Polychlorinate biphenyls (PCB) analysis report for solid sample for 219S tank 102 Page: 1 of 106
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Pe 1 of
DECO 51997 ENGINEERING DATA TRANSMITTAL 1.EDT 62 336
2. To: (Receiving Organization) 3. From: (Originating Organization) 4. Related EDT No.:
Distribution Production Planning N/A
and Control
5. Proj./Prog./Dept./Div.: 6. Design Authority/ Design Agent/Cog. 7. Purchase Order No.:
219S Tank 102/Waste Engr.:
Gerald A. Ross N/A
Management/PPC/AS
8. Originator Remarks: 9. Equip./Component No.:
This document is being released into the supporting document N/A
system for retrievability purposes. 10. System/Bldg./Facility:
219S-Tank-102
11. Receiver Remarks: 11A. Design Baseline Document? [] Yos [X] No 12. Major Assm. Dwg. No.:
For release. N/A
13. Permit/Permit Application No.:
N/A
14. Required Response Date:
12/05/97
15. DATA TRANSMITTED (F) (G) (H) ([)
(A) (C) (D) Approval Reason Origi- Recei-
em (8) DocenSheet Rev. (E) Title or Description of Data Desig- for nator
No. No. No. Transmied nator Trans- Disp.- Dispo-
mittal sition sition
1 HNF-SD-WM-DP-275 N/A 0 Polychlorinated Q 2 1 1
Biphenyls (PCB)
Analysis Report for
Solid Sample from
219S Tank 102
16. KEY
Approval Designator (F) Reason for Transmittal (G) Disposition (H) & (1)
E, ., ., D or N/A 1. Approval 4. Review 1. Approved 4. Reviewed no/comment
(see WHC-CM-3-5, 2. Release S. Post-Review 2. Approved w/comment . 5. Reviewed w/comment
Sec.12.7) 3. Information 6. Dist. (Receipt Acknow. Required) 3. Disapproved w/comment 6. Receipt acknowledged
17. SIGNATURE/DISTRIBUTION
(See Approval Designator for required signatures)
(IG) (H) (G (H)
Rea. Disp. (J) Name (K) Signature (L) Date (M) MSIN Rea- Disp. (J) Name (K) Signature (L) Date (M) MSIN
son son
Design Authority
Design Agent
2 Cog.Eng. G. A. Ross -
2 I Cog. Mgr. G. B. Svancara 5 2 -
2 i A T. L. Tung (2 9'
Safety
Env.
18. 19. 20. 21. DOE APPROVAL (if required)
Ctrl. No.
.Tgip5h, NIA AD. .anra C Approved
)/. ./2.4/Ovv&an lara )2 9 [) Approved a/comments
Signature of EDT Date Authorized Representative Date sign Authority/ Date [) Disapproved w/comtents
Originator for Receiving Organization ognizant Manager
BD-7400-172-1
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Ross, G.A. Polychlorinate biphenyls (PCB) analysis report for solid sample for 219S tank 102, report, December 5, 1997; Richland, Washington. (https://digital.library.unt.edu/ark:/67531/metadc686478/m1/1/: accessed April 24, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.