ML061710020

NRC Form 303, Request for Analysis and Chain of Custody, Laboratory Orise, for Braidwood Nuclear Generation Station, and Fax Cover Sheet

ML061710020
Person / Time
Site:	Braidwood
Issue date:	12/06/2005
From:	Gene Bonano - No Known Affiliation
To:	Office of Nuclear Reactor Regulation
References
FOIA/PA-2006-0115, FOIA/PA-2010-0209
Download: ML061710020 (11)

Text

PAGEf 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.

RRAIDWOOD N11CLEAR GFNERATING STATION NPF-72/NPF-77I.50-456/50-457 SAMPLE SUBMITTED

1. TOTAL TYPE VOLUME WEIGHT DATE SAMPLES SUBMITTED PRIORITY i/I

/

LiROUTINE

.L....w_'ti M vim URGENT ISAMPLE COLLECTION INTERVAL

_____________ 'MONTH DAY YEAR TIME TEEPON NMBR START

/0~O INSPE5ýTRESPONSIW TELEPHONE NUMBER_

LIST DESIRED LIST DESIRED ANALYSIS TO BE PERFORMED LLD (Optional)

OTHER TYPE OF ANALYSIS (Specify)

LLD (Optional)

L GROSS ALPHA (GA)

.0I

• [j GROSS BETA (GB)

Lw GAMMA SPEC (GS)

[~JTRITIUM (H3)

L CARBON-14 (C14) i ET IODINE-125 (1125)

ElI RELINQUISHED BY

" RECEIVED BY DATE TIME

• REASON FOR CHANGE OF CUSTODY FEE RECOVERABLE V* NO

[- YES

-IF YES, TAC NUMBER 00 5 l / a REMAR4KS Information in this record was deleted in accordance with the Freedom of Act, exemptions -"

Infor~a'1o0 NOTE: SAMPLES WILL BE DISCARDED AFTER ANALYSIS UNLESS REASONS ARE NOTED IN REMARKS ABOVE.

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.

T, 12/0512005

/

NRC-I2-R3 el NRC-13-R3 el (250 ml bottle)

• ~ ~~~~~

12/02./2005......

y,.,. f" ":':

NRC-14-R32012 2:35pm NRC-15-R3' 12/0.2/2005.....

NRC-16-R3 ellU 12/03/2005

, )

• 1:28pm NRC-17-R3 GW-120205-MK-D-3 NRC-18-R3 GW-120205-JL.-RW-3 NRC-19-R3 GW-120205-L-RW-4 NRC-20-R3 GW-120205-MK-P-2 12/02)2005 NRC-21-R3 GW-120205-MK-P-3

........... 02...2.0.0.5......

NRC-22-R3 GW-120205-MK-vT-3-7

..... 1..2...0..2./2..0.0.5......

NRC-23-R3 GW-120205-MK-VB-3-8

..... 1.2./.02./..2.0.0.5.

=.....

Note:

Count down to environmental LLD

• • gamnna-spec on any 3 and count down to environmental LLD.

450 LLD for H-3 on.all samples Filter samples to remove any sediments

............................. that may Interfere with counting.

....... o..C...................

.. o...°..,......................

............... °.............

NRC FRM 303A f4-20041 PRHINTE]D ON RECYCLED PAPER

TRANSMISSION VERIFICATION REPORT TIME

12/06/2085 13:82 NAME

US NRC RIII DNMS FAX

6385151259 TEL DATETIME 12/86 13:81 FAX NO./NAME 18652413497

-DURATION 88:88:56 PAGE(S) 83 RESULT OK MODE STANDARD ECM

UNITED STATES NUCLEAR REGULATORY COMMISSION REGION III 2443 Warrenvtlle Road, Suite 210 Usle, Illinois 60532-4352 TELEFAX TRANSMI'TAL DATE:

/

or NUMBER OF PAGES:.

(including this page)

(oJ.4'.

j 1

73 SEND TO:

LOCATION:

FAX NUMBER:

L-] VERIFY BY CALLING SENDER FROM:

(SENDER) 6)( e Afe--

t1j Iq TELEPHONE NUMBER:

630 - A - ?'

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 2

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 rLceived this communication In error, please notify the sender Immediately by telephone and return the original to the above address, by U.S. Mali. Thank you.

H2~ FORM SM 11JU) 14-2004)

PRINTED ON I~ECY~LEU ~AP~R=

WC FOFJA 355 (RIft) (4-2004)

PRED ON REMMCED PAPER

TRANSMISSION VERIFICATION REPORT TIME

12/86/2885 12:59 NAME

US NRC RIII DNMS FAX

6385151259 TEL DATETIME 12/86 -12:58 FAX NO./NAME 13814155397 DURATION 88:88:57 PAGE(S) 03 RESULT OK MODE STANDARD ECM

NRt. FORM 386 (Rill)

(4-2004)

UNITED STATES NUCLEAR REGULATORY COMMISSION REGION ill 2443 Warrenville Road, Suite 210 Usle, Illinois 60532.4352 TELEFAX TRANSMITTAL DATE:'

_b NUMBER OF PAGES:

(including this page)

&iA

<3 I Cý A."

SEND TO:

LOCATION:

t~fA(

s'/zJk FAX NUMBER: 3o/

./".

L-VERIFYBY CALLING SENDER FROM:

(SENDER)

C Je-rB0t it-TELEPHONE NUMBER:

630 AJ9-9 2 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 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 ricelved 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.

NRC FORM 385 VW (4-2004)

PRINTED ON RECYCLED PAPER

NRC FORM 386 (RIII)

(4.20 04) po &

UNITED STATES NUCLEAR REGULATORY COMMISSION REGION III 2443 Warrenville Road, Suite 210 Usle, Illinois 605324352 TELEFAX TRANSMI'TAL

.DATE:

)

e__

NUMBER OF PAGES:

(including this page)

SEND TO:

LOCATION:

6Rc 3~C~*

FAX-NUMBER: gL$-2_.3/V I)7~

n VERIFY BY CALLING SENDER FROM:

(SENDER) 36rJ~l TELEPHONE NUMBER:

630- m 6u?6 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 e-A--.

,, f.

I-.S A~e~

lhAtJt~N~

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 fIereby notified that any dissemination, distribution or copying of this communication Is strictly prohibited. If you have received 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.

.R...

J SG (~f)(.......R............C3 P P~F NRC FORM 35 PMil (4-2004)

PRINED ON REcycL.ED PAPER

TRANSMISSION VERIFICATION REPORT TIME

12/87/2885 18:10 NAME

US NRC RIII DNMS FAX

6385151259 TEL DATE,TIME 12/07 10:09 FAX NO./NAME 18652413248 DURATION 88:88:37 PAGE(S) 82 RESULT OK MODE STANDARD ECM

UNITED STATES NUCLEAR REGULATORY COMMISSION REGION III 2443 Warrernvlle Road, Suite 210 Usle, Illinois 60532-4352 TELEFAX TRANSMI1TTAL DATE:

NUMBER OF PAGES:

.including this page)

SEND TO:

LOCATION:

1 0 rJj (SSt*Q FAX NUMBER: 3 6 /

S/Y.5-39-2.

n] VERIFY BY CALLING SENDER FROM:

(SENDER)

C1~~AJI-

.. *. b f-D 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.

MESS'AGEWe

.,,;..-,,,(,L,'

3b3 A.

sr f"A6I 6

"'J J6

/

<ý,j k 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 riceived 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.

NRC FORM 355 (rdl) (4-2004)

PRINTED ON RECYCLED AE

TRANSMISSION VERIFICATION REPORT TIME

12/07/2085 18:12 NAME

US NRC RIII DNMS FAX

6385151259 TEL DATE,TIME 12/87 10:12 FAX NO./NAME.

13014155397 DURATION 80: 00: 38 PAGE(S) 82 RESULT OK MODE-STANDARD ECM

PAGE c2 -

OF___

NRd FORM 303A U.S. NUCLEAR REGULATORY COMMISSION LABORATORY USE ONLY (4-2004).

CONTROL NUMBER SAMPLE RECORD - Continued LABORATORY - ORISE SAMPLE NUMqER pW&-dR3 SAMPLE NAME AND DESCRIPTION COLLECTION DATElTIME REMARKS, PRESERVATIVE ANALYSIS REQUESTED, ETC.

\\

/4;~. & 05

-~

's.-

F

/19* ~5

-1

/6?

.05 I

C,

/ 46 I

q~k

\\)

,OD

)

/

I te23~5 J.j(V VK I.

<~

7/ 7~~Y" /

Y l-J ;- /

AkC-6-0 aW-Id6ý65-Ak-b-3 R W -3

-W A 65 -.5 L - R q - IV,........................

0%

-A., 0, W+R3

ýb -9 65-- M K -T' 14R 5

.. ýb

.R3Gý-ltýQb5-Mk-T-3 I..............

\\

.i NRC FORM 303A (4.20)4 PRINTED ON RECYCLED PAPER