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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
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
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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
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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;'
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Attn:
Sampling Office: Known or Suspected Hazards:
Sampling Personnel:
(name)
(phone)
Sampling Date:
(end)
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Shipping Information:
(name of carrier)
(date shipped)
(airbill number).'
1'Qrganics^ Volatile Organics_ Base/Neutral, Acid,TCDD
^ Pesticides, PCB -
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Sample Location:
O R I G I N A L(red)
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AR 102201A
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• - • • • • • •
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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)-
US.ENVIRONM
HIGH HAZARD TRAFFIC REPORT 5225
vD Case Number
Sample Site N me Coda:*. ir. *.. / • • /- • r •_
D Field SaxmslaDescrgption:* '
. ._Aqueous LiquidShxVp
Attxu
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(airbffl number)
C3ientF3aCppy
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.
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Specaal Handling Instructions:
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ORGANICS TRAFFIC REPORT
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Water(Extractable)
) Shipping Information
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Surf ace Water
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ORGANICS TRAFFIC REPORT
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ORGANICS TRAFFIC REPORTft Case Nv
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© SAMPLE CONCENTRATION x/ti/l'ff!??t&& ~
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LAB COPY FOR RETURIITOSMO AR 102216
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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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