ML16293A811
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App E-Sub-Area 5.5 - COC Forms
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. Phone: (843)'556-8 l 71
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COC Number fl I; l'O Nomber*
GEL Chain of Custody and Analytical Request
"*Sec www.gc.1 co111 for GEL's Somple Accep1ance SOP*"
GEL \\\\'ork Order Number:
GEL Lobur.itorrns, Li.C 2040 S*vngc Rtiad Chartes1011, ilC 2~407
!'hone: (843) 556*8171 fa.: (843) 7t-O-l l78 Phone If*
Sample A11alys!s Requester! cs1 (Fill !n tht: numbl!r c1f ccntainers far eQch test\\
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Send Result~ To:
Sample ID
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Comments Note: c~tra sample is re*quired for sample specific QC No Circle Delivernblc, Col' A f QC Summary I Levo( l f Level 2 I Level 3 I Level 4 Remt11*!1~: ;f.re rf1ere any !cnaw11 hazards appliccrMe to the.v<J.wmples? !f.w1, p/easr:1 fat the hauwd.~
full:Dp]q Collection Tim~ Zor.c E*stem
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Monnin in Chain of Custody Sigunlarn~
Snmµlc Sblpph1g and Delivery Details Dnlt:
Time Rcooiv:d Ly ('1gnod)
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App E-Sub-Area 5.5 - Field Survey Checklist
The MJW Companies GPS Field Survey Checklist The following field suivey check.list is u5ed once th;;.* s1Jrvey team has walked to the location that they wlll begin a GPS survey. Th ls checklist is intended tu verify none oft he cables or settings changed or cables came loose between the initial setup location and the field survey location. Complete step 9 once the current walkover segment is complete..
1-
.. ;_" ~*
Verify the Ludlum Meter is in Rat.P rnodP. *
.,.,J J.
2-4-- Verify that the Ludlum Meter is Jltetndting di~play of "DUP" and "Value"
.* i
- 3.
'-* j { **~
Set Menu 1 to "Status" and Menu 2 to "Receiver" I '
- 4. -~
(~'. Verify that Antenna slates "External"
- 5.
CJ') Set Menu 1 to "Data
- 6.
- ~-f (-)
Name a file to start the current..:urvey and start the data logger F } i I ~
s--. ~.;-
.____:.~::.... _ *---=*-. **-***...::.~.... -. -- --*-~~---~-
Filename: ---
IL ! 7 t < *-* \\
~
Set Menu 1 to "Statu~** and Memi 2 to "Sew.or"
- 8. ~- Verlfy that the sensor field is read111g the t.cime as the display on the Ludlum
/Jl'
- 9.
<"_/!) When finished, set Menu 1 to "Datc.J" and close the current file.
I Name:
- Date:
,. ".' I *~
J L-
}
The MJW Companies GPS lnitial Setup Checklist
- 1. __
/ __ Complete source check of Ludlum Meter 2_
_ __,,1~/
__ Power off Ludlum Meter
- 3. -~..,/'" Verify Trimble 1s shutdown (not in su5pend mode)
- 4.
V_ Connect the Serial Interface A.dapter (S!A) to the Trimble Unit
- 5.
(...('~Connett the Serial tab It> to the Ludlum Meter
- 6. ~
Connect the Serial cable to the Trimble SIA
- 7.
- 8.
- 9.
__.... V,__"_ C:onnect external GPS dntenna cable to the 'Trimble
/Power on Ludlum MetN to RritE: mod~
__ v'
__ Verify that the Ludlum Meter is alternating display of "OUP and "Value"
- 10. __
/ __
- Power on the Trimble and wait for it to completely boot
/*
- 11.
- 12.
- 13.
- 14.
, __./
__ *_Launch TerraSync and v,ait for it to load a11d acquire satellite.>
Set Menu 1 to Status and Menu 2 to "Rec1;11ver
/ /' Verify that Antenna ~tates External
/Set Menu 1 to Data),
- 15. _L Name a test file and start the ll;ita loggP.r
- 16.
__,,/Set Menu 1 to "Statu~" and Menu l to "Sen~or"
- 17. ___ i/'
__ Verify that the sensor field is reading thE' :>ame as the di5play ~n the Ludlum
/
- 18.
t/ Set Menu 1 to "Dat<1" and close the current file.
App E-Sub-Area 5.5-Instrument Field Sheets
M.J~
TIC-c:Hl'IHC..-.'-<<- 5~~~
instrument Field Response Check Log
- 1.
Instrument lnformation1 Ratemeter:
Make/Model:
Detector 1:
Make/Model:
Blcron Mii::roRem Meter:
Serial No. ;Jc.&o;3 Seri<il No. f'J[//J-CJ/,).
Serial No.-----
- 2.
Check Source Information:
- C..,
. /I.
Source 1 Isotope: {i;r).J'? Serial No.:
f ( (
Activity: ~units;~,
Response Acceptance Range (-t/-20%): uRem/hr +20% ___
uRe.m/hr -20% __
Cal. Due Date: op.f (,
Cal. Due Date: __ _
Assay Date: /~./;D
~-
net cpm + 20%
net cpm -20% 3' ~
Source 2 Isotope: L5Jfl Serial Na.: l l't<!'.?-].-* \\ ;....
Activity: 0..0:? units: t:Y.C;Assay Date: ~
Response Acceptance Range (+/-20%): uRem/hr +20% __
uRem/hr -20% __
net cpm + 20%[J;? 21 net cpm -20% _!f/7'7
- 3.
Technician/Worker Performing Checks:
Name:~
oate:Ll/f?(/'£.. Time: O'b/t;*
Location Desrription:.
G.v c,C'.*(Q;;,.
Title:
7(.._,__,,,c~'-1
- 4.
Site or Location:
Site/Job: __.~v*l'~ ~
C:---c;-. ~
GPS Coordinates {when required):
X*Coord: _________ _
Y-Coord: ________ _
Rev 110/18/15 r-=
!nstru!Q~Qt Field Response~
~
Use Acceptance Criteria Remarks l
I i I I Meter Bkg Cnt Time
- Bkg Count&
Source So1.1rce Response (cpm) or Cnt (gross cpm or uRem/hr)
- 1!me
- uRem/hr}
+/- 20%
Inst.
source Calib.
gross cpm current or uRem/hr (Y/N)
(Y/N)
I Battery Time Check Of
{Y/NJ check Ambient Temp.
(F)
Initials and Comments (ilrld'l Info: inst. Condition. etc.)
f
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Ratemeter
~~,,,.,.""""~"""'=-m~"""'t"""'~~~="'""°"'='<~"~A=~...m;~0 Ratemeter i------t-----f-:.-'-~c-----+1-~~.:_:__-l-,~..i.7-:-:::::..P.~-.IJ-----f--*-+--::>f~-+--~--p.L;GL:J....-..J.-f--L"-f.-,,---~~.,l__....:._.!......:.~~~,,_,.----~*~~*-f Rate meter
-'--'--~---.'T~-------*---f Rate meter Rate meter Ratemeter I\\
)--B_ic_ro_n~~1--NA~-+""'
J.of'_.i..fw..~_...,***'--__,.._..z-~~...--.
Bicron NA I* *
- =1:-::::!:.=;.::::=i:=-::-5..=:==t::::1=::::+/-::::=::t===::J!===_J~
\\
- .__...B-ic-ro_n __
,_N_A-1-~.-ul.
.....,r:~~- NA.
. *~-*
/<1UO
- (*~' -s-"
.:rl"'. *-----*-
- J
- 1.
Instrument designated check source is listed on lalibr tion sticker. Record check source response (riet cpm) prior to field deployment for aU check sources being used.
- 2.
Source and Background count rate sho;;ld he deterIT'ined from the <1vcrage of three static counts at the sal'"le loration. Repeat counts should be within 20%. lf count rate diverges 5ignificant1y, perform addltlo:ial counts to e*1a!u~t0 ir"lstrument stability
App E-Sub-Area 5.5 - Sample Data Sheets
SAMPLE LOCATION DATA SHEET Date:.12:..17-:!L Project: _ __H_~-5.~.1?~ ---.. -* -*----
weather: 4 o' :S ct ("\\ -z. z. l ""-
_,,, *-*--,_,.l, -- *--.... _,,.*
- 1. Sample Arca (SA):
SA Designation:~--*-~?.~*---- --.. *----*
Lkscr1ption:
lc0 l~ ~Lt~ {;ri SA Origin Location: --*-*-....... -----*-* __.. __.
Coord. System: --*- __ _
Coord:
SA Land Afark Description_----*-*-*--*- _______ _
- 2. Sample Location Data:
Sample :'>..rea ID:. __
?._'....~f.. * ~.:\\. ---*-- Matrix:*-* ).~~J......
Location Coard:
tJ '12.. 3fJ.~.:o't
__ k-l 7'ef" __ :j8' -31. ~S- ----*
Alt~mate Location Measurements (distance from SA origin and Local Coord.)
X Dlst. from Origin (0,0) J-'/A Y Dist. from Origin: -----'4A---
Sito Sketch Attachtd (Yes) @
Sample Location
Description:
_?lti:!..~~u!J/\\L:)C>n1L -tn_,tj I ch_.11i l".:i. \\;Y ~ (c_}*::1,*e_2.l)
Canop)J Type: {2£.J.i.~J~'i r:.*r*h+ Land Ust: -~.k.1r,:j_1-_~+/-(..~--- Sl)iJ Moisture (Wet. dry, etc.):_G_~.'.Y'f -* _ *--
- 3.
Lo~ation Radiation Read~~.
_______.. --~*~--------------~
2x.2 NaI T
Bicron (cpm)
(uRemn1r)
Notes
- 4. Sample Information:
10/20/lS
I --
SAMPLE LOCATION DATA SHEET Date:....!J...:J!i.:ff Project:-* N.Y.9.~_'g,D.£t_ ______ _
..1..
cf Weather: ___ _cs,.,~~.1.~ (lc~.-'.t--.~Q
- 1. Sample Area {SA):
SA Designation:_.... ~.s.. ~~~---- -*-----
==
Description:==
\\ilooo.5 ------*----
SA Origin Location:
__ *----*-~*-
Coord_ System: ____ _
SA Land Mark Descnption. -----*-------* -*** *--
Coord:
- 2. Sample Location Data:
Sample Area ID: ___ S~~
.. :l~.--~* Matrix: ~-c:..~:.~***----
_.w.....1-_8""'_?.'{ __ 4~*
o_**
- -=-Zo-J Alternate Location Measurements (distance from SA origin and Local Coord.)
X Dist. from Origin (0,0)
N /-A
'(Dist. from Origin:
N I A y
Site Sketch Attached (Yes) @_)
Sample Location
Description:
~
1 ~~
~
Canopy Type: Qolr11, Land Use: _!'.\\.ti.~.. -- Soil Moisture (Wet, dry, etc.): ~'f-- -~--
- 3. Location Radiation Read!ngs:
2~P~~r
-~
C~~~~-r-)---.~-----N-o-te-s--~~~~
. -**** ***-* ---*-* -* --** *-***---*----~--
i Counttime j
- lcm lm
- t
\\cm f
Im flicJon* WOL.\\JM 2:2. 1-2.
~~+/-~~~~_c~- ~ 14- -272--r~~r~ 72
=L
__ _ __ _l______
§
<:A\\ doe <;i'/lf ~
- 4. Sample Information; Sample Area JD:
~. 5,f.\\ I a... 2.. 1-"Z.
Dcscnptlon by Depth Depth I Soil Type Soil Sample ID Sampling Description Interval I (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.)
refusal; stone or rock, topo~hy, erosion features)
- c;--i<;*
_.}.£Q~1l_ _____
1 1--~'°.,..."""',_"'--t-~ '5P.1R..Z..A_...J..JO.J'M&7, WO\\\\ fsio'\\~ 50'-~('D-~ la~.,,,?\\ --*-
I'S" -_}_Q~,l....
ffi-i)ii~ £ S !\\:_:.~--' ~:2..; __ +5)h~'0:yl:?,9_l~- _
I I = +/-
+~
Sample Recorded on Laboratury COC form and Container Labeled: {N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: _l'l :::!.'-!.:!..'£ Proj ecr: _J~~J_ y_g_~ ~_f\\_-.... __.. _
Weathei.: ---
- l. Sample Area (SA}
'\\
_,.:.~
SA Designarion: ____ $~:5_
De-srription: \\J 90d_5~-----
SA Origin J.ocarion:
Coord_ System: ____ _
SA Land A1ark Description.-*-****---*-------*-********--
Coord:
- 2. Sample Location Data:
l\\fatrix: -~2.L ___.
Alternate Locatmn l'vfea.surements (distance from S.\\ ongin and Local Coord.}
X Dist. from Origin (0,0)
N /~
Y Dist. from Origin:.......bl.J-A.~
Site Sketch Attached (Yes)
Sample-Location llescription: ~.
V~~-.. Ji¥tL-b£illn,
\\.R(lvc')
Canopy Type:.. -.pe,._V'l,_;;_ __ Land Use:_-~~ Dfy--- Soil Moisture (Wet, dry, ctc.):,_u.y ---
- 3.
- Locatio0: Radiation Readings:
2~P:;I I
(u~::o~~-*-- --i Notes
- 4. Sample Information:
SampleArea1D: 6.6A,g...3. l -2 D
b D h
escnption *Y ept Depth j Soil Type Sui!
Sample ID - I Sampling Description buervol +
(Q,g; clay; Color t
(Surface J;tte. type/depth, sample depth retent;on, (cm) sand, etc.)
refusa I, sto_!l~-or rock, topography, erosion features)
-*-0-~JS-
~.:-~'
~V'I ~§_._?Pl* R. -;}.'.L...... lg~~---'-':>Mc, \\.\\. (DO\\:;..
ls-~&'.!
! ~1\\
ht~- O SR* i2.-~*:l:---l-..il*l'lr.~
l'V~4----!Yi~5 f--*--** -... -*****
- -t- ***-
- .**-- -~--*~
~---**- **-**........ -**-****f** -*...,........
I Sample ~ecorded on Laboratury COC form and Container Labeled: Q) (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: I Z-IL/-1S'°.
Project: __ bLY.9_.~_F..D.fL._. *--*--
Weather:_@"'""'-, ~yJ.!.Q.~,.-~':!_
- 1. Sample Area (SA):
0 Name: I Q\\ll b'(bo...Y~!'"\\~--
SA Designation:
5.5~
==
Description:==
_...\\N~'=ooc.,.
... '""'d=.">~-------~
SA. Origin Location:
Coard. System:
SA Land iHark
Description:
C6ord:
- 2. Sample Location Data:
Sample Area ID:_ 5 SI\\-.\\<... '-l
___ Matrix: ~~--
Location Coord:
-~ i?,~_3J~(P.§'"' __ _
Alternat~ Location Measurements (distanc-e from SA origin and Loe.al Coard_)
X Dist. from Origin (0,0)_
NIA Y Dist. from Origin:
N I A r
I Site Sketch Attached (Yes)~}
Sample Location
Description:
- h-..P !?ii.., ~~
... l-t-~*Me.. Jt..y\\.\\.¥\\;"\\J Canopy Type:._6-?~ _,,_Land Use: ___ ft1_Udnu__ Soil Moisture (Wet, dry, etc.):J)ny-*-***-**
J
- 3.
Loc~~*ion Radiation Readings:
*****......-----~----------.
I 2x2 Nal
~
Bicron I
(cpm)
~
(uRem/hr)
Notes
- 4. Sample. Information:
.~Sample Area ID: 5.Sf\\;.~<../, /-2 D
b D h
escnption y ept Depth Soil Type SQ it Sample JD I
Sampling Description Interval
{Org; clay; l.olor J
(Surhtce litter type/depth, sample depth retention, (cm) sand, etc.)
l refusal, stone or rock, topo~hy, erosion features) f'J-I")
- - --~iL__ ~
~ * ~0_~.&HL l __ j ~-v-.L'"f_..,_..5.fy.VJ.-~ v-oo\\~
l.5"-30 ~1 rw...'<- \\:;-1:...,.._ $, $,
~-*'f'......4.-~--~--f.':t?.~i\\.S vqC:...\\>:.-~
r-=-~--**
i
---+*-------*
I
--*--*--+--
l
=-* **-i---*****-**
~----**-**-----*-* -* *-**-~*-*---**-* **-~
i Sample Recorded on Laboratory COC fonn and Container I..abeled~o {l'I) 10/20/15