ML16293A677: Difference between revisions
StriderTol (talk | contribs) (Created page by program invented by StriderTol) |
StriderTol (talk | contribs) (StriderTol Bot change) |
||
| Line 59: | Line 59: | ||
,_.,.:;;i . Sho"ld Project/Site Na111c . Fax#: lhl* <::-- Prcscrva1iw Type {6) | ,_.,.:;;i . Sho"ld Project/Site Na111c . Fax#: lhl* <::-- Prcscrva1iw Type {6) | ||
.uunpte b.c: | .uunpte b.c: | ||
Address*. OJJl:!iiiden:d | Address*. OJJl:!iiiden:d Comments Col lcctcd by: Send Rc~uhs To: Note: cxtrn sample is | ||
Comments Col lcctcd by: Send Rc~uhs To: Note: cxtrn sample is | |||
*Tim::: required for sample | *Tim::: required for sample | ||
'1:i:H.: (\'l~ic;.:kd F1dd Si11tpic 'fSC C"il~l:C:Ltl Q(' | '1:i:H.: (\'l~ic;.:kd F1dd Si11tpic 'fSC C"il~l:C:Ltl Q(' | ||
| Line 153: | Line 151: | ||
PONumbor: I'*~* (843) 766-1178 Clicut Name: Phone#:. Sample Analysis Reque.~!ed <<J (Fill m the number oi,anlai11ers for endr tc~I) | PONumbor: I'*~* (843) 766-1178 Clicut Name: Phone#:. Sample Analysis Reque.~!ed <<J (Fill m the number oi,anlai11ers for endr tc~I) | ||
-~ Should | -~ Should | ||
** 'Projec!iSite Name: Fax II: this <-- Prcscrv-Jti\~ Type (6) s:un11le he Address: considered | ** 'Projec!iSite Name: Fax II: this <-- Prcscrv-Jti\~ Type (6) s:un11le he Address: considered Comments Collected by: Send Results To: Note: extra sample is 1 | ||
Comments Collected by: Send Results To: Note: extra sample is 1 | |||
T1mt.: | T1mt.: | ||
required for sample | required for sample | ||
| Line 305: | Line 301: | ||
lllli'nm,tL | lllli'nm,tL | ||
** f"or**r:0111110JJ1Jes--: inJJ(/Utr ;~tw-t (tf1/I .~1uv*du1cl1Jme 1. | ** f"or**r:0111110JJ1Jes--: inJJ(/Utr ;~tw-t (tf1/I .~1uv*du1cl1Jme 1. | ||
: *.*. . ~:,:1:(.,* << | : *.*. . ~:,:1:(.,* << | ||
".l'ATRcqucs1cd:)l'ormal: | ".l'ATRcqucs1cd:)l'ormal: | ||
Revision as of 18:03, 24 February 2020
Text
{{#Wiki_filter:~ . :' " * ** I App E-
. Sub-Area 4.5 - COC Forms
rr::1;e: __ , --****~--~ of GEL Chain of Custody and Analytical Request GEL L*boralorics, l.LC Pnijccc #* 2040 Sa1*agc Road
"'*See www.gcl.com for GEL's Sample ./\.cccptancc SOP 0 GEL Qua to fl: . **-***** " - - - - * * * ...... ..... Charleslon, SC 29407 COC Number t'l:
" GEL Work Order Nnmbcr: Phone: (843) 556-8 I 71 PONumbor: Fax* (8'1J) 7~6-l 178 Client Name: Phone II: S~ntple Analysis Rcql!esterl 1si (Fill in th~ number of containers for each test)
.. ~. Should '
Project/Sil~ Name: Fa:i: #: !bi* *'** Prcscm1tivc Type (6) sampl.r: l>c Address: cuh>ldcro!l
' Comments Collected by: Send Rcsuhs To: Note: extra sample is
*"fir.*~ required for smpple
.. l)r,?.: (.'utl~..:1.::-*l Fi.:.1d S.:in~r:~ TSC C'u~ko1<tl QC !ipecific QC Y.u;tri:ic.. Rodi A Sample ID 1Mil!l*1y\ Ca.Jc:; ID flltr:;t:d r*1 (nim*dd-yy} V! .QJldf Re~u (lih*1m)
"' Fm cmm:o.vilr.\*
- imlir:u/r ,v,fo.1rt Rl!t/ ,,*/rJJJ d'1lc./limr: l:ircd 1cro q, s~\ ti**~'\ I \l.*+-\c;'
L.\SPc ,\l...~~. 1.., \V\-\S 4 ff\ ,v.,.t.j.! \'1...-'\ -1(
'-{. 'S'" ~, ~. i.f ,L \1.;-'~-\ <
Lj . 'i'~. ~. S-1 \ 11.--\-\ (
'i ,ff\ , i.. ~L 11."\-\ (
lj. <Pr (12.... {Jr. l 1'2.:*1-'!{ l4 I .:;-~ ,\2... {.Q 'i. 11-1-'s 4 6}\ v.... , . I f /*l,-t-\\
'1 \R, ~.1,-z., 11--\-'\.S TAT RcQucstcd: Nonna!: Rush: Spec1r1* (Sl!b;'-"cr ,., surLh,a!l,~) IFox Res.ohs: Yes I No Circle Dclivcmblc: C u1 A I QC Summary I Level I i Level i I Level 3 I Lc~dol Re11111rk~*: Ar<' there <tny known hamrds appficabf,, to tlre~e .rnmple.r? ((so, pleas<: list the hazai*ds Smn11I~ !:!lll~~!i~n T11n* Z!:!n~
Eosleri1 Pocific* Ccrl!ral Other ~ ~**-******* Mountain Chah1 ofCust<!dy Signatures Sample Shipping :111d Delivery Details Rolinquiohcd By [Signed) Qnto Time R<<oivoJ by (01gnoJ'1 Dalo Trmc GEL PM: I I ' Me1hod of Sh1omo;:r Dnl* Shmncd: 2 4 A.trbill "' 3 3 Airb1ll ~ I.) C'.ht!iii of c~sl~y N1.11nb=T ::.. Clic;PI D~f!:!rmil'lt:.d Fo1* Loh Receiemg W~ 011\r 2} QC Codes* N ... N(lH11:.il S~mpl~ TU- Trip lllartk, FD ... fidc.l 011p1rcatrJ, EU"' Fqu;timcrit Hl::it~lr:. U:S-= M~tri~ Sr.1k~ S.amp:c:-, ~lSD w M:itwr: s,ilc Dt.rhc:>J(' Samp~c, f.Jo .. lir:ib, C "'C~IT'r.<nH~ l) F1-eM r.'tbrcd }-Qr !iqmd llln,:rii;c~, lruJit:~lc: w;.lh ., ~ Y ~ t'ott )'~!Ii lhCI .s:a;np~c \Y:'I(. fc13)d flh~r.;d ~' - l'i - for scmpln.. ;ois nul lic;!d fi!l1:ac:i Cmwdy s~al lrll<JCI?
- 4) M~lti:< Cr.des. l)\\.'=Dn!1kmg \Vei~cr. GW:-:Cir~111;:dwh!c;r, !HY"'"'S:l4rr:iu:: W1:1.:t.1, W\\':.-W11::.tc: W.u.cr. \\...*\\'u~...:r 1 ML=.Misi: Ltii:;:1*, SO*=~ml, ~D**Si:di11a.n1. SL**.'i.li::Jg'-', S$**,1it:Ji*.1 '.':<t~h:.. o.:011, F *fltt'-.'r. l ..* Wij ...:. u~*t-mt.:.1-': rc:~~I. ~* ~ l'ES NO
~.) !-:unp:,~ l\n.al}"::ill R~.tjt('S:ed: A'1nlyf~.;11I mc:Utod r"Jt.:~~~d {rt= BUOB, -601Dlll14'10A} m~ r.w1~twr or,01:r:1ineb p:-cwtleJ for cnL:!i tu: .UdtJR- :t. t:fJJO/Jl7./71~A - I> Covh!r Temp.
. 11) Prc:.lCT\'i!.UYe 1*ypc: HA :::r H)'d~o;hf.::111~ Ac:ii,, Nl 'C" J\lnnc Ac::d, SU .. Smh:.i:n h)"Jr"Jdd... S,\"" s~ilf;~~*.:- A,:utt AA= ,-!\1ccJTb1i; Arnt, fl~ T* Hi:::tm~. ST,., Sc':aJ~ll~11 Tb*;.udfra:c, lf l~U ftc:':C~'ltli:.H\'; i~ oidibf ,.. k.;n* t::M h!.ink c
{; WHITE= LABO RA TORY YELJ.OW = FlLR PINK = CUENT
P*gc: ___ ----*-** of ****-------** l'rojcct ii:
~--*
GEL Chain of Custody and Analytical Request GEL L>bcrMorios, LLC 204(} Sav~s~ R(\~d GEL Quote#: -***-"------ **-*** .... .. "*See www.gcl.com for GEL's Sample Acceptance SOP""' Charlesta11. SC 29407 COC Number 111: .. . . .. Phone* (843) 556-8171 GEL Work OJ'der Numb!!r: PONum~cr: Fnx: (B43) 766- J l 7!l Client N~me: Pl:one #: S~mple Analysis Requested <5l (Fill in the nmnberoiconlainers forend1 l~st'1
,_.,.:;;i . Sho"ld Project/Site Na111c . Fax#: lhl* <::-- Prcscrva1iw Type {6)
.uunpte b.c:
Address*. OJJl:!iiiden:d Comments Col lcctcd by: Send Rc~uhs To: Note: cxtrn sample is
*Tim::: required for sample
'1:i:H.: (\'l~ic;.:kd F1dd Si11tpic 'fSC C"il~l:C:Ltl Q('
f.~lrcred M::.tr*x R*dl A specific QC Sample ID (l\11111,.,n C"4.11:111 (mni-~d-yy)
'4} t!Ntl[ R.igU 8 F11r t*r..mr.*011,/fts - mJi<:afe ,*r.:.1rt iiml .rl1)JJ doteJlm:c lhhmm) l:l.1.c!.d ber o
!{5( ,"\t.3. l p_,1..-1(
I.'\ ,'SC ' R.2>.1. 11-Hr' LL <SC' l) ' '2.,*, ':) L-']..-t 5 4, -Sc jl.. 3.. L;> I 1t..--H<
~ I((.. R,..1..J, }. l'l-\ -'1'5
'i . SC. it. 4 ,(_, n.1-\~
Lf , ')C. :r.. .6 . I n.-( - rS-q, :)G- i s. l. 11-1 -\') I I L\, s-r. '\t.l.Q. \ 11..-1*\1 l..\' ~ (' IL. w. 2. ri-1 ""s-- TAT Roque.stcd; Normal: Rush; Specify, (St:il>?t't."Lh.!S~!"di:.:rg-e) lr-a:x Rcsult5. Ye* I No Circl" Llclh*orabk. C of A I QC' S mmnarv I Level l ! l.cvc\ ~ , Level 3 I Lc,*el 4 Re1mrr/ts: Are there a11y kno>>.n hazcmls applicahle to rhes.- samples? !f.wi, please li.~t rhe hazard> .S.!*.w)ll~ C!lllccti!ln Time Zim~ Eas.tc.m Pacific Central Oiiier ..........-.. ,. Mo1mt.1in Chai11 or'cu~lody Signatures Sample Shi11ping and Delivery Pdnils Rolinquis\:c<l lly IS1goe<l) Date Tune Rccoiwd by (s1g11cJ) D*l* l'*IJ:C'l GELl'M: I l M<lhud uf Sh1nm.,I; D~I* Shipood: 2 2 Airbil! ii* 3 3 Airb1!! ff: l .} ('h1?j;1 of Custody Nl!1:tb~ =- o~i:ril Dcitrrn!r."d 2 J QC C~:t~'.il* iii.,... Ncm1~d S'1mrlt, TH rTr1r Ul~rrk, f'O ... ff~ld Dup:i.'.:~!c, F.U = Erimprner11 Bt1111k, MS .. Ma1mc Sp!~e Saw.r:~c, )1SD .. Ma;rLL Srikc TJ\..pHrntc :;an~~!!, G...:. Orab, C .. Cumptni:..c tor L"" 1<ec*i"i1rg U.<<< 011(1
) ) Fu:ld Fdti;:rn;f: fer l;qu:-d rFalm:e,;, 1'!1dccs'c \v.Jl1 .:l - V -fo~ ye~ i_hc ~~1riplt: ~v1u Ri!d nl!~tcd eor .. N' .. for ~.~mp!!' was ncl tkfd filtered C11srcd,1* Sl!a/ l11tact?
~) M.:itru: ('c.1dc:,* lJ\V=-=tlri:lkmg \"-"*llt.T. GW*:(iwrt:;.d"""';::r. S\V='.':t1rfi;c.c \VJ[~f, "'\V**Wu:nC" W...1.1:r, \'f"* ',\' Jl<=1, ML*:M1!t.: Lio]l~idt 80**~ ** Li 1 SD=-*~i;J~~.:l!t, Sl ..**S!~\!gc,SS**S~ld \Y~~~~ O***Otl. F **F11tc1, r-*Wi1~. U-L'rin*.:, I-1-Fc~l\l 0 ~* l )'ES NO S.) S;~!11p!a A~lal)l~t:lltcquc-t.itc:d. Ar:olyC1..:al m~l~~fd rcq~es~C'd (i c. 31Ei.Gfl., 60HJDJ7.f70A) t:md r.:.i11~l.:.c1* af 1.:1..1nLi1:::u::*t~1ifu\'ickd. rar czd~ (1 r. Sit11)b * ,1, 61U'il1170rJA
- l' Cno/cJ* T.:*r.p
- 6.l PJ.ct:J\*'1.ln*~T)',1-r. HA .. H:ydro-:.Mcmc AcJct. Nl - 1'.Jtr;:.c Acirf. SIJ .. Sc:d1:.r;"n l()'.Jro,xr:Jc.St\ ... S*Jffnr;c Aci'll'l, i\.1\ .... Atii.::mb1"1:" A":(J. UX .., H1~11.~n:". ST .. Sci.:.~,:*n TJ;io~1Jf,,!t-. lf1~ ... rt":t~!v~h'tc i.r,.~1fi~cid -lc.1\.'i'? ifali! bl.:i!,k c WHITE= LABORATORY. YELLOW~ FILE PINK~ CLIENT
GEL L>b'1role>ric>, ll.C
------*- -- or GEL Chain of Custody and Analytical Request PraJcct # 2040 SJvag~ ll.~ad v~see W'Ww.gcl.oom for GEL'~ Sample Acceptance SOP 0 GEL Quo10 I/; *-**- ... -*** Charlcst~ii, SC.' 29407 COC Numbor1 11: Phone* (843) 556*~l71 GEL Wm*k Order !\'umber:
PO Number; F*x (S4,PM-l l78 Cl*.cnt Name* Phune II* Sample Analysis Requested 1'l (P1H in the number ,,f ~unlainer> for cal'h tt-:;tJ Shvuld Project/Site Name: Fnx ii tl1h *** Pr>:~crvotiv~ l\µo (6\ l--------------------------------------------1 ... inpl< !J* Addre>s: co11sidc1*ed Cummcnts i Collected hy: Scr.d Rc~u!L~ To. Note: extra san1ple h I* D;H": Cu!k::!..:G O:.'*!u1;Li r~( fidd ~.:lm\~ lSC I rcquirc,l fm ~ilmp!c specific QC
"'fi;1 .;.rm:p'~.~irn Sample fD
- 'JrJ.'i'lrit' .\"/.IJ'I i.C! 1Jh'top J,:fr{t.*r.1c I ,,,,,,,.,Jot.~*r)
J~ftlH:lt\) (hhmr*l) 1_.:-1,!c m Hiorod
,,, M~~~ 1x
~4 :
ttnib A t-c.;ci RCJ:,\J loi.~ ~er ol
~ s. IS.f?... 3 ! i2..f! ,,~- I
~ .'S". 6 If.. 3 ;J 12 ( 1 /1-.;
i..J.':::-.1s.1C3S rz./r/f'\ -, I 1----1..j_: . S' * ~. c ._~__G_**------------+-nlJ.LL-1-----1-----1-----1---4-....;..--+---+--i*- .,...__ _,_____+-1__.1--+--...--+--~--- _______ J 11 .5'. 6 1( . S". l 11~! I;,,- : i No Cir.:lc [ldww1blo C: 1*1" A I {)r:' Summary ' Lovci I 1 Lov*;l 2 I level J r l cwl 4 Remarfl,;: Ar...- th.:re any lmrJWll Ju1zard1 <lpplinrbf., ro these: .1*amplt:s? if.~o. pleu.re list the hm:ards S.iJ.ill~*(~n Time 71:nc Eastcn1 P~caric* rcntrnl 01hc:* M<rnntJin Ch:iiu of Custody Signature~ S~mplt Shipping and Dclh*cry D~tails Dau:: Ti:nc GEL PM: Anl>ihll
/\11bill #.
l 1 {.'h,'li:t of Cl!Mod;* Nti*n~t ** c*~:cn: Dc1;:rm:*>:1;il Fm* Lall R{'ceivinf: Che Ot1(1' ~ l QC (\":,k.~* N .. Nvrrt~~t ~.nt..r!e, Ta-= Trip m.mk, FD= f1cid D:u~!b.i:;-, F.U.:. Eq1.11r.n~!:r*. n!:.1:lt. \1fi .. :r-,falt*~ Sp~Kc S:;imr.le, \t.S() =-\!:urn.. ~p*l:~ Dup~1~Jtl"' Sa11~pl.:, G., Gn:b. C .. C.:rrnro:Jitc
- 3) Fmld Filli.:!ttd r:o~1io;1.:1.:J 1l*nlnr;1=r., ,~~h-o:;: wil~I n. '\'. fo1 't't.~ 11:.c- 'i~n,1;:J..:: u,o,;.~ l1t'kl rfEcri:::! er. :'.j .. fi;;r(;:i~~~=~ '.\--lS .1.:il l~cr~ n;:c:tct:. C11.r1od1.* S<!al iJ;t,JL'f?
' l Mo*ll' <'.<"k>>* DW**lJti,ki"i w,;.;r. GW **Gro;ua<h'""'" sW-*~r:rfau: 11'>!.:r, \\ W w,,,,. IV,1!<r. w.,\\'a:*r, Mt Ml>< Li-r,:d, SO*-S,,.l . .SO"S"h""'*'* SL '5'*,Jr**, iio So;;.r '"" (1-.,)p, f **f.liq, l'**Wrr<, l' *Hto"'* !'-fr,.,,. N** '1-----'-)..:::"£:::.J_ ___c..'lc....;'O'------l '\) S:in1µo!t /\n.il:}'-.ii T<.e~=.*e-sf~.i.i Ar:~lyui::i-: mell.u..I rc\1tiC'~LeJ ,1.~. 8l61Ul. ~{) l.'.W/747\)AJ ;in Lt ["..-:1*.Lrt \1f t:<*;)!;1:m:1~ :,:r~l*mJ:.i for ~,li:.h {1 ~- ~;twD - J, t:)/l:B.'74f0.-l - IJ Cooli.:r "!'i!inp t*.J PI01<1Vd*"' Typo f!A "l\)-d,ocl1!,,(o Aci.1, NL~ N:im "'"'* Sii ~ ~oj1*;ro H)o~mx;,i, S,\ ** 3;,ltr*PCA.:1;~, ,\.-\ ~. A"ort;< ,\<Id, UX - Hcx>no. ~T ~ So.!t<m1 Hiu.1*.lf*"* :t'1ro *°'"""""" "-'<1.'.c*I- ~.,., r,,,1.J bbr.l (* WHITF. :*LABOR.\ TORY vr..1,1,ow ~ 1111.r. l'l;\IK *~ CLmNT
_,r -*--*--- ..... - **-*** GEL L*bvro1<orie>. LLC Poge: ***-*****-* Project 11* GEL Chain of Custody and Analytical Request 2040 S ovagc Road
*~See WWW gel.com for GEL'S Sample Acceptance sop~~
GEL Quote#: Charle,;t<1n, SC 29407 COC Number en. Pl~cr.c: (84)} 55fi-8171 GEL W<lrlc Order Number: PO Number: Fn~- (MJ) Uiri-1178 Clcent N~me* Phnne #* S111n11te l\.11alysis Rrqnti.ted tll (f't1l 1n the munber of container~ flir e~ch :est)
~h*lllld Pmjectl.Site Name. lhl*
1---------------------------------------------l ;a1n11I" he Address: t"onsid<:rt'd Comnt~nt~ Collectcd by: Send Rcsu)ts To Note: extrn i,11mpk 10 requ 1red for sample f *(.1.,!~ t'c.*t!e~*kd hold e":r.p'.o TS<:
~pe.::1fic OC S:imple ID
- Fm rm:'VifJ.~J/f"!t .. rn.J1c:are.,*w,,.1.io:.htr.11diilt"-'J:r:~
I 1nun-dd*J.*) f*l<md Mi.~m;
~4~
R;uJi Cr.l\.'Ii
'e 1\
Rt-i,~ lilfcd l.Jern L\.$". c.R.'?.S- l l\.s.cR.t ! !I*
- 4. ~. (.. I(. ~. ;;i.
i.\. S. B. ~. i. \ I i C:-irclo Dcli'vcrablc: C <'f A I QC Surnm~ry Lcvci J i I .<vol ~ I Lcvd J i Lewi *I Smn!lk.Co.ll!:~!!1.11Tim.Ur.11~ E~r.tent Pa(..:dk C:cmral ll:hcr Monn tail\ Chain of Custody Slgn:ttntr~ .Su 1r1ple Shipping and Delivery Dct~ils t imc Tm.r. GEL PM: M<:~hod t1! Shinmcn, 2 A:rbillll. 3 1.} Om\*i :>fC'\l.!<ilody N1.;.:~~r- ( h~m 1':.krttt:11~d For Lab Rec:elvurg l/9e Onh*
- a; Q
- ~: Cc:J~s* N ""'!"4.::1nr..11 $a~:lpl~ TB.:..: Tr:p 0l;i.r.k, FO "' F'1c:d Drip:11.:flli:-, F.0:.. ~(!tapri~~!li Jj!m:Jc. \.1S ... M:ilrix ~:::uki: Sa1¥tp~~. ~Um~ ~-'q1fric ~ri~~ Di.:p:!c;i;ti Sa1rpr~. G
- Gnh, r , ,_ C~:;ipo3:t~
J} ro~ltl Filler.:~ F'C\l'll 111..1TJ r.*.1:n;*~*. ird~ta!t: w11~ :-; * , ** re~ "l"t::~ 11:~ "31':11-tC \ioa1 r:.c:::J r:lli:r.::t C*r. !'\ .. ft:r ~<ll!".pl;: lk;J.::i ()Cl 1:.t.*f;:l fi:Li:,c:d Cn,*!OdJ* Seal lnwc*r~
** 1 !\.lo!lrf( Cr.ido.';, OW**Op11h1~ \\.'.1!i.:r, GW t.:m:;~~.J,"*,,~c:-, S\1r~1.1f;::1.:;c: 'M.tt-.:r, WW W.isia: W.~ri.:1, \\'.*\\.'*.:.~:.'!,Ml,- ~Jl'-L L~~l*ill~. f!i().-:Slii:, !;D..:"i!!:):~;~n!, SL*-.Sii.ltl;;.:o, SS **~*~*:11! \1.*a .. r.*, O: (;d, i;-,,,r::lt..:r, l,._*Wi1~. U t~n.:..:., f*..-Fo:i.:.;i!, 1"1***1-----"l'-"E"'S----'-l-'JO'------i
- 5) $;:nr.p!c ,\niltJ-S~' Re.q:~eued: Ar::;.iyltc.l. n~eth;,li rtfi:l..".?:S!iJ<l~* ~ ll':iiiO,O, 6010ru'747U.'\} 0!1*l ~~;**>;lJc-r-:Jf it.L*::rtiir-C"111 ;,):!1Yi:lL!'J for t".:>d; (* e. Slt.OB- *'* t;~}JulJ 1 U'!n1. l} l.. iwler Temµ
,;..) l'tc<c""""c T:1:< It.~ - liy<'rr<l1,orrc A<l1, NI" Ntu: AcrJ, SJI ~ !\o~rn:n H)*lim<*rlo. Sit~ .i<1lf.u*:o ""'*AA* A.mil<!< A<>.!. llX *Hu' ST~ ~.Y.fl.:ll T!'1<><1;)f,,r:, tf 11u r.rtm>,,;**" >d:~c.1" ;.,,.* r.d,1 bl>:*l C WHITJJ:= LABORATORY Yin,LOW=FlLf: PINK-Cl .. 11-;NT
GEL Lnb<Jro1ories, LLC Pai;~
- - - -. *********- oi" -* GEL Chain of Custody and Analytical Request Project#: 2040 Sav~ge Road
**See www.gel.com for GEL's Sample Accep1ance SOP*" Charleston, SC *29407 GEL Quote#: -- ...... * - - - - - - - * * - - ***-**
COC N11111bcr en: ... .. .. ... .. .. Phone: (843) 556.8171 GEL Worlt Order Number: PONumbor: I'*~* (843) 766-1178 Clicut Name: Phone#:. Sample Analysis Reque.~!ed <<J (Fill m the number oi,anlai11ers for endr tc~I) -~ Should
** 'Projec!iSite Name: Fax II: this <-- Prcscrv-Jti\~ Type (6) s:un11le he Address: considered Comments Collected by: Send Results To: Note: extra sample is 1
T1mt.: required for sample
*o:.H..: c,~!~..:t.::iJ C'll~kc~t:<l QC" Fi::~d Si1t'l!pt1! TSC f lr~~cd M-;.1rne. ll~<ll '~ specific QC Sample ID (inm-<1'1-Y)')
[Ml!ll;tr>) Co~e £ll
~J "i 1l:1Ctl R~cu
{hhunn)
- Forcomvo~i!e_,.* ir;Ju:vtc* .,*larl and.\Jaµ Ja1elfll.~l.' ve 101red Jl'r oh l-f I ~c *\l_, ~. \ YL-\""'\'5 Lj I s-c R..X .1- !1,,-\-\ S'
~. S-C.1l.. i .s- ' ') -I -l(
TAT Rcmics!cd: Nonna!: Ru*h: Specify: (S"~ic..' '" ~"""""1:<1 IFnx Rcsulll: Ye~ I No Circle Dcliwrob!c. c~rA. I QC S111mn.iiy i Level I I LcYcl 2 I Lc,c\ 3 I Level 4 Re111111*ks: Are th,*r~ a11y !mown hazards applicable ro these .rnmples? Jf.~o, p!mse Ii.rt the hozard~ :illm~I~ !:;ol!~i;llQD Tim* Z!!r.'1 En stem Poc11ic Central 01hcr ... ---*- *-** Mo1mtain Chai11 of Custody Signntures Smn1>le S!iipp!ng a11d Delivery Details Rolinquishod lly (S1gr.cJ) Doto Time Rccowod by {sign,d) D"tc lime G8:LPM: l I M~thoJ of St.inmcn1
- Dale ShiJJPCd:
2 2 A;rbi!I#. 3 3 Airbil!ll* l ) C.wh<ii;t. ,,r C-1,2~1udy N':.unbr =- Cl1i:n1 o,1c:rm!m:d Fm* Lab /leceMng Us~ 011/r 1.) 'QCCC"::le::<: N -Nl!nn~IS<'!lmJllC. TH .... Tr~r m;mk, r.'D ... fi:::ld Duplicate, Ell - J?quipn\c~t r1h:1ik, MS.,... Mltri:< ~pike Sil.mp-le:-, :i..1~b - M11~r1:t S;;dco r'!s.:ph~c Sl t1pk. G-Ori)li, C-C*.m~~;i.S"itc 1 3..) Fi~kl F1i:crcd* Forl:quid rn*~ii:c,.:, indlrntcW!1b a.'\" .. fer ye~ Ilic 3.2111'P~C: \\i;t~ fi:;:l.j m,cr;<l c;.r . . N' -for .:;:.::mr.lc w~S !icl lidd fillt:r~. C11swdy S<'ul lmaL1~.
.1 ~ M~1r1ic Cct!es: [)\VnDrrnkR1g Woit~r. <i\\':*Gmund\Vil1u. :SW-S1Jrf.:<:c: W~~.;:r, '\\!\V...,\\.',;*:;lc \\.';it.:r, \\.'-*\V;ii:~r. M1-**M'1~1: l. . lljl!:U, SO** Su~1, SD:-Si:d::lic:iV, SL; ..S!;JJge, SS *S::i1iJ Wt;s.w. O-:C:1I, F**F~!;::-;;, r**W1po!'. U l'r:nr.:, 11 l'***I. :<**. }'ES NO 5.) SJ11!~~ A113l)'jig Reqt:e:hcJ: Ar..nly,itill m~llioJ IC{jliCs:!cJ {1 e. !1:26-0R, 60l{ID/7'370A) ,,ll~ r~:1~;b~ -.if <.r--~;Ja:cr!> r.=-~"~dcd for c;;i;,,:h {i z: .[{1608-J, ~J(}Bll47fM
- l) . Clm/,r Temµ.
r;. J Jlc(::111m,:\:i\.~ T)"r:o* JI,\ T. Hy.~ro:t1lori~ Ar;:i~, Nl "'"Nirri; Ac:W, Sil Scdr.sm Hydroxir.o;, .~A .,. Si,~h.nc Ac:!'! *.\A.,... A.t.i:~rh'( Ac.frl, JlX. ** Hci~iu;-=. ST* SG;!~\;m Thiim:lro\:c., l(11i..\prc1cn:a,1v:?
- El .'ii :i.. M~rl .... :ca\*¢ f'i-.:M ll!.i:i:1l.. c wmn; = LAUOR/\TORY YELLOW~ FILE l'JNK ~-CLIENT
..---=------~-------,.,---..,..----------~
rag~:_..,::.,,._____ ~r______ GE_JL ~eh_-ain of Cust_od_y 'and. Ana;Iytic_._al 'Rei'!_-* nest 'G!>l; 4 buralories, LLC _PJ:Ojcct #: - "'1 2_~Q-Savagc Rqad GEL,Q~ote fl: _~-~--------,--' -~~See www;gel._c_om._(or GEVs Sample.Ac.ceptanc<,i SOF*~ _(:liurleston, SC ~9407 CO~ Numberm:._ --*- .. ...,_ .. ___,7_ *--**- --' GEL'W<irkOrderNumber; P!10nc: (843) 55~-~m Po' Number: fall: {843) 766- i 178
'*Shtrnld*
Fad-; -ihl*. h,.-..,------------------------""'"----:;-....--,---.....,-..,------1 ~nmploM
- Address: 'cim~ldercd
- Comments
. Coll~ctcd by;. Send ~cs111ts T9: Note.:* cx,tra :sample ls
.*rnn1:. requiredfor:sample
, ,.~a~c'*C~Uci!t~d.
.* C"0Uoc1.:il specific QC SampleJD (m!'l-dil-yy)
_I ..(illlllt.1r>*J
"'F..fJr &111uJo.-,*ites ~ jmfiCotR .1t1,1rt DIUi .1r:m1Jatdtime. (tihl!im):
i s!\.)-, \'\ 77.' 11.::.1.~.<.
.,.___~--"-~__..,.""-~..._~..........--~~~~.,....~~t-~~~-'-'~1--~""--1.,.-~--ji':'---t----il---r--'-l'-~t-~t-~+-~-t.~-+~-+~-+~-+'----l~--t~-f---~~~-~-~--'-1
<.r\i 11!...,*17 ** i- '11 ...1,4<'
. -TATJicaucstcd: Normal: . Rush: --:gpccifv: . c(Su~j'"' "' Siir<h**i:<) I~VI Results: "Yes I No Circle 'Diiliwrnblc: -C of-A I QC Summarv* I. Level '1 I Level 2 i Level 3* I Level 4
-* &iim11le Collection J'jmµ Zpn4 Ea~tem - Pacific Cemrnl Qthcr _ _ _,
Mountain
*Chain of.Custody: Signatures Sample Shipping .1111d Delivery Dc.11111s
- Rc_l]l)quishcd'.Uy_(SjgiJ<>tl) TillJ< Rcccjv<d .by (*igm:J).
. GEL PM:
i l Mc1Jiod*gfSllinm*n1: 2 2 : Airbill #:
*3
- 1,) 'CMi11 of.Cusludy N~mlitr.- Cli*nl 0.lcroiincd
** * * " * - * .. * * * * * * ,*
- f:?r £p[l 'J/.eceM11g .0.fe. On/;:
2.)':Qt'c;oitc.: N.~ N.o~!iilS*m11!** Tll ~Trip lll*nk.-fli ~FiCld [li,plih!e;.En-'.ll~uip,;.,n1-.8l*11k,:-MS"* ~l*Ui> SpikcS_*mplii;:YtSIJ" Mil!rix:spj!<< O,i1pll<a1e5amp1<:.,G ~prop.!=-"' Cot>lp1ui1c.
}.) l'icld Pihcred:_ .fo!'l!quid mnuloc*;indi<uto wilh ** Y .,for j!C>:ll>* oamplo w4>*flol<J fi!i<ml'or ~ N. for *r.mplo'""' nu1 li~1J*fi11.rcd,* . . . - .C11swdy*SmJJn1aill 4.) -M_~1lj~ C<~d~s,~ll\Y.... ~rbt1'iilg WutCr~~GW..,Owu11dwri1gr 1 _!n~*~sy~_f;.1~~*WPti;r~ ~V.W~Wo1~c<W'otto/, W~W41t~r, M~-~Mi1.:-,L;1JUi:f, S_Q""~_ull, SO*SC~im,cuii:&I!"S1~~gc;'SS*"'~foll~ Waste, Oi-Oll;:ftl';fjl11a.,:r.-..wiv.c, U.,,,Urhl9~.1*~,fc~~~~ N~*-~1---~Y:..:E:.:S::.,_, _ __,_*N'-'0'----,--1 SJ'. Sample Arn\i)'>is.Rc~u<sg'J: :flnolyjkot*methoJJC<iUL~1cJ (i.e: snoa;~OIUl11'747UAl~mhn.1'b<i'of ~uni:oin~l~-pr<.vi<l.:d (,;, <<~_h (i:< ..826/JB-J, Ml.OIJIJ470A.**I). . . C<ioier Te>np:
6.)'*'rrc_~~~ali*'C Typer. llA ... *~ydrothl~~i~ Actct>N1 ~-N!1ril:*A~id. su_'~ Sodhn~Jiyd;Q~id.~~ ~A~ Suwm~_Ad~. ,\~*~*.'\~.:'1r~ic Acid.-_i1x ... fJc:um~.~Sr~ SodiuJ~-Thioshlf1~1~. u:r.a. pf,(:M!fYati ..e ~-added;,,, ica~;*,fi~1d blank . c
' .WijlT~=J.ABOR{\J,'QRY. YEU:;ow'=l\ILE PiNK~CtJENT
P~gc: -----**** -** .. ol' . -.. *--* GEL Chain of Custody and Analytical Request* GEL Lnbcratonc<. LL(' rriljcct II. 2040 Sava go Road
*'*Sec *www.gcl.com for GEL's Sample Acceptance SOP*"'
GEL Quote#: -*-" ,,_. -**-*---*-*-** ..... Charlcslou, SC 29407 COC Number in: Ph1mo: (84~) 55<i*8l71 GEL Work Order Numberi PO Number: Fax' (843176t;* I I 78 Client Name; Phone#: S-ample Analysis Requested lSJ (Fill in the: 1mmb~r of tontuiners for each lest} Should
** *Project/Site Nam~: Fax:#: lllis < .. - Prcscrvatiw Type (6)
**mplo ho Address: (Onsiderc:d
' Comzmmts Collected by: Send Rcwlls To: Note: exlrn sample is "Tim~ required for sample
*O:lkCo1h::;1 ..oJ Clll:ci.::~d Fi.:~J S.ur.p~* TSC QC specific QC Filtc:.-e:J ~;:.ln11; !lndi /\
Sample ID (nrm-rld-yy) (Mlli1ary1 Cr..J;l*l (ll **J Ol'!ll:::Ji R*~* (hhmm)
"Fur l'IJlllf'V"*il~.,* - il!,ftL'~lf' Mad mrd rfou ~luli!lllm'1 l:iltd 1er o ll I :)C . )L . l ,3 \1~(~(
y,.SC1 'il. \' 1.1 11*2 ~IS" L.t. $"'(,. \t-.\ 1 ~ t-z.* z.-1s L-\ -~ *(.. . *1.. .I<< 11-* '2-- !( l..\.S . L . ((. 'l* J,. \'2-* 2.* IS'
- J.: ~ r2* 2-1r
-----r.S.C- t(_' ic...* Z: l~
. 4.S".C.. (('.' ?,_.L[
!.\. S' . G . i<.. :i,.~ !'2. - i.* {~
TAT RcQu~stcd: Nom1ul: Rush: Svcc1f}" {.S*~h;ei.:t 10 ~~1:~hn~c:) Fi\;\ Rc~ult~* l Yes I No Circle Dchvortlblc. C of A I QC Swn~\Qry J Leve! I I Lc*Jc] 2 ! Level 3 I I.cwl 4 Remarks: A1-I.! therf!' any known hazards applirnble tr> tl11:se .wmples? Ifw, pl1mse, list th<! hMcwd~ Sillncltl'illk.;,ijrm Time lone Eastern Poc1tic Central Other ....... **-******- Moun1ai11 Chain of Custody Sig11at11res Sample ShlpJ!lng iuul D~llvery Details R*linqursl-"'il By ISisncd) D.ire Time llcc~]..-e,I by (~igni.:d) D.llc "Tur.c GEL PM: I I Mclhud of Sln1>rncn1: D~1c Smt!~o<l: 2 '2 Airbillll. 3 3 AlrbillU: I.} (:h3111 or<..\:stcdy Ni.:1r:llcr-C.:Jfon1 Dc1crm11;i:d For Loi> Receivwg U.~1* 011/J' 1} QC: Cqd~"* N Nonn:,I Sirnftc, TB,,..TriJl Bli!nl<, FD- fMd DtpHi;ll~.1-:J)= I:"~uipmi:::m. 13IA1:~, )JS,..., M::i.m:tSJakc: S~mr:c. :VfSU.""'M.l:m: S~is.c r>upliC!11~ Sau!p~c. Cr '"'0r';l!:i, C ... Cc.1,~pv.... 1:;.
- i l.} F1clJ F*?.!eted. Fm Hquid n!11.ilfoc!!, mdic~tc w:lh ,j] .. v - foT ye~ 1!~~ nmr~c:: ~-,;:is fo:!LI nl!c~ ("f - ~
- fer Si.~Mpb:: v;a.i; ,IOI fi::ld rPicrcJ D1swd_vS1:al {mac/?
4.J MatuX Ct~l!c.s:. D\V***Drinkl:ig \V11.ta, GW'**Gru;;,:,1h.i.111cr,S\Y*""Smf.m:: Wu~cJ. WW...-\V;,o:itc Wi<ti.:1, \\;"W;;1:cr, M[.=-M1~ ... l.i'-111;.r..l, SO .. S.1~J. SU.... Si;1l;:1;;r.1. ::::14*Slil:lt;c, SS* S-:l1d W;::~i:. O**Ci1r, rt-J.'!lt.:r, r:-W1~l.::, l:::-eri11e, F~Fc..:;;il. N '* YES NO s., 5urr.p1t' An..'11Y~*f: R~¢1~mal* Analj'1k::il merbod rrq;:c:$;c;U (1.r: JU60D, '40!0IJJ7i.l?lt.\):1r.i.l 4;~1;~1,:u*ofcpn~=i.'.ni:r$ p1tl'**;i!.:-J rwr ~i!ch (u. 8}61)8 - l, (;0/(}BiU'JIM - I} Cuvier Temp;
.(i) r1c..~.:.1v.nJ\'C' Typ:: Ur\ - ll)drc::l1b~1c AcLd. NI c. Ni,ric Ac:.i, .SU .. Slldi:Jm lf)*J~md~.:.. So\'"'" S111!L:nc A~~d, r\.\"'" Atco;b!c Aud, tlX:.. H-;x:v1o;, ST= St'H!illrr. Tl:v:::i.1.L.lfo:c [fo~ pi~s:-:t\::tiv*! 1.it.":1..M:i~t:. h:v.. ~ u~l.i ht;!rik c WHITE= LADORATORY YELLOW"' l'ILF. PINK~ CLlENT I
l'agc* --***---*** cf ... - . -- GEL Chain of Custody and Analytical Request G BL Laborator;c*;, LLC Project II; 2040 Sav~gc Road
*"Sec \'lWw.gcl.com. for GEL's Sample Acceptance SOP*>!<
OEl. Quo~c #: .-*-*--- ... ..-*-*** - * - - .... .. Charleston. SC 29407 COC Number (ll: " ... .. GEL Work Order Nam~et*: Plm11c* (843) 556*8111 PO Number: Fax* (843'> 76<i-1 l ?8 Client Name: Phone# Sample Analysis Heqncncd 151 (Fill in rhe mur.ber of co111aincrs for euch lest)
- '" - ProjecliSite Name: Fax II.
Shoulcl I his "-**Preservative Type (6)
**mpic l>c Address: (O!lfldcrotl Comments Collected by: Send Rcsuhs To: Note: extra sample i~
"'Til!li: required for sarnple tp;e1~ C'ci~ 1.l*.;lcJ co::*~*i.lc.J QC rlt::J Sillrnp:I.'! TSC Filrcrcd M.u1r1x Rodi A specific QC Sample ID r (MUilm>) Lct.le**1i*
m
- For ~ompm*ites
- lmlic:ufe ,"o/utl illUI Jilrlµ Ja:eltir1;i?
(n1r.1~dd-n
\hlm1m) "' oacU R1gu VO liikd JOT c LI . 5fi\: Q . \ . \ 11-1 ... 1)
L\ I s~ I\) .\ 7 n. -115' Y, 5' f.\ i2. \.'2, t1 tS" - -- 4, S" '(4. 'Q . " tj \1,-1-1')
- 4. rR R.!1,.1 12-7-IS
~.)P,, ~. -; ? 11.-1-iS'
~. S---R .i1. 2.*~ 1*1-1-1< I y,f:°t, r7 1...'i 11J1..-1r
'-11 ~F\ .jLZ...*5 11..1-1 $'
Li *:)A . il. 7. (o l \1--1"'1S' TAT RcQUCS!cd: Nonna!: Re11mr/,~; Rush* S1icc1fy JS"c'<< ,,, S:<r-h.:r~:) /Fax Rc&ul1s* Arff rherr:. any knr1w11 liazards app/icablt! tu tlu:.v.' .wmpll's? f(.w. please list the hazard1 Y~s No Circle Dohvcrab!c: C or A I QC Summ.ry . level I ' Level=:! / Level 3 I Lc,*ol S;impl~ :\:Q\l~c!i!IO Time Zgc~
~
lfastcni Pacific Ccurrol M~uarain Otli~r
-... ~ ---*
Chai11 of Custody Signatures Sample Shippini: and Delivery Detall> Rolinq11islocd By (Sigr.cu) D:\IC Time Rccc1"*cd b'.\' (f.1~ned} 0010 l"nnc GEL PM* I 1 Moihod of Slriumcnt* Date Shinocd: 2 2 Airbillll J 3 Airbill ~: t ) C'h~1:1 of CU:-l~d/ Nt..11:-;,\;~t ** Ch:ml Dcl~rmi\~t:d
/-'m' L 1h~ .szimp.!c ,.,1\11 fl:.~d fil1crcd m - S
- Cm* .i;.i.mple: wnis "C.l lh1tJ fi l~er~~ Cm'todySra/ J,11a~*1'
**) Mtitn:t t.<a!cs UW-L'rml<n:11 W"Ut~r. G\\'.*(Jr..11n:du-,11;.:r.SW*-=Swf.1!rC \\"M~l', °\\'=-W;i.~,..,_ \V11.1<:r, w ...*.v.a~::r, MJ.-:~11~... L:::1;:1,L,SQ-.!hi', ~f}*.::.S..:J1n*i.::JI!, SL'*Sl..t~g.:i, &~ *:"iiil!l.l \'\';i<.c-c. o-=011.l'"'Fl~'(r, P*'*W!J*~*. lh*l:rm*:, I~ *fr1.:.iL N*.. t l'ES .\'O 5~ S;im~c .\r.nl1~11s Rcqi.;uttd. i\n~Jyuc:ul matt.oil r~G\!C$~eJ CJ e . .lt26~n. 6tJJOll/7")'t)A) ::md r.~:1;~lJcr o! i.:1)1"ti11:r.'!r., 1,1't:.o":J~~ for t'a,+. ii~ 11~1 ,J;!JlJ
- J, li:lJliB,*7-llOri - lJ. CrJ1Ji<rT~llrfi
" ' frc;cl:cr'\>;;,1\.'C Typi:: H1\ - ll~1l!C~~~IIC Aclff, Nl ~ Nt~nC' 1\crct SIL .. S(i<lf~m tiy1fxxt<!c, S:\ = 'S11l11 n.; ..-,l;rl, ,\..\ ...\~i::C*lhu: A~*..J. ti:\ .. lk~:i.m:. s*r., Se;,;j;.;.1~1 Thias1.lf.t?c., lh:c.* rrc:~rr:-IL'YC I "(!r!,i;:,l. !ii:ii'YC fi::::H bl.o.:.~ c WHYTE 7- LABORATORY YELLOW~ FILE. .PINK~ CLrnN'f
I I
*, l!~se:_*----*----_or_;..,.___ .~~~ '. .QEL LabQr)ltori~iq:c l'f9jccl:11:,
GEL Chain of' Custody an.d *A.nalytlcalRequest 2,P40Sa\il~c}loaq GELQuot'Cfl: . *~~-----.- - .__ . * "'See.*WW:l,V<&ctc?m~for(3Et;1 ~ Sampl~.Ac9~ptanc~S()l'**
- Charlc~ton,,SC*29407
- COCNi1mbe(I~:-.
~-~:
. Phone: {843):556,81:7 l
- 'pQ.Nlnttbcr:
- flix:(ll43):766-1 !78
'.~ample Anlilysls .
R~qne~l~!f(SJ*. . (Ellli11
.. . 'lhe . 11u1nber-0f con1riine111
;for. e~ch' test} .
- - * *:1'Sll* "' Ji~~j~cl/Sitc Name:
Sh9uld'
. *ll1is .
** . s~mpidic*
** ~<14re$~: ~on$1tlerru:
Comment~
' b11Ice1ccj by; .Send Rcsulis :to: 'NQI~; extr<! s!(1(lpJe: is
-~Time reqi.lired;for sample c~n.:....;1 ~p~cificQq SaJ!lpfoJD .JMl!l~t~}'
lllli'nm,tL
** f"or**r:0111110JJ1Jes--: inJJ(/Utr ;~tw-t (tf1/I .~1uv*du1cl1Jme 1.
- *.*. . ~:,:1:(.,* <<
".l'ATRcqucs1cd:)l'ormal:
*14;
*z... -r Ruah:
- S11ccitV:
*;~.,.;i-'j..,. I .. . -. - -
!S*bJ*<nusurch*r,;*J Fa1tRcsults:* Yes
- J 'Cfrelii*Dcliv(jrilbk:: C ofA *1 QCSumniarv '/ 1..Cvct l' I Level 2 I Level 3 :I 'Lc.vel4 Sample Col!eptilill J1me*Zo11~
*Eastem Pacific:
*cc;it~~I *01her ___._ ..
Mo)lnl<iin . OELPM: i,,ic1h<id o(Sbivmtilt: D,11e Sbill!led; Aiibillll: 3 Afrbillii:~
~lo)'Cl!ali1of,Q,.1~~Y Nim>li<r ~ Clionr*D..ciniiti<d
* 'Fm: Lab Rccel.vi11,'$_ Uxe Oill)'
2J<QC ~?;fa$: .N**:N*rnmlS,lin)j>IC,i '.I'!!" Trip Pln*k; l'IJ,= Field nu~li.,.19; ED"\ P4tijpm<nr l})*n~; Mil a ¥*1ri~Spl.kl:;Sa1Jlplg\.;v(SD-Mn1ilx'~~ik* 1/'lpli~*I* !'Ml~* G ~ Qro~iC
- Corowsit*
rot J.)'~Fi6l\li'ilr~~;j~oi* Jlqu\d mo1ric..;';rn1;co1e 1Vith n "'.Y*~ ~1il*;_~11ipi* w~slit1<iim<~~~:~* "N :.fQr*pmjilo,....,.*noi.ficld m1~iil.i. .. . . ** .C11S,lnriyS1?.al111tt1cl,?- 4~~.,_M111rix C(ld(::;: DiY~Dfinlci!'fl *Wut<<;,GWWOt;,undW!ller,, S\°&S111f.atc.w'~ter,c.W.\Y*tWa:i;tc.*\V,om:r; i1~ -\V111c~; ~.fL~~~Aisc.Vqni~,,Sons\)u; 'S*p~*Se~iu_1CJ1J( SlrSlw.lg~*.S_#<-:S~lid,WG~;- ();::0Jt, -J~.;-:f'.llti::,~!l"-~\V,ip_.1;. ~J~tl~ith~, {b~ei:!l(!'f~~.l--.---"-l';:;E"'S=...,.......""N:.-0~---; S.);S~~'P.l* An~lj.~i* Reqti~Med;:;j\nn)yJ!(~I ~11.0lhod,""!"eol<ii.(1,<" ll?~Oll,6~!0Dl7410A)mlll 1mmbti* ohuntainqs provid<a.rnr em:h J.'-~. 32008-J;lJIJJOfl/7471JA .. 1), Ciiolrn-'Tm1Jp:* 6): Pt*,,.rir*t1w'T~pc~llA. '"'H~.dl**nlofi*.A~il!, N) -. Nitric MW. ~I~ ~ 'S(\<l~n 1:9'.<lmxld<;SA " ~~lluri* *\Ci<J.'AA
- l\*£01~*~*A*ld, .HX ~Jl"'"'"" ST "'- S*,1lhi~'i,Thio*11lf~I?*. lfn* Pl*_.. ,,,?liY* i> ~d~i:d" ~**'~"fi*M b!*~~ 'c
- WHITE~* l~ABORATORY YELLOW "FILE .l!INK-CLlENl'*
App E-Sub-Area 4.5 - Instrument Field Sheets
-~TS M J W T~L :fl>~'-"ICES Rev 110/18/15 Instrument Field Response Check Log 1
- 1. Instrument lnformation Ratemeter: Make/Model: Serial No. ;Jc*<. t:*"( ~* Cal. Due Date: t:'J-:!jt1f6 Detector 1: Make/Model: Serial No. Ft:' f I .).c,c.;.)
Bkron MlcroRem Meter: Serial No. i l..J SI Cla. Due Date: ~1l l'J f:iff") /*'
- 2. Check Source Information:
Source 1 lsotope:Ti-... :t. >J*seria! No.: ~(,_,f""""l~- Activity:<.:....C. 1 units: f'L~ : Response Acceptance Range (+/-20%): uRem/hr +20% uRem/hr -20% -~ Source 2 Isotope; Cs 177 Serial No.: j (Clf;/7-1.2. Activity: o.c* ;- . units:~Assay Date: NA Response Acceptance Range (+/-20%}: uRem/hr +20% _ _ uRem/hr -20% _~ net cpm + 20%[3:;.z. z 1 net cpm -20% S~'<f?.;
- 3. Technician/Worker Performing Checks:
Name: I ft/....,,,,.;~>
Title:
- ['7c*/ Date
- l&1k (
I I Time: (1 df~ I
- 4. Site or Location: Site/Job*__jt r,,,.. L/. 1: / .'i, S Location
Description:
vr.,,.i..~c*f' S: GPS(OOrdinat5(When required): X-Coord:
/, j * *
'/\ ~ ,.:l..
C'
;Ii I
sue.-~ Y-Coord: !':' Vv-. )$ "~" t.f'( (;.:Y"J'°"
.__,,~..-~~~~~~~~~~~,,....~~~~~~~~~~~~~~~~-~~~~~~---~~~~~~*-~~~~~~~~----
2 1nstru me nt Field Response Use Acceptance Criteria Remarks i Meter l Bkg Bkg Counts Source Source Response i/- 20% Inst. Battery Time Ambient Initials and comments I Cnt (cpm) or I Cnt (gross cpm or source Ca lib_ Check Of Temp. (add'l Info: inst. Condition, etc.) Time uRem/hr) I Time uRem/hr) gross cpm current (Y/N) check {oFj or uRem/hr (Y/N) (Y/N)
*-=; " ** *-
i'
.. '"l
! Ratemeter lMif' {{&* ( ! Ratemeter Rate meter Bicron Bicron Blcron
- 1. Instrument designated check source Is listed o 'IOn sticker. Record check source response (net cpm) prior to field deployment for all check sources being used.
- z. Source and Background count rate should be determined from the average of three static counts at the same location .. l"lepeat counts should be within :20%. If count rate diverges significantly, perform addittonat counts to evaluate Instrument stability
*~-rs
~*
Rev 110/18/15 Instrument Field Response Check Log 1 L r'.~ ~ ,.1 _ ., 6 ~yfyje:,
- 1. Instrument lnformation Ratemeter: Make/Model: i.,..dw11 ./ . )i/;..-..-'- Serial *No. ,a6£f-cJt 5> Cal. Due Date:
Detector!: Make/Model: L,,/(rr-.,,... 'If-ft! Serial No. PRl/.2/Lt.l-Bicron MicroRem Meter: Serial No. //..ff? Cal. Due Date: o t}l/'b
- 2. Check Source Information:
source 1 Isotope~~~ J-32 Serial No.: / I/ Activity: 4'.)_ 1
µ . L.;
units: .. Assay Date: lJk/; e: Response Acceptance Range (+/-20%): uRem/hr +20% _ _ _ uRem/hr -20% net cpm + 20%~7"?5 netcpm -20%3.f')'.(;C. Source 2 lsotope:(s-!'57. Serial No.: J f1EJ~-J 2 Activity: O.OJ- units~ Assay Date: N../' Response Acceptance Range (+/-20%): uRem/hr +20%___ uRem/hr -20%~*-- net cpm + 20% rs.)7"? net cpm -20% ~ 1/<f'j
- 3. Checks:
Title:
R. c r Date:/.J (y/r I
{" Time: 61~
- 4. Site or Location: Site/Job: e:-r~ <! '-(_ < ,, L~catio~ Descriptio~:*_r_ _.....xV--=J.o"'"o_-~t_.J~-------
GPS Coordinates (when required): X-Coord: N L/;t '\I $-=i. tn) Y-Coord: VI.I 'Cl {"}{ c,tq#6f'g' 2 Instrument Field Response Use Acceptance Criteria * .Remarks Meter 8kg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt [cpm}or Cnt (gross cpm or source Calib. Check Of Temp. [add'J Info: inst. Condition, etc.) Time uRem/hr) Time uRem/hr) gross cpm current . (Y/N) check (oF) or uRem/hr (Y/N) (Y/N) Ratemeter Ratemeter 1 Ratemeter l Ratemeter Rate meter Ratemeter r Bicron NA Bicron NA I Bicron NA
- 1. Instrument desi nated check source Is llsted on call ration s *
- r. Re. ord check sour response (n t cpm) prior to field deployment for all check sou *es being used.
- 2. at Source and Background <:ount rate should be determined from the average of three static counts the same location. Repeat counts should be within 20%. If count rnte diverges significantly, perform additional counts to evaluate Instrument stability
- iifP""°""'-
* *-~~nf MJ-....fo-* TGC:i~-"" !JCEff'V/JCeS Rev 110/18/15 Instrument Field Response Check Log 1
- 1. Instrument lnformation Ratemeter: Make/Model: LUDLUM 2241-2 Serlal No. i,62737 CaL Due Date: 9/2/16 Detector 1: Mak~/Model: _L_l).DLJ.!.M.M:1.Q______ Serial No. _EB....ll112L Bicron MicroRem Meter: Serial No . ..Al]4U_ _ Cal. Due Date: 8/4/16
- 2. Ch~ck source Information:
source 1 Isotope: Ib-232 Serial No.: 116 Activity: <OJ.... units: _µ_c.L_ Assay Date; .1213.o/10 Response Acceotance Range (+/-20%): uRem/hr +20% *****-*--*- uRem/hr -20% _ _ . net cpm + 20%_£2926 net cprn -20% 15284 5our.ce 2 l~otope: .C.s.:13].___ Serial No.: -81.El.3.::4.8.._. Activity: O 02 units: _!J.c.L Assay Date: ..1.L2JUlO Resporise Acceptance Range (-+/-20%). uRem/hr +20% _ ugem/hr -20% ___ net cpm + 20%-1..3.iZ5_ net cpm -20% _39iS. ....
- 3. Technician/Worki!!r Performing Checks:
N ame:5-1£\If[_ _K.tN ~(!j,,.,N °
Title:
-~*-CT ...... *~*-* ..--*- 4, s.it~u~r.Jq~~io.11.; S1te/Job:J_$ . *---*-- 11 Lgc<1ti~n Df.>scoption-~6-r_e_--_c_,.J________ GPS Coordinates [w11en required): X-Coord: .. A/_if uJ (£"(.:_J,__ Y-Coord: W D11 Oo S"C. r Meter Bkg Bkg Counts : Source Source ResponsP +/- 20% Inst. Battery Time Ambient Jnitials and Comments Cnt (cpm) or Cnt (gross cpm or source Calib. Check Of Temp. (add'l into: Inst. Conditi0:1. etc.) Time uRem/hrJ Time uRem/hr) gross cpm current (Y/N) check f'F}
!,fp,,,v)
V [ 1 0 µ) 1 oruRert!/hr (Y/N) (Y/N} Rat~~efe;'t:I~J~7=;*--""l**~--~""'.r:_"""7""".~-,~1=_. """_"""if"==--y_:_""'___ ~..,..===~~"~=<t=-=>=!:=~==-==,,,,_,.,.,.,...... ..,,,~ . *"*' ..,..
""'F.
Ratemeter ' I f., .'ff.].,.{'_.. ....... . Y* * *-* Ratemeter I 11"5' I v 8' '
\.
Bicron NA NA J. tnstrumilnt designated check source is Hsted-;n calibr;;ition ~ticker. Record check sourr.e response (net cprn) prier ta (ield deployment for all check souq::es being used. . .. 2. SotJrC!' and BackgrounrJ count rate should be determined frorn th~ average of three ~tatic i;ounts ar the same location. Repeat cour.ts should be within 20%. If c.oont rate div~rges significanlly, perform additional tOLrnt'.; to evaluate imtrument ~tability
Rev 110/18/15 ln.strument Field Response Check Log
- 1. Instrument lnformatfon 1 Ratemeter: Make/Model: Ca!. Due Date; C.'1141/ls.
Detector 1: Make/Model: Bicron MicroRem Meter: Cal. DueDate: ()~/t.rji£
- 2. check Source Information: . . . .
Assay Date:l.;:~6 1 Source 1 Isotope; **T{.<)3)-. Serial No.; { ( f Activity: -<c. units:;t.i:'.: ResponseAccepta*nce Range (+/-20%): uRem/hr+20%__ uRem/hr-20%__ net cpm +20% !?.'. netcpm-20% ~?')&6 Source 2 Isotope: (_~-<37 Serial No.: I cc.,£;2.3-t.2 Activity: o~o:L units1tL Assay Date: /IJA Response Acceptance Range (+/-20%}: uRem/hr +20% _ _ uRem/hr-20%.__ net cpm + 20% 13..27-$ net cpm -20% SS'i/'7
- 3. Technician/Worker Performing Checks:
Name: I E:Jw.;.d5 *o_.--r..1
Title:
--=~,_,,,L=---** ' - - -
- 4. Site or Location: Site/Job:
GPS Coordinates (when required}; l I Instrument Field Response 2 Use Acceptance Crit-=ria Remarks I I I Meter Bkg Bkg Counts Source Source Response +/- 20% Inst. Battery Time Anibie-nt Initials and Comments
! Cnt (cpm} or Cnt (gross cpm or source Calib. Check Of Temp. (add'.l Info: in!t. Condition, etc.)
i
! Time uRem/hr) Time uRem/hr) gross _cpm or uRern/hr current (Y/N}
(Y/N} check {°F) I I (Y/N)
! Ratemeter I~\)\ G'55brA." I ......::ii".. lf )_ i I ~ <n-,.,.,,,. ....; v y C)<t}O 'fpi, (.} ~* ft...-.,;l.3.2 R'i I I
I Ratemeter I l UJt..rt' ["qq) / 17"" "-' J./ ~ 1Hr I <f' Y,;L.~ v (s*- /$-7 16!"1 i
! Ratemeter I 1<A1 ,: 6.5":\bcfii.... { lv' IV\ ¥3 ("1~ c'o1-. ,J -...'! v l///S-. lf.Z:. () 0 llL-.- 9-*57 Cl[.?~-
i I Ratemeter <.1 .,~ f\.I 1i120 i./( ;).. c I(~* r"?-7 (~..,..* I v-
\ IMrV"- Sf<3"7< / *",,"" i Ratemeter fM:'h. 7bn~<'.\"' I1o-:).. t:flf :2 i 5 ~-FJW>. ,1; ~,- ..// J5'"3;. i.fC.o 0 lTk-;).4#,? ~ II Ratemeter I
\ (M...\'\r-.. q I 3 'l c;.p..."" {1 .... 't '-..!' 1<r1 i.f),_"l" .., L <...-t ~/ ,Pc..-* I Bicron NA .'I Jlil' .... l~f NA W2 I ,.-
.\f I \ j {[ IL/DD l.f4,C - Tl\ ..... /$'~Y.f"\L~ I Bicron NA ('..I -*~' / [,..ii NA K?JA 'fl :..; (...,,;' lt /S,J/ 4t.*-~ ,, IL- ') l >v ,,/-~ !
Bicron NA I I NA I .:;i./r,::. lh~-t:}'?__ ' ~ v i I
- 1. Instrument desi gnated check source is listed oi<call~ratiorl"'Sticker. Record check source response (netcpm) prior to field deployment for all check sources being used.
- 2. Source and Background count rate should be determined from the average of three statlc counts at the .samri location. Repeat munts shou!d be within 20%, If count rate diverges signiffcantly, perform additional co1.mts to evaluate Instrument stability
Re\I 110/18/15 Jnstrum~r.JUield Response Check Log
- 1. tnst:ry..£!)£nt ln.formationi Rate met-er: Make/Mode!: LUDLUM 2241~~-- Serlal No. Z6273L_ Cal. Due Date: ..'3.L2.L1.6 Detector 1: Make/Model; LUDLUM 44-lO- ...-......... Serial No. PR 111122.
Bicron Mii::roRem Meter: Serial No._A2=2~4""U'--- Cal. Due Date: 8/4/16
- z. Ched: SolJif.§1. lnfor.m<.!!J2!!.:
Source 1 Jsotop~: JIJ-2,32 Serial No.: __11(L---- Actlvlty: .5..0..,J... _ units: .).I.CL. As-:;ay Date; ..12./.3.0/10 Responr.e Acawtam::e Range l-1/.20%): uRern/hr +20% .........:...._ uRP.m/hr *20% net cpm '1 20% 22926 nl':'t cpm -20% 15284 Source 2 l5olope: _C.~J..;?J__ SE>rial No,'. .....8..2E13~4.8.._. A.cthr1ty: 0 02 _unit~: J.l..CL As~ay Daite: ..1.L2.QLJ.O Ri?.spcr;:.~ Acceptance Ranae ( +/-20%): uRern/hr +20% ____ uRcrn/hr -20% * * * - - ner cpm -t 20%....UJ_lS..... net q:m -20% .8.9.J.;;i.....
- 3. Technici;in/Worker N;~;;;j_frY._CE!!..~.Lr,._;
Petforrning Ch~cks: Tille: ..f:.l._["_______ D;ite: /.l.. IJ.lff.°}.T1rne: .. Q_q_oo ..
- 4. $.It~ .9f. L?.~.;;ttiQ.r]: S,te/Job :___t_~_*-*-*---*-_. . - *--* --- Location Df1r,r.r ipti M
- VJ~ O/) r/..f.J Yflf_ ___..____ .... __ ...
GPS Coordinates \wh~n required): X-Coorci:L!!_.!f..l~..11-JL!:f_"_ Y-Coord: vJ en 'f'".('1 1 ~1.1' .. *~* *-** ., ....,._......,.----* ...,. ** .*... * *** ......,.,_.,.,..,..,..,.~ ....,..,.,., *..* .,..~~***.*r ~..,..- ....... ~"-'***** -,..-... -':'r**:*-.. 'l'""*" *.* * **.""lo**,, .. -*~~*,..***:*~**r*-*~:*.,.-~~.~-*~-..~*~*-~==*--=~
**** ** * * * ..... * * ** ..
- r **.. .. Instrument. f.ield Response': Use Acceptance Criteria Remarks
-~~Eter*---** -*Bkg r-&g Count;-r-5~*t1m' source Respons£~ +/- 20% Inst. l~attery l 1me Ambient Cnt (cpm) or Cnt !eross cpm or source Callb. Check Of Temp. (add': Info'. in~t. ConditiOl1, nc.)
Time uRem/hr) TlmP. uRem/11r} gross cpm current (Y/N) c:hecl-: (oF) . I {ffl1J.1) * {fit~ or uRem/hr (Y/N)
~~-~:Q.Yf( .- .:r-: Z~'ili..3~~~"~-¢ ' .*.*.-.(.Y.~ . .:_...-.J._* I O_il__..,.~~~-"'i :~"'=.~=-~"'-=- _" "'~ =_=_'ZE.- =_*"'_*'""""'_-*_,,.,..,,..._*
o ... 111.JL._ . . Ratemeter I qg r tL Y Y ! Be Rate~I__L_ Vft I - -~t_j_ Y ___ __'(_ _... ~,..._._... Cs 131 _St i
=~:- ~~:!£~~ ~:-l: _-~*J_~-:~--:-: =~t~--~j~~I *~o _!!' _JJ\;~ii----. ----- ---3
'3icron NA NA Y _ . _ ...- ... X:..... :JllQ......... Y-I ...{ ___ _'f.J.... ?J.:1..5 /C-_______,_________ j 3~!?.r.~!1- ... -. -~-~ ~-(..____ NA ____1_%__ ' ___L_ __Y Y ,..Ci) l /.I (, _st- ........ .. ---** ..J
- 1. lnstrum.:nt designated cher:k source is :isted on :*<JHbrJtion ~ticker. J\ecor'd check soum~ nHponse (net ~pm) prior t.o fl<lld dep!oyinent fo1 all check :>ourcl!s bning usect.
?. . sour~;i and Background cmmt rn1 ~ shouid b". der.@rrnlned frmn tht> average \'f three stC1tic count!i at th1H*.;ime loot1011. Re pea~ cotir.ts ~hcuid bl? within ,0%. 1r count rJte cii\'erges
~1gn1fican1*Jy, perform additional courits to ewlu<ite in~tr:.iment st;:ibility .J
AppE-Sub-Area 4.5- Sample Data Sheets
SAMPLE LOCATION DATA SHEET Weather: --~~.....\...,-...r_Ll_Q.--"~'r ~- -.i1.rr-
- 1. Sample Area (SA):
SA Designation: t-/. SA -.... **--
Description:
~Q_<:.?..~-~------
SA. Origin Location: __ --**- *-*-* ..... ----***--- Coord. System: ______ SA Land Mark
Description:
- ----*-*--*- ... ____ ***-**-- Coard:
- 2. Sample Location Data:
Sample Area Ill: .. ::L~ D:-\.~_~J________ Matrix: _:$p_~\_ ... Location Coord: N-3.."5:.~33:. IL&>'_*__ Alternate Location Measurements (distance from SA orig111 and Local Coord.) X Dist. from Origin (0,0)_~-----. Y Dist. from Origin: rv/@:. Site Sketch Attach!::d (Yes) ~) Sample Location
Description:
__ _iN Co~-s. 7 \~~:f-:!.*--~~~.,-~--- Canopy Type: __ OfJ0:1 ____ Land Use: _l:iJ~hl]-*-- Soil Moisture (Wet, dry, etc.): D ~.., __ _
- 3. *Loc~~ion Radiation 2x2 NaI Reaj.~-~~- * ~ _--*--*Bicron*-** *-*---~- -----N-o-te_s____ _
(cpm) (uRem/hr) co~;:~r* --~~: ..___1.... _. .!}t..J'ifZ. J 1m _J 1cm l_ 1~.-~;:~\~=.:-~~~*,~2 . .
~?_'-/..!__ >--~--- t***3___-~~~-~~-."..~,-,~\-~-1...CL~1J? Cc~\_ck:ii.o.
_____ .. c1/'2/lt.> f---------- - '-~'1_ .'? S:. *-~--~_7_a'____ -~---* .. *- -_...... *---!/22'1--.::~-i **' .,,_ ~R. \\\\ t. 7 ~ *- l cL-.= ~)1111~ - - - - - - - L - - - - - -~--- ____.,__ .... ___ i___ . -*-* .... .L __ ..... .... Ji..}.~_~,_v_ _ _ ___, 4_ Sample Information: Sample Area ID: __ ~-!..'rA
- R._,__L.L:..=1 Soil Sa;;,ple n)* ** 1**~*****-* Samplilzg Description Color (Surface litter type/depth, sample depth retention,
"--~~--+---'-----'---r,,-----r------*** . ...:~!usal, s~9ne or rock, topography, erosion ~~tures) !----"-----+-~' \ ?:i°(CA.""' ~L_IB.iL.L_l_] __~J.0___ 1---'-l':i=-----"'-3=-D--4-"'.5:.>.<...:.,~\_ _ "h~"' c..i. 1\'LI. L..s:rop,_\J.. c:,.,,,,.,,""\.. .,.{' +/-:@"-'*......,.__ _ _ _ ____,
.!> '\ -s.p... J g,, ~ '-I *~TI .,:< . \ *~ .r)J Pt" P-'~'-="~--~**..:::**i\.c;.\__ i?....,,,,.,"'" .
- s.: (.y..! .R,.~J..:i4.::S:~'-""~----*. ---*--* ----------1 1--------1--
=~~~---*_*-_, . _-*-_*-_* _* *_* _-_ _ L _ __ __ . _
- Sample Recorded on Laboratory COC form and Container Labeled:
== '. *---t
*----+- ----+---~------!------------------
=~= ----- * (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: /Z*7-1S: . Project: _f\J'i S"6E-.QS Name: -* ~-~15._ro ,..J1) -~- Weath er: n. ""'"'\.,r..._ 1 . cl1:!::'1\:'-f /
.., ,.-Q**~--
;i_.) ..
- 1. Sample Area (SA):
SA Designation: ~..!..£EL_ ___ *-*--
Description:
Wood.:>_____________ SA Origin Location: _____ **- -*****-- --** ***--- Coord. Syslem: _ _ _ __ S.--1Lund1Hark
Description:
.... ********---------**-**---- Coord:
- 2. Sample Location Data:
Sample Area ID: l.J, SJ'i~£...__.:_~---*** Matrix: __$_~:~..L-Location Coard: _.flJ -t *z. . . ;; z' a..n:..__. ____ 1...i ...,Cl.
..... :I.'L.LL.Q -*
' 3....J. zrr' 1 -****-***------ ***-
Alternate Location Measurements (distance from SA origin and Local C'oord.) X Dist from Origin (0,0) l"Jf>r Y Dist. from Origin: N 1 ,.;\
" I Site Sketch Attached (Yes)@>
Sample Location
Description:
~l~!f-\~~-t--\tl:.qt_l.t:j\ri't Tu~_)))_~ M.o"";.~
Canopy Type:
- Op-e: \'\. Land Use: _J_A.~.\S,vi l\ Soil Moisture (Wet, d1y, etc.): --1:':1.r-'-1-'J---
- 3. LocatiOn Radiation Readin s:
2x2 NaI .Bicron Notes (cpm) (uRem/hr)
- 4. Sample Information:
.--"-...:..::_--"'::...=;-'-'-_.___---'~~--** - * - - - - - - * * - - - - .. *-* - * . - * - - * - - - ... Depth So)l Type Soil Samp/11 JD Sampli1tg Description
/ntel'Va/ (Org; clay; Color {Su!'face litter type/depth, sample depth retention, (cm) sand, etc.) -*----- refusal, ~1:?~~- or r~~k, topography, erosion fo~~1:_1res) 0*-\ < ~o: \ *Lf~ S'f-\ ,K. ."2.. *\ ~ u. cod-L-_ -* _------*
IS-' 3-0 So;\ .~.R . i i ... ~IA_________ * - - - 3u-* Q S<:i, I 'B Lj.<"r" .R. 2.. ~ ****-**----- .--*-**-**** - - - - - - * * * * * - - - * - - - lv<..}""l cu o'* \koc.--.0 *g ~ ~Sfi:.J.L..!1-.*~i- --.l:!.11~--*-----------*----. - - - - - * - * - - - - - i _ ___.,_......*. *.; ..:.\___ ~~--,.Lf!l._0 ~ -~:_.?..~ .£. -1!)-t-!3----------
~ 11S""A*~--~~:~~~_j~~~----~-.~-~~=-=-=~=~~--- -- . I . ,
Sample Recorded mi Laboratory COC form and Container Labekd: e (N) 10/20/15
~ ~.,.~,_sf:;H~ SAMPLE LOCATION DATA SHEET Date:
.Jd*--JQ_]l +'1<Project:. . -~~~~Vfr. .r
.... **-**--*-. Name: __ ~n -~"°'-*---***
Weather:--~~ Cio:...~+--r* 'fi.J_~.'f<?._._
- 1. Sample Area (SA):
SA Designation:_!:/.,,__.5.:::.-L...A..________ **--
Description:
_\J-=---o-""-u-'-d=.5_ _ _ _ _ _ _ __ SA Origin Location: --* ____ -*----*-- Coord. System: _ __ SA Land i'vfark
Description:
***--*---*- __ Coord:
- 2. Sample Location Data:
Sample Area ID: - 4IS-ffr1. . _._ Matrix: --~o.. J____ _ ,, Location Coord: iJ '1L~3-z,' I 1.p. ~-- _ ~__i1_~.QJ ~-~~:':!.. __ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) r-Jr1 e .. _ Y Dist. from Origin: r,.;iJ pr Site Sketch Attached (Yes) @ Sample Location
Description:
Canopy Type:
- Dpen .***- __ Land Use: _.HdGhl--_ Soil Moisture (Wet, dry, etc.): '"Dr-v 2:. Location Radiation 2x2 NaJ Rea~~~~-T-
... -----*~
Bicron
* * *-. *-~-----------**-----*-*--
l Notes (cpm) '. (uRem/hr) ~
- 4. Sample Information: Sample Area ID: 'ft> '5 A-. R.. ~ . /-2 Depth Soil Type Soil Sample JD Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) -* __ refusal, ston~_£r rock, topogra h ',erosion features)
-~ 1 l" ~ 0' ' ?.> (1) .... .., 4~S-Pt ~-3_;_\_ I . M'-'/A~- - - - - - - - - - - - - - - !
15'~~0 'lo~ 1.6.0_L_ *f]""""'i"l>.'-"--.,.,_......_...._............. f?_,_3_;:_>:., ___ */4-.._&"--.__
---t----------.------***---r---------------~--___,
--+------t-* ~~~~~-: ~-=+/- i f------------+---~--+ ***----~-*-* ., ..... ****--*~* ... ***-**-*--*--* - - - - - - - - - - - - - - <
Sample Recorded on Laboratory COC form und Container Labeled: (N) 10/20/15
SAMPLE LOCATION DAT A SHEET Date: Jk_I -1 \ Project: ~'/ ~6 f2..ffi___ ____ Weather: Cc..ltA-1.,1 dt.A.i\.~ 1 4U-su' r
- 1. Sample Area (SA):
SA Designation: _j_'. )!i__
Description:
......,..> c~)._ *---*-----
SA Origin Location: _ *--~ Coord_ System: _ SA Land i\:fark
Description:
Coord:
- 2. Sample ;Location, Data:
Sample Area ID: _ '-J 5]3_,_ _'f___ . Matrix: 1 __ f5:G-_:j __ .
... \
~_'fl ~-~1 S--:~_'f?.~'*--**--
\.\..
Location Coord: ___ k:-' 75 _P!__3i *'-:1_1_____ Alternate Location Measurements {distance from SA origin and Local Coord.) X Dist. from Origin (0,0)__ t'i IA Y Dist. from Origin: -----J)/E---- Site Sketch Attached (Yes)~) Sample Location
Description:
.. Wo<..J2-r.Q-"Re.D-+-.LL~~,. . . . ._______
Canopy Type: --6....pe~L- __ Land Use: ... __ /::1I.~)1T--- Soil Moisture (Wet, dry, etc.):__J-:::X--.,.,__--1-{--
- 3. Location -Radiation Rea!!_!!!_~---*--*****-----~-
2x2 Nal ij Bicron Notes (cpm) ~ (uRem/hr) , Count time l cm I Im _,.r__Tc;;**-*r*--**,m : ..... . - (mi~) ._.__7_d'~q'i_--+---_7_~--~-;**:::=:t; ___J'!_ '--*-*-r*--** 7fJO/ _______?_'[~!-!;__ .
- l **----**-+-. --** . : N/--IP! . ---**--------+
-1 "11:~'1-:=~----***--------1
'--------'------'--*----***l- .........-.l ______ --**- .l__ ...... *----* .... ' '**---~~---'
- 4. Sample Information:
Deptlt Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, {cm sand, etc.) *-~*~fusal, st0n.~ __or rock, topography, erosion fe~turns.) r-.J'
---+---***- -*--*** - - - + - - - - - - - - - - - - - - - - - - - - - !
*---r----*-******* * * - * - - * - - - - * - - - - - - - - - - - - - - - 1
.___ _ _ - I - - - - * * * - + - - - - + - - * *-*******.-***-t~.-***-- . ----=- ***--~ --* - - - - - - - i Sample Recorded on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15
SAMPLE LOCATION DATA SHEET Project: JV VSC.__&00~- Name:
----, . *-;:)
0 .-1 n re.. ....{\ I '
\Veather: Cc.l....., 1 <\o.;o. y(r <rt,**\-
..>v 71
- 1. Sample Area (SA):
SA Designation: _ _'-I~*,_(A-s-._ _ _ _
Description:
_V_o_o_cl~s-----~----- SA Origin Location: __ ___ . ---*--- Coord: System: _ __ SA Land Mark
Description:
_ _ _ Coard:
- 2. Sample Location Data:
Sample Area ID: --3:.m-=-~---*-*-- l'vlatrix: *--*~~L Alternate Location Measurements {distance from SA origin and Local Coord.). X'Dist from Origin (0,0) Jl)/li\- . Y Dist. from Origin: ,.; / f!c
~.
Site Sketch Attached {Yes) @ Sample Location
Description:
... 1Jo_~_'$7 _~~1.....~5; Le_c..\JC-5' Canopy Type: . Open . .-.- . -.. -Land Use: ... fu.l~ 117 Soil Moisture (Wet. dry.
etc.): Uc 't _
- 3. Location Radiation Readin~
- 2x2 NaI *r*---B-1-.c-ro-n Notes (cpm) ~ (uRein/hr) co~~~~~me 1 cm 1m & 1 c~---r- -**1 m . _ **** -,=:~.--:-~.*~-*=::~=--=--=*-*-====~
~-}-*- &-11-;s1 15.5'11..?....... ... t L ~ .. -~JJL __ *-*-******--------1 1----1-----1--2'i.i __ '-l_'7__ *- __:::Z..8.. . 0__ .. ,_ *--------+-------- P
'UJJ_fi_ _ _ _ _ *-------j
- - - - - -**-_J__ -- '--*--******--.. l-*--**--.J'- -------** .. **---*---------'
- 4. Sample Information: Sample Area ID: _ Y~-~~. S: 1~~
DescnphonbyDepth Deptli Soil Type Inte'rvai (Org; clay; (cm) sand, etc.) Soil Color Sample JD I_ --* J~fusal, Sampling Description (Surface litter type/depth, sample depth retention, ston_e or rock, topography, erosion features) D-1S- . ..S9L __ .~!1:'"'.~~~sf\~.~_,_LI _u,,._,_l~~------------~
/)~30 Soi\ ~n>vv-- L/.£8,.~ 1...G:_-Z.__ @:\: <fl 201..v-- ___________,
--*-* - --****---+--- I - - - - - - - - - - - .. ----i----+---****-**-*- .... - - - + - - - * - - - - - - - - * - * * - - - ****--------------!
***-*-+I----+---- -* --
****-+/------*
I
*--*-----------,----_--j Sample Recorded ou Laboratory COC form and Container Labeled: (N) 10/2d/15
SAMPLE LOCATION DA TA SHEET Date: J2. -J- Jr: Project: __ _JJ tS_f.~.u&_ ***--*--
- 1. Sample Area (SA):
SA Designarion: Cf* 'f:r4
Description:
SA Origin Location: -*--- __ - - - - * - Coord. System: _ __ SA Land 1'vfark Descriplion: _ _ _ _ __ Coo rd:
- 2. Sample LocatiOn Data:
Sample Area ID:-*- Lj, ~1'.\ K.. (p Matrix: _$~_!_\_ .....
~'-
Location Coord: tJ.!ii...3..z'....LL2'!..~-- __ b:i._75*' vi' J'-f.77 Alternate Location .Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (0,0) tV 1 A Y Dist. from Origin: tJ/ J~ Site Sketch Attached (Yes) @) Sample Location
Description:
___ \_,.J cx:id'5:~~-~-J +R-C"S \/1. ~_;i _ _ _ _...._. ..... Canopy Type:_ *-~'-2--. _.... Land Use:_ H.!Jl.~,"_n+)-- Soil Moisture (Wet, dry. etc.): ~~+---~
- 5. Location Radiation Readings:
2x2 Naf I Bicron Notes (cpm) (uRem/hr) Count time I 1 cm ------ -!~ ... 1' cm" I lm ~ --* - ---* ---- ~~t J~ 7µ_ -- ~~~ (_p r=--~-, -* *' . *~-~/;--=;---.---~~
£____ .. ~fl. --*--*- --~---1 t - - - - ' r - - - - - t - - - ' - ' - - - - + - _ , _ ___
1-----'-***---21_¥!.____ ..?ff.:Z:L_ ~==~~.+/-~*- D_ ____ --
*- -. -* --~~~ ----~--~
- 4. Sample Information: Sample Area ID: 't. ~p,., tL ~-~?...,..
D escnp ' f wn b*Y D ep th Sample ID *-T Depth Soil Type Soil Sampling Descriptimt Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) . _ !.E!fusal, stone or rock, topography, erosion features) 0 --1S- ~<.);\ @.n:;u "- '-/, f'A, e.. L£, ' l /1.)1 Pr JS--"3:a i.,. )R. (a..&, Z. I+
~-***---
hr.* /_$'\d R11:.\. .. l ti)/
*--* - r---- ........ -*****--**- .. -~ ~
--*** -*--~--- ... ---*-* --*-
--********- ---- r--*-**-**
Sample Recorded on Laboratory COC form and Container Labeled:~ 10/20/15
SAMPLE LOCATION DATA SHEET Date: /1!-J -1 S- Project: f'lY.S 61200' ... _ __ Name: -73,.,- *5rw;-v
- 1. Sample Area (SA):
SA Designation: ~ Lf, S-f\
Description:
~~~--------
SA Origin Location: - * - - - * - -**-*** ____ Coard. System: _ __ SA Land Mark
Description:
_ **--*----******--**-*-- Coord:
- 2. Sample Location Data:
Sample Area ID: t:..f, ffi,R...~7_ _ l\1atrix.: So . \ Location Cqord: ~ 6-J2'::. 3'2.." '-~*_{i___. _ v_ __ 7 .7_** 0 r* 3<-i --z:z.~* Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) t-1/'f!r Y Dist. from Origin; --1:!.J.~fc __ Site Sketch Attached (Yes) @i Sample Location
Description:
H v-' oc-C~ - he,~*l::yv') r-..*--*----- Canopy Type: ()-pe11 Land Use: _1iL k.-i~f1~1+*_ _ Soil Moisture (Wet, dry, etc.): ..J':::),__,_fI,___
- 3. Location.Radiation Readin~s: -~---,,---
2x2 Nal Bicron Notes (cpm) (uRem/hr)
- 4. Sample Information: Sample ,1rea ID: Lf, S-A. e.. 7. t -2.
Descnntmn bIY D epth - -** Deptlz Soil Type Soil Sample ID Sampling Descriptio11 11ztervai (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) ... n~fusal, stone or rock, topogra1:ihy, erosion features) 0--1< "So;\
. - * - * - * * - - - i--~1\.1.V"-
l{. r'i4 :\'2.] I ~ l':!..LJA-IS~3D_ S'o; I J5-~--~ '-f,m.R7.2. /J ltE"r ~~.-~
--~~.*-***
*-*-~*****-
Sample Recorded on Laboratory COC form and C~ntainer Labeled: @(N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: 12-7-r 'l Project: f'J Y5 l- f'?...S>=B_,___~ Weather: _Cc:&\y:..,. I r I nv ~ '7
*{A"F v
- 1. Sample Area (SA):
SA Designation: J:.j, 5B
Description:
_..._\~-=::* ~1c..:::J."-"5'---------- SA Origin Location: - - - - * - - * * * - - - - Coord. System: ----~ SA Land lvfark
Description:
---***--- Coard: 2~ Sample Location Data: Sample Area lD: £1. ~f;,.@. I Matrix.: ----'-'$fuL_ Alternate Location Measurements (distance from SA origin and Local C0ord.) X Dist. from Origin (0,0) ~' 8 Y Dist. from Origin: fJ { A . Site Sketch Attached (Yes)@> Sample Location
Description:
~ O::.:. d ) \i( "':::( l1c.jn.i.* D{l)~ h 1
\_e,\..""" ":I ,
Canopy Type: -°-t~J._'"\,____Land Use: \-\~L-"-:~v-i-'r-- Soil Moisture (Wet, dry, etc.):__i:yy . )
- 3. Location Radiation Readings:
~-~~ 2~p~~T ..._____~-.--(u--~-~-~-~-~r--)--~------N-o-t-es-----~ I __ J~ I !.03______i f r , - - -......~ -----tt---~-*,_.:..._l_#"~P=t.:..:.\\\.:...:.\=2._,_7_tr-.........;..A_?J..:__._~"'--10
-~ 1 c~-,.i d.ue. ~/...j I}\...
~--
- 4. Sample Information: Sample Area JD: 4. S 6. ~. \ . \ - Lo/
Soil Sample ID *1- SampUng Description (Surface litter type/depth, samp1e depth retention, Color 1--~~-+---'---,-<-----+-------1-re_fu_s_a~l,_s_tone or rock, topography. erosion features) t--'--'--"--+--=~---+-"=--';o-.=<-'-+---'----'-"-'---~\-1~ ' t-----4-------+----'-*----**"-----+- ---~----------------1 Sample Recorded on l,aboratory COC form and .Container Labeled: (N) 10/20/15
~ l>~T~L~~
SAMPLE LOCATION DATA SHEET Date: I?. ~7 -1 ) Project: _N'f*S<;,,_ R Qfr_ _,,_ __ 0
- 1. Sample Area (SA):
SA Designation: ___ !L..fJ~---- ___
Description:
\;,,\ccd.\
SA Origin Location: ___ .......... .. Coord. System: _ _ _ _ __ SA Land Mark
Description:
*---*- ..* .. -----*-.---- Coord:
- 2. Sample Location Data:
Sample Area TD: _,_!J, ~ S2... 2 ________ Matrix: __ .:$.Y_;._\__ Location Coord: .t.-l '1Z-"**r2: ILP-'1~- ~ 77 c O; 1 3._Z:_.2/' ___. _ Alternate Location Measurements {distance from SA origin and Local Coord.) X Dist. from Origin (0,0) fV/ t'.}:... Y Dist. from Origin: rJj ff Site Sketch A.ttad1e.d (Yes) §> Sampie Location
Description:
-* W9£..:0-~ 1 _ . \;_~-~5 'o-M\1 °\'.V'll.!.:t.rs* / /eul.(,J..,.._q.bi-;-JC cl;\-c,.11\,. Canopr,Iype: *--~-*_Land Use:. l-:\d<...iY\,___ __ Soil Moisture (\Vet, dry, etc.): __ DJ::::/---- .*
- 4. Sample Information: Sample ..lrea ID: 1. '.f.~_-. R.l.l-_1t_.. ___ _
--------------**~-----
Soil Sample ID Sampliug Description. Color J (Surtace litter type/depth, sample depth retention, t--'--__:_--+---------'"-~- . +.!.*~fusal, s~~!le_9~::_ot:J:-..<!.~~graphy, erosion features row.-.. ~-~5..tLJk_,-1._J__ __ +-I,__tv._,__7,_A-,_____ _ _ _ _ _ _ _ _ _ _ _ _ _- . . j i-:..:IS-:._*......_..-~'--+--=-""-'--'---_µ..'-'-'-"~-l--Lj-'-.'516=.=..;Jl:__?... "2. __,_,J_i~~-*_______ ........... - - - * - * - - - - - - < jo-1.Q-~ '~- ~S"-~*-1?,., l.. .3 t.::!.~A--~--:-------~---~-----1 (;r, - to~ 13,.p...,"' '-!. ~. ,z.. "Z u:"-a h:u.,. roo.! _~ YV LJ<.;--~_ _ ___..
. ***-*--* * - - - - - - ...........* - - - * - + - - - - - -
I-------+-----***~- ... -*--------+-*-*-**--*-*--------- Sample Recorded on Laboratory COC f;,-;:-~ a11d~~ntainer Label~d~@ (N) 10/20/15
SAMPLE LOCATION DATA SHEET . Date: n. I1 / 1<:;- Name: -:f. CS~ ~q..,..____ . *---- Weather: dr,.,s\4 1\J'f'i>* t/o':::, ._/a;,.. :1<>'j L Sample Area (SA): SA Designation: SA Origin Location: . L/ .S .. £>----******-
Description:
L\'.J~cJ~J __ .l_M-____ -****-- _. --*.,******----***--- coor<l. System: ~--*-- SA Land ~Mark
Description:
__ ----**--**** . **-- Coord:
- 2. Sample Location Data:
Sample Area ID; ~-~.. J> R.._3__ Matrix: _ ~ i I Location Coord: L/ )~ ~~, fl_:._~~** rJ_. __::tL.'.'.. . . L..1.3-0.'.... ti1_' hl___ 1 Alternate Location Measurements (dista11ce from SA origin and Local Coor<!.) X Dist. from Origin (0,0)_____ Y Disi. from Origin: _ __ Site Sketch Altached (Yes) ~* *
*. ___ _/
Sample Location
Description:
!]~~ie~>1~ vdro..vvor_J~ +n/LI:::. ~-*f'd 6r-u1h ~Yid f~\rt<>~c.{ />?.~-Jt5 L *
- OJJc.{ "&frck) (c.ll>a..r<tA\_
Canopy Type: 0£L) Land Use: ..1.l.. ~Jj , ~k__ Soil Moisture (Wet, dry, ) etc.): ~Q..W1 y
-~* Location Radiation Readi~ .., .--* *****--- ********-
Coun~ t~*me (mm) l=-==d.1~,. ~-~~ 2x2 Nal (cpm) l cm lm
--- y;~r~---
r:.*
- Bicron (uRern/hr) 1 c~i~n .
I . . . *****- *=-~~:*~,.
- ps*=--~***--r*
Notes
,~=*, * *
~ .-
--T- *9 c ~1 ,-*~ '----****~--*t5=,
-i-XB1-. -- *---*-1 **__2_.,............. :----~4-----~-***-** -~---*--
[__ . *--*-***** - - .I . --*-**-*--*-**--
- 4. Sample Information: Sample Area ID: .:L?.B .{( 3_J_~-~+-Y* L<J Soil Sampie JD - *T-. . *-_--* :*-*sa;npli11g Description .
Color l (Surface htter type/depth, sample depth retention,
~usal, 5tone or rock. topography, erosion features) ~"-'-'"---+--,__.,.....=:...:.._ _ µ,="-'----l----!i.,_*<;~*-B~.K"J_. I_-, -k-:-~;;.;----*- ..
i'.:;-:;, 4. S".B .e.. 3._~ _ ..f-o.,; Gri5 _ ****-************-*-**---** _____ h>~- ~., ! .ht,.,.r..\. <-:_l
- 4. ~:?- B :.~.+/- 1 -f~....... r~ ri-5 .. - - -----1 l~~-)o 'i'~
~r-----==E --~-~c------_
.bou., 4'.....~.R.. Z>.*~rf{,,o,,J. ___ yr._m______ ......
Sample Recorded on Laboratory COC form and Container Labeled: ~ (N)
*- ***-----1 10/20/15
SAMPLE LOCATION DATA SHEET Date: _,-"I...{ 1( ! 5" Project: _f.J 'cj ~-~-(<.Of.__ .____ Name: Weather: c kd1.. 1, u'?~'~-r.:"'l :Jo'..-) -lo~-; ')o';,
- 1. Sample Area (SA):
SA Designation: L\ _~~---
Description:
__1t)tocl¢JJ9.f_________ SA Origin Location: Coord. System:-*---*--*-- SA Land Mark
Description:
----*~--* -*** **--**-
Coord:
- 2. Sample Location Data:
Sample Area ID: ~ 5. -~-*R . L\ Matri~: ...~?.d __ Location Coord: L/ d." 'Yd-,' I ft, .G]" tJ . ..7 '1 t-.__j' ] /. }~_"_kJ___ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: Site Sketch Attached (Yes) fNC:l_D SampleLocationDescription: f\o:;t ~{"*~::i_a___J,oJ."'**-\ hr,,:J, ~ncl prid:'.~-v-5* de~r:l ("J*.JD (c\~.:if:>...?\J Canopy Type: \.I~_. _ _ Land Use: 111k1n*) 1 ?.fc.. _Soil Moisture (Wet, dry, etc.): t\Q..M"
\
- 3. Location Radiation Readings:
2x2 NaI Bicro11 Notes (cpm) (uRem/llr) _c_o__(m_nt_i~"""~m=e===<=~l=cm=~=~~lm==<=l~""""'*1=c':_[ ;~ _ "-~
-L *-J--=-~.--. .:-
1--'-~--i--'*~~f~1--~__;..~_,_io-=-{ ------**-----.**-==---_::_ ~---~----~------..- -**L__, ___ I ****---*----------' 4 .. Sample Information: SampleArea!D: j.'5.B.r<.. Y.!-:-.?.~ D escnptio11 b>Y D epth Sampl-e-1n-**r--- -- ---*-*---s.-~;,-r.p-1t-.n-g D"~;~*-;,p-1-io-,i-* -**-****** Depth . Soil Type Soil Interval (Org; clay; Color * (Surfa~e litter type/depth, sample depth retention, (cm) sand, etc.) ---+--re~fi_us_a_l,_stone or rock, topography, erosion features) 1<; --Thi:.:,c.i l b,t,,.,..-, '-\S.13 r2__ --1)- 1~-30
- +ur;>:s~*, I L\ .'r.'3.
l bsi""'
-+--* ---=-~-*--- -
Sample Recorded on Laboratory COC f~~m und Co11-ta-i-ne_r_L-~b~led:
~ @ (N) 10/20/15
SAMPLE LOCATION DATA SHEET Weather: d.:...::l':l,'-f'r~' tiD"' -fr,tu s-o's
- 1. Sample Area (SA):
SA Designation: Ll . .:;- .13
Description:
w~~d ~ J... \crt SA Origin Location: Coord_ System: _ _ _ __ SA Land Mark
Description:
Coo rd:
. 2. Sample Location Data:
Location Coard: --- 79 . I . .,3ei3<.1 ,, I J
*-~- .,1-....____11:_ .........,..... .,._... ~-
Alternate Location Measurements ldistance from SA origin and Local Coord_) X Dist_ from Origin (0,0) Y Dist. from Origin: Site Sketch Attached (Yes)~
\
Sample Location
Description:
+lei.+ ~ritkv5 {\'.:'.!4~--*-d hn.i)h_,J11>oct j..,.~-'JO Qvid :rfi cb (cl.-3-""d)
Canopy Type: po.,-+~~ lti.i t.f'°ll Land Use: h1b,::j: efr . Soil Moisture {Wet, dry, etc.): dru1'\f .
- 3. Location Radiation Readings; 2x2 Nal -~-- Hicron-----** c--*
Noces (cpm) (uRemihr) Count time lcm 1tn l cm lm (min)
~~=~="'--=--- -~~= *:= ..:.:~. ~;~~~=**=*,,_,__==*l==~=~-~
_ _ __,___~~--'d.,~cl~__,__'R_..__1--'1~) - *
- J.____ ,__S___
***'"'*'**'~~-====I NIA .... *--*---*-**--- ... ~_ .. ___ _
. f------.1 ~J.3) )'._'i;_l3___ . > - - * - - f - - - - * - ... -.... -~------------l
~*-*- *- ----- ----------"---------'-
11.,-*01*~ 'i
- 4. Sample Information: Sampl e Area I.D: '-' . *-' . i::i -ti... * ...; ,_! :_12!,_
D escnption b~y Dept b Depth Soil Type Soil Sample ID T--~--- _*sampling Descriptio11 ---- *1 Interval. (Org; clay; Color I (Surface litter type/depth, sample depth retention, I (cm) sand, etc.) _ _ _ J__!:_~fusal, stone or rock, topography, erosion feat':Ue~L 0-1~ -h,.,.,<.<,: l brt~~ .. YS.t:,.r<: .\_J 'I .\=Q.µ r cr+s- . *--------------1
-fk':'.c: I b,i..,,_ Ll.':.i::: ({_ :, ;i . :SVn-ll!. !~
1<;* 30 I -. --~~*~
---+---------*----**-----*----------'--I
-~-=~------=-==-~---==-------=
~.----
Santple Recorded on Laboratory COC f~~m and C~1~tainer Labeled: ~ (N) ___ .. _ 10/20/15
SAMPLE LOCATION DATA SHEET Date: _r:}_!l.L Name: :f. B~""' ,~----
- 1. Sample Area (SA):
SA Designalion: L{ . S", G.--.........~
Description:
w~d*d /of..... _, ________ SA Origin Location: ---* * - __ . . _ ... Coord. System: _ __ SA Land Mark
Description:
________ -**-* __ Coard:
- 2. Sample Locatjon Data:
Sample Area fD: Y . S". (5 .!( .. ~**-- Matrix: '.'.:.c:_: J __ _ Location Coord: - .79 _L_L,, ~ '3D ,(.o .. LJ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin;---*
.;.~* ...
Site Sketch Attached (Yes) ({No)**. Sample Location
Description:
fl~+ ~1~~nd -f.ric..h.~s~~'O*~f'~ Dr1.1:J\, di!'J~~-EJ. v!.S {ckuJ)
. J CanopY,*Type: 1J!\.rt1~ Ii.,~ ".t'..1-.. Land Use: hihl"'*'1 <f~-*_Soil Moisture (Wet, dry, etc.): ai:i t'\11\'
I 3 . Location Radiation Readino-s* ..,,.. 2x2 NaI Bicron Notes (cpm} (uRem/hr) Count time (min) I 1 cm
'1330 Im 1.12_~_. ,___
1 cm (.,-'=' I (,, lm
='"
(\) 1"A
=*** "
' -*~-----
~l, l J.6 joS') "
l-----o*-*****--:--1------~---* .. - -*1;--* tJ(4
*-~---.--- -*~-.- ----***---* *-*- ---*-
- 4. Sample Information: Sample Area JD:-~. S'. ~ r<:. L.r -?...._._
D cscrtption b'Y D ept h : Depth *Soil Type Inten*al (Org; clay; (cm) sand, et(;.) Soil Color
-*--1---****
Sample JD Samplilfg Description (Surface litter type/depth, sample depth retention, refusal, sl_o_i!la_ or roe~, topography, erosion features) 0~1{ 1S*:,O
+ur-~.r.'. \
+~n-s<>. I b~*~'I b~1'~'.*~*,...
4.!S.i3.r"<.l,. LI. S"
.13
- t? ..k:_!l.__
I ...N .. w r~"::t)
+~.,,... ro :i::l..
***~---* ------**--** -* *-----
Sample Recorded on LaboratOl}' COC form and Container Labeled: ~ {N) t -***--- 10/20/15
SAMPLE LOCATION DATA SHEET Date: .~-£~~ **- Weather: __ dc..J..., , ~o*.>
- 1. Sample Area (SA}:
Proi~t;
--~
ti'~ S ~ e_ GA
-----/-)L.l;_.__ - .. **-- - - -*-*-*
Name: ~.~_L_,.,..:..__,______ SA Designalian: ~. 5. &.._. **~ __ . . ~-
Description:
l.t.Jed. ~A let SA Ongin Localio.n: ~*-* , ----* ---* _ -*. Coord. S}stem: -*--**---*** SA Land A1ark
Description:
.*-**** .... -*- Coon:!:
- 2. Sample Location Data:
Sample Area (D: _i: S .f?._..rh?. ____ l'vla.trfa.: __ ;}ci l__ . LocationCoord: _y1* 3:> 1
/C.._,13 IJ___ .. JJl'.J~~-J_. ~~~Y ......... *--
Alternate Location Mea.c;uremcnt5 {<lisrarn::e from SA \rrigin and Local Cootd.) X Dist. from Origln (0,0) _____ ., Y Dist. from Origirr: .._ _ _ _ Site Sketch Attach~d t Y~) @~~ Sample Location
Description:
_ ( (~ ~:a._,,..,d (lr..!.LA:'~.r:..'i_nnd bru:S~ ,..bf'{b!!tJ.iU J~ii\1r~L Canop~ Type:~~----- Land Use: nd'.-t~~ih:........... Soi1 Moisture (Wet, dry. etc.}: ....Z-.~-P--- .
- 3. LtJc:atron Radiation Rf1adings: ___ .* - - - --*- _ ,-.....-- ____ *--- ____ _
2X2 Nal Bicron Notes (cpm) (uRemJhr) Counttirne I cm ** Im l cm 1**- Im...... .-.. ~*-*
~~ l
. J . - 'l~'-1$" . ~<t w,,_, *.~ ..........._f__""..,_. 1 . *~-;n4**-----------,~-~-
'l.[ ... -. ...... - -- --1*** --- -*--* -ll-----'-'"->-'-'-------------
L-.,_, ~~-_j-~Q_::t~!~~.r____ ~-~~ -~*+----
-~-- **-------~----~ . ---'
- 4. Sample Information: Si1mplo? .4rea ID . . .4 S. @i. R.. -=t. I ~.a__
Descri ~~u.byDepth: ------*--*-*****- ... *----- .... _ _ _ _ _ _ _ _ _ _ _ ____, Depth Soil Type I* Soil I Swrrple ID 1 Sampling Description Jntt!n>al {Org; clay; CollJr I j (Surface titter typt:/depth, sample depth retention. (cm sand, etc.J ......., .... L_!!)ftis!l!,_s!~~ or rock. toP?&,:aphy 1 e~osion fe~!¥fes) o- . -+ ~*!... b~~ 4.S.fS.tl._l.l -j--jh,,; r'..irb ,..._____
+~ *r.,l brt.'n. .*~.S.§!.:..::!..:~ -~C:~.!<.:.*.........__ _ _ _ _ _ _ _ __
--+-~*-=-*----*~--= f---. :~==-==--~-~-
--!=----*-
,--+----+---. **--..
*- --1 * -*-*---*-----*-**--- .. .
s;;ple Re~orded on Laboratory coc form an.d Container Labeled:*-~-)--**-*-- 10/20/15
~ ~r~~SER~
SAMPLE LOCATION DATA SHEET Date: 12..{ i !r 5" Name: -J.8ni1.. . .n_ . _ _ _ __ 1 Weather: _<Jwt\.~--i$~0_ 5_ _ _ __
- 1. Sample Area (SA):
SA Designation: l\ .sG____________ _
Description:
__1;,i_c=.;:_,,___d-";.J=-----'-'Itrf"-'------- SA Origin Location: __ * - - - - Coord. System: SA Land J\rfark
Description:
_ .. _ _ __ Coord:
- 2. Sample Location Data:
Sample Area ID: L\.'S" _,__G~~-'..J . . _____ Matrix: 2~:J__ Location Coord: '-Id.~ .);:J' (~. 38'1 /J _.It.:J'~~}_J'.~ . '. 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 {Yes) (NO} Sample Location
Description:
.C\cd- )*~~rd 1 ~~11'1"- ~*u..1 h'l.J,\J~i):'.r)
- d.!2.i_ fr.Y.11U (( li';l r-~tft)
_Land Use: ~'l1b11'j..,ttc __ Soil Moisture (Wet, dry.
- 3. Location Radiation Readings:
~-----------____,_,_----,,---* -- r - - * * - * - - - - - " * * - - - - - - - - 2x2. Nal Bicron Notes (cpm) (uRern/hr) Count.time l cm ! m *- 1 cm !, Im (min)
- 4. Sample Information:
~---"-----"-----..__~--~-----*-*-r--"' Soil Sample ID I Sampling Description T-~---- Color * (Surl'ace litter type/depth, sample depth retention, refusal, stom~ or rock, topography, erosion features) (**iS' i.IS 13.RT\--..(~~.,.t-_;-*----* --- ~1';_:<.>_e>__1-..;;:.(C_.=-'-'-=~2~:::::::_------'----'-.___::__')~ e .-s :: -hc... ! 1.;-----------------1 I
---=:=r==~-~--*------
s~~le Re<n~-d-ed_o_n_L+-ia_b_o-ra_t_o-+l-.__ :.~~ ~~}::o~miner ~a-b_e_l~-~-:~-(\i-~ C_O_C *-(N)___ -~---~~~=== 10/20/15
SAMPLE LOCATION DATA SHEET
-.- ' 12 Project: ...N.)'&:;\?.-~ ..... Name: . 1C>r*i !...lle.~d>- * - - -
Weather: C.c,.Se_,_Q._~ 1 LJ!i.~ .....**
- 1. Sample Area (SA):
SA Designation:-~~-----*-- __ DesL'ription: ~Ct.0-.~. **-*~----- .SA Origin Location: --**---***--- ---*-*-------- .. Coord. System: _ _ _ __ SA Land Mark
Description:
_________________ ----* Coord:
- 2. Sample Location Data:
Sample Area ID: _4__.5<;:-l~~J ...... _ ..... Matrix: __;?_p_*_ l_ __ . Location C.oord: N, .~Z:.J_2..... I L* si__ ___ Alternate Location Measurement:. (distamx' from SA nngin and Local Coord.) X Dist. from Origin (0,0)__ rJ/ f\-- .... Y Dist. from Origin: fJ/ f\ Site Sketch Auached (Yes) @ Sample Location
Description:
_f::te.a..~..t'.:(-_ j~_(p-5_}\T~d___+/-rrg~_~-------- Canopy Type: Ope0 _____ Land Use: _+/-j...!..~....ft---- Soil Moisture (Wet, dry, etc.): Df'._Y+---- I
- 3.
- Location Radiation Readings:
,.,-----***---- 2~p~~1 ___ . (u~~~~~i)*- *--*-*-,,---------N-ot_e_s- - - - - - -
- 4. Sample Information: .\'ample *1n:a ID: .. '!:L.f"..C.. i;L_.__\ , I -1.f _
Soil Color SampT;ii>* .. *r-**~~~1-~ac~* .litters;;~~=~e.*:%~~o;:pt:-retention,
~-~--t--~-~-1-------+-*-------+ r~f~~al *. s~one..~'._!9ck, t_~poip-~hy, erosion features) f---'--......;_---+-=""""'-:-'---+-....,i.-"""'"-~+-.L!'-Si_(...~*'..:..;il..,_* .;;_;1.....;.1__ ..tl1Es__ - - , - - - - - - - - - - - - - - - - - \
8.-u....,..
- n:.~L. ~ -r~v<:-' C..) JSC,,._. - * .:.~ _
'-!----=..:"-'--'---;...:::&=~_:_ ~...._ _ _j.s--'-..l.~D-- . ~/4 -*. --*---****-*-*--*-*----
. ~~-1!.r.::,_: . ~.!.1. -.'i..~--~lf.t_____ ,____ ... ****--*----**-**--*-*-----!
.....___~**-_---*~-:=£-==--::-==+/-~~-~_:
Sample Recorded on LaboratOI")' COC form and Containe-r Labeled: {
- -::___-~---i (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: 1i.(-i../1< Project fJ'1 ~G ~Qfr-. __**--*---**-- Name: .. .=r,_,f'-"'~-'-'n,._,.,=*v~,,______
- 1. Sample Area (SA):
SA Designation: LI -S"" -L .*- ___ . ___
Description:
*- _\il2o:1 ;i _i \q:~ ______ __:_ . ____
SA Origin Location: **--**-**-*- -*---** __ . -*---- Coord. System:--*--***-- SA Land ]vfark
Description:
.... -~-*-***** _****--- Coord:
- 2. Sample Location Data:
Sample Area CD:_ '-1 -") * ( .*~-~- ____ :tl.larrix: _)(':_ J . __ Location Coord: 1_:>.* .))~~ :~l *' ti. ___ _ I ~ ~ 11 J ~ . )._ 1
..:r. **--- ...~.-.-- *--
11 w --*-** Alternate Location Measurements (distance from SA origin and Loca[ Coord.) X Dist from Origin (0,0)_ ______ Y Di::.-t. froni Origin: *-**--*-**. Site Sketch Attached (Yes)~ Sample Location
Description:
__ J. !oJ ~*Jn{ ,......J,."'~.r.:Cd..._$1=)."
,J ~
{_br.-1*,h_ -".vd __nw ftlr*.L. CanopJ: Type: ?~*A ,t, \ \,_J t>",, ...1 Land Use: ~-; k 1_1~..'}--.d:::lk_:__ Soil Moisture (Wet, dry_ etc.):__ ~o.-""'f.---
- 3. Location Radiation Readings~ **---*-h-*---*---* ****~-..---------*------,
2x2 Nal Bicron Notes (cpm) (uR~m/hr)
- 4. Sample Inform:ttiox:i:
10/20/15
SAMPLE LOCATION DATA SHEET Date: _L z_-L:lC_ Weather: (c. \ 1t-1.., t lo.. ~., '10--S'C' i
- 1. Sample Area (SA):
Description:
_ _,,\N'-' c=-o~d=-~~~---- 1 SA Designation: L-/,5_(, *------- SA Origin Location: _____ _____ Coord. System: _ __ SA Land Mark
Description:
Coard:
- 2. Sample Location Data:
Sample Area ID: Lj .SG :J.:.\?::__ Matrix: -~~'2.~
/;,/ .. ' r_, * * ...
LocationCoord: .11r32 J£,cf; ~ __]_j___2__J____ l]*S?> ______ Alternate Location Measurements {distance from SA origin and Local Coord. J X Dist. from Origin (0,0) f'Ji t.:lr ______ Y Dist. from Origin: tJj 8r . Site Sketch Attached (Yes) @ Sample Location
Description:
-~~--*5.~:pl....i..nc;s 1
~~) k:nf --b~ :;;,*h.i~i"i2'-+-"-'----
Canopy Type: ei~_n .Land Use: _J::\1).,lnj Soil Moisture (Wet, di}'. etc_): ~ ------*
- 3. Location Radiation Readinv;s: ------ ~I 2x2 Nal Bicron Notes (cpm) (uRern/hr)
~~**- -***** --
Count time lcm_~:~ I cm Im ; (min) -****-*:,:*.--*--:-..... ~'!SI" ..... ~ -- I &'2-40 "4vkb 5 £/ ~---"------ --~---- I ~51.JJ _is_$_J____ . -**--*--- ! ~*** - I J _ _ _______ , ---- - -
- 4. Sample Information: Sample Area ID: ~C
- R_. 3. I -*2, 5-{.J.J Depth Soil Type Soil Sample ID Sampling Descriplion Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm sand, etc.) refusal, st~ne or rock, topogra hy, erosion features)
Q -I~ -+---'->4.'--'--~--t---= l_j_/fJ(,_-'-R,_;~~*~*I-~ roo\~---------~----------l 1~~.:su - .~c.R...~.z. 10/20/15
SAMPLE LOCATION DATA SHEET Date: _l_Z-1-1 S"-' Name: _-W o 'Drt\id!L_ _ _ _ ._ Ll ** r Weather: _LC....~V"'-. do--.id~~:p____
- 1. Sample Area (SA):
SA Designation: l.f. S-C
Description:
Jvond""--"S.___________ SA Origin Location: --** *-~-*- Coord. System: _ _ _ __ SA Land Mark
Description:
--*-*-----***-*-*--* Coord:
- 2. Sample Locafam Data:
Sample Area ID: _l::/_!QC.,R.!__:/. . ________ Matrix: ___5.<:-:'d_ . Location Coord: N 4 2., *37' 1s-,10" __'b) ]~J)_l '__l i..* ._*3*_~J..- A[ternate Location l\.foasurements (distance from SA origin and Local Coard.) X Dlst. from Origin (0,0) rJ/'k Y Dist. from Origin:-~- Site Sketch Attached . (Yes) (~ Sample Location
Description:
\JJcW") ~J. *-\-rets; ~c.pu. fi'J *: . / ~ej_ _ _ _ __
Can~py Type: _C.tpc2r' --*** ....... Land Use: .11.iL~k:r---- Soil Moisture (Wei, dry, etc.). 'DI'-'"/ J .
- 3. Loc~~io_n Radiation Read~~g~*s:_ _.,.,...__
2x2 NaI
- Bicron--**-- c--
Notes (cpm) (uRem/hr)
. Count time 1 cm Im I cm lm :
~~-~--=- (mir:i) I
*~***-
. -~
'i<}}3_~ __7_131.p_
*- ~::.*..c.
f
*-- __f>___ _s:__ :-#-1-t~-l ..
-~.... *-~*'**~-.. r.z:.:¥.11:~=====~
. J .... **-*r:i.t..~-=--*-7]~ ~--*~-~t=:-*.~*--*--* --~*~----' ,6-.~-.--_-__:__*-:_--
- 4. Sample Information: Sample Area !D: .!l "S"°(,. *,'2.. :. ..'-i..: i:-:3:.._
Deptlz Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color {Surface litter type/depth, sample depth retention, (cm) sand, etc.) .!~fusal. st<2_~~ or rock, topography, ero.sion features) __lj:S::Gi':..*~- -~..._,_A--=-*---------------i l--'--1Y:.::....--'5"'-'o=*-+--'"-'-'--'--"----f'"-'-'->/'C:;l-=-~--f.-4..........::;o:;l...;;C.,J g_.. L4
- i.. _ -~¥'r:-£..,\.., ;'\::>("> \')
--+--- _ _...,.. - - - - - - - - - - - - - - - - - - - - - - l
-*****~---*
_____,_,,.....----* =*=~~~-=i...------~===-***~_~--~----_*-_**-_-_*~~---l-l
*-- -*- . . --*-r*--*--
Sample Recorded ou Laboratory CO(' form and Co-~t-a-in_e_r_J_.a_b_el-ed;@ (N)- 10/20/15
SAMPLE LOCATION DATA SHEET Project: -***-.J::rj_ ?E:.~1).F\_.,, _ _
. o(
Weather: ...f.~~'M., c.\uu~.. __!10~ . LQ.._ 1
- 1. Sample Area (SA}:*
SA Designation: ___ -'-f, <.. c.
Description:
Woo_2s.__~ ________ _ SA Origin Location: -**-. _.---..**--- Coord. System: _ _ _ _ _ SA Land fyfark
Description:
_ _ _ _ _ _ _ _ __ Coord:
- 2. Sample Location Data:
Sample Area ID: .. lf. 'SC,,_i2...5..__,,___ Matrix: -5o~_\__ Location Coord: ~~ ~2' J ~.Jt;'?{....:r *- Alternate Location Measurements (distance from 'SA origin and Local Coard.) X Dist. from Origin (0,0) rJJ It.\' Y Dist. from Origin: ,...J/ ~ Site Sketch Attached (Yes) § Sample Location
Description:
\'10(..d~, &.c::tp.l_i~rtj~ 1 l\1h\- ...~.~,..=;;**Sh=->----------
Canopy Type: Open . ___ Land Use: _l:i_J~nl--- Soil Moisture (Wet, dry, etc.): __b~-*-*
- 3. Loc?_rj_!)_n Radiation Rea~ipgs: ______ -~---'---~-------------..._,
2x2 Nal Bicron Notes (cpm) (uRem/hr) *
- 4. Sample Information: Sample Area JD: .!i~5C, & 5. I - Z D escrmt1on bJ'V D ept fl Deptlt Soil Type Interval (Org; clay; Soil Color Sample JD*----[ Sampli11g Description (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or ro~~, to~raph).'..!_~rosion features) 0~1< ~O~! i2--.n-.... ,1. __
1~5J: ,'i"LS. l _ -j-IAp. *-* I ~3 u Su."\. __ IRn-, ,r- :l*S'".l ..~
**- ---*--****- . ~--
L----***-**
---*--- -=t- -
Sample Recorded oo Laboratory COC foTm and Container Labeled:~ (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: _[1:1 5' Project: t-l"'f S ~_g.._oo_ _______ _
- l. Sample Area (SA):
SA Designation: _ ___!j__, S:G D~scription: \Jocc\-- .------>£-------- SA Origin Location: Coord. System: _ _ _ __ SA Land Aiark
Description:
_________________ Coord: 2~ Sample Location Data: Sample Area lD: ____.tj_!:lC~~*4' ___ Matrix.: --~.:i.L __ _ Location Coard: N :f2. .:o ~-i,' /'-/, 'i { ~ "l~ ~_Q~~_'Z_l£__. ~(._~--- Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) J-'/ P- ----- Y Dist. from Orig.in: ,., / A
~,
Site Sketch Attached (Yes) © Sam_ple Location
Description:
__ VJ ~S__J-_ J_~¥ Cxush._d..e..c:.d._ (....)Qo=~d_ _ _ __ Can~py Type: -~- ____ Land Use: _ru: _ \~~.'il..T ____ Soil Moisture (Wet, dry, etc.) ..J::2c_'i---- .
- 3. -Location Radiation Readings: *- _..._ ..... ---*------ -------------~
2x2 Nal Bicron *Notes (cpm) {uRern/hr)
- 4. Sample Information: Sample Area JD: Lf, 5G. *~~_ J,P._J.:.:L Soil Sample ID-. ~ - Samplif;g- D~~criptiot~-- _,
Color (Surface litter type/depth, sample depth retention, f--...O.--'---+--~--"---+-----+-----*-*l. __ refusal, st~_T1.~_?.r r~ck, _!~.e.£~!P..~%~!.osion features) 1 ____.""-----_,_,._--+____,<:;:.=o::...:._.__ __,__..____.""-""-'---'--+~'--=C-~,k._I__ i---<--=---==--i---$:...:'O'-*---\_ __,.._,,___,=--+----'-~""'*"-""~* . I
----1-----+--....... _. _____, --
-----+--~'" _..___ _____, ___ ._. _ _1-----------------------1
*-*+/-
,__Sa-,m-p-le-R~e-c-*o-r-de~d-on-L~a-b-o-ra_L_o~ry----_C_O_C_fo_r_m_a_n_d~C-oIJ.tainer Labeled:
-----------~
00)'-(N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: 1z.f 1 (I~~ Weather: cf~, ~1-1 ~o*_,;':>_. _____
- 1. Sample Arca (SA):
SA Designation: 4 .'S'. (__ * - - ~
Description:
_____L0.-;;o d ~!~1. Itrl
~~-~~~-~~~~
SA Origin Location: _ *-- - - - -
- Coord. System: - - - - - -
SA Land Mark
Description:
_.. Coord: 2.. Sample Location Data: Sample Area ID: L\. s-.(.. {(. L. - Matrix: '_d~*--- Location Coord: 4d. 0 ~J_' /tf, 14 11 tJ __:1.J.:.J.'?,) !./ 9 11 (J Alternate Location Measurements (distance from SA origin and Local Coo~d.) X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ Site Sketch Attached (Yes) @) Sample Location
Description:
+1 a..+ ~ (U\.,>J A'42(*; Lk*..rS tu1~ g r{'1vn t~ bn '.,) b.chv~rA r~j:<!!-.) {cli'.~r" . *i')
Canop~Type: f'Mlo ll1..1 vT'v.!::'\Land Use: hi k1f! j ~+r:.... . Soil Moisture {Wet, dry, 0 1 etc.): l]..UM*j? **-
- I L oca f 100 R ad'Ia tion Rea d"mgs:
--3 2x2 Nal Bicron Notes (cpm) (uRem/hi) Count time (min)
-- 1 cm l hn_ [ l cm _ l ._ Im
'T-~)~... ~'
I 9' $ o?.' JJi4
*-** *--*--*-~
l1i- ~-- I
-~*==:--- 5
. rJ
- 4. Sample Information: Sample Area ID: l\. S
- c.J<.. lJ - ~-
D escripti<>n b1y D epth - Depth . Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) __!.E[usal, ~t~ or rock, t~graphy, ero,sion features)
'f ,'.'.:.<..{( r. I
{'l - '*;- {:t.?.St.; \ h..,.*"""' "it*1~1;, ry~--~,. fup.J~ *I bn ~,-, 1'5 . ~C*
**-t-----*
I.I . *:; . c. R. :L~- Jn.,..-iy r* ,-r-
-~*-*-**
Sample Recorded on Laboratory COC form and Container Labeled((Y)) (N) 10/20/15
SAMPLE LOCATION DAT A SHEET Date: f2.-1__:!I__ Project: ~ffi):tl_~---- weath*er: Cc. \ ~v.., .._rl* <..>~'-1 I '-r1*0....c'l'>.<>{'." L Sample Area (SA): SA Designation: 4, SC
Description:
w~----- SA Origin Location: -----*----**- co1;1rd. System:~---- SA Land Mark
Description:
_**---**- -*---- ... ~-*-*-- Coard:
- 2. Sample Location Data:
Sample Area ID: 4, S-C . ~...:$__ .I\.1atrix: .... ~o.J. Location Coord: N_~jl.'1 '.3].' l<-j_~_l___
~
\N 7*f'_QIL z.:s. G=>~--- ~
Alternate Location Measurements (di:;tance from SA origin and Local Coord.) X Dist. from Origin (0,0) ... ....r>--JJL . __ Y Dist. from Origin: ,J/ A-Site Sketch Attached (Yes) ~ Sample Location
Description:
ltJood.sJ __s:;;q)~""nY}; \)~}h+/- \-:KD-S."'7kA.\Je~ )!.. l'\f\0'5:) Canopy Type: D[f n Land Use: H; \<-~ f"\~ Soil Moisture (Wet, dry. etc.); pr"'(
- 3. Location Radiatfon Readings:
2x2 Nal Bicron Notes (cpm) (uRern/hr)
~:(.;:!~~me 1 cm __
~) .... _, ..__ ~_9K_ __J'-1__8? _,,_ Im -.~ - 1 =~= ---~~-~~ ~.- ,~-=*~=====~
~__5_ __ *FL-
.NJ F\ __ *--* _. , .. " ---------!
,......___~---- 'iL3~ -s- . ___...:TI'_10___ . .... .. - - - + -.. _____ *- __ ~£.\'.. *-------------1
***---~----- *--~-- - ._____. -- ____ ,l________ ... -- ... L_.._ --------------~
- 4. Sample Information; Sample Area ID:---~* SC.*. t2.. [_,_t_:~
D escnptron b y D epth ...... Depth Soil Type Soil Sample ID *r Sampling Descriptkm I Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) .. refusal, stol_'.e or ro~L.!_~pography, erosion fe~n,tres) -~ *-~9.1\ ___ ~~n .1-f£..._'R-:--.Ll... -- wtt'\ **-*-
'Gro ....."- i./' *'Q...., ~ z. tJ sP\-
1S---~1\ 'OOt \ S"'C
*-*-*~- ---*-
- l.. _ -*
Sam p le Recorded on Laborato ry CCC form and Contaiuer Label~l:- 10/20/15
SAMPLE LOCATION DATA SHEET Date: ~z{ 1 /1-r Project: 0 tt .. nl 'I ::,l...R------ *~~-- Name:-~- tS1tiL..: :i .. _ _ _ __ Weather:. cf~,Jqy s-*o'.s...____ 1
- 1. Sample Area (SA):
SA Designation: 4.5.~---*-
Description:
\,.J<l<',tl d. k+
SA Origin Location: -*****--- ---*~*-*-*. _ Coord. Systt:m: _ ***- ____ SA Land Mark
Description:
---**--- Coord:
- 2. Sample Location Data:
Sample Area ID:~.:_ (._~J_. __ .__ l\'Jatrix: *-~tJ.i_L____ _ Location Coord: 4 :i." :S). ' J(p. 5 '.~-- --1.1~2. ~-*-~-~LJ *---- _ Alternate Location Measurement's (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Orig.in: Site Sketch Attached (Yes) ~~ Sample Location
Description:
~-if d..~rt.***1_d._+2'-~~*k...r)~iL~'S_ (c(~ll-.l"~J)
Canopy Type: O~ Land Use:. hik..!_~t.+r...L_ Soil Moisture (Wet. dry, etc.): (\QM?
- 3. Location Radiation Readings; I 2x2 Nal Bicron Notes (cpm) (uRem/hr)
Counttime 1 cm lm 1 cm I Im*+-, * (min) ~ I
- _:_'=~=-"""'-=-=-=-=-:+=-= - ~ =~=i:=o======:+_,_~~F.__y--:P-*
* =r=i~F~~ ;r~--. ~=~~==--
---- ---~-*--~----**-*-+/-
----'-~~~-_j__ 1
____ .l ___ ._.... -- ---*---------l
- 4. Sample Information~ Sample Area JD: --~ , 5 *_C
- r~_-_'1_J_-_J_
D escnntion bIV D eot b
*-*~-*-- ----------~-*-
Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface lilter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or roe~, topography, erosion features)
*---* *-:t:~.* l ;:....~(~-**
-hi""~. I t) ~ ( <._,-
.bttl:..1i""I 4.$"C.R."l.I 1':*30 +<:<:- ... ,.,1 bro.-..~ ~.s- ( R. .'l-.l. -~**--**-
.(.~ u, n. ..+\_
i I k---,****-
***-.*~- .. -
'----*---+-*
.. *-*---J__**
I
---==-t--_ .
I Sample Recorded on Laboratory COC foi-m and Con~iocr Label~d; /~ (N) 10/20/15}}