ML16293A389

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Radiological Survey and Dose Assessment Report for the Western New York Nuclear Service Center and Off-Site Areas in Follow Up to Aerial Gamma Radiation Survey Conducted in 2014, Rev. 0, Appendix E, Part 3 of 24
ML16293A389
Person / Time
Site: West Valley Demonstration Project, P00M-032
Issue date: 08/22/2016
From:
MJW Technical Services
To:
Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation
Shared Package
ML16293A155 List: ... further results
References
Download: ML16293A389 (15)


Text

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GEL Chain of Custody and Analytical Request Gl!L J.nbornlaries, LLC . 2040 Savage Road l f) GEL.Quot~#:

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Should Projeci/Site Name: Fax#: !his <-- Proscrv6!ivc TYJlC (6} samfllt bo Address: consltler<d I Comments Collected by: Send Results To: Note: extra sample is "Timi! required for sample:

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Page:---*--**- of .. ---* GEL Chain of Custody and Analytical Request OEL Lobornrories, LLC Projccll/: 2040 Snvoge Rnad uscc www.gcl.com for GEL's Sample Acceptance SOPh Charleston, SC 29407 GEL Quote h: * ._ .. * - - - - - - * ***- COC Number l'l: Phone: (843) 556-8 l 7_ I

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Page: _ _ _ _ _ _ of l ec GBL U.bur~torics, LLC 1:JL( -- ij {f Project#; GEL Chain of Custody and Analytical Request 2040 Savage Road

                                                                                                                          **See www.gel.com for GEL's Sample Acceptance SOP**                                                                                Charlesian, SC 29407 GEL Quote ff: - - - * - -

COC Number Ul; .. ..  !'hone: (843) 556-8171 GEL Work Order Number: PO Number: Fa~: (843) 766-1 In Client Name: Phone#: Sample Analysis Requested (51 (Fill m the nnmber of containers for each 1esl) SJwuld Projecl/Site Name: fox#. lhi1 <.- !'rcscrV'1tivc Typ~ (6)

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Remai*ks: Are there any known hazardr applicable to th(!se samples? ff.m, pleas!! list the hazcirilf Easten1 Pacific Cemrnl Olhcr .. .............._-~. Mountnin Chain ofCU5tudy Signatures Sample Shipping and Delivery Details Rclillijtrishcd By (Sigr.od) Dnlc Trmc Rcce1vc<l by ('1gncd) Date Ttmc GEL PM: l I Me!hod ofSliinmonl'. Dale Shir>ncd. 2 2 Airbi:I ~ 3 3 Aub:ll#* l ) Cl::im or Cbstody Nun1bc1..:. Clii:n~ DcLmn;l!til Fur Lah Ri:wh*mg U>~ 011(1 L> QC Ccd~r;.: N:.. No1'ftrnl S:m11riJ~. TB* Tf1p Olar.\:, FO ... r'tcld Dt:ptu:a:l'.l', En= f.~u~pmtN llhmk, MS .. M:a.td.: Spike S;s:ri~lc, '.\TSD-MAiln:it Spike Duphcat-:. Sa.mp!c. G ... r,r~b, C ... Ci;1!lpo.site l) Fi Bid. flhCl'.00. For tiql.i.ltl tlli'l'.Ht:t.S., md~i:nt~ w1:1, ll .. v . re, yes. o~~ sinnpk \VM rlcld (Ht.r;rcd c.r AN - for 31ln1jlJe WBS not lkM fi\~etl C11s10dy Seal Jnract?

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I I Co1p~ (-' (,. Page:----* ___ or **------- GEL [,aboratari\ls, LLC Project ii'. GEL Chain of Custody and Analytical Request 2040 Savago Road

                                                                                                                            "*Sec www.gel.com foi* GEL'S Sample Acceptance SOP'"~.

GEL Quote#: -**----*~*- C!iadcaton, SC 294ll"l CCC Number <*I: *- *- , .. Phone: (843) 556-8171

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App E-Sub-Area 2.1. Instrument Field Sheets

   ~n; UJW         'TE~CAC. .S~V}'C"ES Rev 110/18/15 Instrument Field Response Check Log
1. Instrument lnformation 1 .

Ratemeter: Make/Model: fo/ki,.11/1- ;p 'ii* 2. Serial No. ?. W).. I S-1 Cal. Due Date: Detector 1: Bicron MicroRem Meter: Make/Model: LvfJLv1'\ 'N*1 a Serial No. I/( /JI I;;? I Serial No. I) ;;;.12 if Y- Cal. Due Date: E.4l?

2. Check Source Information:

Source 1 lsotope: fh i 31. Serial No.: 11 <.v Activity: ~ units:~ Assay Date: ti/7;,;,/io Response Acceptance Range {+/-20%}: uRem/hr +20% _ _ uRem/hr -20% _ _ net cpm + 20% net cpm -20% _ __ Source 2 Isotope:(~ IS ) Serial No.: f1 ![ IJ., if~r Activity: .o L- units:~ Assay Date: Mo Response Acceptance Range {+/-20%}: uRem/hr +20% _ _ uRem/hr -20% _ _ net cpm + 20%_ __ net cprn -20% _ __

3. Technician/Worker Performing Checks:

Name: .$"72".1/.(. K/,.v~A..V

Title:

_ _ _ _ __ Date: /c/21/t) Time: 01o.:..'> r I

4. Site or location: Site/Job:._""".2_,...' - - ' / ' - - - - - - - - - - - Location

Description:

GPS Coordinates (when required): X-Coord: A/'IZc 1-i.f J t 4> Y-Coord: v 'l?. 1or'-( 1-l Instrument Field Response 2 I Use Acceptance Criteria Remarks I i Meter Bkg Bkg Counts Source Source Response +/-20% lnst. Battery Time Ambient Initials and Comments I l Cnt {cpm) or Cnt (gross cpm or source Calib. Check Of Ternp. . (add'l tnfo: inst. Condition, etc.} (oF) l i Time uRem/hr) Time uRem/hr) gross cpm oruRem/hr {Y/NJ current (Y/N} (Y/N) check ! Ratemeter I/ {fi((i} l"-101 / 1}1 IAJ Jgsz..rn '( v D'"ic" *r1.., lit,i.n. I ! Ratemeter ) !111/t/ l!../01 I WI. I J./ Io !\L75 y y 11'*1.., *:* *11. '1 (d>l l j Ratemeter / 1111 r.I 9(.,'1(... JrM1V JqJl.(o v v*  ; *2 3 c:i l.f 1. >( IA 211 I ! Ratemeter Jmr;V irt.:. Cl (;,. J,.yu ,V F2 I q 2. y' 'f f'Z. ;,.) ~ ~- '{ Lin l Ratemeter J ~n1~ J ') 1 z I IJll: sv' fl 111 '/ y y 1(10 r1.? ~/c..U7 I Ratemeter /mrrJ /(Z~ /(Iii}./ I C)(YL- y I .>1 o ( l .. S' .lYf5 . 1 -L 7- ; 7- 1. 1 Bicron NA (o NA I~ y y r><ioo 77.1 I j Bicron NA "7 NA I 'i?' *y y* l'!..1.J 'i 9. *( I i Bicron NA /,.,

                                 .             NA                    I fl                                 y             y'        /)10          <z.?                                                              i I
1. lnstrurnent designated check source is listed on calibration sticker. Record check source response (net cprn) prior to field deployment for all check sources being used.
2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform addltional counts to evaluate instrument stability

Rev 110/18/15 Instrument Field Response Check Log 1 C)~/c1 1 /1 ~~

1. Instrument lnformatlon Ratemeter: Make/Model: Serial No. c;9C(:~*c7£* Cal. Due Date:

Detector 1: Make/Model: Serial No. f'R;;)..{:if.) Bicron MicroRem Meter: serial No.-~--- Cal. Due Date: _ __

2. Check Source Information: * ,

Source 1 Isotope: l/i-:;)9 Serial No.: ff ( Activity:~ units: pt-., Response Acceptance Range (+/-20%): uRem/hr +20%_-~- uRem/hr -20% _ _ Source 2 lsotope:C.:;* rn Serial No.: Uf0:3-i?- Activity: 6..02 units~4/t..~* Assay Date: /U/ -- Response Acceptance Range (+/-20%): uRem/hr+20%___ uRem/hr -20% _ _ net cpm + 20%1,;>~:.? 7.'> net cpm -20% g-,,_,*v'?

3. Checks:

Title:

_ _.LU=.  :....T ___ Date: /L>~ Time:D'JO 2

4. Site or location: Site/Job:._ __,_,4__._ri_~_llt._J-

__._,_(______ <::> Location

Description:

._ _ ..,X='-""-.;.:..J,_yl--'~----t:7.;-~------ GPS Coordinates (when required): X-Coord: N L{g. l/421?- Y-Coord: Wa?!. 76177° I I l Instrument Field Response 2 Use Acceptance Criteria Remarks i I Meter Bkg Bkg Counts Source Source Response +/- 20% Inst Battery Time

  • Ambient Initials and Comments t

source Check Of (add'J Info: lnst. Condition, etc.) l Cnt TI me (cpm) or uRem/hr) Cnt TI me {gross cpm or uRem/hr) _,.gross cpm Ca!ib. current (Y/N) check Temp. (oF} l! I 1

                                                                                             *er uRem/hr (Y/N)

(Y/N) i l j f Rate meter ( ,..,.. ..*, ~:* 1 JS i:: "*

  • I . ~-1,"' l/If '1 ( ,. //kf.. \/ y v 01o1 'Sl/. 7 . 111. J_!) J.)?  !

Rate meter l { vt-1 ,*,. '- I() 5 '-f°t'c..IJ?,.;-. '{/ i:; VI IJ112... <:<./' q /'c. 1.?7 7:,7~. I ( I I £/. Ratemeter Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA

1. Instrument designated check source is listed on cahbrnt1on sticker. Record check source response (net cpm) prior to field deployment for all check sources being used.
2. source and Background c:ount rate should be determined from the average of three static c:ounts at the same location. Repeat counts should be within 20%. If count rate diverges signlflcantly, perform additional counts to evaluate instrument stability

Rev 110/18/l'S Instrument Field Response Check Log 1

1. Instrument lnformatlon Ratemeter: Make/Model: Serial No.,.;JtJ6f!1.F Cal. Due Date: ~;)&

Detector 1: Make/Model: Setial No. &!_IJ?V Bicron MlcroRem Meter: Serial No.

  • CaL Due Date: _ __
2. Check Source Information:

Source 1 lsotope: n;.752 Serial No.: ti I Activity: CL>. I units:~- Assay Date: /;J/!>rJ/lt'

  • Response Acceptance Range (+/-20%): uRern/hr +20% _ _* uRern/hr -20% _ _ net cpm + 2Q%Tiill net cpm -20% 3)8£.C Source 2 Isotope: C$-{>7 Serial No.: uq~.f?- Activity: l), cJ)- units:,,1'.'.:C: Assay Date: A)k Response Acceptance Range (+/-20%): uRem/hr +20% uRem/hr-20% _ _ net cpm + 20% 13.:??!. net cpm -20% $ft./']
3. Technician/Worker Performing Checks:

Name: X,.£/J.,. .,-,,15

Title:

_ _~---- Date:/p/.?.J//J Time:P~ r1

4. Site or Location: Site/Job:_ _ -=A--"'Vi.~~~4~,2_._/___,:---*-*__ Location

Description:

  • 5cc.by -$"1'1.

GPS Coordinates (when required): X-Coord: /'If.;...-¥'!;../ rE Y-Coord: Wt>Z$. 7o(t:!/1° i I i Instrument Field Response 2 Use Acceptance Criteria Remarks I I Meter Bkg Bkg Counts Source Source Response +/*20% Inst. Battery Time Ambient Initials and Comments I 1 I Cnt (cpm) or Cnt ' (gross cpm or source Calib. Check Of Temp. {add'i Info: inst. Condition, etc.} II J Time uRem/hr} Time uRem/hr) gross cpm current (YIN) check (F) I or uRem/hr (Y/N) (Y/N} I Rat~meter /11A,)1 t:/31'1 LAI.. / 1t1.n. l./,6.t:i/ ~ t;>>,,,. \( v \( l;tJlf <;O. ( II.. -.)-'$;i.. A ~ Rate meter / tA...,'/,f, // <<..:z-;___,,. .JJ l/ \'r /,l 3"! SC>. 3' :/'._c-/"s 7 '2A-~ I { Rate meter J I  ?-" I I Rate meter l Bicron NA NA Bicron NA NA v Bicron NA NA Bicron NA NA

1. Instrument designated check source Is ltsted on cahbrat1on sticker. Record check source response (net cpm) prior to field deployment for al! check sources being used.
2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate lnstrument stablfity

Grid Pattern Manual Data Collection Form 10/19/15 1 hreej r:;:_ l-

                                                    .)\JJWllM?L\

AREA d *I 11\ y 11.*t:.~

                                                       -, . ~               9 -~
                          ~:'.

(T-Lf;. ID .J,

                                                   \\. J.

1\.5 (x,o) Up= N S 1._'E) w LP- b {circle) 1...,,.., I v' 7;:ll1**,1-, u

                                                                                ""' o .). I 6 LQN r*1                                     i..kt               ,:; . '               --

Three bat." ~ ;;i_v ~'()IL/~ .0\ WA. v.J 1't. '-f,;J. c. ~ *5 \ Dimension {1 to 2)  !~ Meters

      ...>>1"1 I                . 4 1 s- l.-C....t.                        .                    /                                        .

Four .bet. ft l.J J..1* ~~* - * .5 -lm:l. \) 7'8 *q J..

  • o;;:,. ~ ~ Dimensions (1to3) 1'\ Meters

App E-Sub-Area 2.1.Sample Data Sheets

SAMPLE LOCATION DATA SHEET Date; ru-21-1 ~ Weather: --21J_v,_n1 1 r c.c \ d

1. Sample Arca (SA):

SA Designation: 2.1

Description:

_ _ _ \J_.oJds* SA Origin Location: l\I '11..'i7j'i*-r -~ </, 7 o:.?.~ Coard. System: ~µ~1-~.J_ __ SA Land Mark Descri1ition: _Md 6Wob:r--l!?.~- _ Coard: ~ LJZ. ~'t~l.E'.:._ .W Tt -, <.11t.tl"

2. Sample Location Data:

Sample Area ID: 2.1.1 Matrix: __ci~'._I ___ _ Location Coord: W7.f(, 7ocnd' -** /\/ ...1...?- '-/7793 _,

  \'i Alternate Location Measurements (distance from SA origin and Local Coord.)                                                                                 ---rr-e..t i \'\

~- X Dist. fi em Origi~ (G,B)_r-J ~ 2 /1101¥1" ¥Dist Flom Ot igin:vJ 7 <l. ]().)'?}.:>

\~1 L'I                                                                                                                          -ro 1ojz.:'.:i Site Sketch Attached                            (Yes) ~

Sample Location

Description:

__yns\.e5 *~ j ti{) Canopy Type: Wood.gel Land Lise: J:L..~'-'-'{l=cJ1--- . Soil Moisture (Wet, dry, etc.): T)'\l1 I

3. L ocat10n Rd" a Ia f IOil R ca d"mgs:

2x2 NaI I Bicron  ! Notes (cpm) (uRemfhr) Count time  ! cm i Ill i I cm Im (min) j J/}?;1~ 9&25' ii ..}j_ . . 7. NIP..

                                                         *->--*q~L.1-~*
                                                                                                                                       *~.

I i{}f5 !I I

                                                                                           ;                    ..   ~----     --*-              fJ i 11-
     ~*   ***-**                                      --*   ... .,                                     *-*-*-***-'----******

1!

4. Sample Information: Sample Area TD: 2.1. l . R.
  • l -~ '5 Description b y D epth ....

Dept/1 Soil Type Soil Sample ID Sampling Description Jnter1*al (Org; clay; Color (Suiface litter type/depth, sample depth retention,

    ,____,(cm)                  sand, etc.)                                                                       refusal, stone or rock, topography, erosion features)

()-JS s- 1 l5 c._o ~)

                                </"'~ \                ~

bvn (\. 2.t.l.ILt 2., \I I,~ .1...

                                                                                                                   <;o\'\'\..<l mo-1--S r D ~ IL< -e:P----1t1.s~s J<":)   -/o() CD~-+               S* '.\      .fu.n                -Z.. \, L    1L. 'i                tj~; c. v~"'-9-~~                      ~   i,JG..S     \.\~        co>-.~

n-i-s

                      .,          ~
                               >-~*,\
                                                                          ~..

b..-.:itJr- ....-?-' I\

  • t ........ ,~
                                                                                     \2:. I      '5
                                                                                                      --1-~~
                                                                                                                '.':>,,.*~ vi:>'-'lr°>
                                                                                                                *--*-......  *****~*~~
                                               *A~**
    ._s;~ple Rc~o;ded on Luboratory.COC form and Container Labeled: (N) 10/20/15
         -~:r.s
              ~ -n;-~c SEWVR:".E;l!<"

SAMPLE LOCATION DATA SHEET Date: ; v 5-/S Weather: ___5.~JIAY,

1. Sample Area (SA):

SA Designation: 2 .\ _ -

Description:

_ __.__W,_c_.-_J_5_ _ _ _ _ _ __ SA Orig;n Location: tJ'l2."f1'11'( W 7'{,}tJvls Coord. System: r-J "'1 SA Land lvfark

Description:

So.:~ (7.>9--d _ei1-..d Coord: t-141,'-!t~

2. Sample Location Data:

Sample Area ID: Z. \ . L Matrix: -5.~ Location Coard: \tJ 7 ?;'. 7 UJ& i.:; ' __ _l:!__':/2 Ji 7 Cf '16'" Alternate Location Measurements (distance from SA origin and Local Coord.) 0\\ l'C-$+ ~,4 0~ 'Qv-,:. c.;,{O*' X Dist. from Origin {O,O)_MJJ~--- Y Dist. from Origin: JJ-'----,1-'-_

                                                                                                /f'.'t __         IJ5        1;~    I   r-v.dP\.<. Cf 5,d_

Site Sketch Attached (Yes) -~ Sample Location

Description:

_ _w_~-~1 fu\l,o i1 k_g_,-r- co1.,r;.rJ . n l.fo...vc,__.,,s'---_ Canopy Type: ____1!'\o:..iW _Land Use:__ Hi\i'!(l;) Soil Moisture (Wet, dry, etc.):_-ck_~*- ci

3. Location Radiation Readings~
     ------              2x2 NaI
                                                   -~

i

                                                         ------.~---

B1cron Notes 1 {cpm) , (uRein/llr) Count time lcm Im 1cm lm I (min) I Cf&ffJ Cf?91 c,* - 'i NJA I qt?"f% '1553__ - I k.li..&_

4. Sample Information: Sample Area ID: __ 2, \ 1 2. , K.. f -3 Descri tion b Depth_:-.--------.-----------.----------------------.

Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topocrraphy, erosion features) () - 5__ ---5.oll__--+~= _b_!~~-----+------+-"""---""---'"S::;,.___&.. me t..5 . )~ ~ -- I 5 _t~ :1 --+-"*"'-'=---'--+--2 ,J_t___!&_'? __Y?A:* h" _9.-we.-f-C...:; -------------

$":!             --------------+-----*----
     *---------------+--------+--------i--------*--------------1
                                                                          ------------------------4 r-------+-------+---------**---+----- - - - - - - - - - - - - - - - -
  • Sample Recorded on Laboratory COC form and Container Labeled: ( (N) 10/20/15
     ~
    **~1.3>

SAMPLE LOCATION DATA SHEET Dute: tO -.z.3 -f ) Project: N'fSlt2DPt Weather: S>J*N1j, wen*"* l.* Sample Area (SA): SA Designation: 2. J

Description:

-"'"/JJ~o~"'-'ci_s; ___~----
   'A Origin Location: ...tsl~- # ]J&~ i*Qi, 7 0' 1 ~ ** 3- Coord. System:~ i.J             Z1 0  'A Land Mark

Description:

_,_S"ux\1,,j~c0- <Ilf~_d__ Coord: rJ~Z,-tfu_*_

      ~~2..4/ 'fi4' j,N'7&-, 7067)""
2. Sample Location Data:

Sample Area ID: ____2_,__L_l ____ Matrix: _ ....~ .. - D Location Coard: N4Z.17'io1...-~ __ ..1.~ 73,7oofflg

  • Alternate Location Measurements (distance from SA origin and.Local Coord.)

X Dist. from Origin (0,0)4__,,

  • Y Dist. from Origin: N/ft Site Sketch Attached (Yes) ~

Sample Location

Description:

Vl"lck- hr.0,.___fkt..._pJ.a:fd!L---12t--2ML c;.;*/Y\J2...r" J Lf17...,-! j

  • Canopy Type: jtJCoc\.eJ etc.): .'D...,,'---~--+---

Land Use: hit; J-*-.. Soil Moisture {Wet, di}', -3. Location Radiation Readings: 2x2 Nal

                                                               .. I.~"

Bicron Notes (cpm) (uRem/hr) Count time {mil~) lcm Im 1c1nI Im I

                                                                     .._!L. _ _____g_

I 07fJ'-7 JtJi35 t-.dP- >-*-r- ..~L..£2.J{ _ . i 0 Di./ g ._ 1,-JJ~ 1¥ _._.,.,..--~ . --- ~**---"

4. Sample Information: . Sample Area ID: 2. l , 3 , R-. I ~?..

D C!Scnpt10n bIY D ~pt i: Dept/J Soil 1)'pe Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal. stone or rock, toEogra:Phy, erosion features) 6-5 5o.\ b{l:;>u.>n 2,\,3,,R,\ s~~

  ".1-J~      sc: \                h ....... .,.._   2..., I*~. 12.. ';l..        5rvv** 1.1    l('bQt, 5-1r-         'Srl ; \           hvuw               2.-; I,~,~*~-- r----***----:--*

S'r'YlDL\\. V\)(>'\' s

                                                                        *-     C-"-****~*

Sample Recorded on Laboratory COC form and Container Labeled: (j1 (N) 10/20/15

                                                                                                                                     * ~ *"
  • d SAMPLE LOCATION DATA SHEET Date:_~TI_-§ Project: ~ .i'.'...5J;E::!2&. ****--*. -
  • Weather: 5.."vi+,

I. Sample Area (SA): SA Designation: 2. I

Description:

___trJ_o..,_d_-s_________ SA Origin Location: ;.l}j_Z. '17H'*i"' W7 If. 70o7'J<; Coord. System; _.AJ)J SA Land lvfark

Description:

.,;w:.~L~---~- Coord: ~ 'f&<.1'0-Siv"" _id._7"8'. 701'*(Z-~
2. Sample Location Data:

Sample Area lD: -----2. . L.:t_____ ._ Matrix:_ 5'1.t *, \ Location Coord: N !:/-~77'/ "Z... " Alternate Location Measurements {distance from SA origin and Local Coard.) X Dist from Origin (O,OLt!fi_ _ _ Y Dist. from Origin: -Mfj_ Site Sketch Attached (Yes) (@> Sample Location

Description:

--~~s,..~-6~-~r-*- - - - - - - - -

Canopy Type: tuo~6 Land Use: Hi IL.\.~_ Soil Moisture (Wet, dry, etc.):__l?~___,+~--

3. Location Radiation Readings:

2x2 NaJ Bicron. ~ Notes (cpm) ' (uRem/hr) Count time lcm lm !cm Im ' (min) ,. 4 'i7Lf , I __ __::_;_ ~11\ J I Wfi

                  ~* *~]___- ,___°!377 *- 'r--*-
                                                     * -1 [ 1 - - - - - - - - -
                                                                                    ----*- r-gjvt
4. Sample Information: San?ple Area JD: 2. \. '1, 't. l - -Z.,

D escnption b}' D eE th Depth SoH Type Soil Smnple ID Sampling Descriptim1 Interval (Org; clay; Co/rJr (Surface Jitter type/depth, sample depth retention, (cm) sand, etc.) _refusal. stone or rock, topography, erosion features) .. D-~ ~-l bVU<..-h\ ~.\,t..\.\2-.\ I hl\I\.\./

                                   ~LJ.,:-     _z, 1. 'i.~. 0 5-1     ~

i2,;'(1re;. k IT'ir: -H.O "i,d

                 ~
                'w'-c..
                            -     ~-..;;,.;___
                                     ~

roc:,-t-s

                                               ~ I . 'i . 12. * (,,,_ r - - - - - - - - *
                                               ? 1...1.__f?:_J_ ***--*--**       ~

Sample Recorded on Laboratory COC form and Container Labeled: © (N) 10/20/15}}