Document 0JJRp205nz6E6zMRnJZgzd3ok
AR226-2664
54
RES EARC H
. Precise Research. . Proven Results.
AR226-2664
Analytical Report
Air Sampling Fluorochemical Report
..Y-V. : DuPont Washington Works - Air Sampling Program Round 9
/Z.//g? ;....
'
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'.
. ,
Exygen Research Report No. L0001508
Testing Laboratory
Exygen Research V 3058 Research Drive ' State College, .PA 16801
Requester
Michael D Aucoin URS Corporation
Barley Mill Plaza
Building 27 Room 1260 Lancaster Pike and Rt 141
Wilmington, DE, 19805
ALL DATA CONTAINED IN THIS P^PORT WAS GENERATED BY EXYGEN RESEARCH
Pas:.e ) of 7
3058 Research Drive State College, PA 16801, USA
T: 800.281.3219 F: 814.272.1019
Summary
' :."".
Seven solid media samples were received by Centre Analytical Laboratories, Inc. (dba Exygen Research) (Exygen) from DuPont Corporation. The media represent samples of air collected on OVS tubes. Please see Table 1, for a completed listing of samples received and field air volumes
collected.
The samples were analyzed for Perfluorooctanoic Acid (C8 Acid) using liquid chromatography
/ mass'spectrometry (LCMS).
^
-
/
;
The OVS tubes were separated into three fractions for specific fluorochemical analysis. Fraction A consisted of the filter, backing material and plastic ring. Fraction B contained the
first bed of XAD resin and the PUF backing. Fraction C contained the second bed of XAD
resin and PUF backing. Fractions A and B were extracted with 1 mL of methanol. Fraction C was not analyzed but saved for possible future analysis. Perfluorodecanoic Acid (C10 Acid)
was added as a surrogate spike to each fraction prior to extraction.
Instrument operating conditions can be found at the beginning of each analytical run. Raw
instrument data is given in Appendix A.
AppendixB.
,
Chain-of-custody information can be found in
:
ALL DATA CONTAINED IN THIS REPORT WAS GENERATED BY EXYGEN RESEARCH
Page 2 of 7
Results Summary
Request #
WWK-A-AMS1-E9A WWK-A-AMS1-E9B WWK-A-AMS1-E9C WWK-A-AMS1-E9 (Total)
WWK-A-AMS2-E9 A WWK-A-AMS2-E9 B . WWK-A-AMS2-E9 C WWK-A-AMS2-E9 (Total)
Air Volume Sampled (L)
1439 1439 1439
'i,- ,
1442 1442 1442
C8 Acid (mg/m3)
< 0.00007 < 0.00007
NA < 0.00014
0.00011 < 0.00007
NA 0.00011
WWK-A-AMS3-E9 A WWK-A-AMS3-E9 B WWK-A-EMS3-E9 C WWK-A-EMS3-E9 (Total)
WWK-A-AMS4-E9 A WWK-A-AMS4-E9B WWK-A-AMS4-E9 C WWK-A-AMS4-E9 (Total)
WWK-A-AMS5-E9 A
I
WWK-A-AMS5-E9 B
WWK-A-AMS5-E9 C
WWK-A AMS5-E9 (Total)
WWK-A-AMS6-E9 A WWK-A-AMS6-E9 B WWK-A-AMS6-E9 C
WWK-A AMS6-E9 (Total)
1392 1392 1392
1417 1417 1417
1453 1453 1453
1429 1429 1429
0.00011 < 0.00007
NA 0.00011
< 0.00007 < 0.00007
NA < 0.00014
< 0.00007 < 0.00007
NA < 0.00014
< 0.00007 < 0.00007
NA < 0.00014
NA - Not Analyzed. B fraction was below the quantitation limit, therefore the backup fraction does not require analysis. 1. "<" is defined as not detected at or above the reported level.
2. Sample results have not been corrected for blank results or control spike recoveries.
3. Please note the following descriptions of the OVS sample tube fractions:
Fraction A B C
Fraction Description Frit Extract 1st set beads extract 2nd set beads extract
(not analyzed)
ALL DATA CONTAINED IN THIS REPORT WAS GENERATED BY EXYGEN RESEARCH
Page 3 of 7
PC Data
LCS
Please note: One control sample was spiked with each perfluorooctanoic acid to give a final concentration of 500 pp through the tube at a rate of 1-liter per minute for one hour (60 liters of air). The fractions were separated and analyz acceptable range for control recovery is 75-125%.
Request # Control 1
CSAcid (amount spiked - ppb)
500
CSAcid , (amount recovered - ppb)
495
C8 Acid (percent recovery
99
Blanks
Request # WWK-A-AMSFBLK-E9 A' WWK-A-AMSFBLK-E9 B
Vol. Of Air (L)
0
.0
CBAcid (ug/fraction)
<0.10 <0.10
ALL DATA CONTAINED IN THIS REPORT WAS GENERATED BY EXYGEN RESEARCH
Page 4 of 7
Surrogates ,
:
'
'
.
.
.'.'
.
..
'
A surrogate spike (C10 Acid) was added to all OVS tubes to give a final concentration of 500 ppb in the extract. .Surrogate spike recoveries are given in the following table. There are no set criteria for surrogate spike
recoveries. Advisory ranges are 75-125%.
;
Sample #
WWK-A-AMSFBLK-E9 A
WWK-A-AMSFBLK-E9 B
WWK-A-AMS1-E9A
:
WWK-A-AMS1-E9 B .
WWK-A-AMS2-E9 A
WWK-A-AMS2-E9 B
WWK-A-AMS3-E9 A
WWK-A-AMS3-E9 B
WWK-A-AMS4-E9 A
WWK-A-AMS4-E9 B
WWK-A-AMS5-E9 A
WWK-A-AMS5-E9 B
"
WWK-A-AMS6-E9 A
WWK-A-AMS6-E9 B
Control Spike A
Control Spike B
Amount Spiked (PPb)
500 500 : 500 , 500
.500
. 500 500 500 500 500 500
. 500 500 500
: 500 500
Amount Recovered (PPb)
488
300 504 J .
362
481
322
;
512'-- . 332
538; .
352
500
335 , .
'.5H 347
490
297
Percent Recovery (%)
98
60*
101
72*
. 96
/ .
64*
102
66*
108 -
70*
100
67*
:
.
'
102 :
69*
98
59*
^ Surrogate recovery outside of advisory range.
ALL DATA CONTAINED IN THIS REPORT WAS GENERATED BY EXYGEN RESEARCH Pae5of7
Calculations
Request#
WWK-A-AMSFBLK-E9 A WWK-A-AMSFBLK-E9 B
WWK-A-AMS1-E9A^ WWK-A-AMS1-E9B .WWK-A-AMS2-E9 A WWK-A-AM.S2-E9 B WWK-A-AMS3-E9 A WWK-A-AMS3-E9 B WWK-A-AMS4-E9 A WWK-A-AMS4-E9 B WWK-A-AMS5-E9 A WWK-A-AMS5-E9 B WWK-A-AMS6-E9 A WWK-A-AMS6-E9 B
Control Spike A Control Spike B
Vol. Of Air (L)
0
0
1439 1439 1442 1442 1392 1392 1417 1417 1453 1453 1429 1429
0 0
C8 Acid
(raw-ppb)
<10 <10 <10 <10
158
<10
150
<10 <10
<:10 69
<10 <10 <10
495
<10
CSAcid (ug/fraction)
<0.10 <0.10 <0.10 <0.10
0.16
<0.10
0.15
<0.10
<0.10 <0.10 <0.10 <0.10 <0.10 <0.10
0.50
<0.10
CSAcid (mg/m3)
< 0.00007 < 0.00007 0.00011 <: 0.00007 0.00011 < 0.00007 < 0.00007 <0.00007 < 0.00007: < 0.00007 < 0.00007 < 0.00007
ALL DATA CONTAINED IN THIS REPORT WAS GENERATED BY EXYGEN RESEARCH Page 6 of 7
'Example Calculation . . . .
For sampieWWK-A-AMS2-E9 A C8 Acid.
:
"
'..-':......-
:
'
...-..;.
':^;-.,-.;:._';: .-,,,,, ., ,; .:,',''/'.'.
(
'
==
[158ng/mlofC8Aciclx(l ml).x.(I,ug/ i000ng)x (1 mg/ lOGO.ug)] / [(1442L)x(l in3
./'
..'
.
1000L)] : , . '' /-' /'
^. :";'- .:; ,-;:< . :'" '.-
.
'
.
. :.
O.OOOllmg /m3
Signatures
-.Pau' Connolly, LCMS Team l-sader
^ w ^ U ^ f ^iohn M, Flaherty, Vice^resident
Other Lab Members Contributing to Data James Mil!e!-
^7-<?^
Date
^/wy
Date
gl| ,
SSy
'
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ALL DATA CONTAINED
;
IN THIS
'
'
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REPORT WAS GENERATED
B Y
EXYGEN
RESEARCH
pa:?e7ot'7
Table 1. Login Information / Field Data
Sample ID
Exygen
Lab ID
Date Received Description
.
Air Volume Sampled (L)
WWK-A-AMSFBLK-E9 A WWK-A-AMSFBLK-E9 B WWK-A-AMSFBLK-E9 C
WWK-A-AMS1-E9A WWK-A-AMS1-E9B WWK-A-AMS1-E9C WWK-A-AMS2-E9 A WWK-A-AMS2-E9B WWK-A-AMS2-E9 C WWK-A-AMS3-E9 A WWK-A-AMS3-E9 B WWK-A-AMS3-E9 C WWK-A-AMS4-E9 A WWK-A AMS4-E9 B WWK-A-AMS4-E9 C WWK-A-AMS5-E9 A WWK-A-AMS5-E9 B WWK-A AMS5-E9 C WWK-A-AMS6-E9 A WWK-A-AMS6-E9 B WWK-A AMS6-E9C
Control Spike A Control Spike B Control Spike C
L0001508-1 L0001508-2 L0001508-3 L0001508-4 L0001508-5 L0001508-6 L0001508-7 L0001508-8 . L0001508-9 L0001508-10 L0001508-11 L0001508-12 L0001508-13 L0001508-14 L0001508-15 L0001508-16 L0001508-17 L0001508-18 L0001508-19 L0001508-20 L0001508-21 L0001508-22 L0061508-23 L0001508-24
12/20/03
Frit extract
12/20/03 1st set beads extract
12/20/03' 12/20/03
2nd set beads extract Frit extract
12/20/03
1st set beads extract
.
12/20/03 2nd set beads extract
12/20/03
Frit extract
,'
12/20/03 12/20/03
1 st set beads extract 2nd set beads extract
12/20/03 Frit extract .
;
12/20/03
1st set beads extract
12/20/03 2nd set beads extract
12/20/03 12/20/03 12/20/03
... Frit extract
1st set beads extract 2nd set beads extract
12/20/03 Frit extract
12/20/03 12/20/03 12/20/03 .
1 st set beads extract 2nd set beads extract . Frit extract
12/20/03 12/20/03 12/20/03 12/20/03 12/20/03
1 st set beads extract 2nd set beads extract Frit extract 1st set beads extract 2nd set beads extract
.!1.
!
.
0
!11 '."' 0
"
.
'
.'
"0 !
.
..
-- .1439
1439
1439
,1442
1442 : .
, 1442
1392
1392
1392
1417
1417
1417
1453 , ,
.
1453
1453
' ' 1429
, 1429
.
1429.
0
,.'
' '
.' ,
,
0
0
""
Table 2. Chain of Custody
Sample ID
WWK-A-AMSFBLK-E9 A WWK-A-AMSFBLK-E9 B WWK-A-AMSFBLK-E9 C
WWK-A-AMS1-E9A WWK-A-AMS1-E9B WWK-A-AMS1-E9C WWK-A-AMS2-E9 A WWK-A-AMS2-E9B WWK-A-AMS2-E9 C WWK-A-AMS3-E9 A WWK-A-AMS3-E9 B WWK-A-AMS3-E9 C WWK-A-AMS4-E9A WWK-A AMS4-E9 B WWK-A-AMS4-E9 C WWK-A-AMS5-E9 A WWK-A-AMS5-E9 B WWK-A AMS5-E9C WWK-A-AMS6-E9 A WWK-A-AMS6-E9 B WWK-A AMS6-E9 C
Control Spike A Control Spike B Control Spike C
Date Collected
12/19/03 12/19/03 12/19/03 12/19/03 12/19/03' 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03
NA NA NA
Date Received at Exygen
12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03. 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03 12/20/03
Date Extracted by Exygen
Date Analyzed by Exygen
1/5/04 1/5/04
NA
1/5-1/6/04 1/5-1/6/04
NA
1/5/04 1/5/04
NA
1/5-1/6/04 1/5-'1/6/04
NA
1/5/04
1/5/04
NA
1/5-1/6/04 1/5-1/6/04
NA
1/5/04
,.1/5-1/6/04
1/5/04
.
1/5-1/6/04
:NA
'
NA
1/5/04
'
: 1/5/04. .
1/5-'1/6/04 1/5-1/6/04
NA
NA
1/5/04
1/5/04
NA
1/5-1/6/04 1/5-1/6/04
NA
1/5/04
1/5 - 1/6/04
1/5/04 NA
1/5 -1/6/04 NA
1/5/04 1/5/04
NA
1/5-1/6/04
1/5-1/6/04
'
NA
3058 Research Drive State College, PA 16801
RESEARCH
ogin
Phone:814-272-1039 ; Fax: 814-231-1580
Login
Project:
Project Storage:
Company Name: Submitted By: ,
DuPont de Nemours & Co, Inc. Michael D.Aucoin
Login Type: Started: Date Start: : Due Date: Received Date: Received By:
Spread Sample: Label: : /
Immediate Receipt of Samples
':T.. -
-
.
.
'
12/22/2003
01/05/2004
12/20/2003
..-..".
,
'.
'':
..
ROBB.SHAWN
Project Title/Type: Analysis of PFOA in OVS Tubes / ROUTINE ExygenSD/PI: MILLER, JAMES .
Login Notes:
Conform Notes:
Package
PK0002109
'
KB,!.
Carton
.
Packa(jes / Containeirs
Mail Date / Condition
Shipper/ ID
12/20/2003 11:30:09AM . Package & Contents Uncompromised
FEDEX 8363912984670200
" '
'
'"
Temp. Control/Temp.
.
None
yy~ -'tamer #
J24018
C0024019 C0024020 C0024021 C0024022 C0024023 C0024024 C0024025 C0024026 C0024027 C0024028 C0024029 C0024030 C0024031 C0024032 C0024033 C0024034 C0024035 C0024036 C0024037 C0024038 C0024039 C0024040 C0024041
Gross Weight
2.0 g .
2.0 g 2.0 g 2.0 g 2.0 g 2.0 g 2.0 g 2.0 g 2.0 g '2.0 g
2.0 g
2.0 g
2.0 g
2.0 g
2.0 g
.2.0g
:
2.0 g
2.0g
2.0g
2.0 g
2.0g
2.0g
2.0 g
,
2.0g
pH
Container Type
Other
Other ' '
Other
.
. Other
: :
Other
Other
Other
Other
Other
Other
;
Other
Other
.Other Other Other
Other . -
Other . .
Other
Other Other Other
Other Other
Other
Preservative
NONE
NONE
'
NONE
NONE
NONE
NONE.
NONE
NONE
NONE
NONE
NONE
NONE
NONE
NONE :
NONE
NONE
NONE
NONE
NONE
NONE
NONE
. NONE
NONE
NONE .
Mfg. Lot
|j||S||scellaneous
^Jy ^em'Key
None
1/6/2004 Login.rpt
ICOC
Description
U056
Report Version: Dec 22 2003 10:44AM Page 1 of 4
Instance:
Direction / Handled By RECEIVED
ROBB, SHAWN Mfg. ID
R0078484
ogin
Sample ID ' L0001508-0001
'001508-0002 001508-0003
L0001508-0004 L0001508-0005 LOOOT508-0006 L0001508-0007 L0001508-0008 L0001508-0009 L0001508-0010 L0001508-0011 L0001508-0012 L0001508-0013 L0001508-OQ14 L0001508-0015 L0001508-0016 L0001508-0017 L0001508-0018 L0001508-0019 L0001508-0020 L0001508-0021 L0001508-0022 L0001508-0023 L0001508-0024
Matrix GAS GAS GAS
' GAS. GAS GAS
GAS GAS
.GAS,
, GAS GAS
.
GAS GAS GAS GAS GAS GAS GAS . GAS GAS GAS GAS GAS GAS
Samples
Fraction Sample .
OVS Tubes OVS Tubes
WWK-A-AMSFBLK-E9 A'
WWK-A-AMSFBLK-E9 B
OVS Tubes
WWK-A-AMSFBLK-E9 C
OVSTubes WWK-A-AMS1-E9A
OVSTubes WWK-A-AMS1-E9 B
OVSTubes
WWK-A-AMS1-E9C,
:
OVSTubes WWK-A-AMS2-E9A
OVSTubes WWK-A-AMS2-E9B .
OVSTubes .WWK-A-AMS2-E9C-;-. .
OVS Tubes - WWK-A-AMS3-E9 A
OVSTubes WWK-A-AMS3-E9 B
OVSTubes OVSTubes OVSTubes
WWK-A-AMS3-E9 C
WWK-A-AMS4-E9A " ;
WWK-A-AMS4-E9 B
OVSTubes WWK-A-AMS4-E9 C
OVSTubes OVSTubes OVSTubes
WWK-A-AMS5-E9 A WWK-A-AMS5-E9 B WWK-A-AMS5-E9 C
OVS Tubes
WWK-A-AMS6-E9 A
.
OVSTubes
WWK-A-AMS6-E9 B
OVSTubes WWK-A-AMS6-E9 C
OVSTubes OVSTubes OVSTubes
CONTROL A
CONTROL B
CONTROL C.
Date Sampled Date Received 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/19/2003 12/20/2003 12/20/2003 12/20/2003 12/20/2003
Date Due 01/05/2004. 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004 01/05/2004
1/6/2004 Login, rpt
. U057
Report Version: Dec 22 2003 10;44AM Page 2 of 4
Instance:
R0078484
R0078484
|001508-0001
Container 124018/Other/NONE
L0001508-0002
Container C0024019 /Other / NONE
L0001508-0003
Container C0024020 / Other / NONE
L0001508-0004
Container C0024021 /Other/ NONE
L0001508-0005
Container C0024022 / Other / NONE
L0001508-0006
Container
^00024023 / Other / NONE
y''01508-0007 '
Container C0024024 / Other / NONE
L0001508-0008
Container C0024025 / Other / NONE
L0001508-0009
Container C0024026 / Other /NONE
L0001508-0010
Container C0024027/Other/NONE
L0001508-0011
Container C0024028 / Other / NONE
L0001508-0012
(i| Container
||^0024029 / Other / NONE
1/6/2004 Login.rpt
ogirr
Bottles
Method"
Method
Method . '. Method
Method
Method
Method
Method
Method
Method
Method
Method
uUb6
Report Version: Dec 22 2003 10.-44AM Page 3 of 4
Instance:
R0078484
R0078484
Container C0024030/Other/NONE
Wl 508-0014
Container
C0024031 / Other / NONE
L0001508-0015
Container C0024032 / Other / NONE
L0001508-0016
Container C0024033 / Other / NONE
L0001508-0017
Container . C0024034 / Other'/NONE
L0001508-0018
Container
COQ24035 / Other / NONE
L0001508-0019
Container
-p024036 / Other / NONE
.L0001508-0020
j
Container
C0024037 / Other / NONE
\ 1 L0001508-0021
Container ; C0024038/Other/NONE
L0001508-0022
Container , C0024039 / Other / NONE
L0001508-0023
'.
Container
C0024040 / Other / NONE
L0001508-0024
Container C0024041 /Other/NONE
1/6/2004 Login.rpt
Method
Method
Method
Method
Method
Method
Method
Method
Method
Method
Method
Method
uUb^
Report Version: Dec 22 2003 10:44AM Page 4 of 4
Instance:
R0078484
886231316249691826
CHAIN OF CUSTODY/ANALYSIS RE
RESEARCH
Exygen Research Sample Receiving "3117 Research Drive State College, PA 16801, U T: 814.231.8032 F: 814.231.1580 exygenresearch.com
iPaR:iO^JjEgC<T>IMNFi^OiRaMA]^TiIyO^NiMyi^^^^MHHHlBIII^H^^B^B^^^MHHIlBBBBB^^
Client (name & address):
.-' A-PY^^(vWi ^L^S\IA<^-^U^^4S>
^J
,
Phone: (39:^) S^A-l^K
Fax: . ,, i
Sampler: kV^ ly/l^
Project Manager (Name & E-mail Address):
{A ^-^ ^^A
reject
Name;
Wf ^
^
RO. #:
Quotatkon ^f:
r^
^.n^ K^^ \ro, -^^ r-cLi^^
Pie ase fill out this form completely^ ensure corr ect analy^sis aind proper handling of your samples.
SAAWtf^AN^iySIS^-^^:^.) ^r F^A ^i^c. ExyLIMS#
Client Sample Identification
v^-yv-ft^TO^.-^ ^\oV^-A^s\-^ \^'\^-p^a--El
W^V.-A-'P^v^'6-^l
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1 Date
Time
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Comments
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Date
Time
ISl|^^ 0^60
Cooler ID #
Received^fcy^/"
^c^'--^.
, .^--------
-
Cooler Temp. (C) ^4
Date ,
/iAV^
Time
//^
OTHER INFORMATION
' '
^^ Q .. A
' ^,,::^^ A '
. .
..
"^..y
LAB USE ONLY
Sampler(s): LK,REK
DuPont Washington Works Air Sampling Program
FedEx Airbill #:
Event Number
-SgPump^gg ft^oriSB
669842
AMS-1
WWK-A-AMS1-E9
669908
AMS-2
WWK-A-AMS2-E9
6699(31
AMS-3
WWK-A-AMS3-E9
669890
AMS-4
WWK-A-AMS4-E9
669796
AMS-5
WWK-A-AMS5-E9
669865
AMS-6
WWK-A-AMS6-E9
Hours
.Minutes
Hours
0 . 1
.. '. 0 60
5
6
.
120 2 .'
.
,
.7 3
180; .
-8.
.
'':. .4
240 .
9
Field Blank: | yes ~iWWK-K-AMSFBLK-E9
yes or no
1.004
1.008
. 1.005
1.005
1.006,
1.007
Minutes
300
360 ;
.
420, .
480 .
.
540 :
iill'tdatHllll ISssWSeltss
18-Dec 18-Dec 18-Dec 18-Dec 18-Dec 18-Dec Hours
10
11
.
.
12
13. ..
14
.
0619 0624
.0625 0632 0608 0648 .
Minutes 600 660 720-
.780
840 .
19-Dec 19-Dec 19-Dec 19-Dec 19-Dec 19-Dec Hours
15
.
16 , 17
.
18
19
0641 0644 0644 0651 0629 0700 Minutes 900
.
960 1020 . 1080
..1140
Weather: 11/29=
Temperature about 27 degrees, and snovving.
.
'
.
11/30= Temperature about 28 degrees, and light snow. .
.
.
,
.
0.9642 0.9671 0.9030 0.9377 0.9837 0.9618
Hours 20 21
22
'
23 .
24 .
' .
SAFER operational;
yes yes or no
Comments: [Total minutes.column is the reading from the monitor counter.
12/19/2003 SSBS sssmns
Page 1 of 2
^SKs!^
Sample'"Condition
Receipt:" FO]
Proxccol = Exvce.1 Scudv =
Dats&.TimeRC:ved Condidon ofSamoles Temporary Storage Location.
Initials &0ate
Wavbill =
/^7^^'^^^ j^ ^i^^,^
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Cornmerjs:
^ ^ ^^ /^ Y T^- r ^^ ^A^-.^-- /^^ ^ /gc/^
U062
900
Washington Works No Charge Shipper
Ship To:
Exygen Research '3058 Research Drive State College, PA 16801
Attn: Shawn RobborJohn 814-272-1039
;
Flaherty
Phone Number:
Date; 10/27/2003 NCS #: 38-200304715
Routing: FED EX ( SEE ABOVE ACCT)
?; C.B.: COLLECT
^
Date Shipped;
B/L:
Quantity
1
Product Code / Description Box containing glass sample tubes for analysis
Weight
10
Units
IDS.
Freight Class: TUBES, GLASS, N01. Originator: Crane, Alison A Cost Code: 7035-507483-862200
Purchase Order #:
Value for Customs;
Dimensions; Ship From: Stores
Status;
Phone;4448
Hazardous Shipment? 9 No 0
MSDS Sheets Required? No
Material Class; D Corrosive 0
D Toxic
D
Shipping #:
Yes
0 Yes
Flammable Other
U064
Special Instructions; This N-C-S will cover 6 shipments beginning 10/30/03.
Will deliver package to Stores with completed FEDEX Bill.
> Weekend samples will be delivered directly to FEDEX.
.Comments:
.'
' .
-. .':
."-'
'
^
'
'.
CRG
"'.
Account '.. '..
Number
'
,
2230-5551-6.
UU65
