ML16293A391
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App E-Sub-Area 2.2.COC Forms
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C1 eJd GEL Labornlorics; LLC Q.[)DA--
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GEL Chain of Custody and Analytical Request 2040 Sa~agc Road
- "See VlWW.gel:com for GEL's Sample Acceptance sopu Charleston, SC 2.9407 GEL Quote#: -**-**----** -'*
COCNumbcr!'I: - .. - .. .... Phone: {843) 556-&111
- GEL Work Order Number:
PON11mber: Fax; (&43) 766-1178 Clicllt Nanie. Phone II: Sample Analysis Reqneskd {SJ (FIJl in lhe number df contniner.s for each lest)
Should Projecu'Si te Name: Fax#. ll1i* <-- Prcscrvotivc Tyt>c (6) s.1mplcbc Address: <omlderctl Comments Collecrctl by: Send Results To: Note: extra sample 1s
'Tune req11ired for sample
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Sample lD (Mj1lt;1ty) Ceil~ rn
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TAT Rottucstod. Normal. ll11sh: Succifv: (S"b.iccr t* S*n:!;:u-~el IFnx Results: Yes ) No Circle Dclivcr>1blc; C of A I QC Summary ; LC*Ci I I Lwcl 2 ' Lcvci J I Lncl**I Remal'its: Are there any known hazarrh appiic:abfe lo !11ese sample.~? (f.vo, please list the hazard~ ~~l[~*li!H' Iims z~rie Eastern Pucitic Centro! O!hcr ---*--
Mounloin Chfiln of Custody Signatures Sampl~ Shipping and De!iver*y Det~lls Rcli1111uishod lly (:Signe~) Dore Tim* Rocoivod by (Rldncd) Dale Tune GEL PM:
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J ) fold l'iilcr<d Fer Jiq~it! rn.-Lr:lt'C..'(, mdi.c-nt~ wi:l* ri - Y
- f;ir )'~!. tht sam~:i;: "u; Jic!tl rn:cred or - N' - rcr sr.mr.r:: wa!i mu field r1ltc:rcrJ Custody S*al lntm*1?
~.) Ma'n" CCtJes: DW*D,iakir-1t W.uk1, GW=CirL1u11dw21tet, SW*~mfacr.: W:Ucr, \\*\\o'-=-W<1:1!c \VaH.,-, w~W~l~i. ML~Misc Lit\1t1d,SO,,.S.J1I, Sfl..:.Si.:r.hJl1e111, Sl..::.~~:d\;~, SS..1.So!id WLJ.:it!.0 1 O"Orl, [i::fi:tcr 1 r'-*Wipl.:", t:=-Um?t.::, F'.:..:.Ft:i.:..11. ~-"l l'ES NO 5.) Somij)!c Ar.::r.:y::d.1 llcqL.C"Uc:d* Ario.l;rlkal n:c1t'u:U n;~ue~1tl!{1.c. 31400. 41J10DfJHUf\.) am.I .n:m\l;:t ... Qf t:-:in:11iru~r~ t'J'<l\.lttJ~J fot ~acii (u. SJrmB
- l, t!JllJ/JJ1t!DA - t}. Cooler Temp.
6.) PtcJ1e1 w1lt\rC Tyr;I!' tl.i\. c liydr.Jdtl~ii::: And, I'll"" Nirt~c A<:1r1. SH :::r S!l1fn:1~ tlyl!;~;cidc, SA* Sulf1:tic Ar.icl, AA "'"1\scct'b1c- Aml. ltX .. Ho~'!llt: 1 Sf ~Sodu:n1 TI'1a!l~fa 1 <:, If m: t**c~c,vari<n. '~ .hlit!C11 ... 1:.'lv.:: Di:ld tl:1:-.k c WHITE~ LABO RATORV YEl.LOW ~ FtLF. PINI(~ CU ENT
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Pro1ecl fl:
GEL Chain of Custody and Analytical Request
- See www.gel.com for GEL's Sample Acceptance SOP*+
GEL Lnboralories, Ll-C
~040 SavDge Roi!<l 0 GELQuote#: --****-*--***-* *- Charlcs10,,, SC 2!1407 COC Number !1): -* .. ... ... .. Phone: {843) 556-8 !71 GEL Work Order Number:
PO Number: Fax: (~431 '766-1178 Client Name: Phone ll: Snmple Analysis Requested (SJ (l*ill in 1he Illltnber of containers for each les1)
Sl1oulu Project/Sit~ Name: Fax ii: 1hi.* <-* Prcscrv"111:0 Type (6)
>ample be Address: conr!d~nd
' Comments Collected by: Send Results To: Note: extra sample is "TITT.c required for sample
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Muunlnin Ch:iin of Custody Slgnatul'cs Sample Shipping and Delivery DctaUs Roh111111ishot! Uy (Sii;ne.!J Dn.Lc T'mr: Rcooivcd ~y (<ignc<l) Dole 1'i1r:.c GEL PM:
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2 2 A1rl.>lll #.
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I.) Ch11i1\ ofCuslo-dy 'Numl:cr - Cl~rnl Dc1;r111~r.~ol For Lah Roczm,mg (I.re Only 2' QC'Carli;:i:: N"' Ncrn1;if SP.:n~p;Ci TB ... Trip Hli11t1k l<f) ... ric.1d Oup1tco:e. ti:B
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App E-
- Sub-Area 2.2. Data Collection Sheets
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App E-Sub-Area 2.2. Instrument Field Sheets
Rev 110/18/15 Instrument Field Response Check log 1
- l. Instrument lnformation Ratemeter: Makt>/Model: LUDLUM 2241-2 Serial No. -2,62737
- Ca! Due Date: 9/2/16 Detector I: Make/Model: _._L._l)._Q),JJJ~..4~10. __ .. Serial No. _..P£. 1U127 ..
Bicron MicroRem Meter: Seri<ll No. _l\2).~"""tJ,___ Cal. Due Date: _8/4/16
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Source 115otope: Tb-232 S.~rial No .. _JJ_9 Activitv: 5-Q..l.... units: .u.cL .. A:>say Date. 12/30/10 Reo;pon~e Acceptance Range U/*W%): uRem/hr +20% ... **-** .. _ uRem/hr -20% _ _.- net rpm+ ?.0%_?.l.!.U§_ net cpm -20% 15284 Source2 Isotope: .C.S.-::l37.. ....SE-mil No.: .. .81£13.-48. ... -- Activity: ..O...QL_._units:_µcL Assay Datp* JJ2!J/J.0 Fl.espo'1se Acceptance Range { +/ 20%)* uRem/hr +20% _ _ uRem/l1r -20% _ _ _ net cpm + 20% ..133?.S... net cpm -20% ..8.9.19.....
- 3. Technfc:ian/Wor!cer Performing Checks:
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Rev 110/18/15 Instrument Field Response Check Log 1
- 1. Instrument lnformation Ratemeter: Make/Madel: lvJ/uri, >>7'1-2 serial No. r)..~&<Yf'i Cal. Due Date: tJ~?/i (
Detector 1: Make/Model: I v,//vm ft/_# Serra! No. l'~!lLGfL Sieren MlcroRem Meter: Serial No. _ _ _ __ Cal. Due Date: _ __
- 2. Check Source Information:
Source 1 Isotope: -77.-;J-3).. Serial No.: /I J Activity: <:(). I units:~* Assay Date: l#>>,}'o Response Acceptance Range (+/-20%): uRem/hr +20% _~- uRem/hr-20% _ _ net c:prn + 20% ~.:5?'19 net cpm -20% 3'~.CG Source 2 Isotope: {s~f S? Serial No.: f /jEJ..>-/.2.. Activity: cJ .o,;z.. units: ,eC::. Assay Date: tJ.lA Response Acceptance Range (+/-20%): uRem/hr +20% _~- uRem/hr -20% _ _ net cpm + 20% 1$../.-13 net cpm -20% ~f 1[C]
- 3. Checks:
Title:
__EJ---"---c---r
- 4. Site or Location: Site/Job: fl-r=f! e.. ..2. ;L Location
Description:
,_~---W~8o~o:.::J.~s_____
GPSCoordinates(whenrequired): X-Coord: N4J.-.lf7'*f7t.f ~ Y-Coord: W DW.t:.10,2 °
- r lI Instrument Field Response~ Use Acceptance Criteria Remarks l i Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments I
I Cnt Time (cpm) or uRem/hr)
Cnt Time (gross cpm or uRem/hr) source gross cpm Ca lib.
current Check (Y/N)
Of check Temp.
(oF)
(add' I Info: inst. Condition, etc.)
or uRem/hr (Y/N)
I (Y/N)
! Ratemeter f iM*-;... ~ 7 (7(. /Jid- I ..... ,\I\ '-I.,. (/ '7 t:..#,... ....; v ...j ~1;.5 zq.) /h-;;. '('J llF Rate meter I
) Mn** I O7 () '-f ,,._)~"" \..) \/ .JJ i/Jt/'?CJ ~7.~ /,,. -!-7:1 P'/)y 7
Rate meter J I { I (7 i
Rate meter Bicron NA NA I Bicron NA NA Bicron NA NA Bicron NA NA
- 1. Instrument designated check source is listed on cahbrat1on sticker. Record check source response {net cpm) prior to field deployment for all check sources being used.
- 2. Source and Sackgrou nd count rate shou Id be determined from the average of three statfc counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stabllity
Rev 110/18/15 Instrument Field Response Check Log
- 1.
- Instrument lnformation 1 Ratemeter: Make/Model: Serial No. dlOG()d}[;
Detector 1: Make/Model: Serial No. Pf!..! /.,2.C,.<-()_
Bicron MlcrCJRem Meter: Serial N o . - - - - - Caf. Due Date: _ __
- 2. Check Source Information:
Source 1 lsotope:":Zk~2 Serial No.: /{ f Activity:<O./ units: PC/ Assay Date:!Ubf~
Response Acceptance Range (+/-20%}: uRem/hr +20% _ _ uRem/hr -20% ~ net cpm + 2~7'7~ net cpm -20% .l>°U6 Source 2 lsotope:Cs-13'7 Serial No.; /1~-12 f Activity: t?.o;- units:~Assay Date: /1/A Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/hr-.20%~~* net cpm + 20% 1~75 net cprn-20% ~lJt"j
- 3. Technician/Worker Performing Checks:
Name: .:£ E.Pw,_,.P.,,
Title:
__!ZC __r___
- 4. Site or Location: Site/Job:._ ___,_,&~..:;;~~""'2--'-'.;L._______ Location Description :_ _ __..W{.;;..;:;.c.;::;;~=.l-$--=---------
GPS Coordinates (when required): X-Coord: Al ij.Z. 't7'f7 'i
- Y-Coord: W D7f'. ~9!>? 2 ° 1 2 I j i Instrument Field Response Use Acceptance Criteria Remarks I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments I i
I Cnt Time
. (cpm] or uRem/hr)
Cnt Time (gross cpm* or uRem/hr) source gross cpm Ca lib .
current Check
. (Y/N)
Of check Temp.
("F)
(add'l Info: inst. Condition, etc.)
l I
1 or uRem/hr (Y/N} i (V/N) l Rate meter I Mir fSb" I;,,,,.,.. f ... ,r, t.J~or C.>>N' y v v V3~ S".y'. & /A-...2..S 2. r:;;;;:
Rate meter ' , ,,A ........ /0 J,..2.'f ;.,.,..._
, /.../ f......I I\/ '!~'5? 5t,r i" /5~/37 C//lt:;
f f Rate meter ( ,(/
Ratemeter !
Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA
- 1. Instrument designated check source Is listed on cahbratloo sticker. Record check source response (net cpm) prlor to fleld 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 dlvergas
', significantly, perform additional count~ to evaluate instrument stability
App E-Sub-Area 2.2. Sample Data Sheets
-~
..w:JW T~ot. S~~-'ll!:E'fi" SAMPLE LOCATION DATA SHEET Project: bl Y5 r: i2.00 Name: ~...--,___ ....~"0.-*... ____ _
Weather: 'S"1 u1rn / l.oo l _
fJ ---
- 1. Sample Area (SA):
SA Designation:-*- 2, 2. *--**
Description:
_k-:Joo~.~--- *****-- ---*--*-* ... **--*-
SA Origin Location: ~...!:JJ.-; z., "l'~_,_"1_.t./'_Jt.}._]_rf i.f (.§..~, 77" Coord. System: J#_.W,__ .......
SA Landi\tlark
Description:
__ _j5 o_. ~.--'&.a.-1~----*** Coord: .-$---. *-*- ___,__tJ""'f~Pr,____ _
. e-.~°'f ,v
- 2. Sample Location Data:
Sample Area ID: Z, 2.. I .***-Matrix: 3_u_J_f._J.....~d..
Location Coord: ~ {. &9£/0 4'F _J~L.Lf 1- ~ I./7 3 'i 07 ~---
Alternate Location Measurement:; {distance from SA origin and Local Coord.)
X Dist. from Origin {0,0)... t:l.fl2r____ Y Dist. from Origin: :J_,_/_t'>_ < _ J ')O ~J_) £ o~ ~~-'=~d\
ey,,"{;)'1 1-..i t,r\.l.lf- .,J*c. .-- ("'"~~
Site Sketch Attached (Yt:s) @ c~~~<- (l--l r.,.~ ~*.-'.,~)
Sample Location
Description:
[Noud:?-r-:pl(ll('... i'\..udl"! C.cwt:.fo.~ )
Canopy Type: Ir-! lluCt,_.j,. Land Use: _tL_\L'..¥!~)-**-*--* Soil Moisture (Wet, dry, etc.): :t)"\,
I
- 3. Location Radiation B.cadings:
2x2 Nal Bicron Notes (c m) (uRem/lff)
Count time J* crn Im 1 cm Im (min)
~~------***'"**-*- ....
- 4. Sainple Information: Sample ..fr<!lt JD: 2. 2.. I. R..1- "5 1 $.
D~:~7,~tion .S~~,n~~~: ,_Sc~l--**s~~-;,pie.iD*--1-***** -Sampling Description *-*--**-*****~
lnlerval (Org; clay; Color {Surface litter type/depth. sample depth retention, (cm) sand, etc.) refusai,_.stone or roe~, topography, er<?~ion fea~~~~)
o-5 '~?:i>L~" _-z,.L.d~R..1 ~...,, a ~.1L.~'t:$._ _ _ __
'5-15" [!_,~ 1$0**,\ C..i'fnt'b;wf,.. Z. r 2, \ 1 t?,,~- _....[yQ'i.Q Sow**t. !\";'\-1.Nl ~!~~-------<
!l\ll~ 'l -~-£:1.?f..ll ,_1'12.C,-,_~
1
' o- /QO ,so';\ L<'11'> J , "'l. * \ * \2... *5 0- 5 /,~.v...'-'I s.- \ ~-_le_~_:!...:..&.'?. . . __ ~f'N-~----1:::::2~ .5~ yg:..~"':::.~*- - - - - - -
l------+----*-t----*-**---*****-***- ---1--------**--*-**********-****-*** - - - - -. ..........- *- - ~----!
1-------t------- * * - - - - - + - - - - - - - f - -
Sample Reco~ded on Laboratory *cocronn ;~;d~~;;t~incr L;b-~i~d~)
10/20/15
SAMPLE LOCATION DATA SHEET Date: J.~:.?::r-1 ( Project: t-J'/'5 !S:/Z-DA- Name:
x-,on.
Weather; -~Oj e,...o<.,>.L*.. _. ____
1
- 1. Sampl~ Area (SA):
SA Designation: --2.-J~. _
Description:
_*_WCJv J '.:> ............. _________
0:4 Oris;in Location:11 ~],,_"_]...~' ~~~ -~1'1~41'3'1, n** . Coord. System: b(11J SA Land Mark
Description:
~~--<'if!t____ M___ -* '\- Coord: -.N/ipr- Njff (iro yJ:. ( ~>
- 2. Sample Location Data:
- Sample Area ID: _7-_.2---'.-.;;...z'------ Matrix: __sd ...
Location Coord: V 7 8, li>J LjJ{) ~~- -*--
Alternate Location Measurements {distance from SA origin and Local Coord.)
X Dist. from Origin (0,0).. N/t+ ____._ Y Dist. from Origin: -~LI+_ ...
Site Sketch Attached (Yes) ~
Sample Location
Description:
. words f "r1~ ..fly-_d:_Lu IM' 'i Cc?~~-c'j)l/
~ j . -----&-'
l-@cv<)
Canopy Type: L...i oc>Md ____ Land Use: JJ.;_10.,"7*** .. *---.. Soil tvloisture (Wet, dry.
etc.):...D~~---
- 3. Loca.tion Radiation Rea.~i.11~: -*
2x2 NaI *--~---*Bic1:~;;1***--- **=- - - - - *---N-oi-es------* . *-*-----*--
(cpm) (uRem/hrJ Count time I cm tm l cm Im ,
1 (min) : '
~-~. -*~---,. .... *~*~={-1,-...----+----...Ji!-~~~-----~
-*-'* t.zo1 . __ .__6_?-2J- ---:e-._!f__--~*-*/L._.. f'.IP..
,____f_____ LP~l.e____ ,___?(;7 g' , **--*--- *---.....;i.._---'-'.,._"'Jli,_~_____________ _
L __ _ _ _ _ , _ _ _ _ _ _ _ .. i - .....* - - * * - * - - - * - - - * - * - - - * - - **-*--* ...... ___ .. -
- 4. Sample Information: Sample Area ID: '1, l. 2.
- -~---*-***--*~-
12..
- 1- 3 S()i/ Sample ID Samplbtg Description Color {Surface litter type/depth, sample depth retention.
1----'--~--+--~------<--*-*--.
refusal, stone or rock. topography, erosion features) b1:tJ\ .. 4JJ..(DL'lS {mc..lt c:?.=l.l,_G--::::_:,_ _ _ _ _ _ __,
I 1----"--'----+=......+-=-"----'----l~r'W<\ ...... ~°?:. -~. fL.-'2- $'[)1t...'-\. V"c>i"Sr-~'-l.. i'CC\<:.-$__ - - * - .... ---*---
I - (i*I. ~** z...Z.."?-~--. SMlilL...tt.k~'T-ll!~'.1:... - - - - - - * * - - - - - - - ;
1------**---*--*-..* * - - - - - - - - - - - - - - +..* - - - - - - - - - - - -........ - - . - .. ------**
--=~=-~~--=-:*r-== -~:~==-~-.
' - - - - _ _ . l . - - - - - " - - * -..--.l---*- ..___ .,
.., .. ., _____ .. J _______________,,___
_,. _ .__ -=---.. --.. .
Sample Recorded on Laboratory COC form and Container Labeled: © (N) 10/20/1$
SAMPLE LOCATION DATA SHEET Project: NYS e gOA Name;_~ &-,,__,'/\ _. . ___
Weather: __5-un~l.f ---,-, c:co l
- 1. Sample Area (SA):
SA Designation: . 2. Z.
Description:
Coord. System: ---'-t-J~.....,iwc..:......*_
1 SA Origin Location; N '-12PZ.8 l.'t.'/b_Jt.J2jj:___I/;'*37f. 77" SA Land Mark
Description:
~" ~f} N {)soyJ s £. ;,f) Coord: Ni P< rJ/ f\
- 2. Sample Loeation Data:
Sample Area ID: 2. 2. 3 Matrix: ._'fi;::;;:_o_\,____
Location Coord: W 7 '$. f.i:81::JD8( tv '12 , ! 73 i lP f u Alternate Location Measurements (distance from SA origin and Local Coard.)
X Dist. from Origin (0,0)
- Nj.P. Y Dist . from Origin: -~ -~-
Site Sketch Attached (Yes) @
Sample Location
Description:
WoJc.i. 5I. rlfto/u "1- ~ ~-}-L~v~
Canopy Type: j,Joockd Land Use: ./-t; b °) Soil Moisture {Wet, dry, etc.): D r " / - -
3 L oca ti&n Rad"iaf wn R ca d"mgs:
-~--*-***- -*- ..----------**-
2x2 Nal Bicron Notes (cpm) '1 (uRem/hr)
Count time (min)
!cm lm 1 cm l lm f>sa7 *~Is . -
I J
5'F 8$
(_pi. 3 7... 5'6&3 ' to r---- '>--;J)N)ff I~
- - -~---**-
' I
~-*---
- 4. Sample Information:*
D escnot1on by Den th Deptlz Soil 1)-pe Interval (Org; clay; (cm) sand, etc.)
Soil Color
- -r--***r Sample ID --*-*---sm;;pling D~cription --~** * - - -
(Surface litt~r type/depth, sample deptb retention,
....~f.u.sal, stonli! or rock, topograph:r1 erosionfeatures) n~S 50',\ \) "°"....,-.. Z.2.3.~, l l Sfilp.,l\. yO 0 '4.- ~"\!--"--r'l;(,I<.. ~ .
5-15 .:::..r.'.\ ~...,. .... 2,-Z., ~ iZ. 2... ~~ s~..*-<>-'-'- ,-pc:,._!;,,~---------i 16~ JOO l<r-."\/.,_t,;_ ....A i..--r Abtv-"'" 2..Z..3. ~-5 ~~ {OC..\!.~ *--------!
- **-----**** +--*-*- *- ----- . . *--~--***--*
- --*+*- 1
-t***----*****
Sample Recorded t>D Laborato?' COC fom1 and Container Labeled:~ O'Q~--- --- ....
10/20/15
...:..uw~.i.5'ER~~
SAMPLE LOCATION DATA SHEET Date: /tJ --Z (,:; -1 ~ Name: --r;;;; ESn,.__,!\..___._._
Weather; 3...,.-nY\y C."-'""'
I
- 1. Sample Area (SA):
SA Designation: 2..2
Description:
Wcr:d,;:.
SA Origin Location: ~z:2Y\2'f-11:r' W19~'1 J'}s. 77"' Ctiord. Sy--s-te_m_;--N-~-w-,-
SA Land Mark
Description:
~~.t'rl E>-"\'Y -~~)'ds.b..;;t='}:oord: tljk --11/---1\-
- 2. Sample Location Data:
Sample Area ID: _2_,2_.--i,__ ___ Matrix: l$..Qi] __
Location Coord: \N7"'15,i..oC;'-( J'+Z.:>_ _
Alternate Location Me.aSurements (distance fi-om SA origin and Local Coord.)
X Dist from Origin (0,0) jV/f+ Y Dist. from Origin:.&.'/ d Site Sketch Attached (Yes) c@D Sample Location
Description:
w~. f°'1'\.\:..,, {xOJ.-est f1N*11 co,,*. -c.'f"-~ ~---**---
Canopy Type:
etc.): ~
- l~d .. Land Use: ~ tlJ----- Soil Moisture (Wet, dry,
- 3. Location Radiation Readings:
2x2 NaI ---,,-***--Bicron ****--~--*----***--N-ot-*es*-----*--
(cpm) (uRem/hr)
Count time I cm Im : . 1 cm j lm (min) 1
- ~~:::r*~~....:;.35-~-~-'---""~'--.~-~t~ ~-~
1-->---_-_,-' , IT __*=:':=~-,...,/-~--_*~--~.:_-=.=-=-=-~-_._*~n-----~--.*~-.*_.~*==
' - - - - - - - - - - ' ' - - - - - - ' - " - - - --~~~'-_ _ _ __J_ _ _ _ ___,.__ _ _ _ _ _ _ - - - - - - - - - - - - - '
- 4. Sample Information~
"-i-.1, w.. z, . J]-* 2 ~-~\._md:-.,, Qls\ ....,,{__,.~
It:. *"D,,_."' 2-. Z.. R.. , 3 1 (ti. i,(. -S vo.Yts. .. .. **-*-***---- _ ____,
'--=-'=---+--"""-'--'------t-'\-;:i,.,_fU.1""""'....l::..;,'l'l.:..+?:..!_~.~{2. ~s- '.. 11{.Yl'f,.,$ 11>.Y.'-'-"'<,.-=--- - - - - - -
1------l--==~c.:.~=--.. 'Z.':~i:1
- R._to_J____.l!/t~ __ .. - - - * - - - - 1
---~-+---._-----_~-~c--~=-===~----*-***-*
Sample Recorded on Laboratory COC form and CQntainer Labeled: (!JJ (N)
J 10/20/15