DEQ-CFW_00075140

HAZARDOUS WASTE SECTION
PURCHASE TRACKING SHEET
Divisio
Payment
Section
n
Date
Requested b
q y
Section
Program
g
Item and Quantity for Purchase
Justification
(including reason for
Price
Method
Center
Account
Chief
Directo
(Please be specific)
quantity requested)
(invoice, P-card,
Approv
r
etc.)
al
Approv
al
COST INFORMATION for the
176076121392 /
7/20/2017
Sandy Mort
HW
proposed split sample event,
attached
invoice
Chemours, Fayetteville
1760 7610
16 Chemours facility sample
locations $848 per sample x 16 =
$ 13,568.00
13,568
1 duplicate sample analysis per day
$3,392.00
( =4) $848
1 trip blank per day (=4)
$3,392.00
$848
1 field blank per day (=4)
$3,392.00
$848
Additional Costs, Estimated
20 liters of PFC-free laboratory
$200.00
water $200
Ice, 8-12 bags
$36.00
$25
Shipping, FedX overnight, 3-6
$1,050.00
coolers $175 ea
Sample container costs
$0.00
no additional cost
$ 25,030.00
H WS 7/21/2017
DEQ-CFW 00075140

HAZARDOUS WASTE SECTION
PURCHASE TRACKING SHEET
HWS
7/21/2017
DEQ-CFW 00075141

HAZARDOUS WASTE SECTION
PURCHASE TRACKING SHEET
Date
Requested by
Section
Program
Item and Quantity for Purchase
(Please be specific)
Justification
(including reason for
quantity requested)
Price
Payment
Method
(invoice, P-card,
etc.)
Center
Account
Section
Chief
Approv
al
Divisio
n
Directo
r
Approv
al
7/13/2017
Sandy Mort
HW
COST INFORMATION for the
proposed split sample event,
Chemours, Fayetteville
attached
invoice
176076121392
16 Chemours facility sample
locations $848 per sample x 16 =
13,568
$ 13,568.00
1 duplicate sample analysis
$848
$848.00
1 trip blank
$848
$848.00
1 field blank
$848
$848.00
Additional Costs, Estimated
20 liters of PFC-free laboratory
water $ 2 0,0
$200.00
Ice,Xbag
$20 �v
Shipping, FedX overnight co lers
$350.00
Sample container costs
no additional cost
$0.00
$ 16,682.00
HWS
7/14/2017
DEQ-CFW 00075142

HAZARDOUS WASTE SECTION
PURCHASE TRACKING SHEET
HWS
7/14/2017
DEQ-CFW 00075143