administrative record coversheet - Air Mobility Command

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					                            Ffle: 17G
               63    6      G.J.




                    FAIRCHILD AFB
                     WASHINGTON

. C,




ADMINISTRATIVE RECORD
          COVERSHEET


       AR File Number &a
                                                   63                            11
                                                                                 10
                                                                   3,
                                                                            3



                            ABC LABORATORIES INC.
                           EAST 4922 UNION VENUE
                              SPOKANE, WA 99212
                                 509-534-0161



Report to-     Fairchild Air Force Base                   Lab V- 33182-89
               92 CSG/DEEV                                Date: 01-04-90
               Bldg. 2451A                                Date Rec'd: 12-22-89
               Fairchild AFB, WA 9901 1-5000              P.O. IV
Attn.:         Jim Gillie
Description Performanalysesasdirectedonsubmittedsample.
Test                                          Results

Nitrate, N03-N, mg/L                                      3.6
Nitrite, N02-N, mg/L                                      <0.0 I




Respectfully subm Itted,
ABC LABORATORIES, INC.
                  Y
W. E. Burkhardt
Manager
                                                                          6   3
               CLIENT:          i Z-       :)67Z() iEE I/                                      I    J No.

                                v-A- i Z4- t4 e L. e)    14 F13 W4                             DATE REC'D:             ZZ De-c-81

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                                           CHAIN OF CUSTODY RECORD

                                                                          SAMPL


                                                                              IAMPLI TYPE
                                                                                                    SEO     No OF           ANALYSIS
STATION            STATION LOCATION                OATE        TIME                          A-,    NO    CONTAINEnS        AEOUIREO
NumaEn



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Relinq                                                        Received by: IS,, ......                                         Date/Time


Relinqishecl    by:                                           Relinquished by:                                                  Date/Time

                                                                                                                                     I
Relinquished by: is., .......                                 Received by:                                                      Date/-rime


Received by: (sP-,,-w                                         Received by Mobile Laboratory for field                           DatefTime
                                                              arialysis:                                                            I
Dispatched by:                                          Date ;me R : ved far, Lab                                               D t /Time
                                                            I/T                    robry by:


Method of Shipment:
                                             0.,mbw.o.    G,,g -AccotYpany Sh.p.c.1
                                                          I Cupy-S.,,,ey Cootd..I.to,   Feld Faes
                                               63          3
                              ABC LABORATORIES, INC.
                             EAST 4922 UNION AVENUE
                               SPOKANE, WA 99212
                                  509-534-0161



Report to:     Fairchild Air Force Base                    Lob 0: 33147-89
               92 GS6./DEEY                                Date: 12-14-89
               Bldg. 2451A                                 Date Rec'd: 12-07-89
               Fairchild, WA 99011-5000                    P.0.0:0060
Attn.:         Diane Wulf
Description: Performanalysesesdirectedonsubmittedsample.
Test                                                       Results
Yolatile Organic Scan:
Parameter                           Spokane Culvert
                                       12-7-89
                                       9:45 A.M.
Chlorobenzene                               ND
I, 3, Dichlorobenzene                       ND
1, 4, Dichlorobenzene                       ND
1, 2, Dichlorobenzone                       ND
Bromodichloromethene                        ND
Bromoform                                   ND
Carbon Tetrachloride                        ND
Chloroform                                  ND
Dibromochloromethane                        ND
1, I, Dichloroethene                        ND
1, 2, Dichloroethane                        ND
1, 1, Dichloroethylene                      ND
Trans I, 2, Dichloroethylene                ND
I, 2, Dichloropropane                       ND
Cis 1, 3. Dichloropropene                   ND
Trans I, 3, Dichloropropylene               ND
Me"Iene Chloride                            ND
I , I, 2, 2, Tetrachloroethens              ND
Trichloroothylene                            I
I , 1, 1, Trichloroethane                   ND
1, I , 2, Trichloroothene                   ND
Tetrachloroethylene                         ND
2, Chloroethylyinyl Ether                   ND
Nitrate, N03-N, mVL                                        3.7
Nitrate, N02-N, mg/L                                       (0.01
Respectfully submitted.
ABC LABORATORIES, INC.


W. E. Burkhardt
Manager
               CLIENT:                 cl / D6e v                     63                                        Aibc- tabs
                                                            WA W,?It                            DATE       REC'D:

                                                                                                P.O.              00GO

                                      CHAIN OF CUSTODY RECORD

                                                                      SAMPLERS

                                                                                   4600'
 STATI N                                                                 SAMPLE TYPE
 NUMOEn            STATION LOCATION          DATE         TIME                                    SEG        NO OF             ANALYSIS
                                                                      C.-O   G'.t'        A.,     No       CONTAINERS          REOUIRED


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Relinquished by:                                        Received by:                                                             Date/Time

Relinquished by:                                        Relinquished by:
                                                                                                                                 Date/Time

Relinquished by:                                                      ........j
                                                        Received by: is                                                               I
                                                                                                                                 Date[T;me

Received by:                                       Received by Mobile Laboratory for field                                       Date I/Time
                                                   analysis:
Dispatched by:                                             Receiv                 by:
                                              Date/Time          'ed for Laborato
                                                                                                                                 DateMme

Method of Shipment:
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          ADMINISTRATIVE RECORD




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     6   3   8




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ADMINISTRATIVE RECORD




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