ML16293A392: Difference between revisions

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(Created page by program invented by StriderTol)
(Created page by program invented by StriderTol)
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Date Shinned; 2 2 Airbill #: 3 1.)_.fhain_
Date Shinned; 2 2 Airbill #: 3 1.)_.fhain_
Client For Lab ReceiVing U.-;e OnlJ QC Codr.s: N ""'Nonm1.l Bfar;k;FD  
Client For Lab ReceiVing U.-;e OnlJ QC Codr.s: N ""'Nonm1.l Bfar;k;FD  
.._ Pie/d,Qupli:cate, f.B ...  
.._ Pie/d,Qupli:cate, f.B ...
: Ohmk, Millrh Spike Milul;c. Spt};.ti.Duplu:at4.Sampk 1.G . ..r Orab, 3.} Flr:ld Fe:r 1.iqUW fodicruc a,. y ... f<tr fc.i.thi; rl1!!.d,rn1cn:d *Ji' *. for.11flm1fk;:.i.y13$
: Ohmk, Millrh Spike Milul;c. Spt};.ti.Duplu:at4.Sampk 1.G . ..r Orab, 3.} Flr:ld Fe:r 1.iqUW fodicruc a,. y ... f<tr fc.i.thi; rl1!!.d,rn1cn:d *Ji' *. for.11flm1fk;:.i.y13$
C;d'w.d).**$ru1!
C;d'w.d).**$ru1!
Line 49: Line 49:
* l). Cooler Temp: 6.) l'r**irv*lh*c Type' l!A
* l). Cooler Temp: 6.) l'r**irv*lh*c Type' l!A
* Add, NI i\<id, SJ! S;xlium lly<lrrucklc,:SA Sulfmic A<m, Aworbi' Acid, !IK*'ll*i*nc; ST *Sodium 11>foS<.Jlfarc; 1rr.o P''""""'ivoi;  
* Add, NI i\<id, SJ! S;xlium lly<lrrucklc,:SA Sulfmic A<m, Aworbi' Acid, !IK*'ll*i*nc; ST *Sodium 11>foS<.Jlfarc; 1rr.o P''""""'ivoi;  
*tirl<<l f*ol<I bl*nk C WHITE= LAJlORA TORY PINK= CU.ENT
*tirl<<l f*ol<I bl*nk C WHITE= LAJlORA TORY PINK= CU.ENT
( lcl c / '.!,..-\ -e C10LA -!'age: .. -***--*--of GEL Chain of Custody and Analytical Request GEL Laboratories, LLC I Ll *-**-** *-****** .. ' .. **-**-Project#:
( lcl c / '.!,..-\ -e C10LA -!'age: .. -***--*--of GEL Chain of Custody and Analytical Request GEL Laboratories, LLC I Ll *-**-** *-****** .. ' .. **-**-Project#:
2040 Road GEL Quote#: ___ .. ........ ........  
2040 Road GEL Quote#: ___ .. ........ ........  
.... **-**" "'"Sec www.gel.com fo* G.EL's Sample Acceptance SOP'"* Charleslon, SC 29407 COCNumbcrlll;  
.... **-**" "'"Sec www.gel.com fo* G.EL's Sample Acceptance SOP'"* Charleslon, SC 29407 COCNumbcrlll;  
**
**
* GEL Work Order Number: Phone. (843) 556-&-171 PO Number: Fax: (843) ?66-l! 7 M Client Name: Phone#: Sam1ite Analysis Hequestcd (5J (1-'ill m llic number of containers for each lest) Projcc:t/Site Name: Fax II: ShquJtl ll1io ., __ Prcscrvauvc Type (6) >>m11Icbc Address:  
* GEL Work Order Number: Phone. (843) 556-&-171 PO Number: Fax: (843) ?66-l! 7 M Client Name: Phone#: Sam1ite Analysis Hequestcd (5J (1-'ill m llic number of containers for each lest) Projcc:t/Site Name: Fax II: ShquJtl ll1io ., __ Prcscrvauvc Type (6) >>m11Icbc Address:
: Comments Collcclcd by: Send Results To: Note: extra sumple is *0;1!t:Cn!l0!'  
: Comments Collcclcd by: Send Results To: Note: extra sumple is *0;1!t:Cn!l0!'  
.. 11".:I r:ia:J:J TSC required for snmplc Qr. specific QC Sample ID (Miiitary)
.. 11".:I r:ia:J:J TSC required for snmplc Qr. specific QC Sample ID (Miiitary)
Line 93: Line 93:
Phone#:
Phone#:
Analysh Requested  
Analysh Requested  
<SI (Fill in !he 1iumber of con1aincrs for cnch tesl) Project/Site Name: Fax II: Sl1ould 1111* ,, __ Prcscrvativo Typo (6) bo ccnd<lercd  
<SI (Fill in !he 1iumber of con1aincrs for cnch tesl) Project/Site Name: Fax II: Sl1ould 1111* ,, __ Prcscrvativo Typo (6) bo ccnd<lercd
: Comments Collected by: Send Results To: Note: cxtrn sample is *o:tk  
: Comments Collected by: Send Results To: Note: cxtrn sample is *o:tk  
*Tame TSC required for sampk Qr specific QC Sample ID (M!llc.ity)
*Tame TSC required for sampk Qr specific QC Sample ID (M!llc.ity)
Cotl!! 111 r-1:1tt('J Rodi A. tmm*dd*)','t) 1'1 "' aacCl Rq:u
Cotl!! 111 r-1:1tt('J Rodi A. tmm*dd*)','t) 1'1 "' aacCl Rq:u
* Fm* com;:o.s.i1e.1  
* Fm* com;:o.s.i1e.1  
-imiir:a!e swrr und sf op c.klfeft1me r ,. J:rled )Cr OI  
-imiir:a!e swrr und sf op c.klfeft1me r ,. J:rled )Cr OI
: e. I 1'1*.t1s NIA N]A. vJ 0 l 3.t. *i.. e. 2 lcJ*Z.iJ-1) 11: (JD llJ !'J/A lu/p.. rJ iV I 3 \,-z..*,3 11'*1'5 f'.i/A N)tr. f\l i 3. l, 2, t_, 't 11:?0 N N/A N/A vJ rJ i TAT Requested:
: e. I 1'1*.t1s NIA N]A. vJ 0 l 3.t. *i.. e. 2 lcJ*Z.iJ-1) 11: (JD llJ !'J/A lu/p.. rJ iV I 3 \,-z..*,3 11'*1'5 f'.i/A N)tr. f\l i 3. l, 2, t_, 't 11:?0 N N/A N/A vJ rJ i TAT Requested:
Nofll'lal.
Nofll'lal.
Line 112: Line 112:
** ('l:c-nl Fur Lah Rcc:ei1.Jmg Use Ouh 2} Q<:Cedc:r1*
** ('l:c-nl Fur Lah Rcc:ei1.Jmg Use Ouh 2} Q<:Cedc:r1*
N .. Ncmial TB :ic. Trtp lH.:sr.k, FTl.,. F;e!d Duplicalt?:, F.U-= Eri;.i:prm::iL  
N .. Ncmial TB :ic. Trtp lH.:sr.k, FTl.,. F;e!d Duplicalt?:, F.U-= Eri;.i:prm::iL  
\f:l = Mr.ln)I: Spike. Sarr.pie-,  
\f:l = Mr.ln)I: Spike. Sarr.pie-,
::a MJtaiJi: Spike G =OrO!b. C ... ) l Fiherc:d.
::a MJtaiJi: Spike G =OrO!b. C ... ) l Fiherc:d.
Fci* !rq-.. id wnl1 11.. y
Fci* !rq-.. id wnl1 11.. y
Line 123: Line 123:
SS**StJ:td 011 1 f'*
SS**StJ:td 011 1 f'*
r =W1(1::, lJ **lltmc, l?**fL\.iJI, YES NO 5)
r =W1(1::, lJ **lltmc, l?**fL\.iJI, YES NO 5)
Ar.aly1i11 Rcqi..cstcd' Aa.!lyur.::i.I m-e1!'IOJ.  
Ar.aly1i11 Rcqi..cstcd' Aa.!lyur.::i.I m-e1!'IOJ.
{r .I!! S2t:i0Cl, t!Ol0nl".1470A)  
{r .I!! S2t:i0Cl, t!Ol0nl".1470A)
:::nd r1u*11b.tr c.f  
:::nd r1u*11b.tr c.f  
!.or eoic!* (a..e
!.or eoic!* (a..e
Line 174: Line 174:
SO*=S:d. SD*
SO*=S:d. SD*
SL SS :-i..1Ji.:  
SL SS :-i..1Ji.:  
\\'..1. .. I.!. tJ t-*1*1 1 h:r. P  
\\'..1. .. I.!. tJ t-*1*1 1 h:r. P
: l. t *w:t*, F h..:.11. :-..i ** )'[.') NO 5]
: l. t *w:t*, F h..:.11. :-..i ** )'[.') NO 5]
Ri:o.l";.J.::fl1i:J*
Ri:o.l";.J.::fl1i:J*
tl'.:"'1Ut.:i.!CL[ (i C". X260R. fJOlfJ(Jo'NlCA)  
tl'.:"'1Ut.:i.!CL[ (i C". X260R. fJOlfJ(Jo'NlCA)  
..:irn.1llt:m1':r1lf  
..:irn.1llt:m1':r1lf
(:" . J.  
(:" . J.  
-1) Coc1!t:r (1.J IL\ **
-1) Coc1!t:r (1.J IL\ **
Line 191: Line 191:
... -..:: !"-
... -..:: !"-
*.
*.
fl;._*JJ  
fl;._*JJ
(.' WHITF. r. LABQ[{ATORY YELLOW= FILE !'INK CLI   
(.' WHITF. r. LABQ[{ATORY YELLOW= FILE !'INK CLI   
\-IL. c ... I ..:J ! Page:-**-*  
\-IL. c ... I ..:J ! Page:-**-*  
Line 202: Line 202:
<.:ode a1 ftHein:<l Rodi A  
<.:ode a1 ftHein:<l Rodi A  
"' "' u:11:U R(!&'I "' Far  
"' "' u:11:U R(!&'I "' Far  
-mtlu;u/e .illJrl a11d .r/1Jp  
-mtlu;u/e .illJrl a11d .r/1Jp
{hhmm) .. 1'll*d per o 3. ( )J K I ,c.-z.;; '\' i'-/'.ti':)-
{hhmm) .. 1'll*d per o 3. ( )J K I ,c.-z.;; '\' i'-/'.ti':)-
N N/A N/A vJ N 1 -5. f. ;;l,1. K ), ;;; . 2.0 "l S' N N/A. N/A N N \ j.1 .J.J Kl ii.l . zu., IL.f:LJ5 N N/A NIA 1'J. I"( I *--3 I. J. J. . R .J. -... \ rt*-'-; rt160 N N}A 'N(A; lf,,j N \ -. l.>*.f i ! 0-20. {6:10 N N/A N N l .::, *.s r.
N N/A N/A vJ N 1 -5. f. ;;l,1. K ), ;;; . 2.0 "l S' N N/A. N/A N N \ j.1 .J.J Kl ii.l . zu., IL.f:LJ5 N N/A NIA 1'J. I"( I *--3 I. J. J. . R .J. -... \ rt*-'-; rt160 N N}A 'N(A; lf,,j N \ -. l.>*.f i ! 0-20. {6:10 N N/A N N l .::, *.s r.
Line 208: Line 208:
N 1'4/A 1'1tf.. N N l {. '.),<j 1lj 11> 2;;**:) 16:-3c; N N/A (\.j f'-1 I ::s' 1 . :iY. r<.. 2._ i.:J lG''.'-/1)
N 1'4/A 1'1tf.. N N l {. '.),<j 1lj 11> 2;;**:) 16:-3c; N N/A (\.j f'-1 I ::s' 1 . :iY. r<.. 2._ i.:J lG''.'-/1)
N N/A N/A N N l -; . \ .<. 't Ill' ?t-f 5 ft,, c,i; &#xa3;-6 NjA tv/A N f\J J TAT Rcqucslc<i:
N N/A N/A N N l -; . \ .<. 't Ill' ?t-f 5 ft,, c,i; &#xa3;-6 NjA tv/A N f\J J TAT Rcqucslc<i:
Nonnol* Rush: S11ocify:  
Nonnol* Rush: S11ocify:
{SuhJ"l."t fl, t Fax Rcsuhs* Y.:.s : No Circle Deliverable:
{SuhJ"l."t fl, t Fax Rcsuhs* Y.:.s : No Circle Deliverable:
C of A i QC Sumni.uy level 1 L.:vcl2 Level 3 I Level Re111t1rks:
C of A i QC Sumni.uy level 1 L.:vcl2 Level 3 I Level Re111t1rks:
Line 239: Line 239:
'1 c  
'1 c  
'601(JIJ*7-i7r)1\)
'601(JIJ*7-i7r)1\)
anll  
anll
(!Jf  
(!Jf
{I c . l, (t'Jf rlB *74"'rH
{I c . l, (t'Jf rlB *74"'rH
* t ). Cim/c,. T.:m&#xb5; (1 J tt.\ *  
* t ). Cim/c,. T.:m&#xb5; (1 J tt.\ *  
Line 248: Line 248:
1bJ .. aJh.r:::, lf  
1bJ .. aJh.r:::, lf  
.. *.:: 1s ::ti!:l-:1{  
.. *.:: 1s ::ti!:l-:1{  
.. h:..:i'c  
.. h:..:i'c
(' WIUT.E LABOHATORY FILE   
(' WIUT.E LABOHATORY FILE   
..... ld rjf)(){J tP Page: ___ *----*-* ........ .. of ... ....................  
..... ld rjf)(){J tP Page: ___ *----*-* ........ .. of ... ....................  
Line 274: Line 274:
D:.ua T11nc GEL PM: I I nfSl11rimcnt Dato Shitmcd. 2 2 1\irbill J 3 1\irbiJl 11. 1 )
D:.ua T11nc GEL PM: I I nfSl11rimcnt Dato Shitmcd. 2 2 1\irbill J 3 1\irbiJl 11. 1 )
of N111tLbtr
of N111tLbtr
* Clir:r:t Oc!i.:rmm:4 F<Jr Lah mg l;w Ou(r :2) QC  
* Clir:r:t Oc!i.:rmm:4 F<Jr Lah mg l;w Ou(r :2) QC
:-.;: .... Nonl1..tl TR.,, rrip Rl.lT)k, 140 =field F.H" nl.lnk. 'J!;;
:-.;: .... Nonl1..tl TR.,, rrip Rl.lT)k, 140 =field F.H" nl.lnk. 'J!;;
* Sr1J...::  
* Sr1J...::  
\1SU-= -Sr1kc  
\1SU-= -Sr1kc  
?&deg;):ti"t"p-!..:, G: Orab*. C * (\)UlJ'l1..!S1\o.l ) Fu:ltl Fcir mrl1c1.1lc l"im tl-\' -fc-r 1llC l'o!Ll.ii l'cld w fo1l F:c!d tillCt(.j, Cmrmly Sttal :\1;:,rii:  
?&deg;):ti"t"p-!..:, G: Orab*. C * (\)UlJ'l1..!S1\o.l ) Fu:ltl Fcir mrl1c1.1lc l"im tl-\' -fc-r 1llC l'o!Ll.ii l'cld w fo1l F:c!d tillCt(.j, Cmrmly Sttal :\1;:,rii:
(.'(1J.:.,:
(.'(1J.:.,:
OW Dn:aln"'1:  
OW Dn:aln"'1:  
Line 292: Line 292:
i:.*  
i:.*  
!'ES NO Stlm&#xb5;!i:i k..cqlli::sl-cl.!  
!'ES NO Stlm&#xb5;!i:i k..cqlli::sl-cl.!  
.* \r:.:ilyll1..il mclhic.I 1ca.i:.zc.s1N (J.C' 826\ln,  
.* \r:.:ilyll1..il mclhic.I 1ca.i:.zc.s1N (J.C' 826\ln,
():-.LI m.unbc-r for t-;?J..11 (L !.!' ** 1c21J!IB -J, ()ii/IJB:l./7tt4.  
():-.LI m.unbc-r for t-;?J..11 (L !.!' ** 1c21J!IB -J, ()ii/IJB:l./7tt4.  
-1) Cno/er Temp* f,} l'rc<<1\acW1.?
-1) Cno/er Temp* f,} l'rc<<1\acW1.?
Line 306: Line 306:
c WHITF. = l,,\BORATOlfl!
c WHITF. = l,,\BORATOlfl!
YELLOW .. FILE 1'1'-'K I--1-e Ir: eoo, Page: -.------____ of --..
YELLOW .. FILE 1'1'-'K I--1-e Ir: eoo, Page: -.------____ of --..
* _ ... '*""'** ***"-*M--GEL Chain of Custody and Analytical Request GllL LLC l'rn.1cct II* 2040 Savogc Road GEL Quote ti: _ .................... .... *-* "*see www.gcl.com for GEL's Sample Acceptance SOP"" Ch2rles1011, SC 49407 .. , ..... COC Number tll: GEL Work Order Number: Phm:c: (843) 556-3171 PO Number: Fax: (8431 76\'i-I l 78 Client Name: Phone II: Sam111e Analysis Requested t5l (Fill in the n1Jmber of containers for ench tesl) Project/Site Name: Fnx ti: Shun Id <**Preservative Type (6) this sam11lc Lie A<ldrclis:  
* _ ... '*""'** ***"-*M--GEL Chain of Custody and Analytical Request GllL LLC l'rn.1cct II* 2040 Savogc Road GEL Quote ti: _ .................... .... *-* "*see www.gcl.com for GEL's Sample Acceptance SOP"" Ch2rles1011, SC 49407 .. , ..... COC Number tll: GEL Work Order Number: Phm:c: (843) 556-3171 PO Number: Fax: (8431 76\'i-I l 78 Client Name: Phone II: Sam111e Analysis Requested t5l (Fill in the n1Jmber of containers for ench tesl) Project/Site Name: Fnx ti: Shun Id <**Preservative Type (6) this sam11lc Lie A<ldrclis:
: Comments Collected by: Send Results To: Nole: extra sample is F:ola Sump!.; TSC required for sample Qr specific QC Sample ID  
: Comments Collected by: Send Results To: Nole: extra sample is F:ola Sump!.; TSC required for sample Qr specific QC Sample ID  
.. y) Cm:c 111 Ril1H A (mm*rld*Yy)
.. y) Cm:c 111 Ril1H A (mm*rld*Yy)
Line 338: Line 338:
SW**
SW**
W:!.lcr, 'VW 1 W11:.u: Wa1C"1 1 Ml.=-M'.1.'lt.'
W:!.lcr, 'VW 1 W11:.u: Wa1C"1 1 Ml.=-M'.1.'lt.'
Li4:..mf 1 SL**:tll!.l!c.c, W.1.'>!i=, 0-011_ l' Wif'I\!.  
Li4:..mf 1 SL**:tll!.l!c.c, W.1.'>!i=, 0-011_ l' Wif'I\!.
:.'I *l !'.CS NO 5.l Rcqllt.S!t'!l A!'llll)'l.'(LI! (a.c.
:.'I *l !'.CS NO 5.l Rcqllt.S!t'!l A!'llll)'l.'(LI! (a.c.
liOlOBIN?UA)
liOlOBIN?UA)
Line 350: Line 350:
__
__
or -* / a --**** .... ***** ..... ***-**--GEL Chain of Custody and Analytical Request GEL laboratories, LLC Pro.1cc1 #: 2040 GEL Quote# . .... **Sec www.gd.com for GEL's Sariple Acceptance Charleston.
or -* / a --**** .... ***** ..... ***-**--GEL Chain of Custody and Analytical Request GEL laboratories, LLC Pro.1cc1 #: 2040 GEL Quote# . .... **Sec www.gd.com for GEL's Sariple Acceptance Charleston.
SC 2ry407 .... ***-* . ... . ...... COC Nnrnbcr!li; GEL Wo1*k Order Number: Phone: (843) 556-8171 PO Number. Fax: (84:1) 7(>6-1178 Client Name: Phone#-: Sant[lle Aonlysis Requested 1 5 1 (Fill in the number of containers for each test) ProjcctJSite Nnmc:: Fnx#: Should !hi* , .. Prcscrvalivc T}pc (6) l>mplc he Address: C\}1isiclueot.I  
SC 2ry407 .... ***-* . ... . ...... COC Nnrnbcr!li; GEL Wo1*k Order Number: Phone: (843) 556-8171 PO Number. Fax: (84:1) 7(>6-1178 Client Name: Phone#-: Sant[lle Aonlysis Requested 1 5 1 (Fill in the number of containers for each test) ProjcctJSite Nnmc:: Fnx#: Should !hi* , .. Prcscrvalivc T}pc (6) l>mplc he Address: C\}1isiclueot.I
: Comments Collected by: Send Results To: Note: extrn sample is f:oM 'l11.."l1p!i:=
: Comments Collected by: Send Results To: Note: extrn sample is f:oM 'l11.."l1p!i:=
TSC required for sample Cu!l.:ct.eiJ Q[' specific QC Sample ID l'"oJc 121 F1i1c-red MJ!l1X R*di A (mm*dd*)')')
TSC required for sample Cu!l.:ct.eiJ Q[' specific QC Sample ID l'"oJc 121 F1i1c-red MJ!l1X R*di A (mm*dd*)')')
Line 358: Line 358:
e6 3 . ! . ii.> I*: .* ' I ' ..., ..... \ .. . *.,,,. \ TAT Rcqucstctl:
e6 3 . ! . ii.> I*: .* ' I ' ..., ..... \ .. . *.,,,. \ TAT Rcqucstctl:
Normal Rush: Socc1fV: . {51,;.bil'Cf I Fax Yes J Ne.\ C1rdc Deliverable:
Normal Rush: Socc1fV: . {51,;.bil'Cf I Fax Yes J Ne.\ C1rdc Deliverable:
CofA ! QCSuml)lnry Level I l.cvcl 2 ' Lcvd .1 I Lewi.+ Rtmmrks: Are there any kmiwn hazardr applicahle tu rhese samples? !(so, ple.ase lfst the ha:ard1* ili!!lljlJJLC<.!lk'1iml.I!lnll.Z.!ulll Eastern Pacific Ccmrol Other Mounrnin .... .... Chai11 of Custocly Signatures Santple SltiJ1ph1g  
CofA ! QCSuml)lnry Level I l.cvcl 2 ' Lcvd .1 I Lewi.+ Rtmmrks: Are there any kmiwn hazardr applicahle tu rhese samples? !(so, ple.ase lfst the ha:ard1* ili!!lljlJJLC<.!lk'1iml.I!lnll.Z.!ulll Eastern Pacific Ccmrol Other Mounrnin .... .... Chai11 of Custocly Signatures Santple SltiJ1ph1g
:111d Delivery Octail11 Rclmqnishcu By ISign&#xa2;oJ Datr= T1111c b)" ("1gncd) DatP.? nmo GEL PM: I I ol Shmmcnt Date Shipped* 2 '2 A1rb1ll 3 J Arrboll# l ) { 1u1.i:J fll Nt.ml'cr
:111d Delivery Octail11 Rclmqnishcu By ISign&#xa2;oJ Datr= T1111c b)" ("1gncd) DatP.? nmo GEL PM: I I ol Shmmcnt Date Shipped* 2 '2 A1rb1ll 3 J Arrboll# l ) { 1u1.i:J fll Nt.ml'cr
* Dc:len:nL.".:c::d For L11fi R-:c,,ffi11K .i:\*i! 011lr .!' CC:l*.'gcl::!>
* Dc:len:nL.".:c::d For L11fi R-:c,,ffi11K .i:\*i! 011lr .!' CC:l*.'gcl::!>
Line 384: Line 384:
.. "i1d.  
.. "i1d.  
*Skd,",'..:, "1S.-.':-..1bd W;,,,t..:, o*n1l r. *f*J!t..1.1'  
*Skd,",'..:, "1S.-.':-..1bd W;,,,t..:, o*n1l r. *f*J!t..1.1'  
\\'1l"*:.  
\\'1l"*:.
[." t'r.-1*.i:.
[." t'r.-1*.i:.
F 4 YES .\'() ,.,
F 4 YES .\'() ,.,
Line 390: Line 390:
Rc."Cit:.C\lCiJ*
Rc."Cit:.C\lCiJ*
mctl;L*il CC:o'.!Uelittd (Ii: 826(}B.{10t1.HV7.C*741A) ilflll fur C':!:Lh {I c *'-t;.'tJl1l:J:l.;J11-1 . 11 Cuoler Temp. 6}
mctl;L*il CC:o'.!Uelittd (Ii: 826(}B.{10t1.HV7.C*741A) ilflll fur C':!:Lh {I c *'-t;.'tJl1l:J:l.;J11-1 . 11 Cuoler Temp. 6}
TtJle. U.\ *  
TtJle. U.\ *
:\<:"i>i.
:\<:"i>i.
M : !\111.*1.::
M : !\111.*1.::
Line 400: Line 400:
Fa11: {843) 766-1 J7S Client Name: Phone II: Sample Analysis Req11colcd  
Fa11: {843) 766-1 J7S Client Name: Phone II: Sample Analysis Req11colcd  
<5 1 (Fill m the number ofconlainers for each .lest) Project/Site Name: Fax II: Sbould < .* l'rcsctvalivc Typo (6) flil*
<5 1 (Fill m the number ofconlainers for each .lest) Project/Site Name: Fax II: Sbould < .* l'rcsctvalivc Typo (6) flil*
be Address: con.ldcrcd  
be Address: con.ldcrcd
: Comments Collcclcd by: Send To: Note: extra is
: Comments Collcclcd by: Send To: Note: extra is
* lJatc  
* lJatc  
Line 464: Line 464:
Sample Shipping-and' Deiivery Details "Time* Received by*(signcd), GEL PM: , 1* Method ofShlorncill:.
Sample Shipping-and' Deiivery Details "Time* Received by*(signcd), GEL PM: , 1* Method ofShlorncill:.
Date Shinned: 2 2 "Airbill If: 3 Alibilllf:
Date Shinned: 2 2 "Airbill If: 3 Alibilllf:
I_.) 0Ch*h1 of C0>tody"Nuriib., -Cliont D<:lctlllincd Far Lal> Rci:eiving U>e Ou/;-1.,) ', Qr.<;odc._:  
I_.) 0Ch*h1 of C0>tody"Nuriib., -Cliont D<:lctlllincd Far Lal> Rci:eiving U>e Ou/;-1.,) ', Qr.<;odc._:
:N *'Nonn*l S.mp!c, Tll
:N *'Nonn*l S.mp!c, Tll
* FD.= Fic_ld_Duplicaui, l\ll"f,quipmcni Blink, ,._Ma11ix )lSU Spike Dupli<*I<
* FD.= Fic_ld_Duplicaui, l\ll"f,quipmcni Blink, ,._Ma11ix )lSU Spike Dupli<*I<
Line 473: Line 473:
C'o;Jcs: ow .... ormki1.1g Waicr.
C'o;Jcs: ow .... ormki1.1g Waicr.
W.:i.tcr.
W.:i.tcr.
w.n-c1,  
w.n-c1,
: tfqOiJ,  
: tfqOiJ,  
*.
*.
Line 511: Line 511:
'' 4. Site or Location:
'' 4. Site or Location:
Slte/Job:
Slte/Job:
__  
__
(;) I GPS Coordinates (when required):
(;) I GPS Coordinates (when required):
X-Coord: IV Lf;J_ Slf. t:f I Instrument Field Response.1.
X-Coord: IV Lf;J_ Slf. t:f I Instrument Field Response.1.
Line 519: Line 519:
Rate meter , I f ,. v Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca[ibration sticker. Record check source response (net cpm) prior to field deployment for air check sources being used. 2. Source and Background count rate sl:lould be determined from the avera&e of three static count$ at the same location.
Rate meter , I f ,. v Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca[ibration sticker. Record check source response (net cpm) prior to field deployment for air check sources being used. 2. Source and Background count rate sl:lould be determined from the avera&e of three static count$ at the same location.
Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability
Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability
* I I I I l I i I I j I Rev 110/18/15  
* I I I I l I i I I j I Rev 110/18/15
: 1. Instrument lnformatloni Ratemeter;
: 1. Instrument lnformatloni Ratemeter;
* Make/Model:
* Make/Model:
Line 528: Line 528:
uRem/hr +20% ___ uRem/hr-20%
uRem/hr +20% ___ uRem/hr-20%
net cpm + 20'%.Bfl.f#l 1! net cpm -20% S B''f "\ Source 2 lsotope:"ZJ-..).3..2.-Serial No.: I ( f Activity: I Assay Date:
net cpm + 20'%.Bfl.f#l 1! net cpm -20% S B''f "\ Source 2 lsotope:"ZJ-..).3..2.-Serial No.: I ( f Activity: I Assay Date:
Response Acceptance Range uRem/hr +20% ___ . uRem/hr -20% __ net cpm 7f ir net cpm -20%  
Response Acceptance Range uRem/hr +20% ___ . uRem/hr -20% __ net cpm 7f ir net cpm -20%
: 3. Checks: Title: '(? L,,-4. Site or Location:
: 3. Checks: Title: '(? L,,-4. Site or Location:
Site/Job:
Site/Job:
Line 542: Line 542:
* Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. {add'! Info; inst. Condition, etc.) current (Y/Nl check (of) (Y/N) y .,7 S""b.5 -cs ... 151 U'E ..,; i.;
* Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. {add'! Info; inst. Condition, etc.) current (Y/Nl check (of) (Y/N) y .,7 S""b.5 -cs ... 151 U'E ..,; i.;
S'.c>. q '6TZ, .25 ,J... .,. &#xa3;.!&#xa3;. I r 1. 1 nstrument 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 at the same location.
S'.c>. q '6TZ, .25 ,J... .,. &#xa3;.!&#xa3;. I r 1. 1 nstrument 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 at the same location.
Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability I I j* I i ! I I I I I I -MJW SER'VIC"oE'!S Rev 110/18/15  
Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability I I j* I i ! I I I I I I -MJW SER'VIC"oE'!S Rev 110/18/15
: 1. Instrument lnformation 1 Ratemeter:
: 1. Instrument lnformation 1 Ratemeter:
Make/Model:
Make/Model:
Line 603: Line 603:
'I fl.ft; \/ \.f \1 151 J S--1. 0 I"' _,,.__r37 -Os; Rate meter I I I -Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source is listed on calibration sticker. Record check source response {net cpm) prlorto 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.
'I fl.ft; \/ \.f \1 151 J S--1. 0 I"' _,,.__r37 -Os; Rate meter I I I -Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source is listed on calibration sticker. Record check source response {net cpm) prlorto 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 ;iddltional counts to evaluate instrument stability I l I I I I I ' i i j I I I  
Repeat counts should be within 20%. If count rate diverges significantly, perform ;iddltional counts to evaluate instrument stability I l I I I I I ' i i j I I I  
' .*  
' .*
: 1. Instrument lnformatlon 1 Ratemeter:
: 1. Instrument lnformatlon 1 Ratemeter:
Make/Mod el: Detector 1: Make/Model:
Make/Mod el: Detector 1: Make/Model:
Line 617: Line 617:
,;L Activity:
,;L Activity:
0.6/-. u nits:jfCL Assay Date: A!.L Response Acceptance Range (+/-20%):
0.6/-. u nits:jfCL Assay Date: A!.L Response Acceptance Range (+/-20%):
uRem/hr +20% __ uRem/hr -20% . net cpm + 20% (}p./ 5 net cpm -20%  
uRem/hr +20% __ uRem/hr -20% . net cpm + 20% (}p./ 5 net cpm -20%
: 3. Technician/Worker Performing Checks: Name:.;;t Tit!e: _ _.1Z=-"'CT_,_
: 3. Technician/Worker Performing Checks: Name:.;;t Tit!e: _ _.1Z=-"'CT_,_
__ _ Date: /6/1(,/!5"'
__ _ Date: /6/1(,/!5"'
Line 638: Line 638:
* I Rev 1 10/18/15 Instrument Field Response Check Log 1. Instrument lnformatlon 1 Ratemeter:
* I Rev 1 10/18/15 Instrument Field Response Check Log 1. Instrument lnformatlon 1 Ratemeter:
Make/Model:
Make/Model:
* l_w)fvvi....  
* l_w)fvvi....
::Vt.I(,,,..)-
::Vt.I(,,,..)-
Serial No.ePbO"!<<
Serial No.ePbO"!<<
Line 656: Line 656:
net cpm + 20%
net cpm + 20%
net cpm -20% ES&'f1 3. Technician Worker Performin Name:  
net cpm -20% ES&'f1 3. Technician Worker Performin Name:  
--"' Title: __  
--"' Title: __
: 4. Site or Location:
: 4. Site or Location:
Site/Job: :J. ( 1 GPS Coordinates (when required):
Site/Job: :J. ( 1 GPS Coordinates (when required):
X-Coord: N 'f)-.6 r:ilf'ft/, 'I" I Instrument Field Response" Meter Bkg Bkg counts Source Source Response +/-20% Cnt (cpm) or Cnt {gross cpm or source Time uRem/hr) Time uRem/hr) gross cpm or uRem/hr (Y/N) Rate meter f MiY\
X-Coord: N 'f)-.6 r:ilf'ft/, 'I" I Instrument Field Response" Meter Bkg Bkg counts Source Source Response +/-20% Cnt (cpm) or Cnt {gross cpm or source Time uRem/hr) Time uRem/hr) gross cpm or uRem/hr (Y/N) Rate meter f MiY\
C!Jlvi  
C!Jlvi  
'f6ll;l.6 C/Pt1'-v Rate meter I f IM;,.._ I { ;J\r.. \1 Rate meter Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA Location Description  
'f6ll;l.6 C/Pt1'-v Rate meter I f IM;,.._ I { ;J\r.. \1 Rate meter Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA Location Description
: __
: __
______ _ t. J 0 ,r/ Y-Coord: w67f fP .n,7 Use Acceptance Criterra Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (V/N) check (oF) (Y/N) v y (h;l-JJ-{,ff_ v v . /)'t'f() 1t.. I tJ7 P(J?'_ r I v 1. J nstrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for e1fl check sources being used. 2. Source and Background count rate*:-;hould be determined from the average of thr!!e static counts at the same location.
______ _ t. J 0 ,r/ Y-Coord: w67f fP .n,7 Use Acceptance Criterra Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (V/N) check (oF) (Y/N) v y (h;l-JJ-{,ff_ v v . /)'t'f() 1t.. I tJ7 P(J?'_ r I v 1. J nstrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for e1fl check sources being used. 2. Source and Background count rate*:-;hould be determined from the average of thr!!e static counts at the same location.
Line 691: Line 691:
Make/Model:
Make/Model:
f.,,J/()Jl..
f.,,J/()Jl..
j;l{/ ... ,2.. Detector l: Make/Model  
j;l{/ ... ,2.. Detector l: Make/Model
: --=t_v:..;.:'J'J"""'?v.,...i!t"-'--
: --=t_v:..;.:'J'J"""'?v.,...i!t"-'--
..... 't""""lf_-_l_O
..... 't""""lf_-_l_O
Line 705: Line 705:
Assay Date: /\/A-Response Acceptance Range (+/-20%):
Assay Date: /\/A-Response Acceptance Range (+/-20%):
uRem/hr +20% __ uR.em/hr -20% net cpm + 20%
uRem/hr +20% __ uR.em/hr -20% net cpm + 20%
net cpm -20%  
net cpm -20%
: 3. Checks: Title: gcr-CY/17 Date:/O/zf I 4. Site or location; Site/Job:
: 3. Checks: Title: gcr-CY/17 Date:/O/zf I 4. Site or location; Site/Job:
__
__
111 ;p I' ,, GPS Coordinates  
111 ;p I' ,, GPS Coordinates
{when required):
{when required):
X-Coord: VL <i:L ...2S SY.'? Location Descriptlon:.
X-Coord: VL <i:L ...2S SY.'? Location Descriptlon:.
__ ,. *" Y-Coord: W(J7o $'(} 31. 2 I Instrument Field Response 2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt {cpm) or Cnt {gross cpm or source Ca!ib. Check Of Temp. (add'! Info: inst. Condition, Time uRem/hr} Time uRem/hr) gross cpm current {Y/N) check (oF) oruRem/hr  
__ ,. *" Y-Coord: W(J7o $'(} 31. 2 I Instrument Field Response 2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt {cpm) or Cnt {gross cpm or source Ca!ib. Check Of Temp. (add'! Info: inst. Condition, Time uRem/hr} Time uRem/hr) gross cpm current {Y/N) check (oF) oruRem/hr
{Y/N) (Y/N) Rate meter /,.,.; ... . .. ,,... /Mi;..., '1-r:l .{, { I" 11-\{ y y 57 ()
{Y/N) (Y/N) Rate meter /,.,.; ... . .. ,,... /Mi;..., '1-r:l .{, { I" 11-\{ y y 57 ()
t}.$-Rate meter . l ,.,.;,,..
t}.$-Rate meter . l ,.,.;,,..
II :._  
II :._  
\JJ VJ -..u* 6-IS/ Rate meter I ( ( I -Rate meter Bicron NA 6uLJJ..r NA l'J'i *  
\JJ VJ -..u* 6-IS/ Rate meter I ( ( I -Rate meter Bicron NA 6uLJJ..r NA l'J'i *  
\./ \f v 1Yf5'f  
\./ \f v 1Yf5'f
().<; ---r--k. 2-Bicron NA . I NA I , I I I I () Bicron NA NA Bicron NA NA. 1. Instrument designated check source is listed on callbration sticker. Record check source response (oet 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.
().<; ---r--k. 2-Bicron NA . I NA I , I I I I () Bicron NA NA Bicron NA NA. 1. Instrument designated check source is listed on callbration sticker. Record check source response (oet 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 sJgnif!cantly, perform additional counts ta evaluate instrument stability I I . I I   
Repeat counts should be within 20%. If count rate diverges sJgnif!cantly, perform additional counts ta evaluate instrument stability I I . I I   
Line 736: Line 736:
-r--s '7 "JI.* Rate meter I I ( -' (/ Rate meter Bicron NA q. 1a IL.r NA  
-r--s '7 "JI.* Rate meter I I ( -' (/ Rate meter Bicron NA q. 1a IL.r NA  
'./ \{ "-../ f'3si Bicron NA ,. I NA f I I ,,,.. -*--'jf Y. ,, , Bicron NA NA {/ 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*c;ounts at the same location.
'./ \{ "-../ f'3si Bicron NA ,. I NA f I I ,,,.. -*--'jf Y. ,, , Bicron NA NA {/ 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*c;ounts at the same location.
Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability I ! I I i I I i I i l ! I l I I I I I TS MJ"-'V SGR"VICtES Rev 110/18/15  
Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability I ! I I i I I i I i l ! I l I I I I I TS MJ"-'V SGR"VICtES Rev 110/18/15
: 1. Instrument Ratemeter; Make/Model:
: 1. Instrument Ratemeter; Make/Model:
LvJ/f/JV'  
LvJ/f/JV'  
Line 750: Line 750:
Serial No.: II ic;J.3-f.i Activity:
Serial No.: II ic;J.3-f.i Activity:
6.6 ,;l-. units:&_ Assay Date: _LYA__ Response Acceptance Range {+/-20%):
6.6 ,;l-. units:&_ Assay Date: _LYA__ Response Acceptance Range {+/-20%):
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% ('$l.7'S net cpm -20%  
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% ('$l.7'S net cpm -20%
: 3. Checks: Title: 'RCT 4. Site or Location:
: 3. Checks: Title: 'RCT 4. Site or Location:
Site/Job: 3. I . ,, GPS Coordinates (when required):
Site/Job: 3. I . ,, GPS Coordinates (when required):
Line 770: Line 770:
Make/Mode!:
Make/Mode!:
L!lDLutA.  
L!lDLutA.  
')) . .'-/) -Z.. Detector 1: Make/Mode!:  
')) . .'-/) -Z.. Detector 1: Make/Mode!:
[<l!}l-VllA  
[<l!}l-VllA  
'fl/-lo Bicron MlcroRem Meter: z. Check Source Information:
'fl/-lo Bicron MlcroRem Meter: z. Check Source Information:
Line 785: Line 785:
X-Caord: f1L LC J J 'ff': 0 Y-Coord: lV O'JR' 'fo :$' >.. .2. ! Instrument Field Response 2 Use Acceptance Criteria Remarks t Meter Bkg Bkg Counts Source Soun:e Response +/-20% inst. Battery
X-Caord: f1L LC J J 'ff': 0 Y-Coord: lV O'JR' 'fo :$' >.. .2. ! Instrument Field Response 2 Use Acceptance Criteria Remarks t Meter Bkg Bkg Counts Source Soun:e Response +/-20% inst. Battery
* Time Ambient Initials and Comments Cnt {cprn) or Cnt (gross cpm or source Ca!ib. Check Of Temp. (add'l Info: inst. Condition, etc.) Tlme uRem/hr} Time uRem/hr) gross cpm current (Y/N} check (of) or uRem/hr (Y/N) (Y/N} . . .. .. Ratemeter  
* Time Ambient Initials and Comments Cnt {cprn) or Cnt (gross cpm or source Ca!ib. Check Of Temp. (add'l Info: inst. Condition, etc.) Tlme uRem/hr} Time uRem/hr) gross cpm current (Y/N} check (of) or uRem/hr (Y/N) (Y/N} . . .. .. Ratemeter  
*I m1AJ  
*I m1AJ
:S: / 111 I fl/. /1%D'f y '-/ (JC/ 00 t;{1 fl/... z:s l.-Ratemeter Ir "u11J, f</.-1,) 1 I tn11J J/qj? ...; y (J({f) 0 <Jy /J 7 Ratemeter I tYJ!d Y9?{ I m 1111 y y /ZJo t. I -1l. 2 17.. , Ratemeter I fiftr.I r11s '!.vi, ,J 17 'i''!JI' '/ y l!Z...)o 65, {. f'c)]I i Ratemeter  
:S: / 111 I fl/. /1%D'f y '-/ (JC/ 00 t;{1 fl/... z:s l.-Ratemeter Ir "u11J, f</.-1,) 1 I tn11J J/qj? ...; y (J({f) 0 <Jy /J 7 Ratemeter I tYJ!d Y9?{ I m 1111 y y /ZJo t. I -1l. 2 17.. , Ratemeter I fiftr.I r11s '!.vi, ,J 17 'i''!JI' '/ y l!Z...)o 65, {. f'c)]I i Ratemeter  
'f M(/11 q1JO/ I /11 r ;V v y /boD &b.1-"ti.. 2 57 Ratemeter J f!trt/ q O"') 'f P11v. 1(_!.('{ y v /br>o (,, &,. l.. /. J J"/ Bicron . 'NA I NA 11 v y *fl 9o 0 c;CI Sieren NA 7 NA I "'I 'I y 1lso ts. r ! Bicron NA -') NA I K y y I I. ot:i ?nt,, ?_ 1. Instrument desi nated check source is listed on callbration sticker. Record check source res onse net c m rior to fleld de lo ment for a II check sources bein used. g p { p )p p y g 2. Source and Background rate should be determined from the average of three static: counts at the same location.
'f M(/11 q1JO/ I /11 r ;V v y /boD &b.1-"ti.. 2 57 Ratemeter J f!trt/ q O"') 'f P11v. 1(_!.('{ y v /br>o (,, &,. l.. /. J J"/ Bicron . 'NA I NA 11 v y *fl 9o 0 c;CI Sieren NA 7 NA I "'I 'I y 1lso ts. r ! Bicron NA -') NA I K y y I I. ot:i ?nt,, ?_ 1. Instrument desi nated check source is listed on callbration sticker. Record check source res onse net c m rior to fleld de lo ment for a II check sources bein used. g p { p )p p y g 2. Source and Background rate should be determined from the average of three static: counts at the same location.
Line 810: Line 810:
/"2., -fl, Z3L . . . 1. Instrument designated check source 1s fisted on cal1brat1on 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.
/"2., -fl, Z3L . . . 1. Instrument designated check source 1s fisted on cal1brat1on 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 a'dditional counts to evaluate instrument stability  
Repeat counts should be within 20%. If count rate diverges significantly, perform a'dditional counts to evaluate instrument stability  
-* i i j I I I TS*  
-* i i j I I I TS*
:&GRV.ICE.'lli" Rev 110/18/15  
:&GRV.ICE.'lli" Rev 110/18/15
: 1. Instrument lnformatlon 1 Ratemeter:
: 1. Instrument lnformatlon 1 Ratemeter:
Make}Modet:
Make}Modet:
Line 830: Line 830:
_  
_  
..:..I _____ _,_ Location Descriptlon:.
..:..I _____ _,_ Location Descriptlon:.
__  
__
:-1 o:it/m.C ff i * .L;:.... o-t:> U. I "" GPS Coordinates (when required):
:-1 o:it/m.C ff i * .L;:.... o-t:> U. I "" GPS Coordinates (when required):
X-Coord: LY-;:f...e:. L V-Coord: &#xa3;0 37. Z l Instrument Field Responsei Use Acceptance-Criteria Remarks Meter Bkg . Bkg Counts Source Soun::e Response +/-20% Inst. Battery Time Ambient lnltials and Comments Cnt (cpm} or Cnt (gross cpm or source Ca lib. Check Of Temp. {add' I Info; Inst. Condition, etc.} Time uRem/hr) Time uRem/hr) gross cpm current (Y/N) check (cF) or uRem/hr (Y/N) (Y/N) Rate meter I w..*"" q /'f 7 ,.11.fu.  
X-Coord: LY-;:f...e:. L V-Coord: &#xa3;0 37. Z l Instrument Field Responsei Use Acceptance-Criteria Remarks Meter Bkg . Bkg Counts Source Soun::e Response +/-20% Inst. Battery Time Ambient lnltials and Comments Cnt (cpm} or Cnt (gross cpm or source Ca lib. Check Of Temp. {add' I Info; Inst. Condition, etc.} Time uRem/hr) Time uRem/hr) gross cpm current (Y/N) check (cF) or uRem/hr (Y/N) (Y/N) Rate meter I w..*"" q /'f 7 ,.11.fu.  
Line 837: Line 837:
<-C x Bicron NA . I NA ' l r I { u Blcron NA NA
<-C x Bicron NA . I NA ' l r I { u Blcron NA NA
* Bicron NA NA 1. Instrument designated check source ls listed on cal!brat1on stkker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and aackg:rou nd count rate should be determined from the average of three static*counts at the same locat!on.
* Bicron NA NA 1. Instrument designated check source ls listed on cal!brat1on stkker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and aackg:rou nd count rate should be determined from the average of three static*counts at the same locat!on.
Repeat counts should be within 20%. If count rate diverges signlflcantly, perform additional counts to evaluate Instrument stability I j
Repeat counts should be within 20%. If count rate diverges signlflcantly, perform additional counts to evaluate Instrument stability I j
: 1. Instrument lnformatlon 1 Ratemeter:
: 1. Instrument lnformatlon 1 Ratemeter:
Make/Model:
Make/Model:
Lu (I; Detector 1: Make/Model:  
Lu (I; Detector 1: Make/Model:
{ :t/.5M Bicron MlcroRem Meter: 2. Check Source Information:
{ :t/.5M Bicron MlcroRem Meter: 2. Check Source Information:
Instrument Field Response Check log Serial No.
Instrument Field Response Check log Serial No.
Line 853: Line 853:
uRem/hr +20% _. _ uRem/hr-20%__
uRem/hr +20% _. _ uRem/hr-20%__
net cpm +
net cpm +
net cpm -20%  
net cpm -20%
: 3. Technician/Worker Performing Checks: Name: X EJ"",,,..J?s . Title: 'fZ ( 'r Time::&#xa2;{73G7 4. Site or Location:
: 3. Technician/Worker Performing Checks: Name: X EJ"",,,..J?s . Title: 'fZ ( 'r Time::&#xa2;{73G7 4. Site or Location:
Site/Job:
Site/Job:
Line 902: Line 902:
App E-Sub-Area 3.1-Sample Data Sheets   
App E-Sub-Area 3.1-Sample Data Sheets   


SAMPLE LOCATION DATA SHEET . Project: /VY $ f:. \(..\:)Pl Weather: _flu  
SAMPLE LOCATION DATA SHEET . Project: /VY $ f:. \(..\:)Pl Weather: _flu
: 1. Sample Area (SA): SA Designation: 3 . \
: 1. Sample Area (SA): SA Designation: 3 . \


Line 916: Line 916:


== Description:==
== Description:==
(om 8DtJ, no '\:i+o..I Canopy Type:
(om 8DtJ, no '\:i+o..I Canopy Type:
__ Land Use:
__ Land Use:
Soil Moisture (Wet, dry, 3. L R. d" ' R d" ocat1on a 1at10n ea mgs: 2x2 NaI i Bicron Notes (cpm) (uRem/hr) . ; Count time 1 cm Im i lcm lm (min) ! I I 1.'.)5i tO"l'i \ g I iJIA I !f';,1, 0 lf'. f./ 1 g --4. Sample Information:
Soil Moisture (Wet, dry, 3. L R. d" ' R d" ocat1on a 1at10n ea mgs: 2x2 NaI i Bicron Notes (cpm) (uRem/hr) . ; Count time 1 cm Im i lcm lm (min) ! I I 1.'.)5i tO"l'i \ g I iJIA I !f';,1, 0 lf'. f./ 1 g --4. Sample Information:
Line 933: Line 933:
== Description:==
== Description:==


__]2,ivtw{!J  
__]2,ivtw{!J
: 2. Sample Location Data: Coord: idiz,tJ Sample Area ID: 3, i . 2 Matrix:
: 2. Sample Location Data: Coord: idiz,tJ Sample Area ID: 3, i . 2 Matrix:
Location Coord: j.J . u 134 -hl en. '1 $ 0 6 'i I
Location Coord: j.J . u 134 -hl en. '1 $ 0 6 'i I
Line 944: Line 944:
__ Soil Moisture (Wet, dry, etc):  
__ Soil Moisture (Wet, dry, etc):  
-.:o, w-t-1" 3 L ti R d' ti R d' oca on a I.a on ea mgs: 2x2 NaI B'cron Notes (cpm) ; (uRem/hr)
-.:o, w-t-1" 3 L ti R d' ti R d' oca on a I.a on ea mgs: 2x2 NaI B'cron Notes (cpm) ; (uRem/hr)
Count time 1 cm Im \cm lm (min) .. -. -* --****** I !ILlCZ tO ID .Lil f\ I ll 42.l! iOw63 t-****-I  
Count time 1 cm Im \cm lm (min) .. -. -* --****** I !ILlCZ tO ID .Lil f\ I ll 42.l! iOw63 t-****-I
: 4. Sample Information:
: 4. Sample Information:
Sample Area ID: _3_. \ , 7 , I[ . I -l D b D th escnoticm  
Sample Area ID: _3_. \ , 7 , I[ . I -l D b D th escnoticm  
Line 971: Line 971:
L_ . Location Coord: W 1<6,/!1 CJ L/ __& LJ -Z
L_ . Location Coord: W 1<6,/!1 CJ L/ __& LJ -Z
* 4 'l 13 '-18' S\crt  
* 4 'l 13 '-18' S\crt  
'. 2.5 e"'d : I '1; 3 o Alternate Location Measurements (distance from SA origin and Local Coord.) / "7 1 r -, . l l)'\ V(WCu\ 67. a ,s. W '"'fYD/\I\  
'. 2.5 e"'d : I '1; 3 o Alternate Location Measurements (distance from SA origin and Local Coord.) / "7 1 r -, . l l)'\ V(WCu\ 67. a ,s. W '"'fYD/\I\
: 3. I. 5 X Dist. from Origin (O,O)___Mfjl
: 3. I. 5 X Dist. from Origin (O,O)___Mfjl
__ , *
__ , *
Line 996: Line 996:


.... w__.'_D.>-l_J-t---
.... w__.'_D.>-l_J-t---
Coord: 2. Sample Location Data: Sample Area ID: 3 . \, Lf Matrix: so,_\_ Location Coord: N 7 f{, w1Cffr'/'J cl Alternate Location Measurements  
Coord: 2. Sample Location Data: Sample Area ID: 3 . \, Lf Matrix: so,_\_ Location Coord: N 7 f{, w1Cffr'/'J cl Alternate Location Measurements
{distance from SA c1rigin and Local X Dist. from Origin (0,0) rJ Y Dist. from Origin: --t-N....:.i/"""'-'---
{distance from SA c1rigin and Local X Dist. from Origin (0,0) rJ Y Dist. from Origin: --t-N....:.i/"""'-'---
: 3. I . 3 / 3'5 ff, S l Site Sketch Attached (Yes) Sample Location
: 3. I . 3 / 3'5 ff, S l Site Sketch Attached (Yes) Sample Location
Line 1,049: Line 1,049:
____________
____________
_ Canopy Land Use: . .fuv\..A., etc.): Dt\,1 Soil Moisture (Wet, dry, ' 3 L f R d" ti R d" oca ton a 1a on ea mgs: 2x2 Na! Bicron Notes (cpm) (uRem/hr)
_ Canopy Land Use: . .fuv\..A., etc.): Dt\,1 Soil Moisture (Wet, dry, ' 3 L f R d" ti R d" oca ton a 1a on ea mgs: 2x2 Na! Bicron Notes (cpm) (uRem/hr)
Count time !cm lm )cm Im (min) ( '7iq2-o X' 7 Al J /4. l S? <c:;  
Count time !cm lm )cm Im (min) ( '7iq2-o X' 7 Al J /4. l S? <c:;
(_ f\J/A ... 4. Sample Information:
(_ f\J/A ... 4. Sample Information:
Sample Al-ea ID: .3. LG:> , J2.., 1-lf D 'ti bDtl escnp* on ep 1: Depth Soil Type Soil Sample ID Sampling Desaiptio11 l11terval  
Sample Al-ea ID: .3. LG:> , J2.., 1-lf D 'ti bDtl escnp* on ep 1: Depth Soil Type Soil Sample ID Sampling Desaiptio11 l11terval  
Line 1,117: Line 1,117:


== Description:==
== Description:==
(pl(\ el d.
(pl(\ el d.
SA Origin Location:
SA Origin Location:
Coor d. System: -----SA Land Mark
Coor d. System: -----SA Land Mark
Line 1,137: Line 1,137:
__ 3. L Rd' . R a* ocahon a iabon ea m2s: 2x2 Nal ! B:.cron Notes (cpm) (uRemlhr)
__ 3. L Rd' . R a* ocahon a iabon ea m2s: 2x2 Nal ! B:.cron Notes (cpm) (uRemlhr)
I Count time I cm lm lcm Im (min.) :** { \Of>W Ji) Di.ff 7 7 ----.tJ/ jl. I IOI.{ 1 'l.-!O/V 2 ,__. N/A i -*-4. Sample Information:
I Count time I cm lm lcm Im (min.) :** { \Of>W Ji) Di.ff 7 7 ----.tJ/ jl. I IOI.{ 1 'l.-!O/V 2 ,__. N/A i -*-4. Sample Information:
Sample Area ID: 3. \ ,. q. &#xa3;!. * /-2. D b D h escnption 1y ept : 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, topo!rraphy, erosion features)  
Sample Area ID: 3. \ ,. q. &#xa3;!. * /-2. D b D h escnption 1y ept : 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, topo!rraphy, erosion features)
()-J s--:;,o;t 112..-u'->"'\
()-J s--:;,o;t 112..-u'->"'\
E, I NJ rr Jfj-jD ll./\c. ... .. I C;,t,2.. 0-fl_ Sample Recorded on Laboratory COC fonn and Container Labeled: eJ (N)
E, I NJ rr Jfj-jD ll./\c. ... .. I C;,t,2.. 0-fl_ Sample Recorded on Laboratory COC fonn and Container Labeled: eJ (N)
Line 1,147: Line 1,147:
==
==
Description:==
Description:==
(Di--n t 1 d SA Land Mark
(Di--n t 1 d SA Land Mark


== Description:==
== Description:==
Line 1,180: Line 1,180:
== Description:==
== Description:==


C0rn-f 1 d ol stct.l b  
C0rn-f 1 d ol stct.l b
{,!l Canopy Type;  
{,!l Canopy Type;  
._ __ Land Use:
._ __ Land Use:
Line 1,186: Line 1,186:
: 3. L Rd" ti R d" ocation a 1a on ea m2s: 2x2Na1 Bicron Notes (cpm) (uRem/hr)
: 3. L Rd" ti R d" ocation a 1a on ea m2s: 2x2Na1 Bicron Notes (cpm) (uRem/hr)
Count time I cm Im I cm lm (min) I 10 1D, 31../o
Count time I cm Im I cm lm (min) I 10 1D, 31../o
* 7 lD  
* 7 lD
{ JD_"f:(.P./
{ JD_"f:(.P./
Ill d.9D 4. Sample Information:
Ill d.9D 4. Sample Information:
Line 1,192: Line 1,192:
D-i "(" do,1..1 . !-,..,.,,., ... "J... I. I I E I I '.S *30 Jei.J 6-u ....  
D-i "(" do,1..1 . !-,..,.,,., ... "J... I. I I E I I '.S *30 Jei.J 6-u ....  
<..I. rf .EZ.. ! Sample Recorded on Laboratory COC form and Container Labeled: rf!J. (N) 10/2.0/15 Date: \ o l -z. d 1 '5 Project: fU '-i SE f4 SAlVIPLE LOCATION DATA SHEET Name: S gl'Dwn , -I Weather: (_ \
<..I. rf .EZ.. ! Sample Recorded on Laboratory COC form and Container Labeled: rf!J. (N) 10/2.0/15 Date: \ o l -z. d 1 '5 Project: fU '-i SE f4 SAlVIPLE LOCATION DATA SHEET Name: S gl'Dwn , -I Weather: (_ \
1 S 0.) 1. Sample Area (SA): SA Designation:  
1 S 0.) 1. Sample Area (SA): SA Designation:
:3:,. j SA. Origin Location:  
:3:,. j SA. Origin Location:  


Line 1,203: Line 1,203:


____ _ I Coord: l't.L.1'4d..J.
____ _ I Coord: l't.L.1'4d..J.
1 4';;;.t.J'i:ObS  
1 4';;;.t.J'i:ObS
: 2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix:
: 2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix:
j { C Location Coord: l\ ,;J,.l-l :s-C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) ;:) (p + L{ tt..-ds clt\ L X Dist. from Origin (0,0) Y Dist. from Origin: ____
j { C Location Coord: l\ ,;J,.l-l :s-C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) ;:) (p + L{ tt..-ds clt\ L X Dist. from Origin (0,0) Y Dist. from Origin: ____
of Co....v-'
of Co....v-'
Site Sketch Attached (Yes)
Site Sketch Attached (Yes)
J Cl{<..:;'  
J Cl{<..:;'
:'itcd 1:5 Sample Location
:'itcd 1:5 Sample Location


Line 1,215: Line 1,215:
locn-P1dd..)
locn-P1dd..)
s+oJ k5 Canopy Type: OQtn Land Use: \:n..rro etc.): (k,l'VI? ,flo v.;dv,. Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on ia on ea mgs: 2x2 Nal Bicron Notes (cpm) (uRem/hr)
s+oJ k5 Canopy Type: OQtn Land Use: \:n..rro etc.): (k,l'VI? ,flo v.;dv,. Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on ia on ea mgs: 2x2 Nal Bicron Notes (cpm) (uRem/hr)
Countfane  
Countfane
[cm lm 1 cm l Im (min) ; l 1{ YL1 10. qui f'J (A l ii  
[cm lm 1 cm l Im (min) ; l 1{ YL1 10. qui f'J (A l ii
: 4. Sample Sample Area ID: '?::.. l . f ;;i.. E I
: 4. Sample Sample Area ID: '?::.. l . f ;;i.. E I
* E ;.;l, D 'ti bDth escnp on 1y ep* Depth Soil Type Soil Sample ID Sampling Description Interval (Org; day; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, top0graphy, erosion features)
* E ;.;l, D 'ti bDth escnp on 1y ep* Depth Soil Type Soil Sample ID Sampling Description Interval (Org; day; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, top0graphy, erosion features)
CHS  
CHS
{ r lo.I..! 161'(,,,/"\
{ r lo.I..! 161'(,,,/"\
3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._, * ., 3._1. \;;l.E.d.
3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._, * ., 3._1. \;;l.E.d.
Line 1,234: Line 1,234:
== Description:==
== Description:==


Coord. System: Lix!-( Ui,"!,) Coord: !'5. l. *Ol-:1 l(;,,.i.J  
Coord. System: Lix!-( Ui,"!,) Coord: !'5. l. *Ol-:1 l(;,,.i.J
: 2. Sample Location Data: Sample Area ID: \ . 13 Matri;.<:
: 2. Sample Location Data: Sample Area ID: \ . 13 Matri;.<:
Location Coard: *1. o .. (?-":{ '7 7 cl J LI J., Y 'is' J.. I It> 6 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location
Location Coard: *1. o .. (?-":{ '7 7 cl J LI J., Y 'is' J.. I It> 6 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location
Line 1,246: Line 1,246:
3.\.13.R.
3.\.13.R.
I Soi I br?>w.,.., 3.1. 13.<<..:), I I Sample Recorded on Laboratory COC form and Container Labeled: (N) "10/20/15 Date: i O [ z.. d ! $ Project: '1 SE.!(..()
I Soi I br?>w.,.., 3.1. 13.<<..:), I I Sample Recorded on Laboratory COC form and Container Labeled: (N) "10/20/15 Date: i O [ z.. d ! $ Project: '1 SE.!(..()
4 SAMPLE LOCATION DATA SHEET Name: S rSV!}wYJ Weather: (_ ( v:;&deg;'--'1 1 $-05 I. Sample Area (SA): sA Designation:  
4 SAMPLE LOCATION DATA SHEET Name: S rSV!}wYJ Weather: (_ ( v:;&deg;'--'1 1 $-05 I. Sample Area (SA): sA Designation:
(\(ZD.._, s. I
(\(ZD.._, s. I


Line 1,264: Line 1,264:
llO 3 L ti Rad" ti R d. . oca on ia on ea m2s: 2x2NaI Bicron Notes (cpm) (uRem/hr)
llO 3 L ti Rad" ti R d. . oca on ia on ea m2s: 2x2NaI Bicron Notes (cpm) (uRem/hr)
Count time l cm lm 1 cm lm (min) I 't G S-'8' 93al t l ciq.o<., 111 9 I 4. Sll.mple Information:
Count time l cm lm 1 cm lm (min) I 't G S-'8' 93al t l ciq.o<., 111 9 I 4. Sll.mple Information:
Sample Area ID:  
Sample Area ID:
['1 D ' ti b D h escnp; on >Y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand. etc.) refu,sal, stone or rock, topograEhy, erosion features) 0-1$ :sell /Ja.u bn.v.. .. 3 .i . 11.{ .R. \
['1 D ' ti b D h escnp; on >Y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand. etc.) refu,sal, stone or rock, topograEhy, erosion features) 0-1$ :sell /Ja.u bn.v.. .. 3 .i . 11.{ .R. \
0oi! f da.J brbv.in 3 _ l . I'-\ . I( <l I -Sample Recorded on Laboratory COC form and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1ol-z-t [cs Project: f\.I'=\ SE.((_.()?\;
0oi! f da.J brbv.in 3 _ l . I'-\ . I( <l I -Sample Recorded on Laboratory COC form and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1ol-z-t [cs Project: f\.I'=\ SE.((_.()?\;
Line 1,288: Line 1,288:
Sample Area JD: '5.1. I$ RI -D b D h escnption  
Sample Area JD: '5.1. I$ RI -D b D h escnption  
*Y ept : Depth Soil JYpe Soil Sample ID Sampling Description.
*Y ept : Depth Soil JYpe Soil Sample ID Sampling Description.
Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features)  
Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features)
{}-Is-'Soil / c,\a,y. bni .... ..., 3 ,J 15".R-I \$-:,)0 '; l { clt\'-1 b"'"""' 3_i.1S".R-::i._  
{}-Is-'Soil / c,\a,y. bni .... ..., 3 ,J 15".R-I \$-:,)0 '; l { clt\'-1 b"'"""' 3_i.1S".R-::i._  
-Sample Recorded on Laboratory COC form and Container Labeled:@ (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: \ c \ <-i{ l 'S Project: fv \_l S. E.. K'...D 4 Name: ::f. grown Weather: (_ ( vvc\..y ? 5 *05 1. Sample Area (SA): SA Designation:
-Sample Recorded on Laboratory COC form and Container Labeled:@ (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: \ c \ <-i{ l 'S Project: fv \_l S. E.. K'...D 4 Name: ::f. grown Weather: (_ ( vvc\..y ? 5 *05 1. Sample Area (SA): SA Designation:
Line 1,325: Line 1,325:
== Description:==
== Description:==


\;xi*'-wll.l Coord. System: Lttt-Lt>>'1j Coord: ..J:L. \, 14 1... "L l\ 'J.. t..I  
\;xi*'-wll.l Coord. System: Lttt-Lt>>'1j Coord: ..J:L. \, 14 1... "L l\ 'J.. t..I
: 2. Sample Location Data: Sample Area ID:
: 2. Sample Location Data: Sample Area ID:
____ Matrix: s1:1*1 Location Coord: **rLG L\ :l .c.\'8"\ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dhit. from Origin: ___ _ Site Sketch Attached (Yes) 9 Sample Location
____ Matrix: s1:1*1 Location Coord: **rLG L\ :l .c.\'8"\ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dhit. from Origin: ___ _ Site Sketch Attached (Yes) 9 Sample Location
Line 1,349: Line 1,349:
== Description:==
== Description:==


d-ri  
d-ri
: 2. Sample Location Data:
: 2. Sample Location Data:


Line 1,360: Line 1,360:
* 0 Land Use: fo..<f'Y)
* 0 Land Use: fo..<f'Y)
Soil Moisture (Wet, dry, etc): QQl/Y'\T 3. d R d" Loeation Ra iation ea 2x2 Nal B cron ii Notes (cpm) (uRem/hr)  
Soil Moisture (Wet, dry, etc): QQl/Y'\T 3. d R d" Loeation Ra iation ea 2x2 Nal B cron ii Notes (cpm) (uRem/hr)  
!1 Count time lcm lm ! Jcm lm (min) ! l er t::il.1-!:J "5' i 1J I-A -l  
!1 Count time lcm lm ! Jcm lm (min) ! l er t::il.1-!:J "5' i 1J I-A -l
: 4. Sample Information:
: 4. Sample Information:
Sample Area ID: 3. \. IZ Kl* R 2. D . ti b D h escnp <>n 1y ept : Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) stone or rock, topography, ero*sion features) do.LI 1-:=;;-:sc.
Sample Area ID: 3. \. IZ Kl* R 2. D . ti b D h escnp <>n 1y ept : Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) stone or rock, topography, ero*sion features) do.LI 1-:=;;-:sc.
I c..ln,' b-t*_._,,, <-.\ .1t.((. L , Sample Recorded on Laboratory COC form and Container Labeled: (N)
I c..ln,' b-t*_._,,, <-.\ .1t.((. L , Sample Recorded on Laboratory COC form and Container Labeled: (N)
Date: !U [ d-O / l) Project: f'll'l :St. ((DA-Weather: 'Svnriy ,  
Date: !U [ d-O / l) Project: f'll'l :St. ((DA-Weather: 'Svnriy ,
(06 1 5 1. Sample Area (SA): SA Designation: SAMPLE LOCATION DATA SHEET Name: -:f.  
(06 1 5 1. Sample Area (SA): SA Designation: SAMPLE LOCATION DATA SHEET Name: -:f.  
---"C""-u_r_4_i_t-"-l'-"-
---"C""-u_r_4_i_t-"-l'-"-
Line 1,444: Line 1,444:
..._J._J > s-kA \:::..S Canopy  
..._J._J > s-kA \:::..S Canopy  
..... ?_Q_,v'"\
..... ?_Q_,v'"\
____ Land Use: Soil Moisture (Wet. dry, etc): dfl...VYlf  
____ Land Use: Soil Moisture (Wet. dry, etc): dfl...VYlf
: 3. L Rd" . R d' ocation a iat10n ea mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr)
: 3. L Rd" . R d' ocation a iat10n ea mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr)
Count time !cm Im lcm lm (min) *-* I 9 f 0 !"Jffi I 93-tj 'Z"l-C(O . -4. Sample Information:
Count time !cm Im lcm lm (min) *-* I 9 f 0 !"Jffi I 93-tj 'Z"l-C(O . -4. Sample Information:
Sample Area ID: S. I . d-I Kl -f<. d.., D . t* b D h cscnp1 ion 'Y ept : Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, {cm) sand, etc) refusal, stone or rock, topmrraphy, erosion features) so:\ bv.rV"l "3-1. l . ((_ (-r--\'5 *30 bl'llwn 3. J. (2-J, I -Sample Recorded on Laboratory COC form and Container Labeled: J (N)
Sample Area ID: S. I . d-I Kl -f<. d.., D . t* b D h cscnp1 ion 'Y ept : Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, {cm) sand, etc) refusal, stone or rock, topmrraphy, erosion features) so:\ bv.rV"l "3-1. l . ((_ (-r--\'5 *30 bl'llwn 3. J. (2-J, I -Sample Recorded on Laboratory COC form and Container Labeled: J (N)
Project: fJLJ SE R D-4 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: --:(.
Project: fJLJ SE R D-4 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: --:(.
SA Designation:  
SA Designation:
: 3. ( SA Origin Location:  
: 3. ( SA Origin Location:  


Line 1,470: Line 1,470:
Count time lcm Im lcm lm {min) I "l'Od.D 9 lO tJ . ft I '8843 '('Cl<tG. 4. Sample Information; Sample Area ID: 3. J
Count time lcm Im lcm lm {min) I "l'Od.D 9 lO tJ . ft I '8843 '('Cl<tG. 4. Sample Information; Sample Area ID: 3. J
* g.:l. (< ( -R;), D b D th escr1pt1on )y ep Depth Soil Type Soil Sample ID Samplbzg Description lllterval (Org; clay; Color (Surface !itler type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!!raphy, erosion features) o-iS 0o*\
* g.:l. (< ( -R;), D b D th escr1pt1on )y ep Depth Soil Type Soil Sample ID Samplbzg Description lllterval (Org; clay; Color (Surface !itler type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!!raphy, erosion features) o-iS 0o*\
3.f. J,,::A .IZ l Sc  
3.f. J,,::A .IZ l Sc
: 3. I.  
: 3. I.
{!.,,;;>._  
{!.,,;;>._  
-Sample Recorded on Laboratory COC form and Container Labeled:
-Sample Recorded on Laboratory COC form and Container Labeled:
Line 1,480: Line 1,480:
==
==
Description:==
Description:==
(o,..-,-,.{,*dd.
(o,..-,-,.{,*dd.
_C_o_o_rd
_C_o_o_rd
__
__
Line 1,497: Line 1,497:
Sample Area ID: 3. I. :;2.3 KI -R;A D b D h escript1on 1y ept : Dept It Soil Type Soil Sample ID Sampling Descriptioll Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, toEograehx, erosion featuretl._
Sample Area ID: 3. I. :;2.3 KI -R;A D b D h escript1on 1y ept : Dept It Soil Type Soil Sample ID Sampling Descriptioll Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, toEograehx, erosion featuretl._
o-1s-Soi\ brtU..."l 3 .1.:i,i.r-.1  
o-1s-Soi\ brtU..."l 3 .1.:i,i.r-.1  
*.. 1$*30 Sc-1 I b,-ii.,..r.  
*.. 1$*30 Sc-1 I b,-ii.,..r.
: 3. '*
: 3. '*
Sample Recorded on Laboratory COC form and Container Labeled: (N)
Sample Recorded on Laboratory COC form and Container Labeled: (N)
Line 1,505: Line 1,505:
==
==
Description:==
Description:==
(o.,-nt i
(o.,-nt i
_C_o_o-rd-.-S-y-st-em-:  
_C_o_o-rd-.-S-y-st-em-:  
-/-v.:t-1-(......-I i_IJ_:3-__ _ SA Land Mark
-/-v.:t-1-(......-I i_IJ_:3-__ _ SA Land Mark
Line 1,511: Line 1,511:
== Description:==
== Description:==


dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J.  
dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J.
: 2. Sample Location Data: Sample Area ID: _?.:>_._l  
: 2. Sample Location Data: Sample Area ID: _?.:>_._l
:Jo; L_ Location Coord: Alternate Location Measurements (distance from SA c*rigin and Local Coord.) 10 l...t tJ +11T'IV\ CD..,, X Dist. from Origin (0,0) Y from Origin: ___ _ Sample Location
:Jo; L_ Location Coord: Alternate Location Measurements (distance from SA c*rigin and Local Coord.) 10 l...t tJ +11T'IV\ CD..,, X Dist. from Origin (0,0) Y from Origin: ___ _ Sample Location



Revision as of 00:53, 27 April 2019

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 5 of 24
ML16293A392
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: ML16293A392 (52)


Text

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App E-Sub-Area 3.1-Instrument Field Sheets I I i . TS Rev 110/18/15 Instrument Field Response Check Log l. Instrument lnformation 1 Ratemeter: Make/Model:

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i2 Detector 1: Make/Model: ltt_'4M_ W-/.? Blcron MicroRem Meter: Serial No. Serial No. Serial No.-----2. Check Source Information:

  • / . Cal. Due Date: __ _ Source

.. Serial No.: /// Activity:

  • Response Acceptance Range (+/-20%):

uRem/hr +20%__ uRem/hr-20% __ Assay net cpm + 20% 7'it net cpm -20% ;5!{',$66, Source 2 Isotope: Serial No.: Activity: t'J..tJ,)... unitsirC Assay Date: ..&'A_ Response Acceptance Range (+/-20%): uRem/hr +20% uRem/hr -20% net cpm + 20% IS..t 75 net cpm. -20% ST7i 3. Technician Worker Performin Checks: Name: . Title: _..;_,e_cr ___ _ Date: lt?jr5"f.} nme: I.JS-$' Location

Description:

Y-Coord: VJ 079' 4. Site or Location: Slte/Job: __ (;) I GPS Coordinates (when required): X-Coord: IV Lf;J_ Slf. t:f I Instrument Field Response.1. Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20%. Inst.

  • Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check. Of Temp. (add'l Info: inst. Condition, etc.} Time uRem/hr} Time uRem/ht) gross cpm current (V/N) check (oF) or uRem/fir (Y/N) (Y/N} ---Rate meter q1'! I "";"'"

i'!D;t v v \j /l/oo Cs-87 a;-Rate meter ' I .u:,.. tf c..n ..... v 'if v 11¢.i? F ii/. I "(j.,,,,l,$,2.... Rate meter , I f ,. v Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca[ibration sticker. Record check source response (net cpm) prior to field deployment for air check sources being used. 2. Source and Background count rate sl:lould be determined from the avera&e of three static count$ at the same location. Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability

  • I I I I l I i I I j I Rev 110/18/15
1. Instrument lnformatloni Ratemeter;
  • Make/Model:

Detector 1: Make/Model: Bicron MicroRem Meter: 2. Check Source Information; Instrument Field Response Check Log Serial No. Pl.D& O'i f Serial No. Serial No. ____ _ Cal. Due Date: 1/1'/I' Cal. Due Date: __ _ Assay Date: N_ft_ Source 1 Isotope: Cs-137 Serial No.: / /tW-t.z. Activity: Response Acceptance Range {+/-20%): uRem/hr +20% ___ uRem/hr-20% net cpm + 20'%.Bfl.f#l 1! net cpm -20% S Bf "\ Source 2 lsotope:"ZJ-..).3..2.-Serial No.: I ( f Activity: I Assay Date: Response Acceptance Range uRem/hr +20% ___ . uRem/hr -20% __ net cpm 7f ir net cpm -20%

3. Checks: Title: '(? L,,-4. Site or Location:

Site/Job: _ ____ GPS (when required): X-Coord: /\/4)-.." ::ui '91.'7" I Instrument Field Response 2 Meter _, Bkg Bkg Counts Source So.urce Response +/-20% Cnt {cpm) or Cnt (gross cpm or source Tlme uRem/hr) Time uRem/hr) gross cpm or uRem/hr (V/N) Rate meter '11t I ... n ... IM) .. /(pf'J /hl'f'I v Ratemeter I l .;;. Rate meter f I Ratemeter Bicron NA NA Sieren NA NA Bier on NA NA Bicron NA NA Date: /IJ A's;f .r TI me: Arya J Location

Description:

___ _____ _ Y-Coord: LtJ 071, 0'(o r 3'1. 7" Use Acceptance Criteria

  • Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. {add'! Info; inst. Condition, etc.) current (Y/Nl check (of) (Y/N) y .,7 S""b.5 -cs ... 151 U'E ..,; i.;

S'.c>. q '6TZ, .25 ,J... .,. £.!£. I r 1. 1 nstrument 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 at the same location. Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability I I j* I i ! I I I I I I -MJW SER'VIC"oE'!S Rev 110/18/15

1. Instrument lnformation 1 Ratemeter:

Make/Model: Detector 1: Make/Model: Bicron MlcroRem Meter: 2. Check Source Information: Instrument Field Response Check Log Serial No. Serial No. Serial No. ...,.... ___ _ Cal. Due Date: Ci!I. Due Date: __ _ Source 1 Isotope: Serlal No.: //( Activity: units: vC.,,.-Response Acceptance Range (+/-20%): uRem/hr +20% ___

  • uRem/hr-20%

Assay net cpm + 20% r;' net cpm Source21sot9pe;($-f37 SerialNo.: /l't£,;z3 ... /2 Activity:0..6. unitswC/ AssayDate: N/r Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% __ net cpm + 20% /J';l 7 $ net cpm -20% $jf1 3. Technlc:ian/Worker Performing Checks: Name: j:. *Jww=ka Title: _R_c._} __ _ Time: /t>e;oo Location

Description:

Y-Coord: Wc18°l(t} '3>"t. 4. Site or Location: Site/Job:, .... I _____ _ -, GPSCoordinates(whenrequired): X*Coord: Atl.P-0.;if Slf.'l I Instrument Field Responsel Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient lnit.ials and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check Of Temp. (add'J Info; inst. Condition, etc.) . Trme uRem/hr) Time uRem/hr) gross cpm current (Y/N) check (oF) or uRem/hr (Y/N} (Y/NJ ---Ratemeter / ,.; "' I "" ...... L( /,{;l..f/ ,,. .,, ""' \/ v y /60._("' 5Zo "/h-,2<:2...._ f-);s; Rate meter I I'";" , 0 ,, /()/{J 51 . .:L (3"? Ratemeter I I I v Rate meter -Bicron NA NA Bicron NA NA ( Bicron NA NA Bicron NA NA 1. Instrument designated check source rs 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 b.e determined from the average of three stalk counts at the .same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stability j i I I I I I I i \ ! I I I Rev 110/18/15 Instrument Fle!d Response Check log 1. Instrument lnformatlon 1 Ratemeter: Make/Model: Detector 1: Make/Model: Bicron MicroRem Meter: 2. Check Source Information; Serial No. Serial No. f"R //.J...£¥,.2-Serlal Source 1 Isotope: -n..-)-;3)..Serial No.: // ( Actlv!ty: units: .p.Li Response Acceptance Range.(+/-20%): uRem/hr+20%___ uRem/hr*20% __ Cal. Due Date: Cal. Due Date: __ _ net cpm -20% 3S'fl.c6 Source 2 Isotope: U -<37 Serial No.: / e:;;:g ... f;i.. Activity: CJ,6,).. Assay Date: ..Af.J:t_ Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% net cpm + 20% /J,,.2. 2 :?' net cpm -20% gg 'f 'f Checks: 3. 17_,.-( Title: _c<...._'-"' ____ _ 4. Site or Location: Site/Job: __ _..:;h___,;:. ..... ?....:;;&.'--'-3 ........... ' .u GPS Coordinates (when required): X-Coord: N 51{.'1 I Instrument Field Response 2 Meter Bkg Bkg Counts Source

  • Source Response +/-20% Cnt (cpm) or Cnt (gross cpm or source Time uRem/hr) Time uRem/hr} gross cpm or uRem/hr (Y/N} Date: !cf lf S--Time: /3o Y location

Description:

__ Y-Coord: WO ?'ii-0 vo °J'f. 7 Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (Y/N) check (°Ft (Y/N) -Rate meter 1 '11?£ { '"'"' lf 5"'!'10 y \/ v fl..-..,23.2. j:X Rate meter I ,..,it... 'I fl.ft; \/ \.f \1 151 J S--1. 0 I"' _,,.__r37 -Os; Rate meter I I I -Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source is listed on calibration sticker. Record check source response {net cpm) prlorto 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 ;iddltional counts to evaluate instrument stability I l I I I I I ' i i j I I I ' .*

1. Instrument lnformatlon 1 Ratemeter:

Make/Mod el: Detector 1: Make/Model: Blcron MlcroRem Meter: 2. Check Source lnformatron: Instrument Field Response Check Log Serial No. ti10601i Serial No. ?£//J.-£if ,2-. Serial Cal. Due Date: f'Jo/b _9al. Due Date: __ _ \ Assay Source 1 Isotope: Jl.,w)..JJ-:. Serial Na.: If I Activity: L6J units: .p£J.. Response Acceptance Range (+/-20%): uRem/hr+20%__ uRem/hr-20% net cpm + 20% '5:r7'1 r net cpm -20% Source 2 Isotope: LJ *!37 Seria I No.: //1£;.:J-{ ,;L Activity: 0.6/-. u nits:jfCL Assay Date: A!.L Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% . net cpm + 20% (}p./ 5 net cpm -20%

3. Technician/Worker Performing Checks: Name:.;;t Tit!e: _ _.1Z=-"'CT_,_

__ _ Date: /6/1(,/!5"' Time: /6?8 r . J.( Location

Description:

N LJ 0 , ., ' ,,, _____ _ X-Coord: Q 511. "'! Y-Coord: Yti 3"1.? 'I. Site or Location: Site/Job: GPS Coordinates (when required): ! Instrument Field Response 2

  • Use Acceptance Criteria Remarks Rev 110/18/15 Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt {gross cpm or source Calib.
  • Check Of Temp. (add'! Info: inst. Condition, etc.) lime uRem/hr) Time uRem/hr) gross cpm current (Y/N) check {°F) or uRem/hr (Y/N) .. (Y/N) . Rate meter I JU1n fJ.lf I 111*ti Lf tJS 0 rA/vl. v v v /6.3:2-->".3. 7 ---n. .2 ;$ 'L Ratemeter I

//1f7 .... \j J1f \; J(J' 7 /".:;,f.]'7 C/cx Rate meter , I I I P"' 1 Ratemeter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls 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 signlficantly, perform additional counts to evaluate instrument stability

  • I Rev 1 10/18/15 Instrument Field Response Check Log 1. Instrument lnformatlon 1 Ratemeter:

Make/Model:

  • l_w)fvvi....
Vt.I(,,,..)-

Serial No.ePbO"!<< Detector 1: Make/Model:

  • &Jf11m lfll-f(J Serial No. 'P&J/;l...&"(.J-Cat. Due Date:

Blcron MlcroRem Meter; Serial No.-----Cal. Due Date: __ _ 2. Check Source Information: Source l Isotope: -:IE..d:-32-: Serial.No.: If I Activity:.?/). I Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/h' -20% Assay Date:f net cpm + 20% f' net cpm -20%.Rg?;;.C Source 2 Isotope: 4

  • lJ? Serial No.: I ( 4*,:?5-J :.Z. Activity:

0.6)-unitsf-:'.C,* Assay Date: 1\/,4 Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr-20% net cpm + 20% net cpm -20% ES&'f1 3. Technician Worker Performin Name: --"' Title: __

4. Site or Location:

Site/Job: :J. ( 1 GPS Coordinates (when required): X-Coord: N 'f)-.6 r:ilf'ft/, 'I" I Instrument Field Response" Meter Bkg Bkg counts Source Source Response +/-20% Cnt (cpm) or Cnt {gross cpm or source Time uRem/hr) Time uRem/hr) gross cpm or uRem/hr (Y/N) Rate meter f MiY\ C!Jlvi 'f6ll;l.6 C/Pt1'-v Rate meter I f IM;,.._ I { ;J\r.. \1 Rate meter Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA Location Description

__

______ _ t. J 0 ,r/ Y-Coord: w67f fP .n,7 Use Acceptance Criterra Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (V/N) check (oF) (Y/N) v y (h;l-JJ-{,ff_ v v . /)'t'f() 1t.. I tJ7 P(J?'_ r I v 1. J nstrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for e1fl check sources being used. 2. Source and Background count rate*:-;hould be determined from the average of thr!!e static counts at the same location. Repeat counts should be *withln 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stablllty I i I I l I i i ! I I I l_ Rev 110/18/15 Instrument Field Response Check Log* 1. Instrument lnformation 1 Ratemeter: Make/Model; Detector 1: Make/Model: Blcron MlcroRem Meter: 2. Check Source Information: Serial No.cl£(. Dj serial No. 1"f:f f.U-t.f2 Serial No. ____ _ Cal. Due Date: Cal. Due Date: source 1 Isotope: 7A,;?32serial No.: {I ( Response Acceptance Range (+/-20%): uflem/hr +2.0% ___ uRem/hr -20% Assay Date: ( net cpm + 20% 371 i" net cpm -20% Source 2 lsotope:U Serial No.: / /1E):l../2. Activity: CJ,o,,;:L. Assay Date: Jll.l_ Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% net cpm + 20% I 3?-7$ net cpm -20% 8 3. Title: lZC"/ 4. Site or Location: Site/Job: ArlA .S. { GPS Coordinates fwhen required): X-Coord: N '/J-d£ J.if.q" I Instrument Field Response 2 Meter Bkg Bkg Counts Source Source Response +/-20% Cnt {cpm) or Cnt (gross cpm or source Time uRem/llr) Time uRem/hr) gross cpm or uRem/hr (Y/N} Rate meter I ... 11t-. I 1.J\O.o'l t../;)1('1 v Rate meter I r .... :'V' I ( :;.. 'fl{ c.DIV-'.} Ratemeter I Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bkron NA NA Date/f¥ Time: .ij',ZC Location

Description:

C .,,-f';.e.f.R V-Coord: IN 6 715° 'fD . Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'l Info; inst. Condition, etc.) current {Y/N) check (oF) (Y/N} " v 113..2... l/-t.s-j)£ \/ I I 3 'l £/2r v;J.£_ I/ 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 a dcHtlonal counts to evaluate instrument stability i I I i I I I I I Rev 110/18/15 rnstrument Field Response Check Log 1. Instrument lnformation 1 Ratemeter: Make/Model: f.,,J/()Jl.. j;l{/ ... ,2.. Detector l: Make/Model

--=t_v:..;.:'J'J"""'?v.,...i!t"-'--

..... 't""""lf_-_l_O __ Serial No. c/-(J' ti 9 8 Serial No. "PR.:1..Rt.Y;L Serial No. $378'A.-Cal. Due Date: Cal. Due Date:lv7j1JllS: Bicron MicroRem Meter: 2. Check Source Information: . Source l Isotope: =t'f:,?3).. Serial No.: fl/ Activity: C6 ./ units:/!?,: Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% Assay oate: 1-'/in net cpm + 20% . tr net cpm -20% mu Source 2 Isotope: Serial No.: f f'*P'3--(2 Activity: l?.O,;L.. Assay Date: /\/A-Response Acceptance Range (+/-20%): uRem/hr +20% __ uR.em/hr -20% net cpm + 20% net cpm -20%

3. Checks: Title: gcr-CY/17 Date:/O/zf I 4. Site or location; Site/Job:

__ 111 ;p I' ,, GPS Coordinates {when required): X-Coord: VL <i:L ...2S SY.'? Location Descriptlon:. __ ,. *" Y-Coord: W(J7o $'(} 31. 2 I Instrument Field Response 2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt {cpm) or Cnt {gross cpm or source Ca!ib. Check Of Temp. (add'! Info: inst. Condition, Time uRem/hr} Time uRem/hr) gross cpm current {Y/N) check (oF) oruRem/hr {Y/N) (Y/N) Rate meter /,.,.; ... . .. ,,... /Mi;..., '1-r:l .{, { I" 11-\{ y y 57 () t}.$-Rate meter . l ,.,.;,,.. II :._ \JJ VJ -..u* 6-IS/ Rate meter I ( ( I -Rate meter Bicron NA 6uLJJ..r NA l'J'i * \./ \f v 1Yf5'f ().<; ---r--k. 2-Bicron NA . I NA I , I I I I () Bicron NA NA Bicron NA NA. 1. Instrument designated check source is listed on callbration sticker. Record check source response (oet 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 sJgnif!cantly, perform additional counts ta evaluate instrument stability I I . I I .----.w.l'-v .SGR'VICES Rev 110/18/15 i I I Instrument Field Response Check Log l. Instrument lnformatlon 1 Cal. Due Date: Cal. Due Date&#.£ Ratemeter: Make/Model: De1ec;tor 1: Make/Model: Bicron MlcroRem Meter: 2. Check Source Information: Source 1 No.: JI f / units:&LJ Assay Date: / .t [J""o: Vo Meter Response Acceptance Range (+/-20%}: uRem/hr uRem/hr net cpm + 20% Y net cpm Source 2 Isotope:($./ J 7 Serial No.: { 1'8J-f )_ Activity: 0..0.¢- Date: . Response Acceptance Range (+/-20%}: uRem/hr +20%__ uRem/hr-20% net cpm + 20% {'$.)....7 Y net cpm -20% '°t'f"'t? I Instrument Field Bkg Bkg Counts Sour.ce Source Response +/-20% Cnt (cpm} or Cnt (gross cpm or source Time uRem/hr) Time uRem/hr) gross cpm or uRem/hr (V/N) Date: ( 3 .2... o Location Y-Coord: W d7"r Yo '3,. 7"" Use Acceptance Criteria R{:"!marks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'! Info: inst. Condition, etc.) current (V/N) check (oF} (Y/N) *-! Ratemeter I"";"" ?i'1. J.Cjd},. r l/'{t,,11 C.n-"{ , .. \j I rrt..-.1"5') Jf7 Rate meter , ( 1¥4.,,.,, JI cJ.-" 'I {/ Lt:. I -r--s '7 "JI.* Rate meter I I ( -' (/ Rate meter Bicron NA q. 1a IL.r NA './ \{ "-../ f'3si Bicron NA ,. I NA f I I ,,,.. -*--'jf Y. ,, , Bicron NA NA {/ 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*c;ounts at the same location. Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability I ! I I i I I i I i l ! I l I I I I I TS MJ"-'V SGR"VICtES Rev 110/18/15

1. Instrument Ratemeter; Make/Model:

LvJ/f/JV' )) '{ { Detector 1: Make/Model: LvJ/11,.,.. 'ft.{-/(J Bicron MicroRem Meter: 2. Check Source Information: Instrument Field Response Check Log Serial No. 11 C."6'-( Serial No. 'fg it"41t.f2. Serial No. B 6 '?'$ 6 Cal. Due Date; IPjrr:/'f::, Cal. Due Date: Source 1 Isotope: "'11--;?12-Serial No.: / j l Activity: ..C..CJ. I Response Acceptance Range (+/-20%}: uRem/hr+20%__ uRein/hr net cpm -20% 'l>IT{.4 Source 2 Isotope: Serial No.: II ic;J.3-f.i Activity: 6.6 ,;l-. units:&_ Assay Date: _LYA__ Response Acceptance Range {+/-20%): uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% ('$l.7'S net cpm -20%

3. Checks: Title: 'RCT 4. Site or Location:

Site/Job: 3. I . ,, GPS Coordinates (when required): X-Coord: N Y;t ':ct '-S-L{. I Instrument Field Response 2 Meter Bkg Bkg Counts Source Source Response +/-20% Cnt (cpm) or Crit {gross cpm or source Time uRem/hr}. Time uRem/hr) gross cpm or uRem/hr (Y/N) Ratemeter lw...1' 'l1. I t./kt' I Mi>\. /'"_fi-v Ratemeter ) wl *'°h If Ir c../J,..,... \] Rate meter I r Rate meter Bicron NA h LA,,./J. r NA f ;i_r., /f,.J£/ ,, Bicron NA I NA I ;* I Bicron NA NA Bicron NA NA Time: IS""'S-0 Location

Description:

__ Y*Coord: W 6 7'l "'-[o $.:;. 7 ,,. Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'l Info: inst. Condition, etc.) current (Y)N) check (of} {Y/N) \{ y 15"1"'\ /.JC -rJ. -1 C!:'...'7 l...J ',/ t/f).£_ -!"?? f ' v lf .... , /J.4 -rt.. I I v 1. Instrument designated check source Is hsted on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate .should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability ! I i I l L Rev 110/18/15 I I i I Instrument Field Response Check Log 1. Instrument lnformatton 1 Ratemeter: Make/Mode!: L!lDLutA. ')) . .'-/) -Z.. Detector 1: Make/Mode!: [<l!}l-VllA 'fl/-lo Bicron MlcroRem Meter: z. Check Source Information: Serial No. J (p 'J. 131 Serio! No. ff!. /II/ J 'J Serial No. ti=;; ;J. '1 u Cal. Due Date: Cal. Due Date: Source 1 lsotope: *17, .2'32. Serial No.: J J l, Response Acceptance Range (-r/-20%): +20% __ uRem/hr -20% ==-Assay net cpm + 20% __ _ Source 2 Isotope: Cs Ill Serial No.: K7E'15 *"If? Activity: -v :2. units:µ.<:.<'. Assay Date; 1/20/t o Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% __ net cpm + 20%. __ _ 3. Technician/worker Performing Checks: Name: SffVt /(:rAISl'.l\Ar./ Title: _____ _ Date: uizdc(Time: Ofoo r ' net cpm -20% __ _ net cpm -20% __ _ 4. Site or Location: Site/Job:. __ location / L/ 0 I IC * [ / . " GPS Coordinates (when required): X-Caord: f1L LC J J 'ff': 0 Y-Coord: lV O'JR' 'fo :$' >.. .2. ! Instrument Field Response 2 Use Acceptance Criteria Remarks t Meter Bkg Bkg Counts Source Soun:e Response +/-20% inst. Battery

  • Time Ambient Initials and Comments Cnt {cprn) or Cnt (gross cpm or source Ca!ib. Check Of Temp. (add'l Info: inst. Condition, etc.) Tlme uRem/hr} Time uRem/hr) gross cpm current (Y/N} check (of) or uRem/hr (Y/N) (Y/N} . . .. .. Ratemeter
  • I m1AJ
S: / 111 I fl/. /1%D'f y '-/ (JC/ 00 t;{1 fl/... z:s l.-Ratemeter Ir "u11J, f</.-1,) 1 I tn11J J/qj? ...; y (J({f) 0 <Jy /J 7 Ratemeter I tYJ!d Y9?{ I m 1111 y y /ZJo t. I -1l. 2 17.. , Ratemeter I fiftr.I r11s '!.vi, ,J 17 'i!JI' '/ y l!Z...)o 65, {. f'c)]I i Ratemeter

'f M(/11 q1JO/ I /11 r ;V v y /boD &b.1-"ti.. 2 57 Ratemeter J f!trt/ q O"') 'f P11v. 1(_!.('{ y v /br>o (,, &,. l.. /. J J"/ Bicron . 'NA I NA 11 v y *fl 9o 0 c;CI Sieren NA 7 NA I "'I 'I y 1lso ts. r ! Bicron NA -') NA I K y y I I. ot:i ?nt,, ?_ 1. Instrument desi nated check source is listed on callbration sticker. Record check source res onse net c m rior to fleld de lo ment for a II check sources bein used. g p { p )p p y g 2. Source and Background 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 I I I I I ' i l i I significantly, perform additional counts to evaluate instrument stability 1 ______ J Rev 110/18/15 i I ! : 1. Instrument Jnformation 1 Ratemeter: Make/Model: LiJdl(/ffl 2-Detector 1: Make/Model:LU'/Jc.-v/V\- t./i-1 o Bicron MicroRem Meter; 2. Check Source Information: Instrument Field Response Check Log Serial 1 J.7 Serial No. fl/ I l 11 lJ Serlal No. fl:V Y V< Cal. Due Date: q( Vi Cal. Due Date: l. Source 1 lsotope:"/1i

  • z..1-z.__

Serial No.: )//zr Assay Date: 1i.};;c:/ro Response Acceptance Range (+/-20%}: uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% net cpm -20% __ _ Source 2 Isotope: C.s. ( 3] Serial No.: g--7 {I]-'18' Activity: ,..0 2-. Assay Date: __ Response Acceptance Range {+/-20%): uRem/hr uRern/hr-20% __ net.cpm + 20%. __ _ net cpm -20% __ _ 3. Technician/Worker Performing Checks: Name: S'ffl/e K:rA.H//lttA/ Title: _____ _ Date: Jo/z1t('Time: tJf!S 4. Site or location: Location _____ _ GPS Coordinates (when required): X-Coord: ;11 </), Lff'( 'I I Y-Coord: VI) 018'. b 7 11 2-I Instrument Field Response 2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source

  • Source Response -+'/* 20% Inst. Battery lime Ambient lnitial!i and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) Time uRem/hr) Time uRem/hr} gross cpm current (Y/N) check (oF} oruRem/hr (Y/N) {Y/N) -y --.... -Ratemeter f /fl I Ill l<f9\ I rJ1 IN flo1/(,, y ()Cj/( jg-_ if 'Th. ZJZ = Ratemeter J 1'A1N q I I rYI IN I J.-'ff'_<

y '/ aCit < {3". 'f l< 11* Ratemeter J ft11tJ CJ() I CJ I 1Y/IN ..:i11'1'1 y y /Jo 'P (,;c,,_*7 . Rate meter J tlf 1,J CJo I q I mt/./ U..; Ir y Y' I Jvc {.,k,. / Cs IJl i Ratemeter j (i11ri/ CJoz'i J (!J_{f.f ::Jo ') q y i 1.\00 1 z_ 3 --ft. 2 > L.-! Ratemeter lm1rJ CfD.J'f I Ml/./ IJS11.,I y y 12.s I JI Bicron

  • NA -7 NA If< v y {JCJ1( ((,"/ ---lh. 2n. I Bicron NA I NA ,., .... ; y IPOO 1 *11_ 2-1 '2-Bicron NA 1 NA /{(' v

/"2., -fl, Z3L . . . 1. Instrument designated check source 1s fisted on cal1brat1on 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 a'dditional counts to evaluate instrument stability -* i i j I I I TS*

&GRV.ICE.'lli" Rev 110/18/15
1. Instrument lnformatlon 1 Ratemeter:

Make}Modet: Detector 1: Make/Mode!; Blcron MlcroRem Meter: 2. Check Source Information: Instrument Field Response Check Log Cal. Due Date: . Ca!. Due Date: 8f'6f W Source 1 Isotope: '1li-l$1-Serial No.: /f / Activlty:<:b.! units:,,vC Assay Response Acceptance Range (+/-20%): uRem/hr+20%__ uRem/hr-20% .* net cpm + 20f:li,7e;g net cpm -20% 3)C'"6 Source 2 Serial No.: Activity: 0 .o..J..-units:,&-<; Assay Date: _.tLtl= Response Acceptance Range (-1-/-20%): uRem/hr +20% __ uRem/hr -20% __ net cpm + 20%(?2'7 :$.. net cpm -20% S!f_f 3. Title: Date: lo/..2.!/!2: Time: O'f r 1 4. Site or Location: Site/Job: _ ..:..I _____ _,_ Location Descriptlon:. __

-1 o:it/m.C ff i * .L;:.... o-t:> U. I "" GPS Coordinates (when required):

X-Coord: LY-;:f...e:. L V-Coord: £0 37. Z l Instrument Field Responsei Use Acceptance-Criteria Remarks Meter Bkg . Bkg Counts Source Soun::e Response +/-20% Inst. Battery Time Ambient lnltials and Comments Cnt (cpm} or Cnt (gross cpm or source Ca lib. Check Of Temp. {add' I Info; Inst. Condition, etc.} Time uRem/hr) Time uRem/hr) gross cpm current (Y/N) check (cF) or uRem/hr (Y/N) (Y/N) Rate meter I w..*"" q /'f 7 ,.11.fu. .. l/?tW ,-..1Jhtt, v \./ tJ1so 5"6.L{ "17...-2$2. fk Rate meter t 1 ...... IM4'l' rJ?AA, v hi '" 1 114'<1 :S-6. s /_c;-(3'7 Rate meter ' 7 ( I .._, Rate meter Bicron NA 1-i uw,u rt"' NA q \.7 \/ <-C x Bicron NA . I NA ' l r I { u Blcron NA NA

  • Bicron NA NA 1. Instrument designated check source ls listed on cal!brat1on stkker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and aackg:rou nd count rate should be determined from the average of three static*counts at the same locat!on.

Repeat counts should be within 20%. If count rate diverges signlflcantly, perform additional counts to evaluate Instrument stability I j

1. Instrument lnformatlon 1 Ratemeter:

Make/Model: Lu (I; Detector 1: Make/Model: { :t/.5M Bicron MlcroRem Meter: 2. Check Source Information: Instrument Field Response Check log Serial No.

  • Serial No.t6>'6/lf.2.

serial No. $&'f.$b. Cal. Due Date: Cal. Due Date: FJ Source 1 lsotope:'TJ-.-}.3,,_ Serial No.: /If Activity: <::O .I units: µt;;" Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% Assay net cpm + 20o/oC'J ?1f net cpm *20% IS" 1'-"t: Source 2 "J7 Serial No.: //'f *;?;3-1 :L Activity: !Y pr un!ts: J)C-i Assay Date: &A:. Response Acceptance Range (+/-20%): uRem/hr +20% _. _ uRem/hr-20%__ net cpm + net cpm -20%

3. Technician/Worker Performing Checks: Name: X EJ"",,,..J?s . Title: 'fZ ( 'r Time::¢{73G7 4. Site or Location:

Site/Job: kt". '3. ( * . ,

  • Location

Description:

__ ,. / o 'e7/a' **' 4' , ,,. GPS Coordinates (when required]: X-Coord: 1v 'fpl .?Lg L Y-Coord: vv e>? 8'" "lo .:J7. 7 ' I Instrument Field Response 2 Use Acceptance _Criteria Remarks Rev 110/18/lS Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm)or Cnt (gross cpm or source Ca!ib. Check Of Temp. (add'I Info: Inst. Condition, etc.} Time uRem/hr) Time. uRem/hr) gross cpm current (Y/NJ check (of) or uRem/hr (Y/N} (Y/N) Rate meter ' (fl';).. ,_ J. 'f J. t!D""' WI.,:-..,... l/?75J \/ \/ v (3tJ/ 7 71..-)'!2-tJ-f Rate meter * . I CA.;\.--.. I I q a tJ ',. __ rv VJ XI t</5 t:d;. > l/"s-f3 7 '1Jf Rate meter I I ( f v Ratemeter Bicron NA q NA t )01/1'1-.ft1.ir \I *V ,; /7,/7!., -rrt..-:1-"j 2._ Br Blcron NA . I NA J I I ( ....... Bicron NA NA Bicron NA NA 1. Instrument designated check source Is llsted on calibratlon st1c:lrer. Record check source response (net cpml prior to field deployment for all 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 I lns.trument Fleld Response Check Log 1. Instrument lnformation 1 Serial No. /'f C.£.(.$1 Serial No. Cal. Due Ca!. Due Date: .( I Ratemeter: Make/Model: Detector 1: Make/Model: Sieren MlcroRem Meter:

  • Serial No. 'A'q 5 b 2. Check Source Information:

Source 1 Isotope: Serial No_: /f ( Activity: c::O * ( Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% net cpm -20% Source 2 Serial No.: / /fE)3--(2. Activity: t).a;L.. units:_k'L'; Assay Date: L'.Il4_ Response Acceptance Range (+/-20%): LI Rem/hr +20% __ uRem/hr -20%__ net cpm + 20% __ _ net cpm -20% 3. Checks: ntle: __ __ "! __ _ Date: to,.4jf£ lime: 153i 4. Site or Location: Site/Job: .,:S. / Location

Description:

____ GPS Coordinates (when required): X-Coord: N {{..,;l D;;z.'l '5?l 'i "' Y-Coord: Wo?K"'1fd: n 2 ;-, I Instrument Field Responsa 2 Use Acceptance Criteria Remarks Rev 110/18/lS Meter Bkg Bkg Counts Source source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Callb. Check Of Temp. (add'! Info; Inst. Condition, etc.) TI me uRem/hr) Time uRem/hr) gross cpm current {Y/N) check (°F) or uRem/hr (Y/N) (Y/N} Rate meter I .a...'-lf f o I .--nt.. I ""':x v '{ v ft;?/ 6<6. f ;z_ Rate meter I '-** *-.f I ..... "'YI. lr'J'lf'7cn,,_,. -!./ \JI /'$'?/'-/ '7.'-/ /s-13.7-0£ n . ., Rate meter , r f ( {./ Rate meter Bicron NA lf/fU</ l..r NA hr \( \J ,/ 67/-1 In... -2"5'1 _(.)?' Bicron NA , NA ' I I ( -Blcron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca!lbrat1on 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%. lf count rate diverges significantly, perform additional counts. to evaluate Instrument steblllty I App E-Sub-Area 3.1-Sample Data Sheets

SAMPLE LOCATION DATA SHEET . Project: /VY $ f:. \(..\:)Pl Weather: _flu

1. Sample Area (SA): SA Designation: 3 . \

Description:

&rtV,ecJ SA Origin Location: Coord_ System: ____ _ SA Land Mark

Description:

c:.vyv-Cv-:>lJ Coard: .2. Sample Location Data: Sample Area ID: Matrix:

\ .. LocationCoord: f\J 42.l-/<J0f.£JS5 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0.0) r...i I A Y Dist. fron1 Origin: . Nj 11 I Site Sketch Attached (Yes) Sample Location

Description:

(om 8DtJ, no '\:i+o..I Canopy Type: __ Land Use: Soil Moisture (Wet, dry, 3. L R. d" ' R d" ocat1on a 1at10n ea mgs: 2x2 NaI i Bicron Notes (cpm) (uRem/hr) . ; Count time 1 cm Im i lcm lm (min) ! I I 1.'.)5i tO"l'i \ g I iJIA I !f';,1, 0 lf'. f./ 1 g --4. Sample Information: Sample Area ID: 3 * \ * \ . 6 , /-;{ Soil Color Sample ID Samplitig De[)'cription (Surface litter type/depth, sample depth retention, refusal, stone or rock, to po ra h , erosion features) Sample Recorded on Laboratory COC form and Container Labeled (N) (to -100 I &vii-'-:s. \.I.LS' NJA 10/20/15 SAMPLE LOCATION DATA SHEET Date:1t/o*-20-1-r-Proj_ecr: tJ 'yg;JZ.DA Weather: J?crfly Clo vd1.;. 1 ..va.rm -r.,.,..,e. 5;-c;A--:10:: 1. Sample Area (SA): SA Designation: __ 3_._\ ___ _

Description:

_{pm B d '-'-=----'---=-"-=--------- SA Origin Location: Coor d. System: -----SA Land Mark

Description:

__]2,ivtw{!J

2. Sample Location Data: Coord: idiz,tJ Sample Area ID: 3, i . 2 Matrix:

Location Coord: j.J . u 134 -hl en. '1 $ 0 6 'i I

  • Alternate Location Measurements (distance fi-om SA c1rigin and Local Coord.) X Dist. from Origin (0,0)

Y Di:>t. from Origin: u.) \le I Site Sketch Attached (Yes) @ Sample Location

Description:

Canopy Type: ()Pt<" Land Use: _ _E_Q.,:(W. __ Soil Moisture (Wet, dry, etc): -.:o, w-t-1" 3 L ti R d' ti R d' oca on a I.a on ea mgs: 2x2 NaI B'cron Notes (cpm) ; (uRem/hr) Count time 1 cm Im \cm lm (min) .. -. -* --****** I !ILlCZ tO ID .Lil f\ I ll 42.l! iOw63 t-****-I

4. Sample Information:

Sample Area ID: _3_. \ , 7 , I[ . I -l D b D th escnoticm 'Y ep Depth Soi/Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) :-efusal, stone or rock, toEography, erosion features) O-IS \ tSa:.,..n 3.1. 15-30 '7 (}: \ R .. 'lJ1,...i,/\. £, 2 IJ}Pc !,D*. l '3.L 2.. f, 3 Nf f< {uO -1 vu Mvd J l}>t). k /' ':?..1.*z.e..'1 n.1-wo.\.e c I Sample Recorded on Laboratory COC form and Container Labeled: (N) ' SAMPLE LOCATION DATA SHEET Date: ID -Zo Project: 1'-Jj 5 tg_pf.L_. __ _ Weather: pcf'f\-r Clo:,cLy , c&Cc/c--< I. Sample Area (SA): SA Designation: 3, I

Description:

__ Gx='-'-ri'--'-f '=1 c ..... / SA Origin Location: ______ Coord. System: __ _ SA Land Mark

Description:

  • --Coord: 2. Sample Location Data: Sample Area ID: 3 r l v 3 .. E Matrix:

L_ . Location Coord: W 1<6,/!1 CJ L/ __& LJ -Z

  • 4 'l 13 '-18' S\crt

'. 2.5 e"'d : I '1; 3 o Alternate Location Measurements (distance from SA origin and Local Coord.) / "7 1 r -, . l l)'\ V(WCu\ 67. a ,s. W '"'fYD/\I\

3. I. 5 X Dist. from Origin (O,O)___Mfjl

__ , *

  • Y Di!;l. from Origin: _.N-"'1 1 1-\.lft---

Q Site Sketch Attached (Yes) <<l Sample Location _IL_s ____ Canopy Type: Op-ch Land Use: {G(hJ Soil Moisture (Wet, dry, etc): 3 L f R a* ti R d. oca ion a ta on ea mgs:

  • 2x2 NaI ; B**cron Notes (cpm) (uRem/hr)

Count time lcm Im 1 cm Im (min) -; I ID {;t;c_p iO ! I '1 'l g --I {()/t/1-10 'lo ct .sJl!:t-i, -----* 4. Sample Information: Sample Area ID: 3. l. 3, E, I-'i Depth Soil Type Soil Sample ID Sampling Description Interval {Org; clay; Color (cm sand, etc) (Surface litter type/depth, sample depth retention, :efusal, stone or rock, to oo-ra h , erosion features) Sample Recorded on Laboratory COC form and Container Lab(lled; (N) Date: /0-7./-/) Project: AJ'YScR..00 SAMPLE LOCATION DATA SHEET Name: *Jii0

  • V[)'...tJ;it.

Weather: WO,tM 0 l. Sample Area (SA): SA Designation: __ SA Origin Location:

== Description:==

Com .f-; <:..{d Coo rd. System: -----SA Land Mark

Description:

.... w__.'_D.>-l_J-t--- Coord: 2. Sample Location Data: Sample Area ID: 3 . \, Lf Matrix: so,_\_ Location Coord: N 7 f{, w1Cffr'/'J cl Alternate Location Measurements {distance from SA c1rigin and Local X Dist. from Origin (0,0) rJ Y Dist. from Origin: --t-N....:.i/"""'-'---

3. I . 3 / 3'5 ff, S l Site Sketch Attached (Yes) Sample Location

Description:

Um {i t. l J (Ls Canopy Type: 0 p-t.V\ Land Use: fQ_(fl.A Soil Moisture (Wet, dry, etc): J) 0{ 3. L R d" ti R d' ocatwn a 1a on ca mgs: 2x2 Nal Be.Cron Notes (cpm) (uRem/hr) Count time lcm lm I 1 cm Im (min) I 'jg 8"5 5( 7 v I f1 1 q3 '(j 922/( ' tJ J f\ : !' 4. Sample Information: Sample Area ID: J . j , Y , £. . f-!./ Soil Color Sample ID Sampling Description (Surface litter type/depth, sample depth retention, refusal, stone or rock, to o!Zra h , erosion features Sample Recorded on Laboratory COC form and Container Labeled: (N) SAMPLE LOCATION DATA SHEET Date: Project: ---+-jJ"--'V,_,5._...f..,.""""'J2,-'{)1'1'------ Name: Weather: Clo

  • ud:-t I 1. Sample Area (SA): SA Designation:

_____ _

Description:

  • CoYt'i Htf d SA Origin Location:

SA Land Mark

Description:

-. ___ _ Coord. Coard: 2. Sample Location Data: Sample Area JD: Matrix: So* { Location Coord: tJ L/2 t/ 8Z l.f / °J . -IAI 7 '(-u7 <l. 'lg'0 Alternate Location Kifeasurements dTstance from SA origin and Local Coord.) X Dist. from Origin ((),0) J/ k Y Dist. from Origin: _JjJ) l:l . Site Sketch Attached (Yes) @) Sample Location

Description:

{orn h (, td , 5tul _ Canopy Type: 0 '/)(,fl etc.): Dty l Land Use: __f__a.r lk. Soil Moisture (Wet, dry, 3. Location Radiation ReadinCJs: Count time (min) I 2x2 Nal (cpm) lcm 4. Sample Information: Soil Color Im Bicron (uRem/hr) Notes lcm . lm Sample ID Sample Area ID: 3, / . 5. 12. Sampling Deseriptimz (Surface litter type/depth, sample depth retention, refusal, stone or rock, topo ra h , erosion features Sample Recorded on Laboratory COC form and Container Labeled: (N) 10/20/15

SAMPLE LOCATION DATA SHEET Project: N\Ktilfil __ _ Name: -r;:.i BYD<..,..V'- Weather: Cfoxly,, ww:w. 1. Sample Area (SA): SA Designation:

== Description:==

SA Origin Location: Coord. System: -----SA Land Mark

Description:

Coord: 2. Sample Location Data: Sample Area lD: \. Le Matrix: s*6 *, \ Location Coord: itj 7 'I, Lt 7 'if3 4 s *-f\I Lf_2. 4?'3257" Alternate Location Measurements (distance from SA origin and Local Cof:rd.) X Dist. from Origin (0.0) N{ Pf Y Dist. from Site Sketch Attached (Yes) Sample Location

Description:

Grn d t1o ____________ _ Canopy Land Use: . .fuv\..A., etc.): Dt\,1 Soil Moisture (Wet, dry, ' 3 L f R d" ti R d" oca ton a 1a on ea mgs: 2x2 Na! Bicron Notes (cpm) (uRem/hr) Count time !cm lm )cm Im (min) ( '7iq2-o X' 7 Al J /4. l S? <c:; (_ f\J/A ... 4. Sample Information: Sample Al-ea ID: .3. LG:> , J2.., 1-lf D 'ti bDtl escnp* on ep 1: Depth Soil Type Soil Sample ID Sampling Desaiptio11 l11terval

  • (Org; clay; Color (Surface [itter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) 6-'!S-' * \ t--.n,,,,, 3i.t_.,,2...I

/\J /4 IS-6Q_. \ hi'l'L_.A,.-

i. \.1 ... (L "'2. ,Jt 3o-t.t<>

bfl)vV-- i!J n-(.g {)-/ (,) <.> i-.,,..,.._ .... 12.. t.1 l!l rq.. Sample Recor<led on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15 SAMPLE LOCATION DAT A SHEET Date:# iO-IJ-1S-Project: J) Y5ck!.1)A Weather: 5ui\V\y 1 l.oo\ I. Sample Area (SA): SA Designation: -=3,_,_\-'-------

== Description:==

____(Qr n e\.O SA Origin Location: --*-----____ Coord. System: _ *------SA Land Mark Descriplion: 'Q,;, \l"'"t*wcd Coard: Yoo -f-*t:. I _f;*" sJ. 2. Location Data: \\) J-jl>!f,ll'{.? 'fJ){'r'\Y> Sample Area ID: :3, l. 7 Matrix: '501-_L LocationCoord: w7'8', (Jt7'if9.11" :J+/-!/2, '/(/&1i(' N Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) J\f\ Y Dist. from Origin: Site Sketch Attached (Yes) @) Sample Location

Description:

!c.L (Off1 .sh:aj /c.) rLh?..{)1i'"ed I Canopy Type: Q pe I'} 3 L t' R d' f Land Use: FQ..viM,. __ Soil Moisture (Wet, dt)', . oca mn a ia 10n R d" ea mgs: 2x2 NaI B*cron Notes (cpm) (uRem/hr) Count time \cm Im ' !cm lm ' (min) ' I 1019 .'2. q '1 q 3 g 8" ;Jf A 10 8 'ii f;'" <j q Z.CJ -l i I 4. Sample Information: Sample Area ID: 3. \ , *7, IC . I -Z.. D b D th escnotwn IY ep Depth Soil Type Soil Sample ID Sampling Description Interval -(Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ;efusal, stone or rock, to2ogra2hy, erosion features) o-/5"° b\d/,,,a: I k-'(\ 3 I ,7, f:. , 111 A /5 -:, 0 c.;<\-l ...... ; I j::i.,.....,. 3 J .l,. Nii'\" -Sample Recorded on Laboratory COC form and Container Labeled: ff) (N) SAMPLE LOCATION DATA SHEET Date: iiJ-tCJ-i r Project: /JY5eK..M Name: --r;;;.

  • 6i1>:d.;...

Weather: s0n'f\y / c. oo *--*--*----*-

1. Sample Area (SA): SA Designation:

_5__;_._\ _____ _ Desciiption; __ SA Origin Location: Coord. System: ____ _ SA Land Mark

Description:

v\ '<(u..."'d Coord: 2. Sample Location Data: Sample Area ID: _'3--'-'. l'-._8"--- ___ Matrix: _l_ Location Coord: VJ/&. lo7X1t1°' Alternate Location Measurements (distance from SA ciriginand Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: rJ1P< Site Sketch Attached (Yes) Sample Location

Description:

[Dn"' h rcvn sk\\t...S lo (tx,uS 11 260 f-L Lv -,,_ ---a} ------- Land Use: carnt-\eld Soil Moisture (Wet. dry. Canopy Type: Ope f1 3. Location Radiation Readings: I 2x2 NaI B*.cron Notes* (cpm) (uRem/hr) Count time lcm lm lcm ! Im : 1 ..... -(!_Uin) --.. _ l, ci;qzo CJLf x-t* 'tJ .. , ' IJ//< I 9 x-'7 I qo 8'! __ I -**-*-**** 4. Sample Information: Sample Area ID: 3 , \ . , £-1 7-


*--

Soil Color Sample JD Sampling Description (Surface litter type/depth, sample depth retention, stone or rock, to o a b ', erosion features) Sample Recorded on Laboratory COC form and Container Labeled: (N) Date: IO -Z0-1-:r Project: JJY 5 f !2.DA Weather: 'Svti1*1.y; u.ptr>. I. Sample Area (SA): SAMPLE LOCATION DATA SHEET 1).rorc=" . SA Designation: __ 3-----". j ____ _

Description:

(pl(\ el d. SA Origin Location: Coor d. System: -----SA Land Mark

Description:

Coord: 2. Sample Location Data: Sample Area ID: ---'3"'--. }'--._CJ __ Matrjx:. <;.., ,_\ _ ,_. Location Coard: W 7 8'. 0t 19 (p St/ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (O.O)_JJ} l'r Y Di!:t. from Origin: Ai/ 1-\ Site Sketch Attached (Yes) . Sample Location

Description:

.. ..... \ _____ _ Canopy Type: 0 ...... ___ Land Use: Soil Moisture (Wet, dry, etc):._--'D'--'-",f-/ __ 3. L Rd' . R a* ocahon a iabon ea m2s: 2x2 Nal ! B:.cron Notes (cpm) (uRemlhr) I Count time I cm lm lcm Im (min.) :** { \Of>W Ji) Di.ff 7 7 ----.tJ/ jl. I IOI.{ 1 'l.-!O/V 2 ,__. N/A i -*-4. Sample Information: Sample Area ID: 3. \ ,. q. £!. * /-2. D b D h escnption 1y ept : 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, topo!rraphy, erosion features) ()-J s--:;,o;t 112..-u'->"'\ E, I NJ rr Jfj-jD ll./\c. ... .. I C;,t,2.. 0-fl_ Sample Recorded on Laboratory COC fonn and Container Labeled: eJ (N) L Date: tO{ 7.-[ ( J ") Project: N\.\ SER 0 r+ Weather: Lloi.:.d,L\ 1 S-0 1.S 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: gt'()l.\;rJ SA Designation: A l"'{_Q-.. 3 . l SA Origin Location:

== Description:== (Di--n t 1 d SA Land Mark

Description:

Coord. System: LrJ.-( lorj Coard: l'.t .lo 1 =j ;;i.:;i. LJ ;-i,. (.I %{0 2. Sample Location Data: *sample Area ID: _?J_. l"""'._l_o ____ Matrix: .501 \ { dcul Location Coord: 1

  • G 'b uOO 3 4 d-. 411 I d, 0 l:, Alternate Location Measurements (distance from SA origin and Local Coord.) LI <s y a.-d5. X Dist. from Origin (0,0) Y Dist. from Origin: ____ --r co../ 1 r Site Sketch Attached (Yes) -u-r I H'St ()'j-(O!'"'J Sample Location

Description:

Cc rn?i?.. tel :tlcd 5 I Canopy Type: C'J Q8'! etc.): cla.mr J at Land Use: Soil Moisture (Wet, dry, 3. L. Rad' . R d. ocatmn iat10n ea mizs: 2x2Nal Bicron Notes (cpm) (uRem/hr) Count time lcm lm lcm lm (min) l II <oqs-ro, 99 '" lf '1 rJ I If (0. '150 , 4. Sample Information: Sample Area JD: 3. 1.10 E.. \ E. d. b D h Descnotion 1y eot : Deptlz Soil Type Soil Sample JD Sampling Descriptio11 I1zterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) 0-1'5" I d!A..Ll .E. \ IS. :'.>O ,561 ! 1 duv '3. 1.1/).E' ,d-I I _----.. Sample Recorded on Laboratory COC form and Container Labeled(Q)} (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: J.e (?..({is-Project: N \I s e ( or4 Name: Grow!) Weather: (I. uv ::!l y 50

  • 1. Sample Area (SA): SA Designation:

___ _ SA Origin Location:

== Description:==

__,,C...::.o_r"'...:...* __ Coord. System: lu:J-f lur-> SA Land Mark

Description:

__..Dr"'-=l\/l.=Lv=:i..,...:q... ____ _ Coord: T5.l..7'1 '-/.:l. 3 2. Sample Location Data: Sample Area ID: 3. I./ r Matrix: °So* I ( do.i Location Coord: r 'b 'G 1 q 1-0 4 d. ' <../ l 1 l, Alternate Location Measurements (distance from SA origin and Local Coord.) I$ G L.{ o..d..S wd of C 11/1 x Dist. from Origin (0,0) y Dist. from Origin: .d I edjt '* brlJsh/ l/N-ml ( I '1 *_ Site Sketch Attached (Yes) Sample Location

Description:

C0rn-f 1 d ol stct.l b {,!l Canopy Type; ._ __ Land Use: __ Soil Moisture (Wet, dry, etc.): do.mp, f'ill li...l.\fL..-

3. L Rd" ti R d" ocation a 1a on ea m2s: 2x2Na1 Bicron Notes (cpm) (uRem/hr)

Count time I cm Im I cm lm (min) I 10 1D, 31../o

  • 7 lD

{ JD_"f:(.P./ Ill d.9D 4. Sample Information: Sample Area ID: 3.1. II El -E D b D h escnption 1y ept : Deptlz 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, topography, erosion features) D-i "(" do,1..1 . !-,..,.,,., ... "J... I. I I E I I '.S *30 Jei.J 6-u .... <..I. rf .EZ.. ! Sample Recorded on Laboratory COC form and Container Labeled: rf!J. (N) 10/2.0/15 Date: \ o l -z. d 1 '5 Project: fU '-i SE f4 SAlVIPLE LOCATION DATA SHEET Name: S gl'Dwn , -I Weather: (_ \ 1 S 0.) 1. Sample Area (SA): SA Designation:

3:,. j SA. Origin Location:

== Description:==

LCr:'lf 1 d J Coord. System: Cod-{ [>>."S SA Land Mark

Description:

____ _ I Coord: l't.L.1'4d..J. 1 4';;;.t.J'i:ObS

2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix:

j { C Location Coord: l\ ,;J,.l-l :s-C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) ;:) (p + L{ tt..-ds clt\ L X Dist. from Origin (0,0) Y Dist. from Origin: ____ of Co....v-' Site Sketch Attached (Yes) J Cl{<..:;'

'itcd 1:5 Sample Location

Description:

locn-P1dd..) s+oJ k5 Canopy Type: OQtn Land Use: \:n..rro etc.): (k,l'VI? ,flo v.;dv,. Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on ia on ea mgs: 2x2 Nal Bicron Notes (cpm) (uRem/hr) Countfane [cm lm 1 cm l Im (min) ; l 1{ YL1 10. qui f'J (A l ii

4. Sample Sample Area ID: '?::.. l . f ;;i.. E I
  • E ;.;l, D 'ti bDth escnp on 1y ep* Depth Soil Type Soil Sample ID Sampling Description Interval (Org; day; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, top0graphy, erosion features)

CHS { r lo.I..! 161'(,,,/"\ 3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._, * ., 3._1. \;;l.E.d. I -.......... Sample Recorded on Laboratory COC form and Container 10/20/15 SAMPLE LOCATION DATA SHEET Date: Io l "Z-\ (IS Project: f\! \.\ SE. R.D 4 Name: S gl't>Wn . I Weather: (_ \ .' S 'O 5 1. Sample Are.a (SA): SA Designation: fl<<(A S. I SA Origin Location;

== Description:==


'G_o_r SA Land Mark

Description:

Coord. System: Lix!-( Ui,"!,) Coord: !'5. l. *Ol-:1 l(;,,.i.J

2. Sample Location Data: Sample Area ID: \ . 13 Matri;.<:

Location Coard: *1. o .. (?-":{ '7 7 cl J LI J., Y 'is' J.. I It> 6 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location

Description:

  • de!. i staJ. t5 J J;tJ Nwv+: ( (lf I ; n :s+ru K5 I d cf c I o..rt.?-CanopY, Type:

__ Land Use: fo./,'\'V etc.): dctl"t'Jf I t1D Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on 1a on ea me;s! 2x2 NaJ Bicron Notes (cpm) (uRem/hr) Count time lcm lm lcm I Im (min) . ! 'J..9 10 '8' fJ !-A I l) I $" '-/ 4. Sample Information: SampleArealD: '5.1. ! 3 fZI -R.J, D b D th escnption 1y ev . Depth Soil type Soil SampJelD Sampling .Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention. (cm) sand, etc.) refusal, stone or rock, topography, erosion features) f\*IS :soi I llc-1_ L/ 3.\.13.R. I Soi I br?>w.,.., 3.1. 13.<<..:), I I Sample Recorded on Laboratory COC form and Container Labeled: (N) "10/20/15 Date: i O [ z.. d ! $ Project: '1 SE.!(..() 4 SAMPLE LOCATION DATA SHEET Name: S rSV!}wYJ Weather: (_ ( v:;°'--'1 1 $-05 I. Sample Area (SA): sA Designation: (\(ZD.._, s. I

Description:

-LOr :'[ +: Id rt SA Origin Location: Coo rd. System: lr:d--f Uf1 "-SA Land Mark

Description:

Coard: l't. t, 1!.J ;7.J.' t(;;,.4 G3, 2. Sample Location Data: Sample Area ID: \ . \ l\. Matrix: Sci [ ( Location Coord: . L, TS S G 5 L\ Y Z :J. 1 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location

Description:

lcl i :s-toJ c.f *u-?. el l 4 lD. '-l (L.J_:;, n orl-i1 C <VI d Q_()JtJ MQ_a__ Canopy Type: 0 Land Use: f o__rm Soi I Moisture (Wet, dry,_ etc.): llO 3 L ti Rad" ti R d. . oca on ia on ea m2s: 2x2NaI Bicron Notes (cpm) (uRem/hr) Count time l cm lm 1 cm lm (min) I 't G S-'8' 93al t l ciq.o<., 111 9 I 4. Sll.mple Information: Sample Area ID: ['1 D ' ti b D h escnp; on >Y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand. etc.) refu,sal, stone or rock, topograEhy, erosion features) 0-1$ :sell /Ja.u bn.v.. .. 3 .i . 11.{ .R. \ 0oi! f da.J brbv.in 3 _ l . I'-\ . I( <l I -Sample Recorded on Laboratory COC form and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1ol-z-t [cs Project: f\.I'=\ SE.((_.()?\; Name: S. grt>wn Weather: (_ vv-R1.1 1 s-05 1. Sample Area (SA): SA Designation: 3

Description:

Corrif ,JJ. SA Origin Location: SA Land Mark

Description:

2. Sample Location Data: Sample Area ID: . \ . I Matrix: :Soi ( (dn LI Location Coord: l . c*7 r I S5 L\?.. Ll o }.7 1..1 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: Site Sketch Attached Sample Loca.tiort

== Description:==

in k--5 1 ----ft!) '-/ll-rd..i fJ a+ ( a..r 1 c.. o F s-k.! b Canopy Type: __ Land Use: etc.): dtL'<<*f Soil Moisture (Wet, dry, 3 L ti R d" ti R d" oca on a 1a on ea mes: 2x2Nal Bicron Notes (cpm) (uRem/hr) Count time I cm 1m lcm lm (min) I IV (, {o I 10 'l..3 't JO pJ (4 I 10 :}'Jl., I () /'rD . 4. Sample Information: Sample Area JD: '5.1. I$ RI -D b D h escnption

  • Y ept : Depth Soil JYpe Soil Sample ID Sampling Description.

Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) {}-Is-'Soil / c,\a,y. bni .... ..., 3 ,J 15".R-I \$-:,)0 '; l { clt\'-1 b"'"""' 3_i.1S".R-::i._ -Sample Recorded on Laboratory COC form and Container Labeled:@ (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: \ c \ <-i{ l 'S Project: fv \_l S. E.. K'...D 4 Name: ::f. grown Weather: (_ ( vvc\..y ? 5 *05 1. Sample Area (SA): SA Designation: f\fx D.. I

Description:

lorn+: r ;ij rl. SA Origin Location: SA Land }.{ark

Description:

. I Cooid. System: ld-( Gl'1'\ _ Coard: lo 1'-1 :AJ. t.(.1,,L\ G 2. Sample Location Data: Sample Area ID: -\ *. , (a Location Coord: 1 i-, C9 l l '11 $' Matrix: S'-< j ( ci c,ll L\ ";).*41l'd.313 Alternate Location Measurements (distance from SA origin and Local Coo rd.) 1 * " _..;, ( N r r "-"

c:. X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached in shtt.s Sample Location

Description:

Jin Canop)\ Type: etc.): a.tu*1Ap 1 flll Land Use: _.C-:_o.._.r-" .. iY'--'"'--- Soil Moisture (Wet, dry, 3 L t" R d. ti R d" . oca ion a 1a on ea 2x2 NaJ Bicron Notes (cpm) (uRem/hr) Count time lcm Im 1cm lm (min) l 101 !3+ ci 9 I NM l 't er yt, 1 71-i-=i-4. Sample Information: Sample Area JD: I (p IZ! -R :.2.. b D b Descri1>tion 1y cpt : Depth Soil Type Soil Sample JD Sampling Description " Jnterval (Org; clay; Color (Surface Litter type/depth, sample depth retention, (cm) sand. etc.) refusal, stone or rock, topography, erosion features) C'i-1 s :l'Di ! .611)1,:;r') 3.l.\ln.R.-! 1$-<.0 ::io1I do..c.1 bl'bl-..Cl 3_1.11.:>-R-*d... """' Sample Recorded on Laboratory COC form and Container (N) 10/20/15 Date: 10( w(rS" !*. l < r:_ fl f\.L]_ Project;_-'-\J __ ..:>L:._1'--_u_ IT'---SAMPLE LOCATION DATA SHEET Name: -:S-. (Sl()v-..":l Weather: :S\j(lny I ..... so") L Sample Arca (SA): ' SA Designation: A-ei1>.. 3. \ SA Origin Location:

== Description:==

C.ornfi d SA Land Mark

Description:

\;xi*'-wll.l Coord. System: Lttt-Lt>>'1j Coord: ..J:L. \, 14 1... "L l\ 'J.. t..I

2. Sample Location Data: Sample Area ID:

____ Matrix: s1:1*1 Location Coord: **rLG L\ :l .c.\'8"\ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dhit. from Origin: ___ _ Site Sketch Attached (Yes) 9 Sample Location

Description:

C.. 01nft j Canopy Type: O ?'U'J ' Land Use: -fa-rm Soil Moisture (Wet, dry, etc): d..\Ur\y 3 L f R a* ti R d. . oca mn a ia on ea m2s: 2x2 NaI B:.cron Notes (cprn) (uRem/hr) Count time !cm Im I Jcm Im (min) I s -I.A \ Ci d.S'i ! 4. Sample Information: SampleArea!D: 3_1,11 {<.!-Rz_ ("S-R.l.r D "ti bDtl escnp on *Y ep* i: Depth Soil Type Soil Sample!/) Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) * :efusal, stone or rock, topo-graphy, erosion features) 0-15' ft:ipso; \

  • '\.l.11.

R. \ l'S*3D i 'txt\,"r, 3-1./1.tZ.;A 0-1.$" +Dc."<11 I bmJo,)t) 3. I . l7. (( . S' +opso*, \ :3,_!_11.IZ...\n Sample Recorded on Labo:ratory COC form and Container (N) Date: j ti{ t.o{ f 5 Project: t\J\.\ SC-12..CJA SAMPLE LOCATION DATA SHEET Name: S !5rot.*.J"! Weather: du ... 1 , 'SO,:? 1. Sample Area (SA): i\fQ.tL SA Designation: _3_. SA Origin Location: SA Land Mark

Description:

d-ri

2. Sample Location Data:

Description:

Orfitit.\rA Sample Area ID: __,,,3"--._,_l _ . .:...1 '6..:___ ___ Matrix: :Soi I { c\t\Lj Location Coo rd: 1 i -(Ji+ 3 Yd.* '-l c; d-S 'K :l. Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) Y Di!;t. from Origin: ___ _ Site Sketch Attached* (Yes) @ Sample Location

Description:

. LC'lnfi , skJ k'.s Canopy Type:
  • 0 Land Use: fo..<f'Y)

Soil Moisture (Wet, dry, etc): QQl/Y'\T 3. d R d" Loeation Ra iation ea 2x2 Nal B cron ii Notes (cpm) (uRem/hr) !1 Count time lcm lm ! Jcm lm (min) ! l er t::il.1-!:J "5' i 1J I-A -l

4. Sample Information:

Sample Area ID: 3. \. IZ Kl* R 2. D . ti b D h escnp <>n 1y ept : Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) stone or rock, topography, ero*sion features) do.LI 1-:=;;-:sc. I c..ln,' b-t*_._,,, <-.\ .1t.((. L , Sample Recorded on Laboratory COC form and Container Labeled: (N) Date: !U [ d-O / l) Project: f'll'l :St. ((DA-Weather: 'Svnriy , (06 1 5 1. Sample Area (SA): SA Designation: SAMPLE LOCATION DATA SHEET Name: -:f. ---"C""-u_r_4_i_t-"-l'-"- ___ SA Origin Location:


<;;oord. System: ¢n SA Land Mark

Description:

-=c}_'"'-,,---'-'1 =Wc=(;\:..+l/---- Coord: n;. lfl-. l/'i'DG3 2. Sample Location Data: Sample Area ID: 3

  • t . Matrix: c30.1..I Location Coard: f G TiC7 l..\ 4 d, ,LJ '6-:t ;;:5 'J.., Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location

Description:

Or.rr-!=1 Jd in Canopy __ Land Use: \ 3. L R d" . R d. ocation a 1ation ea mgs: 2x2 Na! (cpm) B:cron (uRem/hr) Soil Moisture {Wet, dry, etc): dll.-YVl'i) I Notes Count time 1 cm lm 1 cm 1m -{min) ' qq1s-9 Ito **t I 'J., Ntf+ \ q '\ (,, i 4. Sample Information: Sample Area ID: 3. ! . IJ. -R D b D b escnpt1on ept ; Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ;efusal, stone or rock, topography, erosion features) 0, IS" /cla._,, hrt,t;..>r) 3 .J _1"1 .R.. / 1S-3o Set l r lbrvwn 3 .1.1CJ _r:.__-;;. -Sample Recorded on Laboratory COC form Container Labeled: (N)

Project: N-\ 'SE: (2..DA Weather: SUClny) I <;;cf 5 J. Sample Area (SA}: SA Designation: '3 * [ SA Origin Location: SA land Mark

Description:

2. Sample Location Data: SAMPLE LOCATION DATA SHEET Name: G;Y'\l\J"')

== Description:==

__ Coord. System: {rd-I C?inj Coard: li. l<i14:;p, \...l'J...Yib{.;3. Sample Area ID: 3 .\

  • d-0 Matrix:

Location Coord: I "D * \,, 1-'6 I ?J L\-_;)._;_, _._4 '8"-'-l '6_13o.,._ ___ _ ( .3 n.-t\..)) i oD .(:-t-. +1-r. cU-i vt V..HU-'j Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (O,Q) Y Di:rt. from Origin: ----Site Sketch Attached (Yes) Sample Loca,tion

== Description:==

s-6Jl:> dtl4-w\ Canopy Type: Land Use: -f.n.q'b Soil Moisture (Wet, dry, 3 L Rd' . R d" . ocation a 1at1on ea m2s: 2x2 NaI B cron Notes (com) (uRem/hr) Count time 1cm 1 m I cm 1m (min) ! '?(:,?.:1

  • 1 'S

! CJ %)11 ;;l,. ' 4. Sample Information: Sample Area JD: J.O. fZ 1-RA D . f b D th escnp ion *Y ep Depth Soil Type So.ii Sample ID Sampling Description Interval (Org; clay; 0>/or (Surface litter type/depth, sample depth retention, (cm) sand, etc)

  • refusal, stone or rock, topography, erosion features)

D-tS frt;0NV s .1

  • rz. 1 "'-of'nL 1c.c..k.S i:S .30 .:s.oil frno.vt-l b-t*,,,"'

3.1. ?.1i. tC?... nc...k. s " Sample Recorded on Laboratory COC fQrm and Container (N) Weather: , c...\.zs:iy 1 Lo5 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: -::S-. CSrtw 'Q SA Designation: A-\"...o, 3. I SA Origin Location:

== Description:==

Ll'l""*rl*i ,.__JJ. Coord. System: I o:tp c""0

  • SA Land Mm-'k

Description:

Coord: 1 .L,1 q d. . Y *;;i.. '-l '8"0(0 2. Sample Location Data: Sample Area ID: 3 * (

  • Matrix: S.t> *, L Location Coard: 1 '[ . G f 9 (i, 3 ?-. __!:!_?. . l{ "6' d.. 4 t\ ')._ l q '.:, yo_...-t,l:5 . tJ E c + civi v t W':J\.'i Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist from Origin (0,0) Y Di!;t from Origin: ----Site Sketch Attached (Yes) §) Sample Location

Description:

C-Vr,---f.i ..._J._J > s-kA \:::..S Canopy ..... ?_Q_,v'"\ ____ Land Use: Soil Moisture (Wet. dry, etc): dfl...VYlf

3. L Rd" . R d' ocation a iat10n ea mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr)

Count time !cm Im lcm lm (min) *-* I 9 f 0 !"Jffi I 93-tj 'Z"l-C(O . -4. Sample Information: Sample Area ID: S. I . d-I Kl -f<. d.., D . t* b D h cscnp1 ion 'Y ept : Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, {cm) sand, etc) refusal, stone or rock, topmrraphy, erosion features) so:\ bv.rV"l "3-1. l . ((_ (-r--\'5 *30 bl'llwn 3. J. (2-J, I -Sample Recorded on Laboratory COC form and Container Labeled: J (N) Project: fJLJ SE R D-4 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: --:(. SA Designation:

3. ( SA Origin Location:

== Description:==

  • _C_o_o_rd

__ __ _ SA Land Mark

Description:

Coard: TL!. 1 L/ ;A?., . J. l/ (0 2. Sample Location Data: SampleAreaID: ?,.l.?;J_ Matrix: .JoiL_ Location Coord: t t". L SS-Lf :J.. 'i 3 0 1-3 Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ fJE I i'l '-{tt-rt.U frrn1 (C.r Site Sketch Attached Sample Location

Description:

ct:-;'fl{; r_I r,{ I siu. lb c:J Canopy Type: Onw Land Use: .ki.rM I Soil Moisture (Wet, dry, etc): da.mp 3. 'L Rd' . R d' ocatwn a 1ahon ca m2s: 2x2 Nal B=cron Notes (cpm) (uRem/hr) Count time lcm Im lcm lm {min) I "l'Od.D 9 lO tJ . ft I '8843 '('Cl<tG. 4. Sample Information; Sample Area ID: 3. J

  • g.:l. (< ( -R;), D b D th escr1pt1on )y ep Depth Soil Type Soil Sample ID Samplbzg Description lllterval (Org; clay; Color (Surface !itler type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!!raphy, erosion features) o-iS 0o*\

3.f. J,,::A .IZ l Sc

3. I.

{!.,,;;>._ -Sample Recorded on Laboratory COC form and Container Labeled: Date: Io( 2c{ IS" Project: N"-1 SE f. o+\-SAMPLE LOCATION DATA SHEET Name: brnwn . I Weather: :Su11ny i c..lea....r, (of) S L Sample Area (SA): SA Designation: ftc"'.lo.. 3 . I SA Origin Location:

== Description:== (o,..-,-,.{,*dd. _C_o_o_rd __ Coord: "1'i{.Ip7L/ J.d.. =ti;.;(. t.J rD l0 SA Land Mark

Description:

2. Sample Location Data: Sample Area ID: 3. ! . Matrix: Soi I Loe a ti on C oord: 7 ""6 . (r, 7 D 4 3 __'.:[ ;;i . t.I '%' d. ' Alternate Location Measurements (distance from SA cirigin and Local Coord.) X Dist. from Origin (0,0) Y from Origin: ___ _ ! 30 4 lt-rV\:i .N Site Sketch Attached (Yes) (.Ol'Yr(:j Q,td : ." ll/ _ _s Sample Location

Description:

Canopy Type:_O ___ \;'_Q.111 ____ Land Use: -hv1-v-., Soil Moisture (Wet, dry, etc):.-----od_,_<l_Wl--F-f--L t' R d' f R d' oca wn a 1a 10n ea mg.s: 2x2 Nal B,cron Notes* ; (cpm) (uRem/hr) ! Count time lcm Im I cm Im (min) '* .. ! rO q 1 {.), '1 10 fl} ( 4 I '1 S-"f Cf i .. I I I 1]1 4. Sample Information: Sample Area ID: 3. I. :;2.3 KI -R;A D b D h escript1on 1y ept : Dept It Soil Type Soil Sample ID Sampling Descriptioll Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, toEograehx, erosion featuretl._ o-1s-Soi\ brtU..."l 3 .1.:i,i.r-.1

  • .. 1$*30 Sc-1 I b,-ii.,..r.
3. '*

Sample Recorded on Laboratory COC form and Container Labeled: (N) Date: io( 2o{r:5" Project Dtt Weather: S\Jnnq . d t<i...r G-o 3 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: -:::r. f3rn!P ') SA Designation: A-n ..... * ! SA Origin location:

== Description:== (o.,-nt i _C_o_o-rd-.-S-y-st-em-: -/-v.:t-1-(......-I i_IJ_:3-__ _ SA Land Mark

Description:

dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J.

2. Sample Location Data: Sample Area ID: _?.:>_._l
Jo; L_ Location Coord: Alternate Location Measurements (distance from SA c*rigin and Local Coord.) 10 l...t tJ +11T'IV\ CD..,, X Dist. from Origin (0,0) Y from Origin: ___ _ Sample Location

Description:

__ c_c_' r_n_f_r_* 1> __ r_1 _sh __ _____________ ---, Site Sketch Attached (Yes) Canopy Land Use: {o_.,.n., Soil Moisture (Wet, dry, etc:): d(J.,yj/\pF---

3. L Rd" . R d" ocat10n a 1atlon ea rn1!s: 2x2 NaI B,cron Notes (cpm) (uRem/hr)

Count time !cm Im lcm lm {min) -! t)L:Si er 3o;;< 1 JG J\f i A \ qq 'l 'K qd,!S-1:1 I 4. Sample Information: Sample Area JD:

  • 3. I. d.4 R.J
  • R... D b D h escnpt1on 1y ept : Depth Soil Type Soil Sample ID Sampling Description

!llterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topography, erosion features) 0-t S' .So,\ brt.w.-i 3_ 1 _:i.,<.(. IZ. r 15-)D 'Sot I 3.1.';),'"{.1<.J, Sample Recorded on Laboratory COC form and Container (N) r r ,. -r}}