AND DESCRIPTION DATE1TIME ANALYSIS REQUESTED, ETC.1.............021................../2005
......500 ml bottle, missing from 2nd batch of NRC-51-R13 GW-120205-MK-D-5
............
2.......samples sent 1216105~~. .................
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................ .........NRC FORM 303A (4-2004)PRINTED ON RECYCLED PAPER TRANSMISSION VERIFICATION REPORT TIME : 12/87/2885 16:55 NAME : US NRC RIIl DNMS FAX : 6305151259 TEL DATE,TIME 12/87 16:54 FAX NO. /IA4E 18652413248 DURATION 00:01:12 PAGE(S) 04 RESULT OK MODE STANDARD ECM UNITED STATES NUCLEAR REGULATORY COMMISSION REGION III 2443 Warrenvillc Road, Suite 210 Usle, Illinois 60532-4352 TELEFAX TRANSMITTAL DATE: 12' a6 SEND TO: e-AW NUMBER OF PAGES: (including this page)LOCATION: LA*FAX NUMBER: 65 5-. -.39 dV n VERIFY BY CALLING SENDER FROM: (SENDER)(SC /Jl:-7a t c~A 'JD TELEPHONE NUMBER: 630 d -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 ( .s A)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.WRC FORIJ 388 (Rut) (4.2004) PRINTED ON RECYCLED PAPERFORM (Rill (4-2004)PRINTED ON RECYCLED P TRANSMISSION VERIFICATION REPORT TIME : 12/07/2805 16:57 NAME : US NRC RIII DNMS FAX : 6385151259 TEL DATE,TIME 12/87 16:56 FAX NO./NAVE 13814155397 DURATION 00:81:13 PAGE(S) 04 RESULT OK MODE STANDARD ECM NRC FORM 386 (Rill)(4-200_4)UNITED STATES NUCLEAR REGULATORY COMMISSION REGION III 2443 Warrenvtlb Road, Suite 210 Usle, Illinois 605324352 TELEFAX TRANSMITTAL DATE: _______NUMBER OF PAGES: (including this page), lo~4 1-I SEND TO: LOCATION: FAX NUMBER: 3/- /-537- [-] VERIFY BY CALLING SENDER FROM: (SENDER)TELEPHONE NUMBER: 630 -.'.& 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.MESSA GE reJe>~ k 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 hiereby 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. Mall. Thank you.IR F R III I I.C01PR N W
- R C CL DPIE L MWC FORM 3H OUR) pRp= ON RECYCLED PAPER