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US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 1: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,
Page 2: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample Management Office

HIGH HAZARD TRAFFIC REPORT-3. FIELD SAMPLE RECORD

J) Case Number Field Sample Description:

_ Aqueous Liquid_ Sudge_SoHd_oa_ Other Attn:

Sampling O£fi<»:

(name).S

(phone)

Sampling Data:

(begin) / (end)

Shipping Information:

(nameoicarrfer)

(date'shipped)

(airbl number)

Known or Suspected Hazards:>>•

Preparations Requested:(check befow)Sample Volume: _

_ Voktile QrganicsTBase/Neutral, Acid,TCDD

, PCB

_ TStrona Acid Aruons

Sample Location:

Sampling Personnel: ____

ORIGINAL(red)

Special

Client File Copy

Page 3: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

EAL PROTECTION AGENCY CLP Sample Management Office

FIELD SAMPUE RECORD

Sample Number

Case Number: /

Sample Site Naine/Code:

D Field Sample Description:

_-Aqueous Liquid_ Sludge_ Solid_oa_ Other _____

Ship To: /N &j (

Attn:

! @ Sampling Office: Known or Suspected Hazards: Sample Location:

Sampling Personnel: ____

*-» ~ = ORIGINAL(red) -(phone)

Saxnphng Date:

(end)

D Shipping Information:

(name of carrier)

(date shipped)

(airbill number) [

2) Preparations Requested:(check below)Sample Volume: __l.Qrganics.£_ Volatile OrganicsJOL Base/Neutral, Acid,TCDD

•Pesticides, PCB :

_ InorganicsTotal Metals3etal Mercury_ Strong Acid Anions

Client File Copy

Page 4: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

%

US. ETWIRONMENTAL PROTECTION AGENCY CLP Sample Management Office

HIGH HAZARD TRAFFIC REPORTSample Number

FIELD SAMPLE RECORD

Case Number ; ) £"£

Sample Site Name/Code:

D Field Sample Description:

_ Aqueous Liquid_ Sludge_ Solid_01_ Other_____

Ship To: pi =-'

Attn:

Sampling Office: Known or Suspected Hazards:

Sampling Personnel:

(name)

(phone)

Sampling Date:

(begin) • • (end)

Shipping Information:

(nameof carrier)—>

(date shipped)

'•':•-*>¥

2) Preparations Requested:(check below)Sample Volume: ^-' • -_ Qrganics"Volatile Qrganicsjz Base/Neutral, Acid,IUDD

iPesticides,PCB

_ JnorganicsJi'Total Metals

ital Mercuryitrong Acid Anions

(airbffl number);

Sample Location:

O R I G I N A L(red)

Special Handling fas|njc±ions:

Client File Copy

————frfrf

Page 5: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

-

US. ENVIRONMENTAL PROTECTION AGENCY CLP Sample Management QtficePO Box SIS-Alexandra Virgrja 22313 rhor.e 703 5o.r249C-FTS- 557-2490

HIGH HAZARD TRAFFIC REPORT~ 5 FIELD SAMPLE RECORD

PHI I I lini'l < i

© Case Number:,

Sample Site Name/Code:

Field Sample Description:

_ Aqueous Liquid_ Sludge_ Solid_Oil_ Other

Ship To;'

- sC r.

Attn:

Sampling Office: Known or Suspected Hazards:

Sampling Personnel:

(name)

(phone)

Sampling Date:

(end)

2) Preparations Requested:(check below)Sample Volume: ___'•'•-

Shipping Information:

(name of carrier)

(date shipped)

(airbill number).'

1'Qrganics^ Volatile Organics_ Base/Neutral, Acid,TCDD

^ Pesticides, PCB -

InorganicsJ/Total Metals_ 3btal Mercury_ " Strong Acid Anions

Sample Location:

O R I G I N A L(red)

Special Handling blrtfuctions:

Client File Copy flRI02196

Page 6: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,
Page 7: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 8: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

I *— ^^ , PLEASE COMPLETE ALL INFORMATION IN THE 5 BLOCKS OUTLINED IN ORANGE 7 D D 3 1 M 7 T Uis.,-- SEE iACK OF FORM SET FOR COMPLETE «B»ARATION INSTRUCTIONS.

•—— -- ••-.. . I " . " - • ,^ ..-.—-_^l..--Jtr——

VOUB TEDERAL EXPRESST ACCOUNT ,NUI4B£n , :. ^ „

STREET ADDRESS (P.O. BOX NUMBERS ARE NOT DELIVERABLE)f

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-S COPY. UNLESS YOU DECLARE AL J)(M M taty F££. Acct .UAWOTY OF FEDERAt EXPRESS COR

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Page 9: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

I

Page 10: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,
Page 11: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,
Page 12: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

rirniaAc-aw —— •— -•v —- •-•>*— <*«rw — - * » , i . >

<~. - •+.• .«.•..v:_««b.-<t> >;*>*v •-»!K*ii**J « i"_-« • ••sr-jsiMK* «=«nnCATION FOR HAZARDOUS HA1B3ALSlil afeic ^ - ;* - -~ ' thai to hai fo canter. (UM Mock totter*}

: WARNING: Faille ib comply In al respects with the applicable reguIaQons of the Department of Transportation.f; -: 4k<® CR-tParts 100;199 and. for frrtemational shipments, the lATAAestficted Articles RegUatkxc may be a breach <K ' , ••j fof.the appBcabte law, subject to legal penalties. Thto certification shall in no circumstance be signed by an IATA| } ~<3arBaA{jentT#a3 ;• •"> ! • "

Not

ir?&*tt-*tJlfrTUiSft;3f' •:*v;.. .*«•.• «ftr..ji*.-'v*- • • . *shipment fr wBin the 8n*afions presoted tor (n»rk cn«) . . O passengerft cargo aircraft lj cafoo-onlyairaaft.'. -* ?..; w.? »* •••'•». - . ______•___*•** • •' • ***______,. ____j\______________.Ana*

Pnper Shipping Name of Materialsas Ibown to 49 CFR. part 172.101' •-_.J.J — ff.ftt m .. a I -*^ __ * »> __ _ _•_ _Bnu KKJuOnBI fHMTffy K?M loQUiTO" ,moots •pedfied ki 48 CFR 1722031and flbrhn «f%jmenb) the IATARestricted Artfcto Regulations >«•

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IterebycertJfythatthecomentsof thisconsignmentarefuipfpfl N«me wB-dassffied. padced, markot and labelled, and In proper condition fto applicable national governmental regulations. . . . .= .

Name and M address of Shfcper . . Name and title of person signing Certification . ;,.v— ^/7 "7*- /" . 7T « »— •'• • ••'*•'••fs*/ . WT • /"/t./ --., r:*ti* *>-**. rn*b?T I* '———————————————————————————————•——^——~-k. vdtf*^ • f-* T n • n'PMnf f>^*— : : :: " ]i g

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Page 13: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

MKMU*TIO''MTHIS •.OCXSOUTUNEOMOAANGi-

- sr£MMUfit Wfi».» ££. D»CLAM AIL WMMNTtl UntSS OH iHTtffli

AMU 9JKJBT TB COOTXM V CWIMO 3T HMTNCM (crest» a*ran cow. jua nw KCLWMMOHSI WUJt TW UUUIT » fBBMl OffiESS OHMMTW B IWtrtB 181100 »

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AR 102201A

Page 14: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

rU S ENVIRONMENTAL PROTECTION AGENCY CLP Sample Management Office

HIGH HAZARD TRAFFIC REPORTSsmpteNumDer

5230

Case NumbeK Q' J! Field Sample Description:r \ - • ' • " • •__ Dtun. .•*.••'. . • i.Aqueous Liquid .-

Attrr

(D Known or Suspected Hi• - • • • • • •

._...,. .,.,...,j ..,„,...„,

, (name) . :•

(phcne)

Sampling Date:••• *

(begin) ' (end)2) Preparations Requested:

(ctedcbebw)Sample Volume: _

' Slipping Information:

(namsd carper)

_TVt _ __±TBase/NeulralA±L

PCB

(date shaped) .-±TStrong Add Xnicns

(anM number)

Special Handling Instructions:

Client P2e Copy

ORIGINAL(red)-

Page 15: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

US.ENVIRONM

HIGH HAZARD TRAFFIC REPORT 5225

vD Case Number

Sample Site N me Coda:*. ir. *.. / • • /- • r •_

D Field SaxmslaDescrgption:* '

. ._Aqueous LiquidShxVp

Attxu

0 SaxnpKngOffica: (D Known or Suspected Hazards1 t ' V bnVo'-W- &K>c*s> c i

(6) San jlfl Locationi

(name) ORIGINAL(phone)

Sampling Data.si ';.

(red)

(begin) (end)

D Preparations Requested:(check befaw)

® Shipping Infonnation:

(narnad earner)

(date shipped)J Strong Acid Xnicans

(airbffl number)

C3ientF3aCppy

Page 16: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

s US. ENVIRONMENTAL PROTECTION AGENCY CLP Sample Management Officer

HIGH HAZARD TRAFFIC REPORT 5224

2) Case Number:/n^ 3. © Field Sample Description:

•_ Aqueous Liquid' . .

0 Sampling Office: . • ©Known or Suspected Hazards_ -.' —*""*z* ""'»'t- •..jy " • • \x *. .-" — r~' J-~.-ft.

Sanding Personnel: -•

Preparations Requested:(checkbebw)Sample Volume:

Shipping Information:

Jflbtal Mercury-».' Strong Acid Arnons

(airbill number)

Specaal Handling Instructions:

Client File Copy '

Page 17: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

r .->v. • ....-•i Mtf-'$****•> < .*'<*•I "•;•».: ZfA-.. -."j• • !-_•:— • -

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102205 5 ' .N ?&J

Page 18: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

WORLDWIDE

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Page 19: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

U;S.'ENVIRONf ENTALPROTECnON AGENCY'P.O.I>v:f|:t.'A:-.xsvs:-.|-7iri.:,M?23;3 -T.'; S:--'-,?.-«''>nS ;•?

ORGANICS TRAFFIC REPORT

Sample Site Ni'

3V SAMPLE

©Regional OffiSampling Personal : .?

ApproximateTotal Volume

••... .*: Number ofContainers

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Water(Extractabla)Water(VOA)

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Airbifl Number.

a) Sample Description\.-" •>•••»•.»

Surface WaterSample Location '

Mxed MediaSolids__ GioundWater , .

__ Leachate'- :'_ Other (specify)

Page 20: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

U.S. ENVIRONMENTAL PROTECTION AGENCY HWI Sccnple Management Oftice-POB«Sic.A;vx .i:t:'Vut;i!i;or;"j-7:''vi '2; »r*iS o n-rsj :-\. . V

ORGANICS TRAFFIC REPORT

©Regional Office: D For elch18ample collected specify numbef*.J;r--'>>'.<*..

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Page 21: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

U S. ENVIRONT-.lEITrAL PROTECTION AC CNCY HWI Scmplo MonagemcnlPO !r:. /c---x-,'i'Jiki.V2M-'ri : -^csT-^-nr?^ 2-r/} • - .,.- --.•> .-; --::ORGANICS TRAFHC REPORT

Sample Site N,

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Ground Water. '-—I. Solids..- ."•••':>, ::.V -

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Page 22: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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ater. _JL SoKds :. ;,-' ::_.. ; '>' : G <*v &; "•'

Page 23: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

U.S. ENVIRONMENTAL PROTECTION AGENCY KWI Sample ManagementI'blv-xbiH Ar-xrt. . :' ^ /! - V:V:-r,;;.;-! =?/.;vc .. '.-:;•"_-.'••

ORGANICS TRAFFIC REPORT

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<D For each sample: collected Specify number ••of containers used aru

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te l ^ - t f a e r (specify)- '- - '^ , : . . . . : - ' : , .>mr *,.;;.— ™r —*• : , .,.. . • • - ...:-•*_.• .. y rt* •»«•'.

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Special HainoTir g Litsbruciibiis:

Page 24: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

U.S. ENVIRONMENTAL PROTECTION AGENCY HWI Sample Management Office:i>OR K!c.A:(vx ld..ViTa::.;u ::i:b vv..- v.V" '-nr; :o7-x:'0 ' '••>'"- '. - .

ORGANICS TRAFFIC REPORTft Case Nv

©Regional Office:* ' "" *•" i"t •* " •• • '• "'

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Page 25: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 27: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 28: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

U.S. EMVIROJIMENTAL PROTECTION AGEMi n wj ocmipio ivianagcmen

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Page 29: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 31: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 34: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,
Page 35: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 36: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 37: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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AR 102223A

Page 38: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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AR 102224A

Page 41: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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Page 42: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

Ff(-*-Jfl <•' P.O. Box818. Aloxcmdria, Virginia 27.313-703 '557-2490»nS 557-2490 ' '•• •"-•••• ' •: . . .' : . - |9||H|j|j|i|

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Page 43: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,
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Page 45: US. ENVIROrJMENTAL PROTECTION AGENCY CLP Sample … · 2) Preparations Requested: (check below) Sample Volume: __ ^l.Qrganics.£_ Volatile Organics JOL Base/Neutral, Acid, TCDD ^•Pesticides,

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SUITE 3 5090 Cf-NTHAL HIGHWAYPLNNSAUKLN, NJ UHIU'IHHONf 609 66:)-/9')5

O R I G I N A(red)

12/17/82

Eileen O'ConnorSample Management OfficeP.O. Box 818Alexandria, Va. 22313

Dear Eileen;

Attached are copies of the Emery Airbills, Chain of CustodyRecords and Organics Traffic Reports from the December 1, 1982sampling at the Mill Creek Pennsylvania site. When can werealistically expect a hard copy of the analytical results fromMead Compu Chem? Who would those results be sent to at the USEPA?

Has the Mill Creek, Pa. site samples that were sent toSverdrup Tech. Inc., on November 19, 1982, been analysed?The SAS number for the analysis was 341 ERT. When will a hardcopy of the results be available, for both the high priorityand low priority samples? Can a copy of the analysis be sent to theFederal On-Scene Coordinator from the USEPA Mike Zickler?

I hope to hear from you soon, thank you for your cooperationin this matter.

Very truly yours,

Kenneth McGillTechnical Assistance TeamRoy F. Weston, Inc.

SRI02230

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