ML16293A678
Text
,.-----
! *{
~ ""
App E-Sub-Area 5.1-COC Forms
t( i.
}r,'
- l'ligm'._-" __._. __
- _._of~*-*------.-*.
- frojcct #;
GEL. C;haii~ of Custody ~md Analytkal JReq\\lest
' Gt..1.* Lalicr~torics; uc
. 204Q ~avagc ~(lad O~L.Qu.o~c II: ~-~----'""--.,----"
'*S.ce:www,gctcomforG~.k:s'Sa1nple:A~ceptanceSOP*"'
. Chadep1011, SC.294Q7 Ph~n~: cs<1~).ss6~s1?1
'Fnx:(S43i~76G-l*l18.
COC N.umbcr (1);
PO Number:
- ~...,............. ---**-*** ---~* ***--'* GEL Work' Or() er Number;*
. _Coll<;ctcd br, S.ond Rcs1111s Jo:
2*
- 3.
Sample JD*
' !'<II' oomi>O.f/lts** J11dirfair.*lull (111ch1w diltcftime*
'5.s'(-\\,*:iZ.':j, 7.~, '.FS~*Pi,\\'"2..Y.'t~
s I I~ I \\C<Z.. lf'I i £\\(A. \\l,1; 18
$" t \\P\\ t (7.f.,"2.f\\.s I 1~,e.,i:.t:o
- ~~~. £~1.lc~~c;.a
{tnin.dd;)')')'.
-lkf'f 1')
rz.:-t'-11{
Chain ofCustvdy S}gnatu11:s
'Tinto.
- Culi<crcil QC*
(Mlll1ory) * ~C~e,il~
'{hhmm)
- Dnfo*
Tiine Received bx (~_izncilI
[)11\\c
' 1 3
- Fiol1I.
Fli.'<<<d.
,(If
- -_Silm11lc:,
Modfix**
c~
- Sample.Analysis.Requested {~f '(fill.i11 the 1111iri~en>feo111ainers for ¢ncli*t\\l5l)
- should lbli
'~*~iitr. be*
coillli\\c***~
L TSC.
R!idl*
l:>
.;.. u
<:--Preservative Type ~6)
- coa>>men~s Note: cxiras_ample is required. for sample specific QC Reg~;
l*lid. er 0
[*
No ClrelC:DC!ivcrablc:* CofA I QC Summnrv. I t.cvc[* i I *tcveJ-2. I *tcvd 3' I Level A
. Sililiple CoJlection Tirrie Zone
- Eastern:
l'ocilic Central Oiiier M<mnt~in Sample Sh_l11pit1g and'Delivecy Details
. GELPM:
McthoJ*ofsliinmcn1:*
'Airbillil:
I,) C'J.18ill ofOistcdy'*'NUmbct... C1ion1 Dclcnilinp;i
- t):Qc,C,'od~~*'i'!" Nom,llll S.mrlc.}'11-Trip Bl*11k; 110 n freld !Jujili<alc):Eli= fa1~ipmcm !liank; M~-"-¥°iJiix S11i~.~ Sam~lc *. MSD *:Maui~ Spikc Oilplicotc -~~*~P~iG ~ Omb, C ~.Comp0si1c For La// Receiving Usu Onlj:
- J.): ficl;I F~1md:.'Fodiquid mot*kc*,.i.ndkntc wi\\h n-Y-f-Oi )'¢* ihc.so1riplowns*field nJl<tcd or." N- (ornunplo was nol riM fi!I01,<d..
.C:lls/otiyS,eal liltai't?
4.). Matrix, Cadi:1:*l>\\V=-Otinldng*.Wu1cr1.'C.\\V~Gr0\\!1tdw1tJor,.~,Y~~urT01i.:c.JV;t~r1,,y\\\\,.. Woc.1<: W <tll;r; *w*W~1.t~, ML.. 1Mts:*J *. iqnid1.SO;*$:~>il; S~Scilimi.:nt,>>S1,qSJudgi.:, 5.~::i.$olid~W-%tc. o;,01!, f<+tlltcir1:r..,.Wipc *. U>:\\Jrh~t:;'F,-.!f~i.-I. N~l'l--~-'l'."'E..-* S:..-._,.__N_0-:----1 j,). Su~pl~ A*iol)l;<i(!t<<111<>!<d'./1.n*1)1icnl *.noUuxJ roqucSt<tl (te. 816lili;oo108n~1iiA) o~d nilli1~<r o[ro11cnln01* p1o*!d,d,f9r <<<<I\\ (cc:'Sl6nB *'.l; d0/Q8174lnll
- ll; C,110/erTemp:
- ,6.)* PI<iSCJ'Y~Uiy".c~1yp.c:..J:l1~ "*:1~Y~r~c_l~lorle;~At~t1-;.Nt:* NiirJc AciC;tu~""' Sod)umJ-irihoxidt,S,\\.;?. S~Jf\\lril:.~~d~;*,':A*~!-Astor~~c ~c1~t f:l?'..:.. ~i~.1:mc,_S'f.. ~~um Tbioiulfii_rc~.Jf~to;imm:rvaliw n:id.d;d'"' IOi\\vc flcld b1mil..
C'
,
- WHlTE ~: l~A..BORATORY
.Y*E,LLO'V = FILE.
. PlNlC ;,,,,CLtEN'J'
. Pag.e:* *-~----. -- of__ -~-*-~*.
GEL--C-*
1 h_a_i~n--. o-f--. *c-.*-u-s-to __ d_' y-_-a_n_.d __.,..A_n.,...*a-1-..,.-ti._,c_a,_l._l~,....e-.q-u_e,.,..s=*t":""". *.....,.....__,.O....:.E-*L---Ln-t<or-.l-0(--ies'-; L-t:c--* -"----~
- Pl'OJccr II;
- .J* *..
- 2040.Sav~gi; R.oad OBL Quote II: --*-----~L--..:
~~Scc:www:geJ.l(loni.fol*:GBL's SanwJe.Ac:cep_tance*SOl'"'"
Charleston,:SC294.07 coc:Nlim1>eri1.i:.. :.,,,...*.;..,,, _____ *.. :.:_. _,_.. G1£J;.; W.orl~ Ordes* Number:
- Phonc:(8<t.1}S56-81'11 l'ONuinb'er:..
I
, Fiix: (8<!3W66;tt?&*
Pi-oj~cliSite.Nan\\e:*
Fax' II:
S!1oul'.!'.'! ___ *1'* 1-.. _15"
!<) * -i*r* 1, r'- J. *.
11._'."l\\Y
- Tun~
Cufk~kd
.rMim.r}>)*:
.. '<*llm*r*r..
.~'
<--: Pr<;:scfv.~tivcTyp.;.( 6)
C9mmentS Note; extra ilmuplC ls rcquitcd'fur santp.\\(J spt;cific Q.C h-~-~~,i~B__,_,**~=-~*'~**~.l~-~~~~l~2~~1=~-~~~+* __.,._-,-j-__,f---,-+---t--'+---t---+--1--+-,--~h-t--f-.~~~---i---~~-"-----:--~
.---~~~'~-~*~l*~L~-~~~-----~-~~--*~~1l~*~~*7l~<":~***~*--------+--+~-;-,-+-,-+-+-+-+--+~f---"'-'-1--l--~~*'-*~*-4-~~__,..,.,~--~
£., \\.'.}, {L._cl;...,..:. '-=3~
.. ---"-~----,-*H*fl..__;..,.:..;.\\.le-:'-*. 1-:-'-':.~;:....,;f--* ~=+-~f---'7'"--f'---'-'11'---:il---,_____..,!--'J.--,-J--.+I.._* -+--+--4--1---l-......,h--4---=---..,-,----;
S.;tA-.,a.,\\,q
\\i~u~.;1?
No Circle belivcr~b!c:: 'C'.r.ifA. I OC Summilrir I.:t;cvcJ: ! J. Level 2 l weD i' Lcvd 4*
aum~~
- 'i!~srcm l'ndtic *
,::9c11trn.1._
Otlior:__* __
- N1011ntnin RclinquistioJ-Dy, (SigncJ)
. GELPM;
- .1
' MctlioJ of Sliiun1cn1:
2 2
~--
Aliblll/1:
3 Aiihiltll:
i'.r :c_-~lBi11~r:*~~~9uy*tl\\u11bc1 ~ Cli~nfJ!.i;:t1j~J)j1~~!
l:)° Q~'. Cu~i;., *N *.NonMi Sompl~ *. -i'll"' {rlJi'fJl~i1k;'Pll
- PJcl<lDi1pli<"O, ~l_l*~ ll~uipmcot'lllonk;' ~1s* **.Jvio1ri> Spiko:sa;,,pfo; ~Jm>*~;_Matr\\i< Sp1~*pi1pl_i~;i.10 S*!llplS,G ~*cJl)lb.,C" Co111po*i"',
/"or ha!>. Receiving_ li:~e,Oi11~*
J.r.F-~cld fil~c1~d: r~rllquic' nuuricc~h:dt(!u1e.wiih n-~.V*.. _ror Yu 1{1~'s?~PJ!l,W\\1S 'fii:J<l "11t.r'l:!d or.'-'.N;-fa,r~nnt~JcwpJ;.i1ot.. tii;ld tHtc;cd;
- c11s1vefySl!a/ 'J:!tact?
,,.!';)'.. Milliii:~ ~d,u~~~W!" prinklng Wul:'T :'G~~"'9fl~l111dwn1cr I 5\\V::Sujfac'C Wtih!J, \\V\\V,~\\~ti:il0_\\':/_1!\\t1_~;W~.\\y4i~. ~L;a.'M.w; l~ii}_nid!.S~~~~il~ ~D~~c.. U~1i:n1;*$J.PSlu~~~;.S~SOtit1'.Was1c; i>;fon,-' lt""fllu:i' r~wJ1>0;.UnOiinl!~ f.":'f~~l.~!'il:=-!1-' ___
_;Y;.;E:;:*S'-"'...,..=,.._.*-N_..'o...,,...,,._"""1 llf. ~) Sumple AJ**!YSIS Rcq.,<*tod: ~n?l~hO-<<l n\\c!h*~ roq11.,1<d (!:** Rl60ll.~Ornlln4WA) nnd "'".b*(o(_<on1~'."'~'*V'"""""'l ro:.**~~ (1.e. SlWB *,:'J* Ml!OD/711~ -*11:_
L"uufci. Temp:
f'J.);'PHm:rv"1ivc**l)'1Jc: HA-~:l~ydcochlonc Acid~ ~1*~ ~ilfic A~td/Sll = ~1tun.*Jtyifroxid1:, 81_\\ r S11lf\\!nc Actd. i\\t\\... As:cotb1t-Ac11l,J_t?{.H Hexa1~.. S f'~*Sodum~,Tli1M11ltfliCJ lfno11roe.scr~:t!1vo t.~p1lft~l.!<ilc:i\\oe*r~.h! blRUlt
- c
- wmTE=LABORATOilY.
. XELLOW,.,Fll,E PJNK=CUEN1' J
or GEL L~boratori**, LLC'
}*-e.e~ _____........
GEL Chain of Custody and Analytical Request Project/!:
- See www.gcl.cmn for GEL's Sample Acceptance SOP*"
20~0 Sav3ge Road GEL Quote 11, Chnrleilon, SC 29467 COC Number I 1l:
GEL Work Order Number~
!'hone'. (llo!J) 556-S 171 PO Nu111ber fax* (843) 766-1 i?B Clicnl Nan1e:
Phi:me II:
S~mple Analysis Rcqucstctl 15l (Fill in the number of conlainer~ for each tc:il)
...:J.if>... Projc.:1JSile Name*
Fax#*
Slionld
'<** Prcscrv~livc Tyµ~ (6)
!11!>
>RllJ\\llr ~e Address:
.:.1nddfrct..I Commenrs
,_Collec1cd by:
Send Results lo; Note: extra sampk is
- IJMe(':l:l~;.:1.:d
.. Tim~
F~t..11L s.,n~!e TfiC required for sample C...;i~l*Ct~,
. QC Fr~1ttl!"J M;U11J<
Rodi
- \\
i specific QC Sample ID
{Mlli<*ry)
C:~am
{nm,.d<l-nl (hl1111m)
(Jj
- 'I OUl;'t) negu
.. F01 c"fJJHl*'*t.~ll!.'i. tndktJlc rt~frl m:.t,,-n1e J,,,~/1,m(J yt lol<d uo s \\f\\, ~- \\.S 12-ILe-1)'
- 5. l°A:.; \\2.... \\.l..a 11~\\l;-\\ (
~-.\\i\\ ' \\2.. I.1 I?...--\\ u->(
I 1
1 I TAT Reaucstcd~ Normal:
Rush:
S~ccily:
{Subi<<* to So"l:>ri;<) I
!'ax Remits:
Yes I
No CirclC Dc\\ivcrnb:c. c off\\ I QC Summary r Level 1 I Lcvi.;I 2 I !.cvd 3 I J.evd 4 Rttm<<rkl*: Are llit'r<! any know11 ha::ards applicable fo the.~r..iamples? /f.w, please Ii.~/ the hazards S*lm~I~ {;QJl~r1ie.l!l Jimc 7,llfil.
!!astern P:icific Ccntr~!
Oilier
- ~* *-**. *-*
Mo\\\\11tain Clrnin of Cusfody Sign:iti1rcs Smnple Slllpping and Delivery Details Rclinq.,i<hod l3y (Signed)
D:irc Time:
Rct."t:i,cd ~y l*igr.od)
Dlt!C.
TtmD-GEL PM:
I I
MclilQd of Shinm::mt.
Ir.lie Shinr.c<I.
2 2
Airbiil~.
3 3
A1rbill n*
I) C:h?]I\\ ofCi.;:;u::n.l.y N~{1d:e1.. l"!k1;1 r.'C""!crmtn~t.I Ftw Lal* Recemrrg U,yc 011ly
- 2) QC Cc:lc:s* N = ~em*.n~ SaT1*.pt~. 1'Tii ~ Tr1f1 TJ.*,u:.k. VO* f1~ld D:tphc~:G 1 F.n... l~\\1ip1rn:~t Hl;u:I!, MS
- Mmrn1 Sp1f..c S=1.*n,!::-. :'.'T.lm""' !i.,fa1riol. S1,1ke 01:pl!C:'1lc: S1ul;p:.::, G ** (Jto1b. C.... (\\i:1:rll!ili~
J) Field ff'li::JC.C.. Fc1 !i~Li~l Pl111:ri~s. 11'.rl.t1mi *.lr;ll: ti.. Y - f.lr ye~ l~a: s::i.ttplc wru r.~ld f:'llc:t~d Of - ~ - *r,r ~Mu;,l:: w~~ *u;t 1ickl fi1!crttl C11.>>lvdy Seal /nt,7C't?
- I.) 'M:i.lnx Cc;.dt!, J)\\\\.'::-D,;*~kb1: W.11cr. G\\\\"**Urnt:ndw*ikr, SW,..,.S',afat.:i.: Wiltur, \\V\\\\'=W~.:i,!c W.!.t(z, \\\\.'**W.:.t...:i, ML* Mi~L: r.. 1:'.!1;td, SO-*!=i,!l. SP.. *~d*<l.~nl, Sl..... S~.:;;.Jili:., SS*.,.*S-::lul '"'n~t.:', O::(J1~.1****f1l1i:1, r-*W1:1t!, ll... ll1'ir*1J, F**Fct.i.d, N°"I l'ES
!iO
~.) S.\\mpte Ar..-il,.si~ ni::c:ueski.J Al='*)11~~;1 mcl1i1)J rttf.l:C.fl~tl n' R2f:IJO, (:0 Hmi747lM.J ~rd li.Ul~.b:-r*}fi..:-!.llll1hcu 1~rov;dcrj tb: c;iLh (1 e.SlM!J '.\\. f.11l!J!l/1'1~1JA-t1 Cou/~r frmp.
f.) h'C:'OClV~li"Jt.: Ty~. Ur\\-. tl)*1lro::hlirn.: Acic{. NI '""N!'.~nt: A~u-1, Sl*1 _. S<'rl:!.lm lly.~rnxH!c, SJ'\\-** ~111fn:l: 1\\i:::t!!. A:\\:- /.t.!corbic Aci:I, UX,._ 110::..::1!11.', ST=- S*~1:1L1t1i Tl:1:;>~.1d!:.~~. lf N1 rrc:cf\\*ar1v~ i.'i ~:
1*!t"d...- !r.:i'.'IC n-:.M bl:ml..
c Wii!Tll: ~ l,AUOHATORY YEU.. OW ~ FIU::
PINI(= CU ENT
App E-Sub-Area 5.1 - Instrument Field Sheets
\\,,_
t:;,
~
lnstrum.~Fie!_d, Response Check log
- 1.
J1!.~J1ui:rumilnforma1io(\\
1 Rate meter:
Make/Mode!:
Detector 1:
Make/Model:
Bicron MicroRem Meter:
LUDLUM 2241-2.
L!.!QLUM 44-lQ _..
Sericil hi~ i62737 Serial Ne. __ E8.. l.U12L.-.
Serial No. _A~41.!.-* _. ~
Cal. Due D~te: JUUlQ Ca'!. Due Date: _Y-4/16
- z.
Qt.e<:k ~@r_~g lnforr11;Uio11: *
- 3.
So1~rc"' l lsatope: Jh:232 5erlal No.: JJ.fi_____
Activity: ~Q
- .. L.. u!"lils:.JKL_
Assay Date:.12.L.10/10 Rl~~;;on~t:: Acc.eptancr*~ Rang-e i+/.20%): LJR1:m1/hr i-2()% _ --***.
uRemifir -/.Q'Y,,
net cprn.; W%_;;.,_2926 nr*t tpl'n *2D'A* 15284
!\\oc1rrn -?. i~otcipP.: _C.S.::.L3.7. __ Serial Ne* :.** 82E1+/-4.8-... -.
>:.r::~po.,,e An;i::pt3nr.;e R.;inge [.i./-20%): uRern/h' *>-20~'.
,\\divity:..O...QL _Llnit;:..J.LC.l_ As.say D:;te: 1L.Z_Qb.O t:Rcm/hr -20%.. *-**--*
net c.pm ~ 20%_ l.3~5...
11i>~. q:;rn -;'CJ~~'.. $~l~...
Ie.fliniq_o.!:.1L\\ll!9sker Pe!:forming Checks:
Narr1e::.:?:"~~CK11.'!_?..~.,...)
Tillll: U-:C _..... --.. -*
- 1
$\\t~P!.J~9tio.r*
'i;ti;;/Job*_5:.J.. *-*.... __ *-*-*------- **- ____.
location D~~c:riptio<"!: {VO c iJ5 X"*C.oorc:: _______ --*---**-- __.. -**-- 'r'-c.c,ord* ___ _
Rev 110/18/15
- ~TS Mt.I"~ Y~~L
.s~.....-.tCt.30
- l. Instrument lnformation1 Ratemeter:
Make/Model:
Detector L Make/Mode!:
Bicron MicroRem Meter:
Instrument Field Response Check Log L r..,)7/v;tti aJ'-/t2 L v/1 u~,,1 t..f 'f*~/ 0 Serial No. ~/X,{.qy Serial No. 'f/t. f(,,',iG.l( )-
Serial No. ____ _
. Cal. Due Date: o9fct/J~
. Cal. Due Date: -~~
- 2.
Check Source Information:
f I
Source 1 lsotope:0~ Serial No.:
) f Activity: <d, units:.AL([
Assay Date: l~[5"/f0 Response Acceptance Range (+/-20%): uRem/hr +20% ___
uRem/hr -20% ___
net cpm + 20% '37'7 i" net cpm -20% ~bC Source 21sotope:Cs:::.1n Serial No.: I ("'{c.)3-/ 2 Activity: CJ.0 2-unitsjl{/ Assay Date: /JA-ResponseAcceptance Range (+/-20%): uRem/hr +20%___
uRem/hr-20%.___
net cpm + 20% 13-:2-1J net cpm-20% gqy7
- 3.
Technic20!~ Performing Checks:
Name: ' ) I
.:/
c..-&s r,;>c*.~
Title:
! c.~-~---
Date: /;J,~lff STime: Q'i( I
- 4.
Site or Location:
Site/Job: 5£/?
Location
Description:
--1P.
.... ~_Vi_f,""""',114~_.h._6_*_f-______ _
GPS Coordinates (when required):
X-Coord: tJ 'f/-"' :," ;i. 'i:)(7. *ntf Y-Coord: W 7 'I.!' s?
1.":"tl.. 31'-'
- r
./
Instrument Field Response2 Use Acceptance Criteria Remarks Rev 1 10/18/15 Meter Bkg Bkg Counts Cnt
{cpm) or
. Source Cnt Time Source Response
+/-20%
(gross cpm or source Inst. *
- Battery Ca!ib.
Check Time Of Ambient Temp.
Initials and Comments
{add'l Info: inst. Condition, etc.}
Time uRem/hr) uRem/hr) gross cpm current (Y/N) check (cF) or uRem/hr (Y/N}
- i.
{Y/N) f Ratemeter
- i Ratemeter
! Ratemeter i Ratemeter
! Ratemeter
! Bicron NA I Bicron NA i Bicron NA t
- 1.
Instrument designated check source is listed on calibration sticker. Record check source response (net cpm) 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 additional counts to evaluate instrument stability
~
./
- ~TS MJ~
T~-L SC':R""7CllE>"
Rev 110/18/15 Instrument Field Response Check Log
- 1.
Instrument lnformation 1
¥i Ratem eter:
Make/Model; L vJ* u.... if¥ 5).
Serial No. d<J(:..6q'j*
Serial No. Pf?I f J!.6'f?.-
Seria! No.-~---
Cal. Due Date: t:r'J1'tf.'
Detector 1:
Make/Model:
l.1,,,tf.f;,,.....f_- J Blcron MicroRem Meter:
Cal. Due Date: __
- 2.
Assay Date: /~/fr/o net cpm + 2~
net cpm -20% ?~{. C Source 2 Isotope: {j./?i? Serial No.: l /10.~*I.).
Activity: IJ.O.J-units:~Assay Date:* __
Response Acceptance Range (+/-20%): uRem/hr +20% __
uRem/hr -20% __. net cpm + 20% l 3' ;l. 7fe net cpm -20% £ j 9'1
- 3.
Checks:
T!tle:
fc ( r Date: l'J.f ~/t5 Time: Of>J. Gf'
- 4.
Site or Location:
Site/Job: __ ~.4~"-'t?_.<"~5~~'~-~-
,1 location
Description:
~<"<'JL GPS Coordinates {when required):
X-Coord:
I\\( 'ii..:. ":i ~' l/S:~ ¥ t Y-Coord: \\J *ti:> ')(*I G,"J;.'i
.=...~----
i Instrument Field Respo-nse2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response
-t-/-20%
Inst.
Battery TI me Ambient Initials and Comments Cnt
{cpm) or Cnt (gross cpm or source Calib.
Check Of Temp~
(add'l tnfo: inst. Condition, etc.)
- Time uRem/hr)
Time uRem/hr) gross cpm current (V/N) check (CF}
or uRem/hr (V/N)
{Y(NJ I Ratemeter fi,v. ii* S'f lf'1t/~ ( ""* 1)\\
¥/tb:A c#W'
\\/
v v
M,2t,,
~- 7 CJ
°Tlf-~"K. f)_y I Ratemeter J 1.1\\d\\
iD041 /~;.,,...
i;
{I
.: I. 0951
~'? y~ r c- _, ~., '7lcr-:
l Ratemeter i1..,~
S~S-"t 1,..... 1'h.
t:./'1.P~IJ 1:,,,,,.,
... l 1iDS'""
t{t._ j_O 11.-..-_,.'2 ~L UJf"'
I Ratemeter I W\\ o-
{D"7t)..,.~'""'
.._)
..J1
~I 111'-fc q/...,3... t. /§._, 14'7 ':,/?
I Ratemeter I
I I
i/
I Ratemeter
! Bicron NA NA J Bicron NA NA I Bicron NA NA
- 1.
Instrument-designated check source is listed on calibration sticker. Record check source response (net cpm) 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 wlthin 20%. If count rate diverges slgnificantly, perform additional counts to evaluate instrument stability l I I
I I
I I
I l
l l
App E-Sub-Area 5.1 - Sample Data Sheets
n.*
h
~
._;o* ___ i=_ --
"'eat er: __t0 \\E: 1 c 1,")0 <;.>,'i 1 ::L
- l. Sample Area (SA):
SA Designation:_ §-"'-'._,_It\\~-----*
SA. Origin Location:
S.:4. Land 1'vfark Description
- 2. Sample Location Data:
SA~1PLE LOCATION DAT A SHEET
"-i
-r;. "2
,~ame:
r:-1
~...!:L.......---
==
Description:==
WcW~
Coord. System:~~--
Coord:
Sampk Area fD _.S:-J_B.._. __ ib_-1.. ______ Matrix*-~-)-\\__....
Location Coord:.w....=t-Liil 1J_,_ ':t~- -***..
Alternate Location Measurement~ (disrance fn-:im SA origin and.Local Coord.)
X Dist. from Origin (O,ff!,....N.Jf1____
Y Dist. from Origin:
N /A Site Sketd1 Attached (Yes} ~
Sample Location
Description:
wo9ds, 'f<J1.i*17__b:u_::., \\JC!\\( 11'71ttf-bvu1>n1 \\ oU:\\i'"C' -S Canopy TYPe:. -~Land Use: J:::h~LY.L)-----* SlJil Moisture (Wet, dry.
etc.):_1:JD,.... _...
~-
Lo_<:_.l!_:t.!Q!!_Radiation Readings:
1~P~~I
- - [
~ut~~~~;~ **--T *---. -- Notes
--i
- 4. Sample Information:*
Sample Area ID.- JiJ 1'\\. iC.. \\. \\- l,,
Description by Depth:..
- ~---**.. -*-
l Depth 11 Soil Type I Soil Sample ff}
Sampling DescriptWn j Jnterval (Org; clay; l Color
- (.Surface litt~r~/depth, sample depth retention,
_Jcm)
..,. --~and, etc.) I
---*--*-** _L~~~-sal, st<.~ne_9r ro.?k, to~~phy, erosion features}
0-1 5 i SojL__
i3t-_V>.
~!..1£L.E*_!_.\\_,~.IXL1r.:in("~-~~~--------__,
L!..._"5'"~.2:-_*_-_*~- l ~\\\\.
l_*
-1:
s !(-\\
R-l °2.
I~
\\
ts I.~ I
. *-*-* --+--1'~'.l{l<'-.i'P-"---***-.----:----------
\\.3Q-(£Q ___ ~\\.1."._1'.l<\\<.::,
IK
~
. A R.L I
_,, ~
"-u -#-
f-
-l"Oc~S o--L;:;o [&~l/tr>cK--s!'1fl-~~""
- A-.i2-.1.4 ~taJ~~----'-~(? 10~*--------~
_Q-_::y'S'. ___ +~
1~
I \\3m..,.,_
~
11:.'i, \\2.. I. S ! l Ovwi 1
- s ~"\\11,(\\.: \\J.
"1Jo "r~
--1
~Cl-'> t~PJllr'AlL~ !j1\\,l-bcti_5.JA* j?.. I. ~-c~:~*- ~"'.\\a~-. _JQ.Lio,,_,
__ J Sample Recorded on Laboratory COC form and Container Labeled@ (N) 10/20jl5
'TS
~~<l.'T~lf..~~
SAMPLE LOCATION DATA SHEET Date: f.?L-1..'! "'i.~-
Project: ---1.'J_y_g(@_f\\ ________ ***-
Name: --rt;.-;
~
.. r Weather: _<:;Jg~---7---r-* 00... ~:Lm_* \\-\\
l.. Sample Area (SA):
SA Designation: _._fiJ_*e_. ***-. ___. _
Desc:ripHon: _
_,\\,;?..:.=...:C..."O::.c:*:c...-,~_;),.._* -----'----
SA Origin Location:
Coord. System: ____ _
SA Land Mark
Description:
~----------
Coord: ----* *-- -**--------
- 2. Sample Location Data:
Sample Area lD: ____ 5.:_ iA. K.-.~-- Matrix:... ~j Location Coord:
. fY __ !ili~."2:..J1.$*.r:___
Alternate Location Meas11rements (distance from SA origin and Local Coord.)
X Dist from Origin (0,0'l____N IA.
Y Dist. from Origin:
N f A*
I Site Sketch Attache.d (Yes) @
- 3. Location Radiation Readinus:
-=--------:...-------- ---,,-.----------*---~
. 2x2 NaJ
~
Bicron (c m)
~
(uRem/hr)
Notes I
~-- ***-----------*---'----------"-*--** __ J. -*-----*.... ' -'""------'-'"""--'-t'J!"--~W--l..l..!!::---......J 4.. Sample Information:
Sample Area ID: ~.
1'.. 2., I--Z..
Dcscri tfon bv De >th:
Depth Soil Type Soil Sample ID***
i Sampling Description Interval
{Org; clay; Co/qr *
~Surface litter type/depth, sample depth retention,
_. ('?mL _ _:-and, et~J
~-*
refusal, stoJ?-e..?.r rock, topo_graphy, erosion features)
Q-t..£... _-?.c?..LL.
.. ~-1--5.:.1!1.'.R.:_J.:.:.\\_ *-. J~JY'-&)
./
. )
_*, L~
'~-~R.!.l..:..].... ___ 1 ~\\'::i ____________. ____________
--1
---***.. --1------+---
f----------+*-'-" ---------"!----**-
- -*--*-*--*~--+----
___ *-* --*. -4~- -___,__
..___-t---__,__ _ _____,_ __==r*------*---.---
_L_ __
Sample Recorded on Laboratory COC form and Container Labeled:
(N) 10/20/15
Project: _ ___bl_Y.~.. ~fi__ _____ _
6 (
Weather'...!Ml~.L~-~.---""CV=CJ'----
- 1. Sample Area (SA):
SAMPLE LOCATION DATA SHEET N
-;"2 arne:
f o.'I L2~=..,--'----
SA Designalion: ____.fi~J~- ***-... *--*- *-*****
==
Description:==
w~d.s___
SA Origin Location:
Coord_ System: ___ _
SA Land,Hark Description~ __ -.-... **--*--- ___.
Coord:
- 2. Sample Location Data:
Sample Area ID:...... 5.0..l'l-*~
-~--Matrix: -~-o-~L-Location Coord:
_.f)L!:ilt..lt.!._f>.n':
W 7658~ '23 **lPL>
Alternate Location Measurements (distance from SA origin and Local Coord.)
X Dist. from Origin (O,O}___b_.IJA_.__
Y Dist. from Origin: --.&/A__
Site Sketch Attached (Yes) @
Sample Location
Description:
fiN.s le.cut:.$..~_l60 -fl -be,k);AO k1ill~~--=-<) __ _
('}....,.,
Can~py Type*.. l...LF".'.\\....--- Land Use: _J{.1.l~Qr----- Soi! Moisture (Wet, dry, etc.)..f;)f\\t...............
3:._ Loca.tion Radfation Readings:
2x.i NaI
- r-Bicr~-~----
(cpm)
(uRem/hr)
Notes
- 4. Sample Information:
Sample Area ID: 5. t13. i<.. l [- 2 Soil Sample ID Sampling Description Color (Surface littertype/dcpth, sample depth retention,
..:;.;..:..:.::i...:..::..::..c'--l---+-------+-r_e.c..n.-'1s_al..L,..:...st-'-one or rock, topo~J:!:\\'.:, erosion featur_es)
~
. ~'1-f.D..'Ot:>r...~'- ~'t
- l..,._!'.:..~.o;,co..\\.'--"-"---------l
!. </bL>i;'.:>
- ~*\\~'.)
I
""-'--"'~-
I---------+------+-. -*+------~~--*- *- **:*----~--
1------+---*---+--**-
-*--*-* ---*** -**--*- --**,...).......... --
Sample Recorded on Lab-Oratory CDC form and Contaioer Labeled:
(N) 10/20/15
~T"E£7*"1Bc:.u_.-'VilCES SAMPLE LOCATION DATA SHEET Date: f2-:.'.. ".::1.I_
Project:
N vsr;_:e;p~ ---------
Name:~..D:::Q_.__,.-=.:...\\t"\\._;__. __
I
"'\\-
Weather: c"'-W.
c.l~~...-u=0=----
- 1. Sample Area (SA):
SA.Designation: __5_..JB_____
==
Description:==
-~~-:S..
SA Origin Location:
Coord. System:
SA Land Ma.rk
Description:
Coord:
- 2. Sample Location Data:
Sample Area ID: ____ _5;5 -10,_{h ~**--**Matrix: ?o_*~
Location Coord:
J:J__~{l "'.$._t _ _r1. S <t --
_"':-> 1 lf' S'5' '2 3.._,,It'**
Alternate Location Measurements (distance from SA origin and Local Coord.)
X Dist from Origin (0_,0)_J:.tJA____
Y Dist. from Origin: ~.IA~
Site Sketch Attached (Yes} {§t>
Sample l.ocation
Description:
\\1jY.t* i;:)R.)~'f\\~v '.:>1 l/OJ~ ~,
_ ~~
, I DO ft bi!vL.>*'-cl.
i Ytl.).)~
Can~py Type: ~:--*'1_ __ Land Use: J::hl.._L, IC\\1--- Soil Moisture (Wet, dry, etc.)._~--*--*..
- 3. Location Radiation Readin s:
2x2 NaT (cpm Bicron (uRem/hr)
---***---*-----------~
~
Notes
- 4. Sample Information:
Sample Area ID: 6. 1(3. \\2...'2...l Type Soil Sample ID I
Sampling Description
- clay; Color Murfaoo IOtedypeldeptb, sample depth retent<<in,
, etc.)
refusal, st<?ne ~r rock, topography, erosion features) 1_ ~~d 11>;~*+/-: *_ I ilYlL'-f,____s. m~e-t>
lBrit~ s,\\~;._g.~:.J..:--+~J'."IV.~.;J)C"--~---
I
--~
w-~*
l----
~~- '. ----::---~ -
Sample Record ed on Laboratory COC fon11 and Container La\\M!led~ ~
(N) 10/20/15
App E-Sub-Area 5.1 - Static Surveys
AREA S.lA Date Elevation Coordinates Collected Sample 0-15 cm 15-30 cm 30-60cm 60-100ccm rt.-1 lr1 s 5.lA R
1. 1 x
42°31'18.49 11N 78°58'27.36"W 11-ilJ--t.f 5.!A R 1 2
x tL-llo -I\\
5.lA R 1 3
x i'Hu-tf' 5.lA R 1.4 x
111~1'.)
5.lA R
1 5..
i'l-w-1 < 5 lA R 1 6
. J( :::* :: :
l?:-1 Lf-t')
!>.*,~
R 2 1
x 42"31'17.85"N 78°58'27.30"W
\\1..--1'1i:>'
- 5. If\\
R 2
2 x
AREA 5.18 Date Elevation Coordinates Collected Sample 0-15 cm 15-30 cm 30-60 cm 60-lOOc cm 12-11.11~
S.18 R 1. 1 x
42°31'18.Sl"N 78~58'23.66"W l"/41-1-1.<
5.lB R 1.2 x
17-1lf15' 5.18 R 2 1
x 42°31'17.94 11N 78°S8123.68"W 17~'-'lq~/)
5.lB R 2. 2 x
I
\\ 1..-