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{{#Wiki_filter:App E -Sub-Area 3.1 -COC Forms Y::::i e I o\ | {{#Wiki_filter:App E - Sub-Area 3.1 - COC Forms Y::::i e I o\ | ||
corv~ | |||
--~~~----~--~~~~~-~~~--~~-~~~~---..~~~~~----.-----------~~~-~*-*..........;;__ | |||
* | GEL Laboratories, Ll.C 2040.Savagc.Road Charleston, SC 29407 | ||
1s1 {Fi!J in ih;i number*ofcontain<:rs for each test) <-* Prescrvarivc Type (6) | * Phone: (843) 556.8171 Fax: (l!4 3) 766-I178 CliclltName: ' Sam11h: A.11aly~is H~r111cstell 1s1 {Fi!J in ih;i number*ofcontain<:rs for each test) | ||
* | Slloul;f Project/Site Name: Fax#: lhh <-* Prescrvarivc Type (6) 1-----,-..~~-----------~----------------------,t $~mp!< be Addres~: <un>ldercd Com_m*ents | ||
. | . Collc<:ted by: Send Results To: Note: e:xtrasampleJs | ||
*Time reqtiired for sample Pie Id S*mple !SC. | |||
. (\llk1;t~,1 Filtered M>ittiX R*dl* A sp~cificQC SarnplcJD (~lllilMY)* p;'" o:u:d ?rsu (hhmm) | |||
*For c01m1osi1t.T ... imlit:a!f' .'iilarl aud.~to>> tla..t~ltimc vt *fa1ed 'er o | |||
* | * 3 'I I i--~----------~~~~------~--~- | ||
1£ J{p.'. IS t$8 ) l\Ji/\ 1rJ rJ' 1 | rz ' (fl ro_; i'l~ 1£ J{p.'. IS t$8 ) N/~ l\Ji/\ 1rJ rJ' 1 TAT Rcoucs1cd: Nomial: .Rush: Sn~cifv: ;(Sub.iec1t0Surd"'i~<J lraK Rcsufts: Yc5 ! No Cir~le P~livenil;k: C of A /. OC Summa;v f Level ! . I Lcvd 2 I LcvdJ I Level 4 RemuJ'ks: Are 1Jier11c any kn;1wwhazardY applicable to thesf! samples? (!so, .please list .the hazard~ * * * * .S1!.lIW.k.Q.iJkc1iofl'rime Zone East~m Pacific Central Oth~r - - - - | ||
Nomial: .Rush: | Mo1mtain C:.hain of Custody Signatures SampleShipplng aull Delivery Dct:ilh Rclin<)Uishcil By (Signed) D.i\IC | ||
lraK Rcsufts: Yc5 ! No C of A /. OC Summa;v f Level ! . I Lcvd 2 I LcvdJ I Level 4 RemuJ'ks: | * Time- Reecivcd by(signc<l) Dale Time GBLPM: | ||
Are 1Jier11c any kn;1wwhazardY applicable to thesf! samples? (!so, .please list .the | Mc!hud of Shipment: Date Shinned; 2 2 Airbill #: | ||
3 1.)_.fhain_ ofCui1iqdy,Nan1~r.,.. Client Dci~nnincd For Lab ReceiVing U.-;e OnlJ 2-.~ QC Codr.s: N ""'Nonm1.l S~mp,k.,'I:B ~.T1ip Bfar;k;FD .._ Pie/d,Qupli:cate, f.B ... _t~quiprrnmL Ohmk, ~1:5.,, Millrh Spike Sarnplc~ ~iSD ~ Milul;c. Spt};.ti.Duplu:at4.Sampk 1.G ...r Orab, C~,., COmJm~lt<: | |||
----Mo1mtain C:.hain of Custody Signatures SampleShipplng aull Delivery Dct:ilh Rclin<)Uishcil By (Signed) D.i\IC | 3.} Flr:ld .Pih~r!X1: Fe:r 1.iqUW ma.trk~s1 fodicruc ,~jtJ1 a,. y... f<tr fc.i.thi; !ianJplc:w~s. rl1!!.d,rn1cn:d u~ *Ji' *. for.11flm1fk;:.i.y13$ n~ liCldJJHcr~d C;d'w.d).**$ru1! Jn.tact? | ||
* Time-Reecivcd by(signc<l) | >t,} Maoix Codes: DW,...D1inking Wi1ttr. *fiW=-Ot1;1unJw:Jl;i:r*. S\\';;;S\11fat\:*.w:u~r, l\'\Y'°".Wi.t~l.c: Wat<:r,* \Y""Wntcr;.ML...,.;'.,1L.,1; Lkiuii;I, SJ.>r!).i~jl,SD;...Si:dim~fl~; Sl-"-'Sludg..:i.SS"'Suli~l \V11i.1i;.*0":'01I, f""f~kcr~ l'"' Wi1'~* U"':Urii~ F~Pc,,:~I. N""~!----)~'E:c*S::..*_ _ _..:,;\'°''0'------1 | ||
Dale Time GBLPM: Mc!hud of Shipment: | ~:) S"mplc AnalJ"i* R<q11<ntd:* Andylicol in<lhutl.roquc.i<u \I.e. S:hO Jl; 6lllO!ll7410A) ornl nua1!>rr.-0f rnn1_.inou p1witl<d for <odi (i,¢. 8)60fl - ;, 40i!Wl'N70A | ||
Date Shinned; 2 2 Airbill #: 3 1.)_.fhain_ | * l). Cooler Temp: | ||
Client For Lab ReceiVing U.-;e OnlJ QC Codr.s: N ""'Nonm1.l Bfar;k;FD | 6.) l'r**irv*lh*c Type' l!A | ||
.._ Pie/d,Qupli:cate, f.B ... | * ll)'.lrnohl~ti< Add, NI ~*Nilric i\<id, SJ! ~ S;xlium lly<lrrucklc,:SA ~ Sulfmic A<m, AA~ Aworbi' Acid, !IK*'ll*i*nc; ST *Sodium 11>foS<.Jlfarc; 1rr.o P''""""'ivoi; *tirl<<l ~!cove f*ol<I bl*nk C WHITE= LAJlORA TORY PINK= CU.ENT | ||
: | |||
C;d'w.d).**$ru1! | ( | ||
Jn.tact? >t,} Maoix Codes: DW,...D1inking Wi1ttr. *fiW=-Ot1;1unJw:Jl;i:r | '.!,..- \ -e lcl cC10LA / - | ||
*. | I | ||
!'age: .. - * * * - - * - - of *-**-** *-****** .. ' .. **- **- GEL Chain of Custody and Analytical Request GEL Laboratories, LLC Ll Project#: 2040 Sav~gc Road GEL Quote#: ___ .. ........ ........ "'"Sec www.gel.com fo* G.EL's Sample Acceptance SOP'"* Charleslon, SC 29407 | |||
**~** .... **-**" | |||
COCNumbcrlll; Phone. (843) 556-&-171 | |||
** | |||
\ | * GEL Work Order Number: | ||
PO Number: Fax: (843) ?66- l! 7M Client Name: Phone#: Sam1ite Analysis Hequestcd (5J (1-'ill m llic number of containers for each lest) | |||
* | ShquJtl Projcc:t/Site Name: Fax II: ll1io ., __ Prcscrvauvc Type (6) | ||
*tirl<<l f*ol<I bl*nk C WHITE= LAJlORA TORY PINK= CU.ENT | >>m11Icbc | ||
( | ~llnshlcrelJ Address: : | ||
Comments Collcclcd by: Send Results To: Note: extra sumple is | |||
*T1~~ | |||
** | required for snmplc | ||
* | *0;1!t:Cn!l0!'..11".:I r:ia:J:J S<i.mp~~ TSC c~,1kc!,;d Qr. t.* specific QC Sample ID (mm-dt.l~n*J (Miiitary) | ||
(~hm111} | |||
.. 11".:I r:ia:J:J TSC | C'odt m ,,, | ||
C'odt m Filfrttd Rodi t | Filfrttd ~a!ti~ | ||
'~ | |||
Rri;1.1 | Rodi O~t:O Rri;1.1 | ||
* t111d \1fl1' dutr!IWm: | * Fcw<:rmmo.!ll~s-111.-licale ~larl t111d \1fl1' dutr!IWm: Ye l.3!Cd licro 3, 1.. 3. ~. I fo-20-1< i6-YO N rJ/p., NIP. ~ wI | ||
Ye l.3!Cd licro 3, 1.. 3. I fo-20-1< i6-YO N rJ/p., NIP. | : 3. I~ 3. E. l it lD 1 | ||
)_, 11.*f'ib N. t-.lfA NIA N I | -is l'?> ,i;;O lw r-./A .l'J,,.. li~ f\l l | ||
~- I , .3 't. :3 l u**?Cr! S' iL-1. DO N N/1>r. N/P-. v'1 'N \ | |||
Nonna!: Rus!1: Specify: (S*hJ"' ru S'..rch01g<J J Fax Rcsu!ls: Yes I No Circle Deliverable: | -~- I * ~ , t. .'"{ | ||
CofA I QC I Lc"cl ! I Lcvd 2 I level 3 I Level 4 Are there any knawn hawrds appliccible tu these samples? Jf,w, pl<'asf! list the ha;:ards Time Zoce fast em Pacilio Cc11trnl Other ***---Motmtniri Chain of Custody Sample Shipping a11d Delivery Details Rclinq<R<hcd By (Signed) | \\}4)}*-1) 1l-\ ')6 N M/A l'l/A ~~ N \ | ||
Time Rtccivod b1* (*1gr.od) | 1 J. /. c;. £, I I0*-2.D-1 S" I i;*.LJ5 N N/A f'i/P< N f'I l | ||
Dote Time GEL?M: I 1 MoH1od Date Shinned: 2 2 /\*rbillll 3 3 Afrbillll I Ck::!in ofCu1tody Nucribc:r | .., 1CJ-10~( )_, 11.*f'ib N. | ||
.... ( licinl Prir la/1 Receiving Un! | J. /. q, {;_ . ,L., t-.lfA NIA ~ N I | ||
2} QC Cc<Jc:r;; | ,.., J . (jf, E,, ~ | ||
X TD""' Trip alar.k, Ff)= 'Ffeld F,R = F.qLJ;prn;nL fJl:mk, \1S SaJT'.fllc-, | !L /U--2<.rf<) 1tR'.UO eB N/Ft r</A N (\) I TAT Rcaucsted: Nonna!: Rus!1: Specify: (S*hJ"' ru S'..rch01g<J J Fax Rcsu!ls: Yes I No Circle Deliverable: CofA I QC Summar~ I Lc"cl ! I Lcvd 2 I level 3 I Level 4 Rc111r11"/r.~: Are there any knawn hawrds appliccible tu these samples? Jf,w, pl<'asf! list the ha;:ards ~l!DPl~ cE~H~cliQn Time Zoce fast em Pacilio Cc11trnl Other ***--- | ||
.. 'vfa:rnc G :.-Gr'1.b, C =-Ccr.!pc.f.:ti; | Motmtniri Chain of Custody Signature~ Sample Shipping a11d Delivery Details Rclinq<R<hcd By (Signed) D~~c Time Rtccivod b1* (*1gr.od) Dote Time GEL?M: | ||
> , r,<rd hl!md fur mntm*i::o:. | I 1 MoH1od ofSJ1~1mc11t: Date Shinned: | ||
wil!l n-V .. y:=:; 1hc sa11!p:C .,....,Ji fi11c;:rcd | 2 2 /\*rbillll 3 3 Afrbillll I ~ Ck::!in ofCu1tody Nucribc:r .... ( licinl Dcl~nnfocd Prir la/1 Receiving Un! 011~r 2} QC Cc<Jc:r;; X ccNoUm~l"I S~mptc, TD""' Trip alar.k, Ff)= 'Ffeld Di..-p~k.:~1c, F,R =F.qLJ;prn;nL fJl:mk, \1S "'M~trh Sp1k~ SaJT'.fllc-, '1~n .. 'vfa:rnc Spl~t:' Dl.lplu:~ru.e 5a;?~r.tc:, G :.-Gr'1.b, C =- Ccr.!pc.f.:ti; | ||
<:r -N .. ft'r i;:impk \"'3n\oi Odd lilr.t::r1:;:J. | >, r,<rd hl!md fur lici~1d mntm*i::o:. im:!:t:~tc. wil!l n- V .. fo~ y:=:; 1hc sa11!p:C .,....,Ji f;~M fi11c;:rcd <:r - N .. ft'r i;:impk \"'3n\oi Odd lilr.t::r1:;:J. C11stody Se(l/ J11rao? | ||
C11stody Se(l/ J11rao? :1) Ma!1i>: Ct*t11t!i.' | :1) Ma!1i>: Ct*t11t!i.' DW'**Drmk1flg W.:.[c.r1GW*-*(jrn*m<h11:,1tcr, SW**S~tfil<~ \V<.L,o!r. WW :.\\fJ~IC" \V;1:,1, W"Wi!LlJ. M L:-M1s~ ~rq*.11d, SO'-*SC1,I, SD** S1.'Jlm..:r.1, SL"~Sl~Jgi:, SS-=S&J!rt! W;a~ac, Cl**Oil, F r*1!h::1, I'* Wip::-, ll *t'tiilc, Ji.*fL\..::.I, :i* J l'ES NO 5 I S*m11!* Analy>1S !l.*Qi"r.c~* Aonlyucol me1'1od r<<i"cst<d (1.c. 8i6o8, Ml ~M47UA) or.~ 1Mnb<r cf cco:mm* ~n:*id;J for°'"~ (i o 8J61iB. 3, CO/tJIJIN70A- I) Cu11ler Temp. | ||
DW'**Drmk1flg W.:.[c. | (1 J i'1~~c1Y~~l'YC Tyµ.t": rt ..\ - H)'drc*c:Jilor:c A-c:rl. Nl -N1lnc Acid. S'li -Scc!'i~~m Uyit!ro:ud:.-. SA ... S;rJforic At:1*"1 1 1\A .. A1tcrb11; Ar;1d, UX' .. Hcx.1ru;. ST'"" Scd.:l!1111*1*nosulf:ilt:, Lf 11¢ r:ru.trvi\Hv.: 15 .itl.!ccl .... tc:.a. ... .: fi:ld t:m1J.: c wmn ~ LABORJ\ TORY YELLOW~ FJLP. l'lNK =CLIENT | ||
\V<.L,o!r. | |||
WW | It c )j~U _,.,. | ||
\V;1:,1, W"Wi!LlJ. | Poge. -**-** ______ of_ --***-- --***- | ||
M SO'-*SC1,I, SD** S1.'Jlm..:r.1, SS-=S&J!rt! | Project II: | ||
Cl**Oil, F r*1!h::1, I'* Wip::-, ll *t'tiilc, Ji.*fL\..::.I, :i* J l'ES NO 5 I S*m11!* Analy>1S Aonlyucol me1'1od r<<i"cst<d (1.c. 8i6o8, Ml 1Mnb<r cf cco:mm* (i o 8J61iB. 3, CO/tJIJIN70A-I) Cu11ler Temp. (1 J | **----~ | ||
SA ... S;rJforic At:1*"1 1 1\A .. A1tcrb11; Ar;1d, UX' .. Hcx.1ru;. | GEL Chain of Custody and Analytical Request | ||
ST'"" Scd.:l!1111*1*nosulf:ilt:, Lf 11¢ r:ru.trvi\Hv.: | "'*Sec www.gcl.com for GEL's Sample Acceprnnce SOP'""' | ||
15 .itl.!ccl | 'GEL Labornlories, LLC 2040 S~vogc Read t GEL Quot<: ti: - - * --*- -* *- *--~ ,.,_ -** *--* ... Chorlestoit, SC 29407 COC Number (IJ: l'huno: (ll4 3) 556-8171 GEL Worl* Orde1* Number: | ||
.... tc:.a. ... .: fi:ld t:m1J.: c wmn LABORJ\ TORY FJLP. l'lNK =CLIENT | l'ONmnbez: Fax: {843) 7(,6-1178 ClicntNnme* Phone#: S~mplc Analysh Requested <SI (Fill in !he 1iumber of con1aincrs for cnch tesl) | ||
It c | Sl1ould Project/Site Name: Fax II: 1111* ,, __ Prcscrvativo Typo (6) sam1*I~ bo Addrcs~: ccnd<lercd Comments Collected by: Send Results To: Note: cxtrn sample is | ||
*Tame required for sampk | |||
*o:tk Cu~kt:li:*I Fiol~ s~rr.p~.; TSC C\Jl~i'.'cf!!ll Qr Sample ID | |||
,.,_ -** *--* ... COC Number (IJ: | * Fm* com;:o.s.i1e.1 - imiir:a!e swrr und sfop c.klfeft1me tmm*dd*)','t) | ||
Fax: {843) 7(,6-1178 ClicntNnme* | (M!llc.ity) | ||
Phone#: | {h~mm) | ||
Analysh Requested | Cotl!! 111 | ||
<SI (Fill in !he 1iumber of con1aincrs for cnch tesl) Project/Site Name: Fax II: | ~ r r-1:1tt('J 1'1 M:.i~rr>. | ||
Rodi aacCl Rq:u A. | |||
*Tame | J:rled )Cr OI specific QC 3~1.-2, e. I 10-2.0-~ 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 10-to~I) 11'*1'5 ~ f'.i/A N)tr. f\l ~ i | ||
: 3. l, 2, t_, 't iu~?O*-J} 11:?0 N N/A N/A vJ rJ i TAT Requested: Nofll'lal. Rt1sh: Socci!'v: I | |||
* Fm* com;:o.s.i1e.1 | /Sob""' to Suo:i,.ri;*l Fax Results: Yes I No Circl~ Dclivernblc: <:of A I QC Summarv I Level I I Level 2 f Level J I Lcvcl*l Remal'lrs: Are there a11y /mown hazard.> appficablC' ru these samples? {fsr;, please list the hazard> Smul!l~Collcction Time~ | ||
-imiir:a!e swrr und | E!tstem P3cific Ccmral Mountaill Other ....., ___ | ||
Chain uf Custody Signatures Sa11Jple Sl1lp1Jing 1111d Oclirery Details Rchn111usilcd By (SigncJ) Dlllc Time Rec<111<:<l by [.11gr.<d) Dale TiillC GEL PM: | |||
Nofll'lal. | J I Mclhcu ofShihmcnr: Date Shmped: | ||
Rt1sh: Socci!'v: | 2 2 Airb11l#: | ||
/Sob""' to Suo:i,.ri;*l | 3 3 l\trb:JllJ: | ||
<:of A I QC Summarv I Level I I Level 2 f Level J I Lcvcl*l Remal'lrs: | I ) CbaJi1 c{C..'\oiCOdf N11.:nbct ** ('l:c-nl Dcl1mn~t:cJ Fur Lah Rcc:ei1.Jmg Use Ouh 2} Q<:Cedc:r1* N .. Ncmial SM~r~~. TB :ic. Trtp lH.:sr.k, FTl.,. F;e!d Duplicalt?:, F.U-= Eri;.i:prm::iL l~l.:ink. \f:l = Mr.ln)I: Spike. Sarr.pie-, ~1Sn ::a MJtaiJi: Spike D~\p);i;:~1c Sa:11f1!~. G =OrO!b. C ... C'1J111~.~;Lc | ||
Are there a11y /mown hazard.> appficablC' ru these samples? {fsr;, please list the hazard> | )l Fl~kl Fiherc:d. Fci* !rq-.. id mo\H~Cll, l~dic:n:c wnl1 11.. y | ||
E!tstem P3cific Ccmral Other ..... , ___ | * rc1 )'CS. !he: sample w;:,:o nc:.:1 micr\'d C'!'. N (or ~u1r.(>~C' W;JS nl:'l licl.:1 n~tctcd | ||
Dale TiillC GEL PM: J I Mclhcu ofShihmcnr: | & Cr"l11<ly s,*(J/ !man~ | ||
Date Shmped: 2 2 Airb11l#: | ..r 1 J';fa*.1i~ Cudi.!~: DW**Dua~tnc Wa!ct, GW**Gm.mJw.ttt!r. S\\'"Sll1f::r:c-c W:Jh:r, '\\'W* Wa~tc \V;i!d, W *\\f;Ucc, ML**M111.; Li41rrr.E~ SO"*S~!I. SO. Sc.fom:nt. SL*:*Sluilg..:. SS**StJ:td W11;~1~,0* 011 1 f'* F~:tct. r =W1(1::, lJ **lltmc, l?**fL\.iJI, ~-"l YES NO | ||
3 3 l\trb:JllJ: | : 5) S:::irnp!~ Ar.aly1i11 Rcqi..cstcd' Aa.!lyur.::i.I m-e1!'IOJ. rcquc~m.J {r .I!! S2t:i0Cl, t!Ol0nl".1470A) :::nd r1u*11b.tr c.f t.Cnlflir..er~ t'lU"'-~cd !.or eoic!* (a..e llUfJi~ | ||
I ) CbaJi1 c{C..'\oiCOdf N11.:nbct | |||
** ('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 | |||
\f:l = Mr.ln)I: Spike. Sarr.pie-, | |||
::a MJtaiJi: Spike | |||
Fci* !rq-.. id wnl1 11.. y | |||
* rc1 )'CS. !he: sample w;:,:o nc:.:1 micr\'d C'!'. N | |||
..r 1 | |||
S\\'"Sll1f::r:c-c W:Jh:r, '\\'W* | |||
\V;i!d, W *\\f;Ucc, ML**M111.; | |||
SO. Sc.fom:nt. | |||
SL*:*Sluilg..:. | |||
SS**StJ:td 011 1 f'* | |||
r =W1(1::, lJ **lltmc, l?**fL\.iJI, YES NO 5) | |||
Ar.aly1i11 Rcqi..cstcd' Aa.!lyur.::i.I m-e1!'IOJ. | |||
{r .I!! S2t:i0Cl, t!Ol0nl".1470A) | |||
:::nd r1u*11b.tr c.f | |||
!.or eoic!* (a..e | |||
* J. (;i)JQ8JJ47;JA | * J. (;i)JQ8JJ47;JA | ||
* I) Cotdt!r Temp* | |||
{i J l'rcfc;rvaHv~ Typ::: tJA | |||
* Hydrocblor~ A<.:fl, NI* N~1rn: A<!d, SH .a.Stlt"hl:lr! liydr~xid~. S,\ - Sulrtln:: Attfl, ,\A - f\~c.tJ1b11: Ac.!~, ltX .. H<PCYlt-c-, ST c :Soli11~m Thl:is;1lfa~c. If Hil r,rc.~c1vnt1.,.*..: i.li ;"tt'.di:,1-l~~v:: f::ld bl;in~ c WHITE= LABO RA TORY YELLOW= l'ILE PINK= CLmNT | |||
Pago; ___ ****-*-- *****- of .... ............ **-- | |||
GEL Chain of Custody and Analytical Request GEL La~oratoncs_ | |||
l -1eln CO(x-1 LL(' l) | |||
Project II: 2040 Savage Road GEJ..Quorclt: ..... .. . | |||
* CmJ/er'Temp: | * CmJ/er'Temp: | ||
6 .. | : 6. ) .rf~M!l~31i\'.o~T;l1~:.1fA,"" J'i}t1rn4~t~ii; J\c;;itt;_Nl | ||
J\c;;itt;_Nl | * Nitr~c Ai:~l~ SlJ'..:1*So{liiim*l*!fd.~ajrl~, SA*" SJJi~11rlc*A~~~' *Ai\::!'J.i\~c~tbic")\~id1HX."'!Jfc!(an~~.5f,**,SOdilm1 lhiruutfou:,*1C.i1<t ,P,f¢1Cl',.~.l)ve il added e:lcavc.ficJd blank *C WUIT.E"' l,ABORA'I'ORY YJU:LOW =Fl.LE J>l!llK=*_CLl~NT: | ||
* SA*" | |||
lhiruutfou:,*1C.i1<t il added e:lcavc.ficJd blank *C WUIT.E"' l,ABORA'I'ORY YJU:LOW =Fl.LE | App E-Sub-Area 3.1- Instrument Field Sheets | ||
App E-Sub-Area 3.1-Instrument Field Sheets | TS | ||
~JW'TC~L.SER~GS Rev 110/18/15 Instrument Field Response Check Log | |||
: l. Instrument lnformation 1 Ratemeter: | |||
Detector 1: | |||
Make/Model: | Make/Model: | ||
* lt,!t: | * Make/Model: | ||
lt,!t: c:?,1r/~ i2 ltt_'4M_ W-/.? | |||
ltt_'4M_ W-/.? | Serial No. ~6Pi_G Serial No. f'R!!Ji.~ | ||
Serial No. | Blcron MicroRem Meter: Serial N o . - - - - - Cal. Due Date: _ __ | ||
Serial | : 2. Check Source Information: 9,'~(/,~() * / . | ||
* / . | Source 1Isotope:7lr~.,;.p.. Serial No.: /// Activity: ~its:~ Assay Date:/~/~., | ||
.. Serial No.: /// Activity: | * Response Acceptance Range (+/-20%): uRem/hr +20%__ uRem/hr-20% _ _ net cpm + 20% 7'it net cpm -20% ;5!{',$66, Source 2 Isotope: C-£~ls7 Serial No.: l/Jb3~t.7- Activity: t'J..tJ,)... unitsirC Assay Date: ..&'A_ | ||
* Response Acceptance Range (+/-20%): | Response Acceptance Range (+/-20%): uRem/hr +20% ~- uRem/hr -20% net cpm + 20% IS..t 75 net cpm. -20% ST7''i | ||
uRem/hr +20%__ uRem/hr-20% | : 3. Technician Worker Performin Checks: | ||
Name: -~~;.t:f)$ . | |||
Serial No.: | |||
Activity: | ==Title:== | ||
t'J..tJ,)... | _..;_,e_cr | ||
unitsirC Assay Date: ..&'A_ Response Acceptance Range (+/-20%): | ____ Date: lt?jr5"f.} nme: I.JS-$' | ||
uRem/hr +20% uRem/hr -20% net cpm + 20% IS..t 75 net cpm. -20% ST7''i 3. Technician Worker Performin Checks: Name: . Title: _..;_,e_cr | : 4. Site or Location: Slte/Job:_ _~A~ri~/!;1~3.~.~(-----...,- Location | ||
nme: I.JS-$' Location | |||
== Description:== | == Description:== | ||
Cdnt./l~t:f | |||
(;) I ~r GPS Coordinates (when required): X-Coord: IV Lf;J_ ~'i Slf. t:f Y-Coord: VJ 079' ~'toJ1.? '' | |||
I Instrument Field Response.1. Use Acceptance Criteria Remarks i Meter Bkg Bkg Counts Source Source Response +/-20%. Inst. | |||
* Battery Time Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check. Of Ambient Temp. | |||
Initials and Comments (add'l Info: inst. Condition, etc.} II II Time uRem/hr} Time uRem/ht) gross cpm or uRem/fir (Y/N} | |||
current (Y/N) | |||
(V/N) check (oF) | |||
II l | |||
Rate meter {Ao;~ q1'! ~UM I "";"'" //~7 i'!D;t v v \j /l/oo 611.~ Cs-87 a;- | |||
Rate meter Rate meter | |||
' I .u:,.. tf 7S"~&J c..n | |||
, ... vI | |||
'if f | |||
v,. 11¢.i? F ii/. I "(j.,,,,l,$,2.... | |||
v | |||
"""4~ | |||
Rate meter I i Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA | |||
: 1. Instrument designated check source ls listed on ca[ibration sticker. Record check source response (net cpm) prior to field deployment for air check sources being used. | |||
: 2. Source and Background count rate sl:lould be determined from the avera&e of three static count$ at the same location. Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability | |||
* Rev 110/18/15 Instrument Field Response Check Log | |||
: 1. Instrument lnformatloni Ratemeter; | |||
* Make/Model: Serial No. Pl.D& O'i f Cal. Due Date: 1/1'/I' Serial No. Pe//,,,Z.,~.2- | |||
~, | |||
Detector 1: Make/Model: | |||
Bicron MicroRem Meter: Serial No. _ _ _ __ Cal. Due Date: _ __ | |||
: 2. Check Source Information; Source 1 Isotope: Cs-137 Serial No.: / /tW-t.z. Activity: ~-d).. units:~ Assay Date: N_ft_ | |||
Response Acceptance Range {+/-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: ~O. I units~ Assay Date: lafz~//t1 Response Acceptance Range (+/-20%~: uRem/hr +20% ___ . uRem/hr -20% _ _ net cpm ~5.? 7f ir net cpm -20% 3S"'i~C. | |||
: 3. Checks: | |||
==Title:== | |||
'(?L,,- Date: /IJ J | |||
A's;f.r TI me: Arya | |||
: 4. Site or Location: Site/Job:_ _.,~_,__~=--=Y:;......o.J./.____ _ _ _~- Location | |||
: | |||
Site/Job: | |||
_ | |||
== Description:== | == Description:== | ||
_ _ _~-"'-.,.,-"'_./:._*d.'.;='£ GPS Coordina~es (when required): X-Coord: /\/4)-.." ::ui '91.'7" Y-Coord: LtJ 071, 0 '(o r 3'1. 7" I | |||
I Instrument Field Response2 Use Acceptance Criteria | |||
* Remarks I I | |||
I j | |||
Meter _, | |||
Bkg Cnt Bkg Counts | |||
{cpm) or Source Cnt So.urce Response (gross cpm or | |||
+/-20% | |||
source Inst. | |||
Ca lib. | |||
Battery Check Time Of Ambient Temp. | |||
Initials and Comments | |||
{add'! Info; inst. Condition, etc.) | |||
I Tlme uRem/hr) Time uRem/hr) gross cpm current (Y/Nl check (of) ;' | |||
Ij* | |||
I Rate meter IM~'- '11t I ...n... IM).. /(pf'J /hl'f'I or uRem/hr (V/N) v (Y/N) y .,7 /£4'~ | |||
S""b.5 cs . .151 U'E Ratemeter I | |||
l .;;. '/?Y!f'..-~_., ~I ..,; i.; lh?°~ S'.c>. q '6TZ,.25,J... .,.£.!£. r f | |||
I I Rate meter Ratemeter I Bicron NA NA Sieren NA NA i Bieron NA NA ! | |||
Bicron NA NA I | |||
: 1. 1nstrument 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 count~ at the same location. Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability | |||
- ~--.-.r- | |||
~*-- | |||
MJW TC~L SER'VIC"oE'!S Rev 110/18/15 Instrument Field Response Check Log 1 | |||
: 1. Instrument lnformation Ratemeter: Make/Model: Serial No. ~6tJ'f$ Cal. Due Date: ?/J,/~ | |||
Detector 1: Make/Model: | |||
: 1. Instrument lnformation | Bicron MlcroRem Meter: | ||
Make/Model: | |||
Detector 1: Make/Model: | |||
Bicron MlcroRem Meter: | |||
Serial No. | Serial No. | ||
Serial No. ...,.... | Serial No. ...,....____ | ||
Ci!I. Due Date: __ | Pf!.l{)Ql'>-- | ||
Serlal No.: //( Activity: units: vC.,,.-Response Acceptance Range (+/-20%): | Ci!I. Due Date: _ __ | ||
uRem/hr +20% | : 2. Check Source Information: | ||
* uRem/hr-20% | Source 1 Isotope: '1b~.:iJ2 Serlal No.: //( Activity: ~O) units: vC.,,.- Assay Date:~~ | ||
Response Acceptance Range (+/-20%): uRem/hr +20% _ _ _ | |||
/l't£,;z3 | * uRem/hr-20% net cpm + 20% r;' net cpm -20%~$'"4 Source21sot9pe;($-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 | ||
... /2 Activity:0..6. unitswC/ AssayDate: | : 3. Technlc:ian/Worker Performing Checks: | ||
N/r Response Acceptance Range (+/-20%): | Name: j:. Jww=ka | ||
uRem/hr +20% | |||
Time: /t>e;oo Location | ==Title:== | ||
_R_c._}___ Date:/¢~/f'S: Time: /t>e;oo | |||
: 4. Site or Location: .. | |||
Site/Job:,- ~-~A<-J..lri~""'"'-""':J._,__.I_____,_ ~I Location | |||
== Description:== | == Description:== | ||
~~,_fl) | |||
GPSCoordinates(whenrequired): | |||
0 X*Coord: Atl.P- .;if Slf.'l Y-Coord: Wc18°l(t} '3>"t. 7~. | |||
I Instrument Field Responsel Use Acceptance Criteria Remarks \ | |||
I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient lnit.ials and Comments j I Cnt Trme (cpm) or uRem/hr) | |||
Cnt Time (gross cpm or uRem/hr) source gross cpm or uRem/hr Ca lib. | |||
current (Y/N} | |||
Check (Y/N) | |||
Of check Temp. | |||
(oF) | |||
(add'J Info; inst. Condition, etc.) . | |||
iI II (Y/NJ I | |||
Ratemeter / ,.; "' .tf~(*~NL I "" ...... L(/,{;l..f/ ,,. .,,""' | |||
, \/ v y | |||
,, /60._("' 5Zo "/h-,2<:2...._ f-);s; | |||
'-~ | |||
I Rate meter I'";" /If"~ 0 /()/{J 51 . .:L !/'~ ~ (3"? "'LJ~ | |||
I I v I Ratemeter I I Rate meter - i 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 | |||
Rev 110/18/15 Instrument Fle!d Response Check log 1 | |||
: 1. Instrument lnformatlon Ratemeter: Make/Model: Serial No. ~60'f'i_ Cal. Due Date: ~ | |||
Detector 1: Make/Model: Serial No. f"R //.J...£¥,.2-Bicron MicroRem Meter: Serlal No.--~-- Cal. Due Date: _ __ | |||
: 2. Check Source Information; Source 1 Isotope: -n..-)-;3)..Serial No.: // ( Actlv!ty: ~.I units: .p.Li Response Acceptance Range.(+/-20%): uRem/hr+20%___ uRem/hr*20% _ _ net cpm -20% 3S'fl.c6 Source 2 Isotope: U -<37 Serial No.: / f~ e:;;:g . . f;i.. Activity: CJ,6,).. units~uC; 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 | |||
: 3. Checks: | |||
17_,.-( | |||
==Title:== | |||
_c<...._'-"' | |||
_ _ _ __ Date: !cflfS-- Time: /3o Y | |||
: 4. Site or Location: Site/Job:_ __..:;h___,;:. -3 .:.../_~--- | |||
.....?....:;;&.'--'........... location | |||
Make/Model: | |||
Detector 1: Make/Model: | |||
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% | |||
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 | |||
__ | |||
..... ?....:;;&.'--' | |||
........... | |||
== Description:== | == Description:== | ||
_ ___,µ""'"'"-'-~-'----'A-'=~'-''/J"'--~-~~ | |||
GPS Coordinates (when required): X-Coord: N Y~?s '51{.'1 .u Y-Coord: WO ?'ii-0 vo °J'f. 7 '' | |||
i | |||
! I Instrument Field Response2 Use Acceptance Criteria Remarks j II Meter Bkg Cnt Bkg Counts (cpm) or Source | |||
* Source Response Cnt (gross cpm or | |||
+/-20% | |||
source Inst. | |||
Ca lib. | |||
Battery Check Time Of Ambient Temp. | |||
Initials and Comments (add'I Info: inst. Condition, etc.) | |||
I lI Time uRem/hr) Time uRem/hr} gross cpm current (Y/N) check (°Ft I I or uRem/hr (Y/N} | |||
y (Y/N) v ./J'6~ | |||
i' I | |||
I I | |||
1~'"' '11?£ lf 5"'!'10 \/ ~.D fl..-..,23.2. j:X Rate meter 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 | |||
"'J~ ' .* | |||
,.,,_.J~ T~L.S~~E!fii; Rev 110/18/15 Instrument Field Response Check Log | |||
: 1. Instrument lnformatlon 1 Ratemeter: | : 1. Instrument lnformatlon 1 Ratemeter: | ||
Make/Mod el: | Detector 1: | ||
Make/Mod el: | |||
Make/Model: | |||
,2-. | Serial No. | ||
Serial Na.: If I Activity: | Serial No. | ||
L6J units: .p£J.. Response Acceptance Range (+/-20%): | ti10601i | ||
uRem/hr+20%__ | ?£//J.-£if,2-. | ||
uRem/hr-20% | Cal. Due Date: f'Jo/b Blcron MlcroRem Meter: Serial No.--~-- _9al. Due Date: _ __ | ||
net cpm + 20% '5:r7'1 r net cpm -20% | \ | ||
Source 2 Isotope: LJ *!37 Seria I No.: //1£;.:J-{ | : 2. Check Source lnformatron: | ||
,;L Activity: | Source 1 Isotope: Jl.,w)..JJ-:. Serial Na.: If I Activity: L6J units: .p£J.. Assay Oate/~c::> | ||
0.6/-. u nits:jfCL Assay Date: A!.L Response Acceptance Range (+/-20%): | Response Acceptance Range (+/-20%): uRem/hr+20%__ uRem/hr-20% net cpm + 20% '5:r7'1 r net cpm -20% .1~~~ | ||
uRem/hr +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% ~'1¥f | ||
: 3. Technician/Worker Performing Checks: Name:.;;t Tit!e: _ _.1Z=-"'CT_, | : 3. Technician/Worker Performing Checks: | ||
__ | Name:.;;t E:~ Tit!e: _ _.1Z=-"'CT_,__ __ Date: /6/1(,/!5"' Time: /6?8 r . | ||
Time: /6?8 r . J.( Location | 'I. Site or Location: Site/Job: Aa~ J.( LJ 0 , ., Location | ||
== Description:== | == Description:== | ||
' ,,, &11/_~£ | |||
-----'..:=~<.,;.><.;;.oo;..., _ _ _ _ __ | |||
GPS Coordinates (when required): X-Coord: N Q ,.l.~ 511. "'! Y-Coord: Woi~"' Yti 3"1.? | |||
! Instrument Field Response 2 | |||
GPS Coordinates (when required): | * Use Acceptance Criteria Remarks I | ||
+/- 20% | |||
I I | |||
* Check Of Temp. | Meter Bkg Cnt lime Bkg Counts (cpm) or uRem/hr) | ||
//1f7 .... | Source Cnt Time Source Response | ||
\j J1f \; J(J' 7 | {gross cpm or uRem/hr) source gross cpm Inst. | ||
/".:;,f.]'7 C/cx Rate meter | Calib. | ||
Repeat counts should be within 20%. If count rate diverges signlficantly, perform additional counts to evaluate instrument stability | current Battery | ||
* | * Check (Y/N) | ||
Make/Model: | Time Of check Ambient Temp. | ||
* l_w)fvvi.... | {°F) | ||
::Vt.I(,,,..)- | Initials and Comments (add'! Info: inst. Condition, etc.) | ||
Serial No.ePbO"!<< | I or uRem/hr (Y/N) | ||
Detector 1: Make/Model: | (Y/N) | ||
*&Jf11m lfll-f(J Serial No. 'P&J/;l...&"(.J- | Rate meter I JU1n fJ.lf I 111*ti LftJS 0 rA/vl. v v v /6.3:2- ->".3. 7 ---n. ~.2;$ 'L ~- | ||
Blcron MlcroRem Meter; Serial | Ratemeter I A<J~ //1f7 ....,_,,~ \j J1f \; J(J' 7 S-3.~ /".:;,f.]'7 C/cx I | ||
Source l Isotope: -:IE..d:-32-: | Rate meter I I P"' | ||
Serial.No.: | 1 Ratemeter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA | ||
If I Activity:.?/). | : 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. | ||
I Response Acceptance Range (+/-20%): | : 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 | ||
uRem/hr +20% | * Rev 1 10/18/15 Instrument Field Response Check Log 1 | ||
f' net cpm -20%.Rg?;;.C Source 2 Isotope: 4 | : 1. Instrument lnformatlon Ratemeter: Make/Model: | ||
* lJ? Serial No.: I ( 4 | * l_w)fvvi.... ::Vt.I(,,,..)- Serial No.ePbO"!<< Cat. Due Date: "7/t/t~ | ||
0.6)-unitsf-:'.C,* | Detector 1: Make/Model: *&Jf11m lfll-f(J Serial No. 'P&J/;l...&"(.J-Blcron MlcroRem Meter; Serial N o . - - - - - Cal. Due Date: _ __ | ||
Assay Date: 1\/,4 Response Acceptance Range (+/-20%): | : 2. Check Source Information: | ||
uRem/hr +20% | Source l Isotope: -:IE..d:-32-: Serial.No.: If I Activity:.?/). I units:~* Assay Date:f,,,2.~d/td Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/h' -20% net cpm + 20% 537~ 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% {~~7? net cpm -20% ES&'f1 | ||
net cpm + 20% | : 3. Technician Worker Performin Name: ::::r~... -- "' | ||
net cpm -20% ES&'f1 3. Technician Worker Performin Name: | |||
==Title:== | |||
: 4. Site or Location: | _ _~----- | ||
Site/Job: :J. ( 1 | : 4. Site or Location: Site/Job: ~"- :J. ( 1 Location Description :_ _....:~=-=-=--"'-"~'-';"e"'-/,""rj)_ | ||
J fP '~ | |||
6 GPS Coordinates (when required): X-Coord: N 'f)-. r:ilf'ft/, 'I" Y-Coord: w67f | |||
: t. 0 | |||
: | .n,7 ,r/ | ||
I Instrument Field Response" Use Acceptance Criterra Remarks ! | |||
Meter Bkg Bkg counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments I Cnt (cpm) or Cnt {gross cpm or source Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) iI Time uRem/hr) Time uRem/hr) gross cpm current (V/N) check (oF) l I | |||
I | or uRem/hr (Y/N) | ||
(Y/N) | |||
Rate meter f MiY\ 1'6~ C!Jlvi {~ii'\ 'f6ll;l.6 C/Pt1'- v v y i~'J.1.t. ft,~ (h;l-JJ- {,ff_ | |||
Rate meter I | |||
f IM;,.._ I { ~1 ;J\r.. \1 vr vI . /)'t'f() 1t.. I I/'~- tJ7 P(J?'_ | |||
v I Rate meter Rate meter Bicron NA NA i Bicron NA NA Bicron NA NA Bicron NA NA i | |||
: 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 | |||
Rev 110/18/15 Instrument Field Response Check Log* | |||
tJ~ | |||
1 | |||
: 1. Instrument lnformation Ratemeter: Make/Model; Lvt!-IVM~(-.2:: Serial No.cl£(. Dj ~ Cal. Due Date: ~<</;~ | |||
Detector 1: Make/Model: l.vJIJ~-/i serial No. 1"f:f f.U-t.f2 Blcron MlcroRem Meter: Serial No. _ _ _ __ Cal. Due Date: --~ | |||
: 2. Check Source Information: | |||
source 1 Isotope: 7A,;?32serial No.: {I ( Activity:~ units:~* Assay Date: ( ~ | |||
... | Response Acceptance Range (+/-20%): uflem/hr +2.0% ___ uRem/hr -20% net cpm + 20% 371 i" net cpm -20% S~&'CG Source 2 lsotope:U ~$7 Serial No.: / /1E):l../2. Activity: CJ,o,,;:L. units~ Assay Date: Jll.l_ | ||
Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% -~ net cpm + 20% I 3?-7$ net cpm -20% 8 S'~ | |||
3. | |||
==Title:== | |||
lZC"/ Date/f¥ Time: .ij',ZC | |||
: 4. Site or Location: Site/Job: ArlA .S. { Location | |||
== Description:== | == Description:== | ||
C .,,-f';.e.f.R GPS Coordinates fwhen required): X-Coord: N '/J- d£ J.if.q" V-Coord: IN 6 715° 'fD '.'$~,? '' . | |||
2 i I I Instrument Field Response Use Acceptance Criteria Remarks I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments (gross cpm or Ca lib. (add'l Info; inst. Condition, etc.) | |||
I Cnt Time | |||
{cpm) or uRem/llr) | |||
Cnt Time uRem/hr) source gross cpm current Check | |||
{Y/N) | |||
Of check Temp. | |||
(oF) or uRem/hr (Y/N} | |||
(Y/N} iI Rate meter I WI~{/\ r:i~tf. .11t-. | |||
I I 1.J\O.o'l t../;)1('1 ~ | |||
I ( :;.. 'fl{ c.DIV-v | |||
'.} "~ ~ | |||
v | |||
\/ | |||
113..2... l/-t.s- ~..2.U j)£ v;J.£_ | |||
Rate meter r .... :'V' I I 3 'l £/2r ~s-157 Ratemeter I I/ | |||
Rate meter I Bicron NA NA I Bicron NA NA Bicron NA NA Bkron NA NA | |||
: 1. Instrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. | |||
: 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform a dcHtlonal counts to evaluate instrument stability l_ | |||
Rev 110/18/15 rnstrument Field Response Check Log 1 | |||
'' . Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca | : 1. Instrument lnformation Ratemeter: Make/Model: f.,,J/()Jl.. j;l{/. . ,2.. Serial No. c/-(J' ti 98 Cal. Due Date: ;4.#~ | ||
l/-t. | Detector l: 't""""lf_-_l_O__ | ||
Repeat counts should be within 20%. | Make/Model : --=t_v:..;.:'J'J"""'?v.,...i!t"-'--..... Serial No. "PR.:1..Rt.Y;L Bicron MicroRem Meter: Serial No. $378'A.- Cal. Due Date:lv7j1JllS: | ||
: 2. Check Source Information: | |||
Source l Isotope: =t'f:,?3).. Serial No.: | |||
Response Acceptance Range (+/-20%): uRem/hr +20% _ _ | |||
fl/ | |||
Activity: C6 ./ | |||
uRem/hr -20% | |||
units:/!?,: Assay oate: | |||
1 | |||
-'/in net cpm + 20% . tr net cpm -20% mu Source 2 Isotope: 6~f37 Serial No.: f f'P'3--(2 Activity: l?.O,;L.. units~C.i Assay Date: /\/A-Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uR.em/hr -20% net cpm + 20% f~ -,,.,7~ net cpm -20% ~tf., | |||
: 3. Checks: | |||
==Title:== | |||
gcr- Date:/O/zf~Time: | |||
I CY/17 | |||
: 4. Site or location; Site/Job:_ _ ~A"--'-'-'Y'tA=-=-*-'Z'--'.J.."--------:::---:-- | |||
111 Location Descriptlon:._ _..;;;~=-.o._:__;c.....;:bkJ=-,.__----- | |||
$'(} ,.31. 2 *" | |||
;p I' ,, ~o GPS Coordinates {when required): X-Coord: VL <i:L ...2S SY.'? Y-Coord: W(J7o 2 | |||
I Instrument Field Response Use Acceptance Criteria Remarks I I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments I I | |||
I Cnt Time | |||
{cpm) or uRem/hr} | |||
Cnt Time | |||
{gross cpm or uRem/hr) source gross cpm Ca!ib. | |||
current Check | |||
{Y/N) | |||
Of check Temp. | |||
(oF) | |||
(add'! Info: inst. Condition, e~c.) I oruRem/hr I /,.,.; ... . q~ it~ ...,,... | |||
(Y/N) y | |||
{Y/N) y . | |||
Rate meter /Mi;..., '1-r:l.{, { I" 11- \{ tJ1~'-I 57 () /J:.-;)~;::L t}.$- | |||
Rate meter l ,.,.;,,.. II ~~q :._ ,.,~ \JJ VJ -..u* 7):9~3 ~ | |||
Rate meter I ( ( I ~" 6-IS/ | |||
Rate meter Bicron Bicron NA NA 6uLJJ..r | |||
. I NA NA l'J'i *~~/4,,,-I , I | |||
\./ | |||
I | |||
\f I | |||
vI 1Yf5'f ~t.l'J ().<; - | |||
() | |||
--r--k. ~~ ~ 2-Bicron NA NA I 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 | |||
-~. ~w.**i-!'JJ::i;-,'.~ | |||
*~- .---- | |||
.w.l'-v ~L .SGR'VICES Rev 110/18/15 Instrument Field Response Check Log | |||
: l. Instrument lnformatlon 1 Ratemeter: Make/Model: Cal. Due Date: /~~£ De1ec;tor 1: Make/Model: | |||
Bicron MlcroRem Meter: Cal. Due Date&#.£ | |||
: 2. Check Source Information: | |||
Source 1 lsotope:~..2-.3.i-serial No.: JI f Activity~. / units:&LJ Assay Date: / .t [J""o: Vo Response Acceptance Range (+/-20%}: uRem/hr +20%~- uRem/hr -20~- net cpm + 20% Y net cpm -20%~~ | |||
Source 2 Isotope:($./J 7 Serial No.: { 1'8J-f)_ Activity: 0..0.¢- units:~Assay Date: ~ . | |||
Response Acceptance Range (+/-20%}: uRem/hr +20%__ uRem/hr-20% ~- net cpm + 20% {'$.)....7 Y net cpm -20% '°t'f"'t? | |||
Date: /~~/t>"Time: ( 3 .2... o Location Descrlptlon:~---'-6_o_("';_A_....,4--=-bh--'.bJ"---- | |||
Y-Coord: W d7"r Yo '3,. 7"" | |||
I Instrument Field Response~ Use Acceptance Criteria R{:"!marks l Meter Bkg Bkg Counts Sour.ce Source Response +/-20% Inst. Battery Time Ambient Initials and Comments I i Cnt Time (cpm} or uRem/hr) | |||
Cnt Time (gross cpm or uRem/hr) source gross cpm Ca lib. | |||
current Check (V/N) | |||
Of check Temp. | |||
(oF} | |||
(add'! Info: inst. Condition, etc.) ! | |||
I or uRem/hr (Y/N) | |||
I I (V/N) | |||
, .. *- I | |||
! Ratemeter | |||
, (r IV\~ | |||
I"";"" ?i'1. J.Cjd},. l/'{t,,11 C.n- "{ \j I 'S-..2.~ ~,.G rrt..-.1"5') Jf7 i 1¥4.,,.,, JI f>I~ cJ.- {/ I"-~ - r--s '7 "JI. I Rate meter Rate meter Rate meter | |||
: q. 1a I | |||
I | |||
" 'I ( | |||
1"?~2- | |||
-Lt:. I ' | |||
-f7...-;J.~J.... | |||
(/ I iI Bicron NA | |||
,. IL.r NA /3().1JL~$.,- './ \{ "-../ f'3si L~.Pf ~ i Bicron NA NA I | |||
NA NA f | |||
I I ,,,.. - *-- | |||
,, , 'jf Y. | |||
{/ | |||
l Bicron Bicron NA NA I | |||
: 1. Instrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. | |||
: 2. Source and Background count rate should be determined from the average of three static*c;ounts at the same location. Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability | |||
TS MJ"-'V T~.&.r..* SGR"VICtES Rev 110/18/15 Instrument Field Response Check Log | |||
: 1. Instrument Information~ | |||
Ratemeter; Detector 1: | |||
Make/Model: | Make/Model: | ||
Make/Model: | Make/Model: | ||
LvJ/f/JV' )) '{ { | |||
LvJ/11,.,.. 'ft.{-/(J Serial No. | |||
Serial No. | |||
11C."6'-( | |||
'fg it"41t.f2. | |||
Cal. Due Date; IPjrr:/'f::, | |||
Bicron MicroRem Meter: Serial No. B 6 '?'$ 6 Cal. Due Date: ~J:. | |||
: 2. Check Source Information: | |||
Source 1 Isotope: "'11--;?12- Serial No.: / jl Activity: ..C..CJ. I units:~ | |||
Response Acceptance Range (+/-20%}: uRem/hr+20%__ uRein/hr -20%~- net cpm -20% 'l>IT{.4 Source 2 Isotope: Cb~(3] 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% ('$l.7'S net cpm -20% ~?'~ | |||
: 3. Checks: | |||
==Title:== | |||
'RCT Date:/~/'~ Time: IS""'S-0 | |||
: 4. Site or Location: Site/Job: k~~ 3. I . ,, Location | |||
LvJ/f/JV' | |||
)) '{ { | |||
LvJ/11,.,.. | |||
'ft.{-/(J | |||
Serial No. B 6 '?'$ 6 Cal. Due Date | |||
Source 1 Isotope: "'11--;?12-Serial No.: / | |||
..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% | |||
: 3. Checks: Title: 'RCT 4. Site or Location: | |||
Site/Job: 3. I . ,, | |||
== Description:== | == Description:== | ||
_ _ ~?"'"CY.~~~-~:tI;_~"fJ~---- | |||
GPS Coordinates (when required): X-Coord: N Y;t':ct '-S-L{. ~ Y*Coord: W 6 7'l "'-[o $.:;. 7 ,,. | |||
2 I Instrument Field Response Use Acceptance Criteria Remarks l I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments II Cnt Time (cpm) or uRem/hr}. | |||
Crit Time | |||
{gross cpm or uRem/hr) source gross cpm Ca lib. | |||
current Check (Y)N) | |||
Of Temp. | |||
(of} | |||
(add'l Info: inst. Condition, etc.) | |||
or uRem/hr {Y/N) check I | |||
I I | |||
(Y/N) i Ratemeter lw...1' ~ 'l1.I t./kt' I Mi>\. -lff((,'5~ /'"_fi- v \{ y 15"1"'\ b<;".~ /.JC -rJ. - 1 C!:'...'7 Ratemeter ) wl *'°h If 3~ Ir c../J,..,... \] l...J ',/ /(;,6~ 6t;;".~ t/f).£_ /~ - !"?? | |||
r f v I | |||
Rate meter Rate meter Bicron Bicron NA NA h LA,,./J. r NA I NA f ;i_r., /f,.J£/ | |||
I ;* I lf I | |||
I f~63 ;:,~*.~ | |||
v | |||
/J.4 -rt.. -J-~2- I Bicron NA NA Bicron NA NA | |||
: 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 | |||
Rev 110/18/15 Instrument Field Response Check Log 1 | |||
: 1. Instrument lnformatton Ratemeter: Make/Mode!: L!lDLutA. '))..'-/) - Z.. Serial No. J (p 'J. 131 Cal. Due Date: ~ | |||
Detector 1: Make/Mode!: [<l!}l-VllA 'fl/-lo Serio! No. ff!. /II/ J 'J Bicron MlcroRem Meter: Serial No. ti=;; ;J. '1 u Cal. Due Date: ~ | |||
: z. Check Source Information: | |||
Source 1 lsotope: *17, .2'32. Serial No.: J J l, Response Acceptance Range (-r/-20%): uR~m/hr +20% _ _ | |||
Activity:~ units:~ | |||
uRem/hr -20% ==- Assay Date:~{.'} | |||
net cpm + 20%_ __ net cpm -20% _ __ | |||
Make/Mode!: | Source 2 Isotope: Cs Ill Serial No.: K7E'15 *"If? Activity: - :2. v units:µ.<:.<'. Assay Date; 1/20/t o Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/hr -20% _ _ net cpm + 20%._ __ net cpm -20% _ __ | ||
L!lDLutA. | : 3. Technician/worker Performing Checks: | ||
')) . .'-/) -Z.. Detector 1: Make/Mode!: | Name: SffVt /(:rAISl'.l\Ar./ | ||
[<l!}l-VllA | |||
'fl/-lo | |||
+20% | |||
- | |||
Assay Date; 1/20/t o Response Acceptance Range (+/-20%): | |||
uRem/hr +20% | |||
== | ==Title:== | ||
_ _ _ _ __ Date: uizdc(Time: Ofoo r ' | |||
: 4. Site or Location: Site/Job:.__/~---------- location D.escription:._~----------- | |||
~ / L/ I X-Caord: f1L LC J J 'ff': 0 Y-Coord: lV O'JR' * 'fo [ :$' >.. | |||
0 IC / . " | |||
GPS Coordinates (when required): .2. | |||
!t Instrument Field Response 2 | |||
Use Acceptance Criteria Remarks i I | |||
Meter Bkg Bkg Counts Source Soun:e Response +/-20% inst. Battery | |||
* Time Ambient Initials and Comments Cnt {cprn) or Cnt Time (gross cpm or source Ca!ib. Check Of Temp. | |||
(of) | |||
(add'l Info: inst. Condition, etc.) I I Tlme uRem/hr} uRem/hr) gross cpm current (Y/N} check I or uRem/hr (Y/N) i I . . (Y/N} .. .. I Ratemeter *I m1AJ V'~o :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 ~~l <Jy /J 7 Ratemeter I tYJ!d Y9?{ I m1111 7~o9l<' y y /ZJo t. ~. I -1l. 2 17.. I | |||
, 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 vy y /boD &b.1- "ti.. 2 57 I | |||
I Ratemeter Jf!trt/ q ~ O"') 'f P11v. 1(_!.('{ ~ v /br>o (,, &,. l.. /. J J"/ | |||
Bicron . 'NA I NA 11 v y *fl 9o 0 c;CI i' Sieren NA 7 NA I "'I 'I y 1lso ts. r l | |||
! Bicron NA -') NA I K y y I I. ot:i ?nt,, ?_ | |||
: 1. Instrument desi gnated check source is listed on callbration sticker. Record check source res p onse {net cp m)p rior to fleld de p loy ment for a II check sources being used. | |||
: 2. Source and Background co~nt 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 1 L | |||
Rev 110/18/15 Instrument Field Response Check Log 1 | |||
q(~b Vi | |||
: 1. Instrument Jnformation Ratemeter: Make/Model: LiJdl(/ffl ~)Y/ Serial No.cf~). 1 J.7 Cal. Due Date: | |||
Detector 1: Make/Model:LU'/Jc.-v/V\- t./i-1 o Serial No. fl/ I l 11 lJ Bicron MicroRem Meter; Serlal No. fl:V Y V< Cal. Due Date: ~/J l. | |||
: 2. Check Source Information: | |||
Source 1 lsotope:"/1i *z..1-z.__ Serial No.: )//zr Activity:~ units:~ 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-. units:~ Assay Date: _ _ | |||
Response Acceptance Range {+/-20%): uRem/hr +20%~~ uRern/hr-20% _ _ net.cpm + 20%._ __ net cpm -20% _ __ | |||
: 3. Technician/Worker Performing Checks: | |||
Name: S'ffl/e K:rA.H//lttA/ | |||
Cal | |||
. | |||
Source 1 | |||
Serial | |||
c: | |||
Response Acceptance Range (+/-20% | |||
uRem/hr +20% | |||
Source 2 Serial No.: | |||
Activity: | |||
Assay Date: | |||
== | ==Title:== | ||
_ _ _ _ __ Date: Jo/z1t('Time: tJf!S | |||
: 4. Site or location: Site/Job:.___,3~.~-~------- Location Oescription:~C_o~@_Al_~e~/-~_L.=L)_ _ _ _ __ | |||
GPS Coordinates (when required): X-Coord: ;11 </), Lff'( 'I I Y-Coord: VI) 018'. b 7 11 2-2 i I Instrument Field Response Use Acceptance Criteria Remarks j | |||
-+'/* 20% Battery I | |||
Meter Bkg Cnt Time Bkg Counts (cpm) uRem/hr) or Source Cnt Time | |||
* Source Response (gross cpm or uRem/hr} | |||
source gross cpm Inst. | |||
Ca lib. | |||
current Check (Y/N) lime Of check Ambient Temp. | |||
(oF} | |||
lnitial!i and Comments (add'I Info: inst. Condition, etc.) | |||
oruRem/hr (Y/N) | |||
{Y/N) .... | |||
Ratemeter f /fl IIll l<f9\ I rJ1 IN flo1/(,, y -- | |||
y ()Cj/( jg-_ if 'Th. ZJZ i | |||
= Ratemeter J1'A1N f(~ qI I rYI IN I J.-'ff'_< y '/ aCit < {3". 'f l< 11* | |||
Ratemeter Jft11tJ CJ() I CJ I 1Y/IN ..:i11'1'1 y y /Jo 'P (,;c,,_*7 1/..z~<- | |||
. Rate meter Jtlf 1,J CJo I q I mt/./ U..; Ir y | |||
y Y' I Jvc {.,k,. / Cs IJl i Ratemeter j (i11ri/ CJoz'i J (!J_{f.f ::Jo ') ~ q i 1.\00 1 z_ 3 --ft. 2 >L.- | |||
! Ratemeter lm1rJ CfD.J'f I Ml/./ IJS11.,I y y /~D 12.s {_~ I JI Bicron | |||
* NA -7 NA If< v y {JCJ1( ((,"/ ---lh. 2n. | |||
I Bicron y NA I NA ....; IPOO '~. 1 *11_ 2-1 '2-Bicron NA 1 NA | |||
/{(' v . | |||
~ /~()o /"2., ~ -fl, Z3L i | |||
: 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 | |||
TS* | |||
MJ~ TC~.d.L :&GRV.ICE.'lli" Rev 110/18/15 Instrument Field Response Check Log 1 | |||
: 1. Instrument lnformatlon Ratemeter: Make}Modet: Cal. Due Date: /~~G . | |||
Detector 1: Make/Mode!; | |||
- | Blcron MlcroRem Meter: Ca!. Due Date: 8f'6fW | ||
: 2. Check Source Information: | |||
Source 1 Isotope: '1li-l$1- Serial No.: /f / Activlty:<:b.! units:,,vC Assay Date:!.2/~.rko Response Acceptance Range (+/-20%): uRem/hr+20%__ uRem/hr-20% .* net cpm + 20f:li,7e;g net cpm -20% 3)C'"6 Source 2 lsotope:C:s~/17 Serial No.: /l~c;>.$~.2 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:== | |||
: 1. | _,gcT==--'-~~ Date: lo/..2.!/!2: Time: O'f;2.S-r 1 | ||
: 4. Site or Location: Site/Job: _ __..A--'-Y.-'""1!~"1~3"'-'-,. :. I_ _ _ _ __,_ Location Descriptlon:._ __.c;.,,_.,~4,_.:..:..:*e::..:f.""'cP~-~--- | |||
:-1 LJ~ o:it/m.C I GPS Coordinates (when required): X-Coord: LY- ;:f...e:. ~~ ~ L ff i * .L;:.... | |||
V-Coord: ~'-'7 ~ | |||
o-t:> U. | |||
£0 37. Z "" | |||
Remarks j l Instrument Field Responsei Use Acceptance-Criteria I | |||
Meter Bkg . Bkg Counts Source Soun::e Response +/-20% Inst. Battery Time Ambient lnltials and Comments I | |||
I Cnt Time (cpm} or uRem/hr) | |||
Cnt Time (gross cpm or uRem/hr) source gross cpm or uRem/hr Ca lib. | |||
current (Y/N) | |||
Check (Y/N) | |||
Of check Temp. | |||
(cF) | |||
{add' I Info; Inst. Condition, etc.} | |||
I (Y/N) | |||
Rate meter I w..*"" q /'f 7 ,.11.fu. /Mt~.. l/?tW ,-..1Jhtt, v \./ tJ1so 5"6.L{ "17...-2$2. fk t | |||
1...... ~ IM4'l'rJ?AA, v7 hi :S-6. s /_c;-(3'7 .._, ~? | |||
Rate meter | |||
'" 114'<1 1 | |||
Rate meter ' ( I Rate meter Bicron NA 1-i.uw,u rt"' NA f2~m,,...f(,..v l | |||
q r | |||
\.7 \/ O\")~ <-C ~ 1n~:;.3, u | |||
x Bicron NA I NA NA | |||
' I { | |||
Blcron 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 | |||
Rev 110/18/lS Instrument Field Response Check log | |||
~ | |||
1 Lu (I; | |||
: 1. Instrument lnformatlon Ratemeter: Make/Model: Serial No. ~1'-C.'q:_ | |||
* Cal. Due Date: r¢>JI~ | |||
Detector 1: Make/Model: { :t/.5M Serial No.t6>'6/lf.2. | |||
Bicron MlcroRem Meter: serial No. $&'f.$b. Cal. Due Date: O~f_oS-/i£. | |||
FJ | |||
: 2. Check Source Information: | |||
Source 1 lsotope:'TJ-.-}.3,,_ Serial No.: /If Activity: <::O .I units: µt;;" Assay Date/~o Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/hr -20% net cpm + 20o/oC'J ?1f net cpm *20% IS" 1'-"t: ~ | |||
Source 2 Isotope:&~/ "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 + 20%/'3~r7 net cpm -20% X~??:f'J | |||
: 3. Technician/Worker Performing Checks: | |||
Name: X EJ"",,,..J?s . | |||
& | ==Title:== | ||
'fZ ( 'r Date:/~.) Time::¢{73G7 ~ | |||
: 4. Site or Location: Site/Job: kt". '3. ( * . , | |||
* Location | |||
== Description:== | == Description:== | ||
:c:. | __-::?01=;..::;*~~7.:::.~:c<OC/l"'-------- | ||
\ .. | GPS Coordinates (when required]: X-Coord: | ||
f\J | ,. / o 'e7/a' **' | ||
1v 'fpl .?Lg ~7. L Y-Coord: vv e>? 8'"4'"lo ,.:J7. 7 ,,.' | |||
I Instrument Field Response 2 | |||
Use Acceptance _Criteria Remarks I 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.'fJ. t!D""' | |||
WI.,:-..,... l/?75J I I q a tJ | |||
/"1*~ \/ | |||
rv | |||
\/ v (3tJ/ t~. 7 71..-)'!2- tJ-f Rate meter . I CA.;\.--.. ~ ',. __ | |||
I VJ XI t</5 t:d;. > l/"s- f3 7 '1Jf v | |||
Rate meter I ( f Ratemeter Bicron NA . | |||
q vn~/,,,.. 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 che~k 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 | |||
Rev 110/18/lS lns.trument Fleld Response Check Log | |||
: 1. Instrument lnformation 1 Ratemeter: Make/Model: Serial No. /'fC.£.(.$1 Cal. Due Date:~ | |||
Detector 1: Make/Model: Serial No. '?t;;J~/'(2-. | |||
Sieren MlcroRem Meter: | |||
* Serial No. 'A'q5 b Ca!. Due Date: ~s:-k .( | |||
I | |||
: 2. Check Source Information: | |||
Source 1 Isotope: 7}..~;JJ- Serial No_: /f ( Activity: c::O * ( units:~* | |||
Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/hr -20% net cpm -20% ~IT""<::C" Source 2 lsotope:C?~fJ7 Serial No.: / /fE)3--(2. Activity: t).a;L.. units:_k'L'; Assay Date: L'.Il4_ | |||
Response Acceptance Range (+/-20%): LI Rem/hr +20% _ _ uRem/hr -20%__ net cpm + 20%_ __ net cpm -20% ~Y5 | |||
: 3. Checks: | |||
ntle: __~ __"! _ __ Date: to,.4jf£ lime: 153i | |||
: 4. Site or Location: Site/Job: ~ .,:S. / Location | |||
== Description:== | == Description:== | ||
_ _ _ _ ~__;,___,~~""'"':.1.----- | |||
GPS Coordinates (when required): X-Coord: N ((..,;l D;;z.'l '5?l 'i "' Y-Coord: Wo?K"'1fd: n 2 ;-, | |||
I Instrument Field Responsa 2 Use Acceptance Criteria Remarks I Meter Bkg Bkg Counts Source source Response +/- 20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Callb. Check Of Temp. (add'! Info; Inst. Condition, etc.) | |||
TI me uRem/hr) Time uRem/hr) gross cpm current {Y/N) check (°F) or uRem/hr (Y/N) | |||
(Y/N} | |||
Rate meter I .a...'- lf f oI .--nt.. I ""':x lf>rl.fr~~ v '{ v ft;?/ 6<6. f ~ ~ ;z_ ~;2- r~ | |||
Rate meter I ' - ** *-. | |||
n | |||
.,.f I ....."'YI. lr'J'lf'7cn,,_,. | |||
, -!./ ~ \JI /'$'?/'-/ '7.'-/ /s-13.7-0£ Rate meter 91i-Lc:i/;i.1/1~ r f ( {./ | |||
Rate meter Bicron NA ~ lf/fU</l..r | |||
, NA 1~3/./l~fhr \( \J ,/ I~</() 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 | |||
App E-Sub-Area 3.1- Sample Data Sheets | |||
.~- | |||
SA | ~*.> | ||
SAMPLE LOCATION DATA SHEET | |||
. Project: /VY $ f:. \(..\:)Pl Weather: _flu .1cY,f't-/,~*~1.uafa\.=~~---- | |||
: 1. Sample Area (SA): | |||
SA Designation: 3 .\ &rtV,ecJ | |||
== Description:== | == Description:== | ||
--~~-------~- | |||
SA Origin Location: Coord_ System: _ _ _ __ | |||
SA Land Mark | |||
== Description:== | |||
: 2. Sample Location Data: | :c:.vyv-Cv-:>lJ Coard: | ||
.2. Sample Location Data: | |||
Sample Area ID: ~- Matrix: ~f;t \ | |||
Y | LocationCoord: W1'K-~f/O--n,"' f\J 42.l-/<J0f.£JS5 Alternate Location Measurements (distance from SA origin and Local Coord.) | ||
X Dist. from Origin (0.0) r...i IIA Y Dist. fron1 Origin: ~~-- . Nj 11 Site Sketch Attached (Yes) ~ | |||
Sample Location | |||
== Description:== | == Description:== | ||
(om 8DtJ, no '\:i+o..I ~ | |||
Canopy Type: _Q.;i.;pe~Vl_.____ Land Use: ~r'~ Soil Moisture (Wet, dry, etc.):~? | |||
: 3. L ocat1on R.a d"1at10n ' R ead"mgs: | |||
2x2 NaI i Bicron Notes (cpm) (uRem/hr) | |||
Count time 1 cm Im i lcm lm (min) | |||
I I1.'.)5i tO"l'i \ g I iJIA I !f';,1, 0 lf'. f./ 1 g | |||
: 4. Sample Information: Sample Area ID: 3 *\ *\ . 6 , /- ;{ | |||
Soil Sample ID Samplitig De[)'cription Color (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 ~c~ 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 -r.,.,..,e. 5;-c;A--:10:: | |||
'll~ ~~: | |||
Weather: J?crfly Clo vd1.;. | |||
1 | |||
..va.rm | |||
: 1. Sample Area (SA): | |||
SA Designation: __3_._\____ | |||
== Description:== | == Description:== | ||
_{pm B ~l d SA Origin Location: | |||
'-'-=----'--''-=-"-=--------- | |||
Coord. System: | |||
SA Land Mark | |||
__ | == Description:== | ||
__]2,ivtw{!J Coord: | |||
~Th idiz,tJ | |||
: 2. Sample Location Data: | |||
Sample Area ID: 3, i. 2 Matrix: 2~..il_._ | |||
Location Coord: j.J 1~ . 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) ~1\1£< | |||
I Y Di:>t. from Origin: u.) \le .......--~ | |||
Site Sketch Attached (Yes) @ | |||
Sample Location | |||
== Description:== | == Description:== | ||
Canopy Type: ()Pt<" Land Use: __E_Q.,:(W. _ _ Soil Moisture (Wet, dry, etc): '[);:.~ -.:o, w-t-1" 3 L oca tion Ra d'I.a ti on R ea d'mgs: | |||
2x2 NaI B'cron Notes (cpm) (uRem/hr) | |||
Count time 1 cm Im \cm lm (min) .. - . | |||
I !ILlCZ IO~Z7 tO ID t-****- | |||
.Lil f\ | |||
I I ll 42.l! iOw63 Alf~ | |||
: 4. Sample Information: Sample Area ID: _3_. \ , 7 , I[ . I - l Descnoticm b'Y Depth 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 ~o~ \ tSa:.,..n 3.1. z.~.1 ~J(f\ | |||
15-30 '7 (}: \ R..'lJ1,...i,/\. ~.1.*L, £, 2 IJ}Pc | |||
~0-l.aO !,D*. l ir-1~~"' '3.L 2.. f, 3 Nf f< | |||
Count time | {uO -1 vu Mvd Jl}>t).k /' D.Vt>~ ':?..1.*z.e..'1 n.1- wo.\.e c ~_w_ | ||
Sample Area ID: | I | ||
~ (N) | |||
Sample Recorded on Laboratory COC form and Container Labeled: | |||
SAMPLE LOCATION DATA SHEET Date: ID -Zo ~1.,.- Project: 1'-Jj 5 tg_pf.L_. _ __ S\crt '.J~ '. 2.5 Weather: pcf'f\-r Clo:,cLy , c&Cc/c--< | |||
e"'d : I '1; 3 o I. Sample Area (SA): | |||
SA Designation: 3, I | |||
== Description:== | |||
__Gx='-'-ri'--'-f'= / 2,~-------- | |||
1c..... | |||
SA Origin Location: ______ Coord. System: _ __ | |||
SA Land Mark | |||
== Description:== | == Description:== | ||
:povc~ * - - Coord: | |||
: 2. Sample Location Data: | |||
Sample Area ID: 3 l 3 .. E r v Matrix: 'So~ L_ | |||
. ~ | |||
Location Coord: W 1<6,/!1 CJ L/ 25~ 17 __&LJ -Z | |||
* 4 'l 13 '-18' Alternate Location Measurements (distance from SA origin and Local Coord.) / "7 1 r - | |||
X Dist. from Origin (O,O)___Mfjl, .l _ _ , * | |||
* Y Di!;l. from Origin: _.N-"'111-\.lft--- l)'\ V(WCu\ | |||
Q 67. a ,s. W '"'fYD/\I\ 3. I. 5 Site Sketch Attached (Yes) <<l | |||
== Description:== | == Description:== | ||
~(~-o_'(_r,_f\~.*~<~\_l~,,..--ei~I0~1'-)--r--~C~ll~.f~n_,_.~f\_C~~~rh~c,.._,__!_IL_s____~--- | |||
Sample Location 1 | |||
Canopy Type: Op-ch Land Use: {G(hJ Soil Moisture (Wet, dry, etc): D~¥~ | |||
3 L oca f ion R a a*ta ti on R ea d.mgs: | |||
* 2x2 NaI ; B**cron Notes (cpm) (uRem/hr) | |||
Count time lcm Im 1 cm Im (min) | |||
- g I ID {;t;c_p iO ! I '1 'l -- N}~ | |||
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 (Surface litter type/depth, sample depth retention, (cm sand, etc) :efusal, stone or rock, to oo-ra h , erosion features) | |||
'--~~.........i...-~~~-'-~~_J,_~~~~~J*~~~--~~----,..,..----~~-~~~-~~ | |||
Sample Recorded on Laboratory COC form and Container Lab(lled; (N) | |||
SAMPLE LOCATION DATA SHEET Date: /0-7./-/) Project: AJ'YScR..00 Name: *Jii0 *~ V[)'...tJ;it. | |||
Weather: WO,tM *~fv C[oJd.,~ | |||
1*~+ 0 | |||
: l. Sample Area (SA): | |||
SA Designation: __3_._\~--- | |||
== Description:== | == Description:== | ||
Com .f-; <:..{d SA Origin Location: Coo rd. System: | |||
SA Land Mark | SA Land Mark | ||
== Description:== | == Description:== | ||
_'[)'""'""'vi~vt | |||
....w__.'_D.>-l_J-t--- Coord: | |||
: 2. Sample Location Data: | |||
Sample Area ID: 3 .\, Lf Matrix: so,_\_ | |||
cl Location Coord: N 7 f{, w1Cffr'/'J Alternate Location Measurements {distance from SA c1rigin and Local Cop~d.) Sv\:i~ | |||
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 s+~ (Ls Canopy Type: 0 p-t.V\ Land Use: fQ_(fl.A Soil Moisture (Wet, dry, etc): J) 0{ | |||
: 3. L ocatwn R a d"1ati on R ca d'mgs: | |||
2x2 Nal Be.Cron Notes (cpm) (uRem/hr) | |||
I Count time lcm lm 1 cm Im (min) | |||
I 'jg 8"5 we;~ 5( 7 v I f1 1 q3 '(j 922/( | |||
tJ J f\ | |||
: 4. Sample Information: Sample Area ID: J . j , Y , £. . f- !./ | |||
Soil Sample ID Sampling Description Color (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: /o~zr-15'" Project: ---+-jJ"--'V,_,5._...f..,.""""'J2,-'{)1'1'------ Name: | ||
Weather: Clo ud:-t | |||
* I | |||
~ | |||
: 1. Sample Area (SA): | |||
SA Designation: -~3'-,'"'"J______ | |||
== Description:== | == Description:== | ||
* CoYt'i Htf d SA Origin Location: Coord. System:~--- | |||
SA Land Mark | |||
== Description:== | |||
~(11-. -.____ Coard: | |||
: 2. Sample Location Data: | |||
Sample Area JD: Matrix: So* { | |||
Location Coord: "~u 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 | |||
~M*~-- | |||
Site Sketch Attached (Yes) @) | |||
Sample Location | |||
== Description:== | |||
__ | _ {orn h(, td , 5tul ~5 | ||
_,,__..,~-'--L--"'--1-J---'-'--~--'-'=---------~---- | |||
Canopy Type: 0 '/)(,fl Land Use: __f__a.r lk. Soil Moisture (Wet, dry, etc.): Dty l | |||
: 3. Location Radiation ReadinCJs: | |||
2x2 Nal Bicron Notes (cpm) (uRem/hr) | |||
Count time lcm Im lcm . lm (min) | |||
I ~77 | |||
: 4. Sample Information: Sample Area ID: 3, / . 5. 12. ~ J~!-f Soil Sample ID Sampling Deseriptimz Color (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 | |||
.~- | |||
~JI~ | |||
SAMPLE LOCATION DATA SHEET Project: N\Ktilfil_ __ Name: -r;:.i BYD<..,..V'- | |||
SA | *~----- | ||
Weather: Cfoxly,, ww:w. | |||
: 1. Sample Area (SA): | |||
SA Designation: ---~-1_!---~ | |||
== Description:== | == Description:== | ||
SA Origin Location: Coord. System: | |||
SA Land Mark | |||
== Description:== | == Description:== | ||
-~D~n~-~~~q_;-(f=----- 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 Origin:A/j.""'c...,18~-- | |||
Site Sketch Attached (Yes) ~ | |||
Sample Location | |||
Grn d t1o | == Description:== | ||
Grn ~et d t1o 5..fu.(_~_S _____________ | |||
Canopy Type:~ Land Use: . .fuv\..A., Soil Moisture (Wet, dry, etc.): Dt\,1 3 L oca f ton R ad"1a ti on R ea d"mgs: | |||
Count time !cm lm )cm Im (min) ( '7iq2-o X' 7 Al J /4. l S? <c:; | 2x2 Na! Bicron Notes (cpm) (uRem/hr) | ||
(_ f\J/A | Count time !cm lm )cm Im (min) | ||
Sample Al-ea ID: .3. LG:> , J2.., 1-lf D ' | ( '7iq2-o ~~ X' 7 Al J/4. | ||
* (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 | l S? ~ <c:; 'K1~7.,(_ f\J/A | ||
/\J /4 IS-6Q_. \ hi'l'L_.A,.- | : 4. Sample Information: Sample Al-ea ID: .3. LG:> , J2.., 1- lf D escnp* 'tion bDtl | ||
~Y ep 1: | |||
bfl)vV-- | 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-' ~o * \ t--.n,,,,, 3i.t_.,,2...I /\J /4 IS-6Q_. ~d ~ \ hi'l'L_.A,.- i. \.1 ... (L "'2. ,Jt ~ | ||
i!J n-(.g {)-/ (,) <.> | 3o-t.t<> Sc>~\ bfl)vV-- ~.\,l.,11....3 i!J n-(.g {)-/(,) <.> .So~\ i-.,,..,.._ ~,i..<.... 12.. t.1 l!l rq.. | ||
i-.,,..,.._ | Sample Recor<led on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15 | ||
.... 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,_,_\-'------- | |||
____(Qr n e\.O SA Origin Location: | == Description:== | ||
--*----- | ____(Qr n ~ e\.O SA Origin Location: --*----- _ _ _ _ Coord. System: _ * - - - - - - | ||
'Q,;, \l"'"t*wcd Coard: Yoo -f-*t:. I _f;*" sJ. 2. | SA Land Mark Descriplion: 'Q,;, \l"'"t*wcd Coard: | ||
Location Data: \\) J-jl>!f,ll'{.? | Yoo -f-*t:. I _f;*" sJ. ~ | ||
'fJ){'r'\Y> | : 2. Sa~ple Location Data: \\) J-jl>!f,ll'{.? 'fJ){'r'\Y> | ||
Sample Area ID: :3, l. 7 Matrix: '501-_L LocationCoord: | Sample Area ID: :3, l. 7 Matrix: '501-_L \f;L~t~ | ||
w7'8', (Jt7'if9.11" :J+/-!/2, '/(/&1i(' | LocationCoord: w7'8', (Jt7'if9.11" :J+/-!/2, '/(/&1i(' N1f2.-.t.t~li.Jl.iZ Alternate Location Measurements (distance from SA c*rigin and Local Coord.) | ||
X Dist. from Origin (0,0) J\f\ Y Dist. from Origin: iJ\'~ | |||
Site Sketch Attached (Yes) @) Sample Location | Site Sketch Attached (Yes) @) | ||
Sample Location | |||
== Description:== | == Description:== | ||
(or"h-h1~ !c.L (Off1 .sh:aj /c.) rLh?..{)1i'"ed I | |||
Canopy Type: Q pe I'} Land Use: FQ..viM,._ _ Soil Moisture (Wet, dt)', etc):__,Qy"'----'1--~- | |||
3 . L ocat'mn R a d'ia f 10n R ea d"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 l 10 8 'ii f;'" <j q Z.CJ | |||
~I i | |||
: 4. Sample Information: Sample Area ID: 3. \, *7, IC . I - Z.. | |||
Descnotwn bIY D ep th 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 .7.~ .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;;;. | |||
SAMPLE LOCATION DATA SHEET Date: iiJ-tCJ-i r Project: /JY5eK..M Name: --r;;;. | |||
* 6i1>:d.;... | * 6i1>:d.;... | ||
Weather: s0n'f\y / c. oo *--*--*----*- | Weather: s0n'f\y / c. oo *--*--*----*- | ||
: 1. Sample Area (SA): SA Designation: | : 1. Sample Area (SA): | ||
_5__;_._\ | SA Designation: _5__;_._\______ Desciiption; __(~o-~\'\-~~*~e~t_d~------ | ||
SA Origin Location: Coord. System: _ _ _ __ | |||
__ | SA Land Mark | ||
SA Origin Location: | |||
Coord. System: | |||
== Description:== | == Description:== | ||
v\ '<(u..."'d Coord: | |||
: 2. Sample Location Data: | |||
Sample Area ID: _'3--'-'.l'-._8"---_ _ _ Matrix: _s_;~ _l_ | |||
Location Coord: VJ/&. lo7X1t1°' | |||
Alternate Location Measurements (distance from SA ciriginand Local Coord.) | |||
X Dist. from Origin (0,0) tf\~ Y Dist. from Origin: rJ1P< | |||
Site Sketch Attached (Yes) ~) | |||
Sample Location | |||
== Description:== | |||
[Dn"' | |||
h e_l_~-- rcvn sk\\t...S | |||
---a} | |||
S\r.ca.:i.~, lo ------- | |||
(tx,uS ~ 11 260 f-L Lv | |||
&.-;ve~ | |||
Canopy Type: Ope f1 Land Use: carnt-\eld Soil Moisture (Wet. dry. etc):_Qc:...;fy~-- | |||
: 3. Location Radiation Readings: | |||
I 2x2 NaI (cpm) | |||
B*.cron (uRem/hr) | |||
Notes* | |||
Im Count time lcm lm lcm | |||
(!_Uin) .._ | |||
1 .....- | |||
ci;qzo CJLf x-t* | |||
l, 'tJ ' IJ//< | |||
I 9 x-'7 I qo 8'!__ 'Nf'~ | |||
I | |||
: 4. Sample Information: Sample Area ID: 3 ,\ . ~ , £-1 ~ 7- | |||
---~- --------------*-- | |||
Soil Sample JD Sampling Description Color (Surface litter type/depth, sample depth retention, | |||
~efusal, stone or rock, to o a b ', erosion features) | |||
Sample Recorded on Laboratory COC form and Container Labeled: (N) | |||
SAMPLE LOCATION DATA SHEET Date: IO - Z0-1-:r Project: JJY 5 f !2.DA Name;~ 1).rorc="'' . | |||
Weather: 'Svti1*1.y; u.ptr>. | |||
I. Sample Area (SA): | |||
SA Designation: _ _3-----".j_____ | |||
Date: IO -Z0-1-:r Project: JJY 5 f !2.DA Weather: 'Svti1*1.y; u.ptr>. I. Sample Area (SA): | |||
== Description:== | == Description:== | ||
(pl(\ el d. | (pl(\ ~\ el d. | ||
SA Origin Location: | -~~---------- | ||
SA Origin Location: Coord. System: | |||
SA Land Mark | |||
== Description:== | == Description:== | ||
Coord: 2. Sample Location Data: Sample Area ID: ---'3"'--. | Coord: | ||
}'--. | : 2. Sample Location Data: | ||
l'r Y Di!:t. from Origin: Ai/ 1-\ Site Sketch Attached (Yes) . | Sample Area ID: ---'3"'--.}'--._CJ_ _~- Matrjx:. <;.., ,_\_ | ||
Location Coard: W 7 8'. 0t19(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) | |||
. oA.~) | |||
Sample Location | Sample Location | ||
== Description:== | == Description:== | ||
~Co.~:'Yl'-'--'h~c~l.JC---f!~c..~*..... | |||
.. \ D="'.,_,,~,..._.st~o.:=~~t"'-111c...,.,_.n.~Mk~"1'(,...__-:::::re+=I | |||
~='.l<'.~n~i-_ _ _ _ __ | |||
Canopy Type: 0.pr~V\ | |||
. . ___ Land Use: -~1~ Soil Moisture (Wet, dry, etc):._--'D'--'-",f-/_ _ | |||
: 3. L ocahon Rd' a iabon . R eaa*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 escnption 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) refusal, stone or rock, topo!rraphy, erosion features) | |||
()-J s- -:;,o;t 112..-u'->"'\ ~.L'i E, I NJ rr Jfj-jD ~D;\. ll./\c. ... :~ .. I C;,t,2.. 0-fl_ | |||
Sample Recorded on Laboratory COC fonn and Container Labeled: eJ (N) | |||
SAMPLE LOCATION DATA SHEET Date: tO{ 7.-[ ( J ") Project: N\.\ SER 0 r+ Name: ~ gt'()l.\;rJ 1 | |||
Weather: Lloi.:.d,L\ 1 S-0 .S | |||
: 1. Sample Area (SA): | |||
SA Designation: A l"'{_Q-.. 3 . l | |||
1 S-0 | |||
A l"'{_Q-.. | |||
3 . l | |||
== | == Description:== | ||
Description:== | (Di-- n t 1 d ('~ | ||
(Di--n t 1 d SA Land Mark | SA Origin Location: Coord. System: LrJ.- ( lorj SA Land Mark | ||
== Description:== | == Description:== | ||
_....D..:_ri,__*i!.=*'-;_:_":i._~1Jr----~- 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:, | |||
* 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: | 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 | |||
- u-r I H'St ()'j- (O!'"'J Site Sketch Attached (Yes) ~ | |||
Sample Location | |||
== Description:== | == Description:== | ||
Cc rn?i?.. tel I :tlcd ~ 5 cJ~:}-r-tA Canopy Type: C'J Q8'! Land Use: k~'V\ Soil Moisture (Wet, dry, etc.): cla.mr J at w~.,.-- | |||
: 3. L.ocatmn Rad'iat10n . R ead.mizs: | |||
2x2Nal Bicron Notes (cpm) (uRem/hr) | |||
Count time lcm lm lcm lm (min) l II <oqs- ro, 99 '" lf '1 rJ I~ | |||
I If , u~J. (0. '150 | |||
: 4. Sample Information: Sample Area JD: 3. 1.10 E.. \ ~ E. d. | |||
Descnotion b1y D eoth : | |||
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" ~oi I d!A..Ll b~') ~.\.IC .E. \ | |||
1 IS. :'.>O ,561 ! duv b~WT'\ '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: __,ft-'-"-r..,""'"~--'3:::....:..i...1_ _ __ | |||
== | == Description:== | ||
Description:== | __,,C...::.o_r"'...:...*-'-t1--=~J:_J:.....:__ __,_~--- | ||
SA Origin Location: Coord. System: lu:J-f lur- > | |||
SA Land Mark | |||
__, | == Description:== | ||
__..Dr"'-=l\/l.=Lv=:i..,...:q..._ _ _ __ Coord: T5.l..7'1 J.~ '-/.:l. l.J~u~ 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 4d. ' <../ ~ l 1l, GL.{ o..d..S c;lu~ wd of C11/ | |||
Alternate Location Measurements (distance from SA origin and Local Coord.) | |||
x Dist. from Origin (0,0) y Dist. from Origin: ---~d~o.,- .d I$ | |||
-ht:~ | |||
~-k-lk5 I edjt | |||
( '1 _ | |||
'* brlJsh/ | |||
1 Site Sketch Attached (Yes) l/N-ml ~ I Sample Location | |||
== Description:== | == Description:== | ||
C0rn-f d ol stct.l b d~ ii..("~ {,!l 1 | |||
Canopy Type; _.:::;o-+p-'~c....*.__ _ Land Use: _hi.r---.:.~,-'"'\..__ _ Soil Moisture (Wet, dry, etc.): do.mp, f'ill li...l.\fL..- | |||
: 3. L ocation Rd" a 1ation R ea d"m2s: | |||
2x2Na1 Bicron Notes (cpm) (uRem/hr) | |||
Count time I cm Im I cm lm (min) | |||
I 10 'i<~O 1D, 31../o | |||
* 7 lD .~[ff! | |||
{ JD_"f:(.P./ Ill d.9D | |||
: 4. Sample Information: Sample Area ID: 3.1. II El - E ~ | |||
D escnption b1y D epth : | |||
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 "(" ~;I do,1..1 . !-,..,.,,.,... "J... I. I I E I I '.S *30 ~d Jei.J ! | |||
6-u. .'->~"\ <..I. rf .EZ.. | |||
Sample Recorded on Laboratory COC form and Container Labeled: rf!J. (N) 10/2.0/15 | |||
SAlVIPLE LOCATION DATA SHEET Date: \ o -z.l d1'5 Project: fU '-i SE ~.D f4 Name: S gl'Dwn | |||
, - I Weather: (_ \ ~1..d...l{ 1 S 0.) | |||
: 1. Sample Area (SA): | |||
SA Designation: f't<~J>,,_ :3:,. j | |||
== Description:== | == Description:== | ||
LCr:'lf 1 d J SA. Origin Location: Coord. System: Cod- { [>>."S 1 | |||
SA Land Mark | |||
== Description:== | == Description:== | ||
__,_,D,,_,r_,_w""JC""u""'>U;,,~i_ _ _ __ Coord: l't.L.1'4d..J. 4';;;.t.J'i:ObS I | |||
: 2. Sample Location Data: | |||
. Sample Area ID: -5 . \ . I ?.., Matrix: Sc.~; j {C(Q~ | |||
: 2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix: | Location Coord: l\ ,;J,.l-l :s- C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) + | ||
j { C Location Coord: l\ ,;J,.l-l :s-C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) ;:) (p | ;:) (p L{ tt..-ds clt\ L X Dist. from Origin (0,0) Y Dist. from Origin: _ _ _ _ ~ri.s.f of Co....v-' c'o::,~-h:) | ||
of Co....v-' | Site Sketch Attached (Yes) ~ ~.:o1 J Cl{<..:;' J.~1 :'itcd 1:5 Sample Location | ||
Site Sketch Attached (Yes) | |||
J Cl{<..:;' | |||
:'itcd 1:5 Sample Location | |||
== Description:== | == Description:== | ||
locn-P1dd..) s+oJ k5 dil;);J~,J, Canopy Type: OQtn Land Use: \:n..rro Soil Moisture (Wet, dry, etc.): (k,l'VI? ,flo v.;dv,. | |||
3 . L oca tion Rad"iation R ead.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 ')'.$°~ JD,q~a | |||
: 4. Sample Inform~tion: Sample Area ID: '?::.. l . f;;i.. E I | |||
* E ;.;l, D escnp' t ion bDth 1y ep* | |||
Depth Soil Type Soil Sample ID Sampling Description Interval (Org; day; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, top0graphy, erosion features) | |||
CHS ~o*d {r lo.I..! 161'(,,,/"\ 3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._, *., 3._1. \;;l.E.d. | |||
I Sample Recorded on Laboratory COC form and Container Labeled:~ | |||
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: (_ \ ~vd._y .' S 'O 5 | |||
: 1. Sample Are.a (SA): | |||
SA Designation: fl<<(A S. I | |||
.' S 'O 5 1. Sample Are.a (SA): SA Designation: | |||
fl<<(A S. I | |||
== Description:== | == Description:== | ||
----'G_o_r_n....;..+:_,~~J--'r'-'J..--___,,-,----- | |||
SA Origin Location; Coord. System: Lix!-( Ui,"!,) | |||
SA Land Mark | |||
== Description:== | == Description:== | ||
__,,,D"""'f'_,_,w"""W~~"""l------- Coord: !'5. l. 1~ *Ol-:1 l(;,,.i.J "&"Cb~ | |||
: 2. Sample Location Data: | |||
Sample Area ID: -~. \ . 13 Matri;.<: ~~cia1 Location Coard: *1. o . (?-":{ '7 7 cl J LI J., Y'is' J.. I It> 6 J;tJ '1~ Nwv+: | |||
Alternate Location Measurements (distance from SA origin and Local Coord.) | |||
'5.1 | X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ | ||
( (lf I ; n :s+ru K5 I d ~~ cf cI~o..rea o..rt.?- | |||
Site Sketch Attached (Yes)@~ | |||
Sample Location | |||
== Description:== | == Description:== | ||
* l~n1f-"I de!. J i ~'l staJ. t5 CanopY, Type: _O_,,Q_e.~..-\,_____ _ Land Use: fo./,'\'V Soil Moisture (Wet, dry, etc.): dctl"t'Jf I t1D W~ | |||
: 3. L ocation Rad"1ation R ead.me;s! | |||
2x2 NaJ Bicron Notes (cpm) (uRem/hr) | |||
Count time lcm lm lcm Im (min) I | |||
.! ~G 'J..9 i-~10 10 '8' fJ !-A I ~'S"o:S- l) I $" '-/ | |||
: 4. Sample Information: SampleArealD: '5.1. ! 3 fZI - R.J, D escnption b1y D ev th. | |||
Depth Soil type Soil SampJelD Sampling .Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention. | |||
(cm) sand, etc.) refusal, stone or rock, topography, erosion features) f\*IS :soi I llc-1_ L/ bi~*"l 3.\.13.R. I 1~-:.<io Soi I i:..1~~ br?>w.,.., 3.1. 13.<<..:), | |||
I I | |||
Sample Recorded on Laboratory COC form and Container Labeled: (N) | |||
"10/20/15 | |||
SAMPLE LOCATION DATA SHEET Date: i O[ z.. d$! Project: ~I '1 SE.!(..() 4 Name: S rSV!}wYJ Weather: (_ ( v:;°'--'1 1 | |||
$-05 I. Sample Area (SA): | |||
sA Designation: (\(ZD.._, s. I | |||
== Description:== | == Description:== | ||
- LOr :'[ +: Id rt SA Origin Location: Coo rd. System: lr:d-- f Uf1 "- | |||
SA Land Mark | |||
Coard: l't. t, 1!.J ;7.J.' t(;;,.4 G3, 2. Sample Location Data: Sample Area ID: \ . \ l\. Matrix: Sci [ ( | == Description:== | ||
Location Coord: . L, TS S | __,.L.,,__,k_,_\\f,,_,~=-~~1------ Coard: l't. t, 1!.J ;7.J.' t(;;,.4 ~o G3, | ||
: 2. Sample Location Data: | |||
Sample Area ID: -~. \ . \ l\. Matrix: Sci [ ( cla~ | |||
Location Coord: I~ . L, TS S G5 L\ ~. YZ :J. 1 '13~--- | |||
Alternate Location Measurements (distance from SA origin and Local Coord.) | |||
X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ l 4lD. '-l (L.J_:;, n orl-i1 -a-F-C<VI d Q_()JtJ (Yes)~ | |||
MQ_a__ | |||
Site Sketch Attached Sample Location | |||
== Description:== | == Description:== | ||
(:_~n1*P1t lcl i :s-toJ ~5 c.f u-?. el Canopy Type: 0 ~t:n Land Use: f o__rm Soi I Moisture (Wet, dry,_ | |||
etc.): dc.t.m~, llO Ll.l~ | |||
: 3. L ocation Rad"iation R ead.m2s: | |||
2x2NaI Bicron Notes (cpm) (uRem/hr) | |||
Count time l cm lm 1 cm lm (min) | |||
I 't GS-'8' 93al t ~ | |||
l ciq.o<., 111 9 I | |||
: 4. Sll.mple Information: Sample Area ID: ~.I. ['1 KI*((_~ | |||
' tion b>Y D epth : | |||
D escnp; 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. \ | |||
)$-~D 0oi! f da.J brbv.in 3 _l . I'-\ . I( <l I | |||
Sample Recorded on Laboratory COC form and Container Labeled:~ (N) 10/20/15 | |||
SAMPLE LOCATION DATA SHEET Date: 1ol-z-t [cs Project: f\.I'=\ SE.((_.()?\; Name: S. grt>wn Weather: (_ ~ vv-R1.1 1 s-05 | |||
: 1. Sample Area (SA): | |||
SA Designation: Pt<~D._ 3 ~I | |||
Name: S. grt>wn Weather: (_ vv-R1.1 1 s-05 1. Sample Area (SA): SA Designation: | |||
3 | |||
== Description:== | == Description:== | ||
Corrif ,JJ. | |||
Corrif ,JJ. SA Origin Location: | SA Origin Location: | ||
SA Land Mark | SA Land Mark | ||
== Description:== | == Description:== | ||
: 2. Sample Location Data: Sample Area ID: . \ . I Matrix: :Soi ( (dn LI Location Coord: l . c*7 r I S5 L\?.. Ll o }.7 1..1 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: Site Sketch Attached Sample Loca.tiort | _[)~r_..10U~u~\'l..1~1"t------- | ||
: 2. Sample Location Data: | |||
Sample Area ID: -~ . \ . I ~ Matrix: :Soi ( (dn LI Location Coord: l ~ . c*7 r I S5 L\?.. Ll o }.7 1..1 ~ | |||
Alternate Location Measurements (distance from SA origin and Local Coord.) | |||
~ ft!) '-/ll-rd..i fJ a+ | |||
X Dist. from Origin (0,0) Y Dist. from Origin: ( a..r 1 c.. i1.n+~r o F s-k.! b Site Sketch Attached (Yes)~ | |||
Sample Loca.tiort | |||
== | == Description:== | ||
Description:== | lorn+;~.lct in ~cJ k--5 1 | ||
Canopy Type: ~O_._Q_e.~_'\,___ _ Land Use: ~OJ>ib Soil Moisture (Wet, dry, etc.): dtL'<<*f 3 L ocation R ad"1ation R ead"mes: | |||
2x2Nal Bicron Notes (cpm) (uRem/hr) | |||
Count time I cm 1m lcm lm (min) | |||
I IV (, {o I 10 'l..3 't ~ JO pJ (4 I 10 :}'Jl., I () /'rD | |||
. 4. Sample Information: Sample Area JD: '5.1. I$ RI - ~J, Descnption b*Y D ept h : | |||
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 s~ '; l { clt\'-1 | |||
\$-:,)0 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 | |||
f\fx D.. I | |||
== Description:== | == Description:== | ||
lorn+: r ;ij rl. | |||
lorn+: r ;ij rl. SA Origin Location: | SA Origin Location: Cooid. System: ld-( Gl'1'\ _ | ||
SA Land }.{ark | SA Land }.{ark | ||
== Description:== | == Description:== | ||
. | ~L.!.!)r-",v~Q...'""'w><.:o.,,,,,u'4------ Coard: l~- lo 1'-1 :AJ. t.(.1,,L\ ~o G~ | ||
. I | |||
: 2. Sample Location Data: | |||
Sample Area ID: -~ -\ *., (a Matrix: S'-< j ( ci c,ll Location Coord: 1 i-, C9l l '11 $' L\ ";).*41l'd.313 Alternate Location Measurements (distance from SA origin and Local Coo rd.) 1 ~ *Lt~.....--~ | |||
" _..;, ( Nc:.r r X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ "-" ~ c~ | |||
in shtt.s Site Sketch Attached (Yes)~ | |||
Sample Location | |||
== Description:== | == Description:== | ||
l~1*nf";,Jc\, Jin ~+oJtS Canop)\ Type: O~ Land Use: _.C-:_o.._.r-" ..iY'--'"'--- Soil Moisture (Wet, dry, etc.): a.tu*1Ap 1 flll | |||
: 3. L ocat"ion R ad.1ation R ead"m~: | |||
2x2 NaJ Bicron Notes (cpm) (uRem/hr) | |||
Count time lcm Im 1cm lm (min) l 101 !3+ ci :J.~4 9 ~ | |||
I NM l 't er yt, 1 71- i-=i- | |||
: 4. Sample Information: Sample Area JD: ~.I. I (p IZ! - R:.2.. | |||
Descri1>tion b1y D cptb : | |||
Depth Soil Type Soil Sample JD Sampling Description Jnterval (Org; clay; Color (Surface Litter type/depth, sample depth retention, (cm) sand. etc.) refusal, stone or rock, topography, erosion features) | |||
C'i-1 s :l'Di ! cl~'-! .611)1,:;r') 3.l.\ln.R.-! | |||
1$-<.0 ::io1I do..c.1 bl'bl-..Cl 3_1.11.:>-R-*d... | |||
Sample Recorded on Laboratory COC form and Container Labeled:~) (N) 10/20/15 | |||
SAMPLE LOCATION DATA SHEET Date: 10( w(rS" Project;_-'-\J | |||
*. l ~1 < | |||
! __ r:_ fl f\.L]_ | |||
..:>L:._1'--_u_ IT'--- Name: -:S-. (Sl()v-..":l Weather: :S\j(lny I d~ ..... so") | |||
L Sample Arca (SA): | |||
SA Designation: A-ei1>.. 3. \ C.ornfi d | |||
1 | |||
IT'--- | |||
A-ei1>.. 3. \ | |||
== | == Description:== | ||
Description:== | -~--'--"-~--~,....,...----~ | ||
SA Origin Location: Coord. System: Lttt- Lt>>'1j SA Land Mark | |||
== Description:== | |||
\;xi*'-wll.l Coord: ..J:L.\, 14 1... "L l\ 'J.. t..I ~t)63 | |||
: 2. Sample Location Data: | |||
Sample Area ID: --~_-_\_._\_i-_ ___ Matrix: s1:1*1 \~Ail~ | |||
Location Coord: **rLG l~~G1 L\ :l .c.\'8"\ CJ~ | |||
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:== | == Description:== | ||
C.. 01nft ~J.d j rLJf-ul~~k..,.,.::,~------------ | |||
Canopy Type: O ?'U'J ' Land Use: -fa-rm Soil Moisture (Wet, dry, etc): d..\Ur\y 3 . L oca f mn R a a*ia tion R ea d.m2s: | |||
2x2 NaI B:.cron Notes (cprn) (uRem/hr) | |||
Count time !cm Im I Jcm Im (min) | |||
I 9~yo ~qd[) l~ s ~./ -I.A | |||
\ Ci d.S'i '"6~30 | |||
: 4. Sample Information: SampleArea!D: 3_1,11 {<.!-Rz_ ("S-R.l.r Descnp "tion bDtl*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; \ O~vn *'\.l.11. R. \ | |||
l'S*3D +i)<;>_~(\*, i 'txt\,"r, 3-1./1.tZ.;A 0-1.$" +Dc."<11 I bmJo,)t) 3. I . l7. (( . S' 15*~0 +opso*, \ b~ :3,_!_11.IZ...\n Sample Recorded on Labo:ratory COC form and Container Labeled:~ (N) | |||
\ | SAMPLE LOCATION DATA SHEET Date: j ti{ t.o{ f 5 Project: t\J\.\ SC-12..CJA Name: S !5rot.*.J"! | ||
: | Weather: du . .d,~ 1 | ||
, 'SO,:? | |||
: 1. Sample Area (SA): | |||
i\fQ.tL SA Designation: _3_.~----~ | |||
== Description:== | == Description:== | ||
Orfitit.\rA SA Origin Location: | |||
SA Origin Location: | |||
SA Land Mark | SA Land Mark | ||
== Description:== | == Description:== | ||
d-ri ~W!;\\,j | |||
d-ri | |||
: 2. Sample Location Data: | : 2. Sample Location Data: | ||
Sample Area ID: __,,,3"--._,_l_. .:. .1'6..:____ _ _ Matrix: :Soi I {c\t\Lj Location Coo rd: 1 i - (Ji+ ~ ~~ 3 Yd.* '-l c; d-S 'K :l. | |||
Alternate Location Measurements (distance from SA c*rigin and Local Coord.) | |||
X Dist. from Origin (0,0) Y Di!;t. from Origin: _ _ __ | |||
Site Sketch Attached* (Yes) @ | |||
Sample Location | |||
== Description:== | == Description:== | ||
. LC'lnfi ~\d. , skJ k'.s d~J Canopy Type: | |||
* 0 ~Vl Land Use: fo..<f'Y) Soil Moisture (Wet, dry, etc): QQl/Y'\T | |||
: 3. Loeation Ra diation R ea d"mgs~ | |||
2x2 Nal B cron i Notes | |||
!1 (cpm) (uRem/hr) | |||
Count time lcm lm ! Jcm lm (min) ! | |||
l er 6l'>'~ t::il.1-!:J "5' - i 1J I-A l ~~O'~ ~~?;o | |||
: 4. Sample Information: Sample Area ID: 3. \. IZ Kl* R2. | |||
Descnp . ti<>n b1y Dept h: | |||
Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ~efusal, stone or rock, topography, ero*sion features) | |||
"0~1$" ~o-,1 do.LI b(l,\,;~"1 -:3:,.l.l~-fZ-) | |||
1-:=;;-:sc. ~c:~ I c..ln,' | |||
, b-t*_._,,, <-.\ .1t.((. L Sample Recorded on Laboratory COC form and Container Labeled: (N) | |||
SAMPLE LOCATION DATA SHEET Date: !U [ d-O / l) Project: f'll'l :St. ((DA- Name: -:f. 8.rt.~-iq | |||
'Svnriy , Cl~.,,,,,-, (06 5 1 | |||
Weather: | |||
: 1. Sample Area (SA): | |||
SA Designation: __._fu-=--t1>=-~~~-\ ' - - - - - - _D~scription: ---"C""-u_r_4_i_t-"-l'-"-___~---~ | |||
SA Origin Location: ---- ------- <;;oord. System: ~ ¢n SA Land Mark | |||
== Description:== | == Description:== | ||
-=c}_'"'-,,---'-'1~'-><i=Wc=(;\:..+l/---- Coord: n;. ~7l/2-Z. lfl-. l/'i'DG3 | |||
: 2. Sample Location Data: | |||
Sample Area ID: 3 | |||
* t . I~ Matrix: ~ c30.1..I Location Coard: f ~. GTiC7 l..\ ~ 4d, ,LJ '6-:t ;;:5 'J.., | |||
: | Alternate Location Measurements (distance from SA origin and Local Coord.) | ||
Sample Area ID: 3. | X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ | ||
Site Sketch Attached (Yes)~ | |||
Sample Location | |||
( | |||
== Description:== | == Description:== | ||
Or.rr-!=1Jd in si-it---'-A~_k-=~=---------------------- | |||
Canopy Type:~--/'\,____ _ Land Use: +~.-M Soil Moisture {Wet, dry, etc): dll.-YVl'i) | |||
\ | |||
I | |||
: 3. L ocation R ad"1ation . R ea d.mgs: | |||
2x2 Na! B:cron Notes (cpm) (uRem/hr) | |||
Count time 1 cm lm 1 cm 1m - | |||
{min) qq1s- 9 Ito **t I 'J., Ntf+ | |||
\ q ~ '\ (,, ~n~ | |||
i | |||
: 4. Sample Information: Sample Area ID: 3. ! . IJ. -R I*~ | |||
D escnpt1on b~Y Deptb ; | |||
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" ~:'l /cla._,, hrt,t;..>r) 3 .J _1"1 .R.. / | |||
1S-3o Set l r d~Lj lbrvwn 3 .1.1CJ _r:.__-;;. | |||
Sample Recorded on Laboratory COC form ~nd Container Labeled: (N) | |||
- | ~:r.s-A~ ~l..S~'VICGS SAMPLE LOCATION DATA SHEET Project: N''-\ 'SE: (2..DA Name: ~ G;Y'\l\J"') | ||
Weather: SUClny) cJ~ I <;;cf 5 J. Sample Area (SA}: | |||
SA Designation: A(~ '3 * [ | |||
== Description:== | == Description:== | ||
_G_~_*rn(.:_*t_"-'-'\c!::.l.-__-----;,.,----- | |||
SA Origin Location: Coord. System: {rd-I C?inj SA land Mark | |||
== Description:== | |||
&x-i~u.io,.~ Coard: li. l<i14:;p, \...l'J...Yib{.;3. | |||
: 2. Sample Location Data: | |||
Sample Area ID: 3 .\ | |||
* d-0 Matrix: ~'1\W~ | |||
Sample Area ID: 3. | Location Coord: I "D *\,, 1-'6 I?J L\- _;)._;_,_._4'8"-'-l'6_13o.,.__ _ __ ( 3~ .3 ~ n.-t\..)) | ||
Alternate Location Measurements (distance from SA origin and Local Coard.) i oD .(:-t-. +1-r. .~ | |||
X Dist. from Origin (O,Q) Y Di:rt. from Origin: ---- cU- i vt V..HU-'j Site Sketch Attached (Yes) ~ | |||
Sample Loca,tion | |||
== Description:== | == Description:== | ||
(ti,~rrf1~lJ s-6Jl:> dtl4-w\ | |||
Canopy Type: t'?~ro Land Use: -f.n.q'b Soil Moisture (Wet, dry, etc):~-- | |||
: 3. L ocation Rd' a 1at1on . R ea d"m2s: | |||
2x2 NaI B cron Notes (com) (uRem/hr) | |||
Count time 1cm 1m I cm 1m (min) | |||
! Cf.d.3~ '?(:,?.:1 *1 'S ~(-A CJ ~1-N %)11 ;;l,. ~~ | |||
~ | |||
: 4. Sample Information: Sample Area JD: ~.I. J.O. fZ 1- RA D escnp . f ion b*Y D epth Depth Soil Type So.ii Sample ID Sampling Description Interval (Org; clay; 0>/or (Surface litter type/depth, sample depth retention, (cm) sand, etc) | |||
s-6Jl:> dtl4-w\ Canopy Type: | |||
Land Use: -f.n.q'b Soil Moisture (Wet, dry, 3 L Rd' . R d" | |||
Count time 1cm | |||
'?(:,?.:1 | |||
*1 'S | |||
%)11 ;;l,. | |||
Sample Area JD: | |||
J.O. fZ 1-RA D . f b | |||
* refusal, stone or rock, topography, erosion features) | * refusal, stone or rock, topography, erosion features) | ||
D-tS frt;0NV s .1 | D-tS ~cl( frt;0NV brt**~/'I s .1 *d.~. rz. 1 "'-of'nL 1c.c..k.S i:S .30 .:s.oil frno.vt-l b-t*,,,"' 3.1. ?.1i. tC?... ~m''n~ nc...k. s Sample Recorded on Laboratory COC fQrm and Container Labeled!~ (N) | ||
* 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 LOCATION DATA SHEET Name: -::S-. CSrtw 'Q Weather: ~nny , c...\.zs:iy 1 Lo5 | |||
: l. Sample Area (SA): | |||
SA Designation: A-\"...o, 3. I | |||
Ll'l""*rl*i | == Description:== | ||
,.__JJ. | Ll'l""*rl*i ,.__JJ. | ||
SA Origin Location: | |||
SA Land Mm-'k | |||
== Description:== | == Description:== | ||
c)xiv~wo~::j Coord. System: I Coord: | |||
o:tp 1 ~ .L,1 q d. . | |||
* Matrix: S.t> *, L Location Coard: 1 '[ . G f 9 (i, 3 ?-. __!:!_?. . l{ "6' d.. 4 t\ ')._ l q '.:, yo_...-t,l:5 . | c""0 | ||
* Y *;;i.. '-l '8"0(0 | |||
: 2. Sample Location Data: | |||
Sample Area ID: 3 * ( * ~I Matrix: S.t> *, L Location Coard: 1 '[ . G f 9 (i, 3 ?-. __!:!_?. . l{ "6' d.. 4 t\ ')._ | |||
l q '.:, yo_...-t,l:5 . | |||
Alternate Location Measurements (distance from SA c*rigin and Local Coord.) | |||
X Dist from Origin (0,0) Y Di!;t from Origin: | |||
tJ E c + civi v t W':J\.'i Site Sketch Attached (Yes) §) | |||
Sample Location | |||
== Description:== | == Description:== | ||
C-Vr,---f.i ..._J._J > s-kA \:::..S cJ~Rr!l---et Canopy Type:~o.....?_Q_,v'_"\ _ _ _ Land Use: ~W) Soil Moisture (Wet. dry, etc): dfl...VYlf | |||
: 3. L ocation Rd" a iat10n . R ead'mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr) | |||
Count time !cm Im lcm lm (min) *-* | |||
I 9~00 ~t{~o 9 f0 !"Jffi I 93-tj 'Z"l-C(O . | |||
: 4. Sample Information: Sample Area ID: S. I . d- I Kl - f<. d.., | |||
Dcscnp1 . t*ion b'Y D epth : | |||
Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, | |||
{cm) sand, etc) r-- | |||
refusal, stone or rock, topmrraphy, erosion features) 0-(~ so:\ bv.rV"l "3-1. ~ l . ((_ ( - | |||
\'5 *30 ~i\. bl'llwn 3. J. ~(. (2- J, I | |||
Sample Recorded on Laboratory COC form and Container Labeled: J (N) | |||
SAMPLE LOCATION DATA SHEET Project: fJLJ SE RD-4 Name: --:(. e~''-'o | |||
: l. Sample Area (SA): | |||
SA Designation: fl.r~.a, 3. ( | |||
SA Designation: | |||
== | == Description:== | ||
Description:== | * (crriti~)o{ | ||
* | SA Origin Location: _C_o_o_rd__-S~y~st~em-:--.-/!kf=-.-,+/~/o_n_a_ __ | ||
__ | SA Land Mark | ||
== Description:== | == Description:== | ||
flrivt.w~Lf Coard: TL!. 1 L/ ;A?., . ~ J. l/ ~o (0 | |||
Coard: TL!. 1 L/ ;A?., . J. l/ (0 2. Sample Location Data: SampleAreaID: | : 2. Sample Location Data: | ||
?,.l.?;J_ | SampleAreaID: ?,.l.?;J_ Matrix: .JoiL_ | ||
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: | Location Coord: t t". L t"?~ SS- Lf :J.. ~ 'i 3 0 1- 3 Alternate Location Measurements (distance from SA c*rigin and Local Coord.) fJE X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ Ii'l '-{tt-rt.U frrn1 (C.r Site Sketch Attached (Yes)~ | ||
Sample Location | |||
== Description:== | == Description:== | ||
ct:-;'fl{; r_I r,{ I siu. lb c:J ~O<J. | |||
Canopy Type: Onw I | |||
Land Use: .ki.rM Soil Moisture (Wet, dry, etc): da.mp | |||
: 3. 'L ocatwn Rd' a 1ahon . R ca d'm2s: | |||
2x2 Nal B=cron Notes (cpm) (uRem/hr) | |||
Count time lcm Im lcm lm | |||
{min) | |||
I ~-rsD "l'Od.D 9 lO tJ .ft I '8843 '('Cl<tG. | |||
--~ | |||
: 4. Sample Information; Sample Area ID: 3. J | |||
* g.:l. (< ( -R;), | |||
D escr1pt1on b)y Dep th 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*\ bit.~,., 3.f. J,,::A .IZ l 15"-~6 Sc ~j bri;.~:.., 3. I. J.~. {!.,,;;>._ | |||
Sample Recorded on Laboratory COC form and Container Labeled: ~(N). | |||
SAMPLE LOCATION DATA SHEET Date: Io( 2c{ IS" Project: N"-1 SE f. o+\- Name: :f~ brnwn | |||
. I Weather: :Su11ny i c..lea....r, (of) S L Sample Area (SA): | |||
SA Designation: ftc"'.lo.. 3 . I | |||
Date: Io( 2c{ IS" Project: N"-1 SE f. o+\- | |||
ftc"'.lo.. | |||
3 . I | |||
== | == Description:== | ||
Description:== | |||
(o,..-,-,.{,*dd. | (o,..-,-,.{,*dd. | ||
SA Origin Location: _C_o_o_rd__-S-ys-t-em-.-_-\-cd-+f~fo-~-0--~ | |||
SA Land Mark | |||
== Description:== | == Description:== | ||
: 2. Sample Location Data: Sample Area ID: 3. ! . Matrix: Soi I Loe a ti on C oord: 7 ""6 . (r, 7 | clriv~wci..y Coord: "1'i{.Ip7L/ J.d.. =ti;.;(. t.J rD l0 | ||
: 2. Sample Location Data: | |||
Sample Area ID: 3. ! . ~3 Matrix: Soi I Loe a ti on C oord: 7 ""6 . (r, 7 ~ D43 __'.:[ ;;i . t.I '%' d. ~ ~;1 Alternate Location Measurements (distance from SA cirigin and Local Coord.) | |||
X Dist. from Origin (0,0) Y Di~;t. from Origin: _ _ __ ! 30 4 lt-rV\:i .N Site Sketch Attached (Yes) ~~ | |||
Sample Location | |||
== Description:== | == Description:== | ||
-----~~1~ (.Ol'Yr(:j Q,td :." ~I. ll/__s 1~ttl.._!_f*~------------- | |||
Canopy Type:_O___ _ _ _ _ Land Use: | |||
\;'_Q.111 -hv1-v-., Soil Moisture (Wet, dry, etc):.-----od_,_<l_Wl--F-f-- | |||
~ L oca t'wn R a d'1a f 10n R ea d'mg.s: | |||
2x2 Nal B,cron ; | |||
Notes* | |||
(cpm) (uRem/hr) ! | |||
Count time lcm Im I cm Im (min) '* .. | |||
! rO .~'&"O q 1 {.), '1 10 fl} ( 4 I .. 101s~4 '1 S-"f Cf i I | |||
I I | |||
1]1 | |||
: 4. Sample Information: Sample Area ID: 3. I. :;2.3 KI - R;A Descript1on b1y Depth : | |||
DeptIt 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. '* a~.R.~ | |||
Sample Recorded on Laboratory COC form and Container Labeled: ~ (N) | |||
r r ,. -r SAMPLE LOCATION DATA SHEET Date: io( 2o{r:5" Project N~ SE.~ Dtt Name: -:::r. f3rn!P ') | |||
Weather: S\Jnnq . d t<i...r G-o 3 | |||
: 1. Sample Area (SA): | |||
SA Designation: A-n. . . * ~ ! | |||
A-n | |||
== | == Description:== | ||
Description:== | (o.,- nt i ~.Jcl. | ||
(o.,-nt i | SA Origin location: _C_o_o-rd-.-S-y-st-em-:-/-v.:t-1-(......-Ii_IJ_:3-SA Land Mark | ||
_C_o_o-rd-.-S-y-st-em-: | |||
-/-v.:t-1-(......- | |||
== Description:== | == Description:== | ||
dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J. t\~.<.J8'640 | |||
dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J. | : 2. Sample Location Data: | ||
: 2. Sample Location Data: Sample Area ID: _?.:>_. | Sample Area ID: _?.:>_._l_.;).-~-'-----Matrix: :Jo; 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: | 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 Di~;t. from Origin: _ _ __ | |||
Site Sketch Attached (Yes) | |||
~N~ | |||
Sample Location | |||
== Description:== | == Description:== | ||
__c_c_'r_n_f_r_*1>__~_cl___,__1r_1_sh __a_l_~_:.::i_ _ _ _ _ _ _ _ _ _ _ _ _---, | |||
Canopy Type:--'D"""-'1'1--'bl__,__~- Land Use: {o_.,.n., Soil Moisture (Wet, dry, etc:): d(J.,yj/\pF--- | |||
1> __ | : 3. L ocat10n Rd" a 1atlon. R ea d"rn1!s: | ||
2x2 NaI B,cron Notes (cpm) (uRem/hr) | |||
Count time !cm Im lcm lm | |||
---, | {min) | ||
: 3. L Rd" . R d" | ! t)L:Si er 3o;;< 1 JG J\f iA | ||
Count time !cm Im lcm lm {min) | \ qq 'l 'K qd,!S-1:1 I | ||
Sample Area JD: | : 4. Sample Information: Sample Area JD: | ||
* 3. I. d.4 R.J | * 3. I. d.4 R.J | ||
* R... D | * R... ~ | ||
!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.,<.(. | D escnpt1on b1y D epth : | ||
IZ. r 15-)D 'Sot I 3.1.';),'"{.1<.J, Sample Recorded on Laboratory COC form and Container (N) | 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 b~'-"'1 3.1.';),'"{.1<.J, Sample Recorded on Laboratory COC form and Container Labeled:~ (N)}} | |||
Latest revision as of 15:23, 29 February 2020
Text
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- Time- Reecivcd by(signc<l) Dale Time GBLPM:
Mc!hud of Shipment: Date Shinned; 2 2 Airbill #: 3 1.)_.fhain_ ofCui1iqdy,Nan1~r.,.. Client Dci~nnincd For Lab ReceiVing U.-;e OnlJ 2-.~ QC Codr.s: N ""'Nonm1.l S~mp,k.,'I:B ~.T1ip Bfar;k;FD .._ Pie/d,Qupli:cate, f.B ... _t~quiprrnmL Ohmk, ~1:5.,, Millrh Spike Sarnplc~ ~iSD ~ Milul;c. Spt};.ti.Duplu:at4.Sampk 1.G ...r Orab, C~,., COmJm~lt<:
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WHITF. r. LABQ[{ATORY YELLOW= FILE !'INK ~ CLI l~:XT \- IL. c ... I..:J ! Page:-**-* ************ ...... of ... ... *- ...... ,., __ GEL Chain of Custody and Analytical Request GEL Labornlonos. LLC _J Project II: 2040 Sarngc Road GELQ1mtcf.: .. .. .. ..... n:scc www.g<?l.com for GEL's Snmple Acceptance SOP*'i' Charleston, SC 29407 COC Number 111, l'hor:c: (843) 556-8171 GEL Work Order Number: PO Number: Fax: (843) 766-[ 17~ Climll Name: Phone II: Sumplc hmllysis Requested ts> (Fill in Ilic number of conlnincro for <;J1;;l1 tcst) Sh nu hi Pmjecl/Site Name: Fax iJ.: lh!s <-- Prcmvativr Typ~ (~) }ample h~ Address: consider<!d Cum men ts Collected by: Send Rcsul1s To: Note: ex.Ira sample is 7 Timi'! rcq\1ircd for sample *OJIC (1lJk..:tl*d Fedd 'S>1:n1t!i; TSC Co!k"'Ctt:J QC: specilic QC ftHein:<l ~fa(JIX. Rodi A Sample ID (~ldlMry) <.:ode a1 u:11:U "' Far L*miwn.wt-~ - mtlu;u/e .illJrl a11d .r/1Jp datet~ime inmH.Jd~nl {hhmm) "' "' R(!&'I 1'll*d per o
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Eai;tcm Paci rte Central Olhcr ---*~** Mmmtaia Cl.min of Cus[ody Signatures Sample Shlpping a11d Delivery Details Roli"qll!Sh<d By {SigucJ) Dole 'tim.c RccclV,,.j by (*1gr.od) D;.;lc Tune GF..LPM: I I Metl!ud ol"Shor.monr Date Shinned: 2 2 Airbill~; 3 3 Airb:lln. I} ('l~;m of C'u~*ody N~.nnl*c:r - l'lr.n.il De1:rminC"J Fvr Lan Receiving [J.-~ 011(1
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- GEL Labor~t~ries, LLC' Projc<<:i#:
GEL Cbai'n of'Custodyand An*alytical:Request. 2040 Savngc Road l {) '"*S.<:e www_,g.;Lc9mfor-GEPs Sample Acceptance SOR*.11< Charleston, SC 29407 om:Quo1e 11' - - - - - - - - - - - - - - c:oc;.Numbcr 111: * "-**** -.** * ----* GEL W01*1l Order Ni.Imber: Phon~; (e*tl) 556,3171 l'O,Numbcr:* Frud843l*766,l l78 _Clii.?ul_N~me: Phone/I; Sample *Am1ly~ls R~quested*l5 1 (fill in 1he-m1mber ofcontainer:i for each test} sliou111 Fax#: lhb <-.* Prcsctv~iivc Typc.(6) 1------------------------------~-------~--1-1;.mpkb< _t\ddr~ss: ' con~ldered Comment$ Collc);lcd by_: $cnd:Rcsulls,To: Note;:extrn sample is -Ti~ required ,for.sainple COJkcicJ ,specific QC Sample ID . '(M!lltifry) (hhmm)
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App E-Sub-Area 3.1- Instrument Field Sheets TS ~JW'TC~L.SER~GS Rev 110/18/15 Instrument Field Response Check Log
- l. Instrument lnformation 1 Ratemeter:
Detector 1: Make/Model:
- Make/Model:
lt,!t: c:?,1r/~ i2 ltt_'4M_ W-/.? Serial No. ~6Pi_G Serial No. f'R!!Ji.~ Blcron MicroRem Meter: Serial N o . - - - - - Cal. Due Date: _ __
- 2. Check Source Information: 9,'~(/,~() * / .
Source 1Isotope:7lr~.,;.p.. Serial No.: /// Activity: ~its:~ Assay Date:/~/~.,
- Response Acceptance Range (+/-20%): uRem/hr +20%__ uRem/hr-20% _ _ net cpm + 20% 7'it net cpm -20% ;5!{',$66, Source 2 Isotope: C-£~ls7 Serial No.: l/Jb3~t.7- Activity: t'J..tJ,)... unitsirC Assay Date: ..&'A_
Response Acceptance Range (+/-20%): uRem/hr +20% ~- uRem/hr -20% net cpm + 20% IS..t 75 net cpm. -20% ST7i
- 3. Technician Worker Performin Checks:
Name: -~~;.t:f)$ .
Title:
_..;_,e_cr ____ Date: lt?jr5"f.} nme: I.JS-$'
- 4. Site or Location: Slte/Job:_ _~A~ri~/!;1~3.~.~(-----...,- Location
Description:
Cdnt./l~t:f (;) I ~r GPS Coordinates (when required): X-Coord: IV Lf;J_ ~'i Slf. t:f Y-Coord: VJ 079' ~'toJ1.? I Instrument Field Response.1. Use Acceptance Criteria Remarks i Meter Bkg Bkg Counts Source Source Response +/-20%. Inst.
- Battery Time Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check. Of Ambient Temp.
Initials and Comments (add'l Info: inst. Condition, etc.} II II Time uRem/hr} Time uRem/ht) gross cpm or uRem/fir (Y/N} current (Y/N) (V/N) check (oF) II l Rate meter {Ao;~ q1'! ~UM I "";"'" //~7 i'!D;t v v \j /l/oo 611.~ Cs-87 a;- Rate meter Rate meter
' I .u:,.. tf 7S"~&J c..n
, ... vI
'if f
v,. 11¢.i? F ii/. I "(j.,,,,l,$,2.... v
"""4~
Rate meter I i 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
- Rev 110/18/15 Instrument Field Response Check Log
- 1. Instrument lnformatloni Ratemeter;
- Make/Model: Serial No. Pl.D& O'i f Cal. Due Date: 1/1'/I' Serial No. Pe//,,,Z.,~.2-
~,
Detector 1: Make/Model: Bicron MicroRem Meter: Serial No. _ _ _ __ Cal. Due Date: _ __
- 2. Check Source Information; Source 1 Isotope: Cs-137 Serial No.: / /tW-t.z. Activity: ~-d).. units:~ Assay Date: N_ft_
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: ~O. I units~ Assay Date: lafz~//t1 Response Acceptance Range (+/-20%~: uRem/hr +20% ___ . uRem/hr -20% _ _ net cpm ~5.? 7f ir net cpm -20% 3S"'i~C.
- 3. Checks:
Title:
'(?L,,- Date: /IJ J A's;f.r TI me: Arya
- 4. Site or Location: Site/Job:_ _.,~_,__~=--=Y:;......o.J./.____ _ _ _~- Location
Description:
_ _ _~-"'-.,.,-"'_./:._*d.'.;='£ GPS Coordina~es (when required): X-Coord: /\/4)-.." ::ui '91.'7" Y-Coord: LtJ 071, 0 '(o r 3'1. 7" I I Instrument Field Response2 Use Acceptance Criteria
- Remarks I I
I j Meter _, Bkg Cnt Bkg Counts {cpm) or Source Cnt So.urce Response (gross cpm or
+/-20%
source Inst. Ca lib. Battery Check Time Of Ambient Temp. Initials and Comments {add'! Info; inst. Condition, etc.) I Tlme uRem/hr) Time uRem/hr) gross cpm current (Y/Nl check (of) ;' Ij* I Rate meter IM~'- '11t I ...n... IM).. /(pf'J /hl'f'I or uRem/hr (V/N) v (Y/N) y .,7 /£4'~ S""b.5 cs . .151 U'E Ratemeter I l .;;. '/?Y!f'..-~_., ~I ..,; i.; lh?°~ S'.c>. q '6TZ,.25,J... .,.£.!£. r f I I Rate meter Ratemeter I Bicron NA NA Sieren NA NA i Bieron NA NA ! Bicron NA NA I
- 1. 1nstrument 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 count~ at the same location. Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability
- ~--.-.r-
~*--
MJW TC~L SER'VIC"oE'!S Rev 110/18/15 Instrument Field Response Check Log 1
- 1. Instrument lnformation Ratemeter: Make/Model: Serial No. ~6tJ'f$ Cal. Due Date: ?/J,/~
Detector 1: Make/Model: Bicron MlcroRem Meter: Serial No. Serial No. ...,....____ Pf!.l{)Ql'>-- Ci!I. Due Date: _ __
- 2. Check Source Information:
Source 1 Isotope: '1b~.:iJ2 Serlal No.: //( Activity: ~O) units: vC.,,.- Assay Date:~~ Response Acceptance Range (+/-20%): uRem/hr +20% _ _ _
- uRem/hr-20% net cpm + 20% r;' net cpm -20%~$'"4 Source21sot9pe;($-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._}___ Date:/¢~/f'S: Time: /t>e;oo
- 4. Site or Location: ..
Site/Job:,- ~-~A<-J..lri~""'"'-""':J._,__.I_____,_ ~I Location
Description:
~~,_fl)
GPSCoordinates(whenrequired): 0 X*Coord: Atl.P- .;if Slf.'l Y-Coord: Wc18°l(t} '3>"t. 7~. I Instrument Field Responsel Use Acceptance Criteria Remarks \ I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient lnit.ials and Comments j I Cnt Trme (cpm) or uRem/hr) Cnt Time (gross cpm or uRem/hr) source gross cpm or uRem/hr Ca lib. current (Y/N} Check (Y/N) Of check Temp. (oF) (add'J Info; inst. Condition, etc.) . iI II (Y/NJ I Ratemeter / ,.; "' .tf~(*~NL I "" ...... L(/,{;l..f/ ,,. .,,""'
, \/ v y
,, /60._("' 5Zo "/h-,2<:2...._ f-);s;
'-~
I Rate meter I'";" /If"~ 0 /()/{J 51 . .:L !/'~ ~ (3"? "'LJ~ I I v I Ratemeter I I Rate meter - i 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
Rev 110/18/15 Instrument Fle!d Response Check log 1
- 1. Instrument lnformatlon Ratemeter: Make/Model: Serial No. ~60'f'i_ Cal. Due Date: ~
Detector 1: Make/Model: Serial No. f"R //.J...£¥,.2-Bicron MicroRem Meter: Serlal No.--~-- Cal. Due Date: _ __
- 2. Check Source Information; Source 1 Isotope: -n..-)-;3)..Serial No.: // ( Actlv!ty: ~.I units: .p.Li Response Acceptance Range.(+/-20%): uRem/hr+20%___ uRem/hr*20% _ _ net cpm -20% 3S'fl.c6 Source 2 Isotope: U -<37 Serial No.: / f~ e:;;:g . . f;i.. Activity: CJ,6,).. units~uC; 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
- 3. Checks:
17_,.-(
Title:
_c<...._'-"' _ _ _ __ Date: !cflfS-- Time: /3o Y
- 4. Site or Location: Site/Job:_ __..:;h___,;:. -3 .:.../_~---
.....?....:;;&.'--'........... location
Description:
_ ___,µ""'"'"-'-~-'----'A-'=~'-/J"'--~-~~ GPS Coordinates (when required): X-Coord: N Y~?s '51{.'1 .u Y-Coord: WO ?'ii-0 vo °J'f. 7 i
! I Instrument Field Response2 Use Acceptance Criteria Remarks j II Meter Bkg Cnt Bkg Counts (cpm) or Source
- Source Response Cnt (gross cpm or
+/-20%
source Inst. Ca lib. Battery Check Time Of Ambient Temp. Initials and Comments (add'I Info: inst. Condition, etc.) I lI Time uRem/hr) Time uRem/hr} gross cpm current (Y/N) check (°Ft I I or uRem/hr (Y/N} y (Y/N) v ./J'6~ i' I I I 1~'"' '11?£ lf 5"'!'10 \/ ~.D fl..-..,23.2. j:X Rate meter 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
"'J~ ' .*
,.,,_.J~ T~L.S~~E!fii; Rev 110/18/15 Instrument Field Response Check Log
- 1. Instrument lnformatlon 1 Ratemeter:
Detector 1: Make/Mod el: Make/Model: Serial No. Serial No. ti10601i
?£//J.-£if,2-.
Cal. Due Date: f'Jo/b Blcron MlcroRem Meter: Serial No.--~-- _9al. Due Date: _ __
\
- 2. Check Source lnformatron:
Source 1 Isotope: Jl.,w)..JJ-:. Serial Na.: If I Activity: L6J units: .p£J.. Assay Oate/~c::> Response Acceptance Range (+/-20%): uRem/hr+20%__ uRem/hr-20% net cpm + 20% '5:r7'1 r net cpm -20% .1~~~ 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% ~'1¥f
- 3. Technician/Worker Performing Checks:
Name:.;;t E:~ Tit!e: _ _.1Z=-"'CT_,__ __ Date: /6/1(,/!5"' Time: /6?8 r .
'I. Site or Location: Site/Job: Aa~ J.( LJ 0 , ., Location
Description:
' ,,, &11/_~£
-----'..:=~<.,;.><.;;.oo;..., _ _ _ _ __
GPS Coordinates (when required): X-Coord: N Q ,.l.~ 511. "'! Y-Coord: Woi~"' Yti 3"1.?
! Instrument Field Response 2
- Use Acceptance Criteria Remarks I
+/- 20%
I I Meter Bkg Cnt lime Bkg Counts (cpm) or uRem/hr) Source Cnt Time Source Response {gross cpm or uRem/hr) source gross cpm Inst. Calib. current Battery
- Check (Y/N)
Time Of check Ambient Temp. {°F) Initials and Comments (add'! Info: inst. Condition, etc.) I or uRem/hr (Y/N) (Y/N) Rate meter I JU1n fJ.lf I 111*ti LftJS 0 rA/vl. v v v /6.3:2- ->".3. 7 ---n. ~.2;$ 'L ~- Ratemeter I A<J~ //1f7 ....,_,,~ \j J1f \; J(J' 7 S-3.~ /".:;,f.]'7 C/cx I Rate meter 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
- Rev 1 10/18/15 Instrument Field Response Check Log 1
- 1. Instrument lnformatlon Ratemeter: Make/Model:
- l_w)fvvi.... ::Vt.I(,,,..)- Serial No.ePbO"!<< Cat. Due Date: "7/t/t~
Detector 1: Make/Model: *&Jf11m lfll-f(J Serial No. 'P&J/;l...&"(.J-Blcron MlcroRem Meter; Serial N o . - - - - - Cal. Due Date: _ __
- 2. Check Source Information:
Source l Isotope: -:IE..d:-32-: Serial.No.: If I Activity:.?/). I units:~* Assay Date:f,,,2.~d/td Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/h' -20% net cpm + 20% 537~ 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% {~~7? net cpm -20% ES&'f1
- 3. Technician Worker Performin Name: ::::r~... -- "'
Title:
_ _~-----
- 4. Site or Location: Site/Job: ~"- :J. ( 1 Location Description :_ _....:~=-=-=--"'-"~'-';"e"'-/,""rj)_
J fP '~ 6 GPS Coordinates (when required): X-Coord: N 'f)-. r:ilf'ft/, 'I" Y-Coord: w67f
- t. 0
.n,7 ,r/
I Instrument Field Response" Use Acceptance Criterra Remarks ! Meter Bkg Bkg counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments I Cnt (cpm) or Cnt {gross cpm or source Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) iI Time uRem/hr) Time uRem/hr) gross cpm current (V/N) check (oF) l I or uRem/hr (Y/N) (Y/N) Rate meter f MiY\ 1'6~ C!Jlvi {~ii'\ 'f6ll;l.6 C/Pt1'- v v y i~'J.1.t. ft,~ (h;l-JJ- {,ff_ Rate meter I f IM;,.._ I { ~1 ;J\r.. \1 vr vI . /)'t'f() 1t.. I I/'~- tJ7 P(J?'_ v I Rate meter Rate meter Bicron NA NA i Bicron NA NA Bicron NA NA Bicron NA NA i
- 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
Rev 110/18/15 Instrument Field Response Check Log* tJ~ 1
- 1. Instrument lnformation Ratemeter: Make/Model; Lvt!-IVM~(-.2:: Serial No.cl£(. Dj ~ Cal. Due Date: ~<</;~
Detector 1: Make/Model: l.vJIJ~-/i serial No. 1"f:f f.U-t.f2 Blcron MlcroRem Meter: Serial No. _ _ _ __ Cal. Due Date: --~
- 2. Check Source Information:
source 1 Isotope: 7A,;?32serial No.: {I ( Activity:~ units:~* Assay Date: ( ~ Response Acceptance Range (+/-20%): uflem/hr +2.0% ___ uRem/hr -20% net cpm + 20% 371 i" net cpm -20% S~&'CG Source 2 lsotope:U ~$7 Serial No.: / /1E):l../2. Activity: CJ,o,,;:L. units~ Assay Date: Jll.l_ Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% -~ net cpm + 20% I 3?-7$ net cpm -20% 8 S'~ 3.
Title:
lZC"/ Date/f¥ Time: .ij',ZC
- 4. Site or Location: Site/Job: ArlA .S. { Location
Description:
C .,,-f';.e.f.R GPS Coordinates fwhen required): X-Coord: N '/J- d£ J.if.q" V-Coord: IN 6 715° 'fD '.'$~,? . 2 i I I Instrument Field Response Use Acceptance Criteria Remarks I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments (gross cpm or Ca lib. (add'l Info; inst. Condition, etc.) I Cnt Time {cpm) or uRem/llr) Cnt Time uRem/hr) source gross cpm current Check {Y/N) Of check Temp. (oF) or uRem/hr (Y/N} (Y/N} iI Rate meter I WI~{/\ r:i~tf. .11t-. I I 1.J\O.o'l t../;)1('1 ~ I ( :;.. 'fl{ c.DIV-v
'.} "~ ~
v
\/
113..2... l/-t.s- ~..2.U j)£ v;J.£_ Rate meter r .... :'V' I I 3 'l £/2r ~s-157 Ratemeter I I/ Rate meter I Bicron NA NA I Bicron NA NA Bicron NA NA Bkron NA NA
- 1. Instrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used.
- 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform a dcHtlonal counts to evaluate instrument stability l_
Rev 110/18/15 rnstrument Field Response Check Log 1
- 1. Instrument lnformation Ratemeter: Make/Model: f.,,J/()Jl.. j;l{/. . ,2.. Serial No. c/-(J' ti 98 Cal. Due Date: ;4.#~
Detector l: 't""""lf_-_l_O__ Make/Model : --=t_v:..;.:'J'J"""'?v.,...i!t"-'--..... Serial No. "PR.:1..Rt.Y;L Bicron MicroRem Meter: Serial No. $378'A.- Cal. Due Date:lv7j1JllS:
- 2. Check Source Information:
Source l Isotope: =t'f:,?3).. Serial No.: Response Acceptance Range (+/-20%): uRem/hr +20% _ _ fl/ Activity: C6 ./ uRem/hr -20% units:/!?,: Assay oate: 1
-'/in net cpm + 20% . tr net cpm -20% mu Source 2 Isotope: 6~f37 Serial No.: f f'P'3--(2 Activity: l?.O,;L.. units~C.i Assay Date: /\/A-Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uR.em/hr -20% net cpm + 20% f~ -,,.,7~ net cpm -20% ~tf.,
- 3. Checks:
Title:
gcr- Date:/O/zf~Time: I CY/17
- 4. Site or location; Site/Job:_ _ ~A"--'-'-'Y'tA=-=-*-'Z'--'.J.."--------:::---:--
111 Location Descriptlon:._ _..;;;~=-.o._:__;c.....;:bkJ=-,.__-----
$'(} ,.31. 2 *"
;p I' ,, ~o GPS Coordinates {when required): X-Coord: VL <i:L ...2S SY.'? Y-Coord: W(J7o 2
I Instrument Field Response Use Acceptance Criteria Remarks I I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments I I I Cnt Time {cpm) or uRem/hr} Cnt Time {gross cpm or uRem/hr) source gross cpm Ca!ib. current Check {Y/N) Of check Temp. (oF) (add'! Info: inst. Condition, e~c.) I oruRem/hr I /,.,.; ... . q~ it~ ...,,... (Y/N) y {Y/N) y . Rate meter /Mi;..., '1-r:l.{, { I" 11- \{ tJ1~'-I 57 () /J:.-;)~;::L t}.$- Rate meter l ,.,.;,,.. II ~~q :._ ,.,~ \JJ VJ -..u* 7):9~3 ~ Rate meter I ( ( I ~" 6-IS/ Rate meter Bicron Bicron NA NA 6uLJJ..r
. I NA NA l'J'i *~~/4,,,-I , I
\./
I
\f I
vI 1Yf5'f ~t.l'J ().<; - ()
--r--k. ~~ ~ 2-Bicron NA NA I 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
-~. ~w.**i-!'JJ::i;-,'.~
*~- .----
.w.l'-v ~L .SGR'VICES Rev 110/18/15 Instrument Field Response Check Log
- l. Instrument lnformatlon 1 Ratemeter: Make/Model: Cal. Due Date: /~~£ De1ec;tor 1: Make/Model:
Bicron MlcroRem Meter: Cal. Due Date&#.£
- 2. Check Source Information:
Source 1 lsotope:~..2-.3.i-serial No.: JI f Activity~. / units:&LJ Assay Date: / .t [J""o: Vo Response Acceptance Range (+/-20%}: uRem/hr +20%~- uRem/hr -20~- net cpm + 20% Y net cpm -20%~~ Source 2 Isotope:($./J 7 Serial No.: { 1'8J-f)_ Activity: 0..0.¢- units:~Assay Date: ~ . Response Acceptance Range (+/-20%}: uRem/hr +20%__ uRem/hr-20% ~- net cpm + 20% {'$.)....7 Y net cpm -20% '°t'f"'t? Date: /~~/t>"Time: ( 3 .2... o Location Descrlptlon:~---'-6_o_("';_A_....,4--=-bh--'.bJ"---- Y-Coord: W d7"r Yo '3,. 7"" I Instrument Field Response~ Use Acceptance Criteria R{:"!marks l Meter Bkg Bkg Counts Sour.ce Source Response +/-20% Inst. Battery Time Ambient Initials and Comments I i Cnt Time (cpm} or uRem/hr) Cnt Time (gross cpm or uRem/hr) source gross cpm Ca lib. current Check (V/N) Of check Temp. (oF} (add'! Info: inst. Condition, etc.) ! I or uRem/hr (Y/N) I I (V/N)
, .. *- I
! Ratemeter
, (r IV\~
I"";"" ?i'1. J.Cjd},. l/'{t,,11 C.n- "{ \j I 'S-..2.~ ~,.G rrt..-.1"5') Jf7 i 1¥4.,,.,, JI f>I~ cJ.- {/ I"-~ - r--s '7 "JI. I Rate meter Rate meter Rate meter
- q. 1a I
I
" 'I (
1"?~2-
-Lt:. I '
-f7...-;J.~J....
(/ I iI Bicron NA
,. IL.r NA /3().1JL~$.,- './ \{ "-../ f'3si L~.Pf ~ i Bicron NA NA I
NA NA f I I ,,,.. - *--
,, , 'jf Y.
{/ l Bicron Bicron NA NA I
- 1. Instrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used.
- 2. Source and Background count rate should be determined from the average of three static*c;ounts at the same location. Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability
TS MJ"-'V T~.&.r..* SGR"VICtES Rev 110/18/15 Instrument Field Response Check Log
- 1. Instrument Information~
Ratemeter; Detector 1: Make/Model: Make/Model: LvJ/f/JV' )) '{ { LvJ/11,.,.. 'ft.{-/(J Serial No. Serial No. 11C."6'-(
'fg it"41t.f2.
Cal. Due Date; IPjrr:/'f::, Bicron MicroRem Meter: Serial No. B 6 '?'$ 6 Cal. Due Date: ~J:.
- 2. Check Source Information:
Source 1 Isotope: "'11--;?12- Serial No.: / jl Activity: ..C..CJ. I units:~ Response Acceptance Range (+/-20%}: uRem/hr+20%__ uRein/hr -20%~- net cpm -20% 'l>IT{.4 Source 2 Isotope: Cb~(3] 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 Date:/~/'~ Time: IS""'S-0
- 4. Site or Location: Site/Job: k~~ 3. I . ,, Location
Description:
_ _ ~?"'"CY.~~~-~:tI;_~"fJ~---- GPS Coordinates (when required): X-Coord: N Y;t':ct '-S-L{. ~ Y*Coord: W 6 7'l "'-[o $.:;. 7 ,,. 2 I Instrument Field Response Use Acceptance Criteria Remarks l I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments II Cnt Time (cpm) or uRem/hr}. Crit Time {gross cpm or uRem/hr) source gross cpm Ca lib. current Check (Y)N) Of Temp. (of} (add'l Info: inst. Condition, etc.) or uRem/hr {Y/N) check I I I (Y/N) i Ratemeter lw...1' ~ 'l1.I t./kt' I Mi>\. -lff((,'5~ /'"_fi- v \{ y 15"1"'\ b<;".~ /.JC -rJ. - 1 C!:'...'7 Ratemeter ) wl *'°h If 3~ Ir c../J,..,... \] l...J ',/ /(;,6~ 6t;;".~ t/f).£_ /~ - !"?? r f v I Rate meter Rate meter Bicron Bicron NA NA h LA,,./J. r NA I NA f ;i_r., /f,.J£/ I ;* I lf I I f~63 ;:,~*.~ v
/J.4 -rt.. -J-~2- I Bicron NA NA Bicron NA NA
- 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
Rev 110/18/15 Instrument Field Response Check Log 1
- 1. Instrument lnformatton Ratemeter: Make/Mode!: L!lDLutA. '))..'-/) - Z.. Serial No. J (p 'J. 131 Cal. Due Date: ~
Detector 1: Make/Mode!: [<l!}l-VllA 'fl/-lo Serio! No. ff!. /II/ J 'J Bicron MlcroRem Meter: Serial No. ti=;; ;J. '1 u Cal. Due Date: ~
- z. Check Source Information:
Source 1 lsotope: *17, .2'32. Serial No.: J J l, Response Acceptance Range (-r/-20%): uR~m/hr +20% _ _ Activity:~ units:~ uRem/hr -20% ==- Assay Date:~{.'} net cpm + 20%_ __ net cpm -20% _ __ Source 2 Isotope: Cs Ill Serial No.: K7E'15 *"If? Activity: - :2. v units:µ.<:.<'. Assay Date; 1/20/t o Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/hr -20% _ _ net cpm + 20%._ __ net cpm -20% _ __
- 3. Technician/worker Performing Checks:
Name: SffVt /(:rAISl'.l\Ar./
Title:
_ _ _ _ __ Date: uizdc(Time: Ofoo r '
- 4. Site or Location: Site/Job:.__/~---------- location D.escription:._~-----------
~ / L/ I X-Caord: f1L LC J J 'ff': 0 Y-Coord: lV O'JR' * 'fo [ :$' >..
0 IC / . " GPS Coordinates (when required): .2.
!t Instrument Field Response 2
Use Acceptance Criteria Remarks i I Meter Bkg Bkg Counts Source Soun:e Response +/-20% inst. Battery
- Time Ambient Initials and Comments Cnt {cprn) or Cnt Time (gross cpm or source Ca!ib. Check Of Temp.
(of) (add'l Info: inst. Condition, etc.) I I Tlme uRem/hr} uRem/hr) gross cpm current (Y/N} check I or uRem/hr (Y/N) i I . . (Y/N} .. .. I Ratemeter *I m1AJ V'~o :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 ~~l <Jy /J 7 Ratemeter I tYJ!d Y9?{ I m1111 7~o9l<' y y /ZJo t. ~. I -1l. 2 17.. I
, 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 vy y /boD &b.1- "ti.. 2 57 I
I Ratemeter Jf!trt/ q ~ O"') 'f P11v. 1(_!.('{ ~ v /br>o (,, &,. l.. /. J J"/ Bicron . 'NA I NA 11 v y *fl 9o 0 c;CI i' Sieren NA 7 NA I "'I 'I y 1lso ts. r l
! Bicron NA -') NA I K y y I I. ot:i ?nt,, ?_
- 1. Instrument desi gnated check source is listed on callbration sticker. Record check source res p onse {net cp m)p rior to fleld de p loy ment for a II check sources being used.
- 2. Source and Background co~nt 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 1 L
Rev 110/18/15 Instrument Field Response Check Log 1 q(~b Vi
- 1. Instrument Jnformation Ratemeter: Make/Model: LiJdl(/ffl ~)Y/ Serial No.cf~). 1 J.7 Cal. Due Date:
Detector 1: Make/Model:LU'/Jc.-v/V\- t./i-1 o Serial No. fl/ I l 11 lJ Bicron MicroRem Meter; Serlal No. fl:V Y V< Cal. Due Date: ~/J l.
- 2. Check Source Information:
Source 1 lsotope:"/1i *z..1-z.__ Serial No.: )//zr Activity:~ units:~ 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-. units:~ Assay Date: _ _ Response Acceptance Range {+/-20%): uRem/hr +20%~~ 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: Site/Job:.___,3~.~-~------- Location Oescription:~C_o~@_Al_~e~/-~_L.=L)_ _ _ _ __
GPS Coordinates (when required): X-Coord: ;11 </), Lff'( 'I I Y-Coord: VI) 018'. b 7 11 2-2 i I Instrument Field Response Use Acceptance Criteria Remarks j
-+'/* 20% Battery I
Meter Bkg Cnt Time Bkg Counts (cpm) uRem/hr) or Source Cnt Time
- Source Response (gross cpm or uRem/hr}
source gross cpm Inst. Ca lib. current Check (Y/N) lime Of check Ambient Temp. (oF} lnitial!i and Comments (add'I Info: inst. Condition, etc.) oruRem/hr (Y/N) {Y/N) .... Ratemeter f /fl IIll l<f9\ I rJ1 IN flo1/(,, y -- y ()Cj/( jg-_ if 'Th. ZJZ i = Ratemeter J1'A1N f(~ qI I rYI IN I J.-'ff'_< y '/ aCit < {3". 'f l< 11* Ratemeter Jft11tJ CJ() I CJ I 1Y/IN ..:i11'1'1 y y /Jo 'P (,;c,,_*7 1/..z~<- . Rate meter Jtlf 1,J CJo I q I mt/./ U..; Ir y y Y' I Jvc {.,k,. / Cs IJl i Ratemeter j (i11ri/ CJoz'i J (!J_{f.f ::Jo ') ~ q i 1.\00 1 z_ 3 --ft. 2 >L.- ! Ratemeter lm1rJ CfD.J'f I Ml/./ IJS11.,I y y /~D 12.s {_~ I JI Bicron
- NA -7 NA If< v y {JCJ1( ((,"/ ---lh. 2n.
I Bicron y NA I NA ....; IPOO '~. 1 *11_ 2-1 '2-Bicron NA 1 NA
/{(' v .
~ /~()o /"2., ~ -fl, Z3L i
- 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
TS* MJ~ TC~.d.L :&GRV.ICE.'lli" Rev 110/18/15 Instrument Field Response Check Log 1
- 1. Instrument lnformatlon Ratemeter: Make}Modet: Cal. Due Date: /~~G .
Detector 1: Make/Mode!; Blcron MlcroRem Meter: Ca!. Due Date: 8f'6fW
- 2. Check Source Information:
Source 1 Isotope: '1li-l$1- Serial No.: /f / Activlty:<:b.! units:,,vC Assay Date:!.2/~.rko Response Acceptance Range (+/-20%): uRem/hr+20%__ uRem/hr-20% .* net cpm + 20f:li,7e;g net cpm -20% 3)C'"6 Source 2 lsotope:C:s~/17 Serial No.: /l~c;>.$~.2 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:
_,gcT==--'-~~ Date: lo/..2.!/!2: Time: O'f;2.S-r 1
- 4. Site or Location: Site/Job: _ __..A--'-Y.-'""1!~"1~3"'-'-,. :. I_ _ _ _ __,_ Location Descriptlon:._ __.c;.,,_.,~4,_.:..:..:*e::..:f.""'cP~-~---
- -1 LJ~ o:it/m.C I GPS Coordinates (when required): X-Coord: LY- ;:f...e:. ~~ ~ L ff i * .L;:....
V-Coord: ~'-'7 ~ o-t:> U.
£0 37. Z ""
Remarks j l Instrument Field Responsei Use Acceptance-Criteria I Meter Bkg . Bkg Counts Source Soun::e Response +/-20% Inst. Battery Time Ambient lnltials and Comments I I Cnt Time (cpm} or uRem/hr) Cnt Time (gross cpm or uRem/hr) source gross cpm or uRem/hr Ca lib. current (Y/N) Check (Y/N) Of check Temp. (cF) {add' I Info; Inst. Condition, etc.} I (Y/N) Rate meter I w..*"" q /'f 7 ,.11.fu. /Mt~.. l/?tW ,-..1Jhtt, v \./ tJ1so 5"6.L{ "17...-2$2. fk t 1...... ~ IM4'l'rJ?AA, v7 hi :S-6. s /_c;-(3'7 .._, ~? Rate meter
'" 114'<1 1
Rate meter ' ( I Rate meter Bicron NA 1-i.uw,u rt"' NA f2~m,,...f(,..v l q r
\.7 \/ O\")~ <-C ~ 1n~:;.3, u
x Bicron NA I NA NA
' I {
Blcron 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
Rev 110/18/lS Instrument Field Response Check log
~
1 Lu (I;
- 1. Instrument lnformatlon Ratemeter: Make/Model: Serial No. ~1'-C.'q:_
- Cal. Due Date: r¢>JI~
Detector 1: Make/Model: { :t/.5M Serial No.t6>'6/lf.2. Bicron MlcroRem Meter: serial No. $&'f.$b. Cal. Due Date: O~f_oS-/i£. FJ
- 2. Check Source Information:
Source 1 lsotope:'TJ-.-}.3,,_ Serial No.: /If Activity: <::O .I units: µt;;" Assay Date/~o Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/hr -20% net cpm + 20o/oC'J ?1f net cpm *20% IS" 1'-"t: ~ Source 2 Isotope:&~/ "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 + 20%/'3~r7 net cpm -20% X~??:f'J
- 3. Technician/Worker Performing Checks:
Name: X EJ"",,,..J?s .
Title:
'fZ ( 'r Date:/~.) Time::¢{73G7 ~
- 4. Site or Location: Site/Job: kt". '3. ( * . ,
- Location
Description:
__-::?01=;..::;*~~7.:::.~:c<OC/l"'-------- GPS Coordinates (when required]: X-Coord:
,. / o 'e7/a' **'
1v 'fpl .?Lg ~7. L Y-Coord: vv e>? 8'"4'"lo ,.:J7. 7 ,,.' I Instrument Field Response 2 Use Acceptance _Criteria Remarks I 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.'fJ. t!D""'
WI.,:-..,... l/?75J I I q a tJ
/"1*~ \/
rv
\/ v (3tJ/ t~. 7 71..-)'!2- tJ-f Rate meter . I CA.;\.--.. ~ ',. __
I VJ XI t</5 t:d;. > l/"s- f3 7 '1Jf v Rate meter I ( f Ratemeter Bicron NA . q vn~/,,,.. 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 che~k 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
Rev 110/18/lS lns.trument Fleld Response Check Log
- 1. Instrument lnformation 1 Ratemeter: Make/Model: Serial No. /'fC.£.(.$1 Cal. Due Date:~
Detector 1: Make/Model: Serial No. '?t;;J~/'(2-. Sieren MlcroRem Meter:
- Serial No. 'A'q5 b Ca!. Due Date: ~s:-k .(
I
- 2. Check Source Information:
Source 1 Isotope: 7}..~;JJ- Serial No_: /f ( Activity: c::O * ( units:~* Response Acceptance Range (+/-20%): uRem/hr +20% _ _ uRem/hr -20% net cpm -20% ~IT""<::C" Source 2 lsotope:C?~fJ7 Serial No.: / /fE)3--(2. Activity: t).a;L.. units:_k'L'; Assay Date: L'.Il4_ Response Acceptance Range (+/-20%): LI Rem/hr +20% _ _ uRem/hr -20%__ net cpm + 20%_ __ net cpm -20% ~Y5
- 3. Checks:
ntle: __~ __"! _ __ Date: to,.4jf£ lime: 153i
- 4. Site or Location: Site/Job: ~ .,:S. / Location
Description:
_ _ _ _ ~__;,___,~~""'"':.1.----- GPS Coordinates (when required): X-Coord: N ((..,;l D;;z.'l '5?l 'i "' Y-Coord: Wo?K"'1fd: n 2 ;-, I Instrument Field Responsa 2 Use Acceptance Criteria Remarks I Meter Bkg Bkg Counts Source source Response +/- 20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Callb. Check Of Temp. (add'! Info; Inst. Condition, etc.) TI me uRem/hr) Time uRem/hr) gross cpm current {Y/N) check (°F) or uRem/hr (Y/N) (Y/N} Rate meter I .a...'- lf f oI .--nt.. I ""':x lf>rl.fr~~ v '{ v ft;?/ 6<6. f ~ ~ ;z_ ~;2- r~ Rate meter I ' - ** *-. n
.,.f I ....."'YI. lr'J'lf'7cn,,_,.
, -!./ ~ \JI /'$'?/'-/ '7.'-/ /s-13.7-0£ Rate meter 91i-Lc:i/;i.1/1~ r f ( {./
Rate meter Bicron NA ~ lf/fU</l..r
, NA 1~3/./l~fhr \( \J ,/ I~</() 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
App E-Sub-Area 3.1- Sample Data Sheets
.~- ~*.>
SAMPLE LOCATION DATA SHEET
. Project: /VY $ f:. \(..\:)Pl Weather: _flu .1cY,f't-/,~*~1.uafa\.=~~----
- 1. Sample Area (SA):
SA Designation: 3 .\ &rtV,ecJ
Description:
--~~-------~-
SA Origin Location: Coord_ System: _ _ _ __ SA Land Mark
Description:
- c:.vyv-Cv-:>lJ Coard:
.2. Sample Location Data: Sample Area ID: ~- Matrix: ~f;t \ LocationCoord: W1'K-~f/O--n,"' f\J 42.l-/<J0f.£JS5 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0.0) r...i IIA Y Dist. fron1 Origin: ~~-- . Nj 11 Site Sketch Attached (Yes) ~ Sample Location
Description:
(om 8DtJ, no '\:i+o..I ~ Canopy Type: _Q.;i.;pe~Vl_.____ Land Use: ~r'~ Soil Moisture (Wet, dry, etc.):~?
- 3. L ocat1on R.a d"1at10n ' R ead"mgs:
2x2 NaI i Bicron Notes (cpm) (uRem/hr) Count time 1 cm Im i lcm lm (min) I I1.'.)5i tO"l'i \ g I iJIA I !f';,1, 0 lf'. f./ 1 g
- 4. Sample Information: Sample Area ID: 3 *\ *\ . 6 , /- ;{
Soil Sample ID Samplitig De[)'cription Color (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 ~c~ 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 -r.,.,..,e. 5;-c;A--:10::
'll~ ~~:
Weather: J?crfly Clo vd1.;. 1
..va.rm
- 1. Sample Area (SA):
SA Designation: __3_._\____
Description:
_{pm B ~l d SA Origin Location:
'-'-=----'---=-"-=---------
Coord. System: SA Land Mark
Description:
__]2,ivtw{!J Coord:
~Th idiz,tJ
- 2. Sample Location Data:
Sample Area ID: 3, i. 2 Matrix: 2~..il_._ Location Coord: j.J 1~ . 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) ~1\1£< I Y Di:>t. from Origin: u.) \le .......--~ 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 oca tion Ra d'I.a ti on R ea d'mgs: 2x2 NaI B'cron Notes (cpm) (uRem/hr) Count time 1 cm Im \cm lm (min) .. - . I !ILlCZ IO~Z7 tO ID t-****-
.Lil f\
I I ll 42.l! iOw63 Alf~
- 4. Sample Information: Sample Area ID: _3_. \ , 7 , I[ . I - l Descnoticm b'Y Depth 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 ~o~ \ tSa:.,..n 3.1. z.~.1 ~J(f\ 15-30 '7 (}: \ R..'lJ1,...i,/\. ~.1.*L, £, 2 IJ}Pc
~0-l.aO !,D*. l ir-1~~"' '3.L 2.. f, 3 Nf f<
{uO -1 vu Mvd Jl}>t).k /' D.Vt>~ ':?..1.*z.e..'1 n.1- wo.\.e c ~_w_ I
~ (N)
Sample Recorded on Laboratory COC form and Container Labeled:
SAMPLE LOCATION DATA SHEET Date: ID -Zo ~1.,.- Project: 1'-Jj 5 tg_pf.L_. _ __ S\crt '.J~ '. 2.5 Weather: pcf'f\-r Clo:,cLy , c&Cc/c--< e"'d : I '1; 3 o I. Sample Area (SA): SA Designation: 3, I
Description:
__Gx='-'-ri'--'-f'= / 2,~-------- 1c..... SA Origin Location: ______ Coord. System: _ __ SA Land Mark
Description:
- povc~ * - - Coord:
- 2. Sample Location Data:
Sample Area ID: 3 l 3 .. E r v Matrix: 'So~ L_
. ~
Location Coord: W 1<6,/!1 CJ L/ 25~ 17 __&LJ -Z
- 4 'l 13 '-18' Alternate Location Measurements (distance from SA origin and Local Coord.) / "7 1 r -
X Dist. from Origin (O,O)___Mfjl, .l _ _ , *
- Y Di!;l. from Origin: _.N-"'111-\.lft--- l)'\ V(WCu\
Q 67. a ,s. W '"'fYD/\I\ 3. I. 5 Site Sketch Attached (Yes) <<l
Description:
~(~-o_'(_r,_f\~.*~<~\_l~,,..--ei~I0~1'-)--r--~C~ll~.f~n_,_.~f\_C~~~rh~c,.._,__!_IL_s____~--- Sample Location 1 Canopy Type: Op-ch Land Use: {G(hJ Soil Moisture (Wet, dry, etc): D~¥~ 3 L oca f ion R a a*ta ti on R ea d.mgs:
- 2x2 NaI ; B**cron Notes (cpm) (uRem/hr)
Count time lcm Im 1 cm Im (min)
- g I ID {;t;c_p iO ! I '1 'l -- N}~
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 (Surface litter type/depth, sample depth retention, (cm sand, etc) :efusal, stone or rock, to oo-ra h , erosion features)
'--~~.........i...-~~~-'-~~_J,_~~~~~J*~~~--~~----,..,..----~~-~~~-~~ Sample Recorded on Laboratory COC form and Container Lab(lled; (N)
SAMPLE LOCATION DATA SHEET Date: /0-7./-/) Project: AJ'YScR..00 Name: *Jii0 *~ V[)'...tJ;it. Weather: WO,tM *~fv C[oJd.,~ 1*~+ 0
- l. Sample Area (SA):
SA Designation: __3_._\~---
Description:
Com .f-; <:..{d SA Origin Location: Coo rd. System: SA Land Mark
Description:
_'[)'""'""'vi~vt
....w__.'_D.>-l_J-t--- Coord:
- 2. Sample Location Data:
Sample Area ID: 3 .\, Lf Matrix: so,_\_ cl Location Coord: N 7 f{, w1Cffr'/'J Alternate Location Measurements {distance from SA c1rigin and Local Cop~d.) Sv\:i~ 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 s+~ (Ls Canopy Type: 0 p-t.V\ Land Use: fQ_(fl.A Soil Moisture (Wet, dry, etc): J) 0{
- 3. L ocatwn R a d"1ati on R ca d'mgs:
2x2 Nal Be.Cron Notes (cpm) (uRem/hr) I Count time lcm lm 1 cm Im (min) I 'jg 8"5 we;~ 5( 7 v I f1 1 q3 '(j 922/( tJ J f\
- 4. Sample Information: Sample Area ID: J . j , Y , £. . f- !./
Soil Sample ID Sampling Description Color (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: /o~zr-15'" Project: ---+-jJ"--'V,_,5._...f..,.""""'J2,-'{)1'1'------ Name: Weather: Clo ud:-t
- I
~
- 1. Sample Area (SA):
SA Designation: -~3'-,'"'"J______
Description:
- CoYt'i Htf d SA Origin Location: Coord. System:~---
SA Land Mark
Description:
~(11-. -.____ Coard:
- 2. Sample Location Data:
Sample Area JD: Matrix: So* { Location Coord: "~u 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
~M*~--
Site Sketch Attached (Yes) @) Sample Location
Description:
_ {orn h(, td , 5tul ~5 _,,__..,~-'--L--"'--1-J---'-'--~--'-'=---------~---- Canopy Type: 0 '/)(,fl Land Use: __f__a.r lk. Soil Moisture (Wet, dry, etc.): Dty l
- 3. Location Radiation ReadinCJs:
2x2 Nal Bicron Notes (cpm) (uRem/hr) Count time lcm Im lcm . lm (min) I ~77
- 4. Sample Information: Sample Area ID: 3, / . 5. 12. ~ J~!-f Soil Sample ID Sampling Deseriptimz Color (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
.~- ~JI~
SAMPLE LOCATION DATA SHEET Project: N\Ktilfil_ __ Name: -r;:.i BYD<..,..V'-
*~-----
Weather: Cfoxly,, ww:w.
- 1. Sample Area (SA):
SA Designation: ---~-1_!---~
Description:
SA Origin Location: Coord. System: SA Land Mark
Description:
-~D~n~-~~~q_;-(f=----- 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 Origin:A/j.""'c...,18~-- Site Sketch Attached (Yes) ~ Sample Location
Description:
Grn ~et d t1o 5..fu.(_~_S _____________ Canopy Type:~ Land Use: . .fuv\..A., Soil Moisture (Wet, dry, etc.): Dt\,1 3 L oca f ton R ad"1a ti on R ea d"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:; 'K1~7.,(_ f\J/A
- 4. Sample Information: Sample Al-ea ID: .3. LG:> , J2.., 1- lf D escnp* 'tion bDtl
~Y 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-' ~o * \ t--.n,,,,, 3i.t_.,,2...I /\J /4 IS-6Q_. ~d ~ \ hi'l'L_.A,.- i. \.1 ... (L "'2. ,Jt ~ 3o-t.t<> Sc>~\ bfl)vV-- ~.\,l.,11....3 i!J n-(.g {)-/(,) <.> .So~\ i-.,,..,.._ ~,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. Sa~ple Location Data: \\) J-jl>!f,ll'{.? 'fJ){'r'\Y>
Sample Area ID: :3, l. 7 Matrix: '501-_L \f;L~t~ LocationCoord: w7'8', (Jt7'if9.11" :J+/-!/2, '/(/&1i(' N1f2.-.t.t~li.Jl.iZ Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) J\f\ Y Dist. from Origin: iJ\'~ Site Sketch Attached (Yes) @) Sample Location
Description:
(or"h-h1~ !c.L (Off1 .sh:aj /c.) rLh?..{)1i'"ed I Canopy Type: Q pe I'} Land Use: FQ..viM,._ _ Soil Moisture (Wet, dt)', etc):__,Qy"'----'1--~- 3 . L ocat'mn R a d'ia f 10n R ea d"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 l 10 8 'ii f;'" <j q Z.CJ
~I i
- 4. Sample Information: Sample Area ID: 3. \, *7, IC . I - Z..
Descnotwn bIY D ep th 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 .7.~ .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; __(~o-~\'\-~~*~e~t_d~------ SA Origin Location: Coord. System: _ _ _ __ SA Land Mark
Description:
v\ '<(u..."'d Coord:
- 2. Sample Location Data:
Sample Area ID: _'3--'-'.l'-._8"---_ _ _ Matrix: _s_;~ _l_ Location Coord: VJ/&. lo7X1t1°' Alternate Location Measurements (distance from SA ciriginand Local Coord.) X Dist. from Origin (0,0) tf\~ Y Dist. from Origin: rJ1P< Site Sketch Attached (Yes) ~) Sample Location
Description:
[Dn"' h e_l_~-- rcvn sk\\t...S
---a}
S\r.ca.:i.~, lo ------- (tx,uS ~ 11 260 f-L Lv
&.-;ve~
Canopy Type: Ope f1 Land Use: carnt-\eld Soil Moisture (Wet. dry. etc):_Qc:...;fy~--
- 3. Location Radiation Readings:
I 2x2 NaI (cpm) B*.cron (uRem/hr) Notes* Im Count time lcm lm lcm (!_Uin) .._ 1 .....- ci;qzo CJLf x-t* l, 'tJ ' IJ//< I 9 x-'7 I qo 8'!__ 'Nf'~ I
- 4. Sample Information: Sample Area ID: 3 ,\ . ~ , £-1 ~ 7-
---~- --------------*--
Soil Sample JD Sampling Description Color (Surface litter type/depth, sample depth retention,
~efusal, stone or rock, to o a b ', erosion features)
Sample Recorded on Laboratory COC form and Container Labeled: (N)
SAMPLE LOCATION DATA SHEET Date: IO - Z0-1-:r Project: JJY 5 f !2.DA Name;~ 1).rorc=" . Weather: 'Svti1*1.y; u.ptr>. I. Sample Area (SA): SA Designation: _ _3-----".j_____
Description:
(pl(\ ~\ el d.
-~~----------
SA Origin Location: Coord. System: SA Land Mark
Description:
Coord:
- 2. Sample Location Data:
Sample Area ID: ---'3"'--.}'--._CJ_ _~- Matrjx:. <;.., ,_\_ Location Coard: W 7 8'. 0t19(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)
. oA.~)
Sample Location
Description:
~Co.~:'Yl'-'--'h~c~l.JC---f!~c..~*.....
.. \ D="'.,_,,~,..._.st~o.:=~~t"'-111c...,.,_.n.~Mk~"1'(,...__-:::::re+=I
~='.l<'.~n~i-_ _ _ _ __
Canopy Type: 0.pr~V\
. . ___ Land Use: -~1~ Soil Moisture (Wet, dry, etc):._--'D'--'-",f-/_ _
- 3. L ocahon Rd' a iabon . R eaa*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 escnption 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) refusal, stone or rock, topo!rraphy, erosion features) ()-J s- -:;,o;t 112..-u'->"'\ ~.L'i E, I NJ rr Jfj-jD ~D;\. ll./\c. ... :~ .. I C;,t,2.. 0-fl_ Sample Recorded on Laboratory COC fonn and Container Labeled: eJ (N)
SAMPLE LOCATION DATA SHEET Date: tO{ 7.-[ ( J ") Project: N\.\ SER 0 r+ Name: ~ gt'()l.\;rJ 1 Weather: Lloi.:.d,L\ 1 S-0 .S
- 1. Sample Area (SA):
SA Designation: A l"'{_Q-.. 3 . l
Description:
(Di-- n t 1 d ('~ SA Origin Location: Coord. System: LrJ.- ( lorj SA Land Mark
Description:
_....D..:_ri,__*i!.=*'-;_:_":i._~1Jr----~- 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
- u-r I H'St ()'j- (O!'"'J Site Sketch Attached (Yes) ~
Sample Location
Description:
Cc rn?i?.. tel I :tlcd ~ 5 cJ~:}-r-tA Canopy Type: C'J Q8'! Land Use: k~'V\ Soil Moisture (Wet, dry, etc.): cla.mr J at w~.,.--
- 3. L.ocatmn Rad'iat10n . R ead.mizs:
2x2Nal Bicron Notes (cpm) (uRem/hr) Count time lcm lm lcm lm (min) l II <oqs- ro, 99 '" lf '1 rJ I~ I If , u~J. (0. '150
- 4. Sample Information: Sample Area JD: 3. 1.10 E.. \ ~ E. d.
Descnotion b1y D eoth : 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" ~oi I d!A..Ll b~') ~.\.IC .E. \ 1 IS. :'.>O ,561 ! duv b~WT'\ '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: __,ft-'-"-r..,""'"~--'3:::....:..i...1_ _ __
Description:
__,,C...::.o_r"'...:...*-'-t1--=~J:_J:.....:__ __,_~--- SA Origin Location: Coord. System: lu:J-f lur- > SA Land Mark
Description:
__..Dr"'-=l\/l.=Lv=:i..,...:q..._ _ _ __ Coord: T5.l..7'1 J.~ '-/.:l. l.J~u~ 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 4d. ' <../ ~ l 1l, GL.{ o..d..S c;lu~ wd of C11/ Alternate Location Measurements (distance from SA origin and Local Coord.) x Dist. from Origin (0,0) y Dist. from Origin: ---~d~o.,- .d I$
-ht:~
~-k-lk5 I edjt
( '1 _
'* brlJsh/
1 Site Sketch Attached (Yes) l/N-ml ~ I Sample Location
Description:
C0rn-f d ol stct.l b d~ ii..("~ {,!l 1 Canopy Type; _.:::;o-+p-'~c....*.__ _ Land Use: _hi.r---.:.~,-'"'\..__ _ Soil Moisture (Wet, dry, etc.): do.mp, f'ill li...l.\fL..-
- 3. L ocation Rd" a 1ation R ea d"m2s:
2x2Na1 Bicron Notes (cpm) (uRem/hr) Count time I cm Im I cm lm (min) I 10 'i<~O 1D, 31../o
- 7 lD .~[ff!
{ JD_"f:(.P./ Ill d.9D
- 4. Sample Information: Sample Area ID: 3.1. II El - E ~
D escnption b1y D epth : 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 "(" ~;I do,1..1 . !-,..,.,,.,... "J... I. I I E I I '.S *30 ~d Jei.J ! 6-u. .'->~"\ <..I. rf .EZ.. Sample Recorded on Laboratory COC form and Container Labeled: rf!J. (N) 10/2.0/15
SAlVIPLE LOCATION DATA SHEET Date: \ o -z.l d1'5 Project: fU '-i SE ~.D f4 Name: S gl'Dwn
, - I Weather: (_ \ ~1..d...l{ 1 S 0.)
- 1. Sample Area (SA):
SA Designation: f't<~J>,,_ :3:,. j
Description:
LCr:'lf 1 d J SA. Origin Location: Coord. System: Cod- { [>>."S 1 SA Land Mark
Description:
__,_,D,,_,r_,_w""JC""u""'>U;,,~i_ _ _ __ Coord: l't.L.1'4d..J. 4';;;.t.J'i:ObS I
- 2. Sample Location Data:
. Sample Area ID: -5 . \ . I ?.., Matrix: Sc.~; j {C(Q~ 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: _ _ _ _ ~ri.s.f of Co....v-' c'o::,~-h:)
Site Sketch Attached (Yes) ~ ~.:o1 J Cl{<..:;' J.~1 :'itcd 1:5 Sample Location
Description:
locn-P1dd..) s+oJ k5 dil;);J~,J, Canopy Type: OQtn Land Use: \:n..rro Soil Moisture (Wet, dry, etc.): (k,l'VI? ,flo v.;dv,. 3 . L oca tion Rad"iation R ead.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 ')'.$°~ JD,q~a
- 4. Sample Inform~tion: Sample Area ID: '?::.. l . f;;i.. E I
- E ;.;l, D escnp' t ion bDth 1y ep*
Depth Soil Type Soil Sample ID Sampling Description Interval (Org; day; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, top0graphy, erosion features) CHS ~o*d {r lo.I..! 161'(,,,/"\ 3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._, *., 3._1. \;;l.E.d. I Sample Recorded on Laboratory COC form and Container Labeled:~ 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: (_ \ ~vd._y .' S 'O 5
- 1. Sample Are.a (SA):
SA Designation: fl<<(A S. I
Description:
----'G_o_r_n....;..+:_,~~J--'r'-'J..--___,,-,-----
SA Origin Location; Coord. System: Lix!-( Ui,"!,) SA Land Mark
Description:
__,,,D"""'f'_,_,w"""W~~"""l------- Coord: !'5. l. 1~ *Ol-:1 l(;,,.i.J "&"Cb~
- 2. Sample Location Data:
Sample Area ID: -~. \ . 13 Matri;.<: ~~cia1 Location Coard: *1. o . (?-":{ '7 7 cl J LI J., Y'is' J.. I It> 6 J;tJ '1~ Nwv+: Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ ( (lf I ; n :s+ru K5 I d ~~ cf cI~o..rea o..rt.?- Site Sketch Attached (Yes)@~ Sample Location
Description:
- l~n1f-"I de!. J i ~'l staJ. t5 CanopY, Type: _O_,,Q_e.~..-\,_____ _ Land Use: fo./,'\'V Soil Moisture (Wet, dry, etc.): dctl"t'Jf I t1D W~
- 3. L ocation Rad"1ation R ead.me;s!
2x2 NaJ Bicron Notes (cpm) (uRem/hr) Count time lcm lm lcm Im (min) I
.! ~G 'J..9 i-~10 10 '8' fJ !-A I ~'S"o:S- l) I $" '-/
- 4. Sample Information: SampleArealD: '5.1. ! 3 fZI - R.J, D escnption b1y D ev th.
Depth Soil type Soil SampJelD Sampling .Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention. (cm) sand, etc.) refusal, stone or rock, topography, erosion features) f\*IS :soi I llc-1_ L/ bi~*"l 3.\.13.R. I 1~-:.<io Soi I i:..1~~ br?>w.,.., 3.1. 13.<<..:), I I Sample Recorded on Laboratory COC form and Container Labeled: (N)
"10/20/15
SAMPLE LOCATION DATA SHEET Date: i O[ z.. d$! Project: ~I '1 SE.!(..() 4 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:
__,.L.,,__,k_,_\\f,,_,~=-~~1------ Coard: l't. t, 1!.J ;7.J.' t(;;,.4 ~o G3,
- 2. Sample Location Data:
Sample Area ID: -~. \ . \ l\. Matrix: Sci [ ( cla~ Location Coord: I~ . L, TS S G5 L\ ~. YZ :J. 1 '13~--- Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ l 4lD. '-l (L.J_:;, n orl-i1 -a-F-C<VI d Q_()JtJ (Yes)~ MQ_a__ Site Sketch Attached Sample Location
Description:
(:_~n1*P1t lcl i :s-toJ ~5 c.f u-?. el Canopy Type: 0 ~t:n Land Use: f o__rm Soi I Moisture (Wet, dry,_ etc.): dc.t.m~, llO Ll.l~
- 3. L ocation Rad"iation R ead.m2s:
2x2NaI Bicron Notes (cpm) (uRem/hr) Count time l cm lm 1 cm lm (min) I 't GS-'8' 93al t ~ l ciq.o<., 111 9 I
- 4. Sll.mple Information: Sample Area ID: ~.I. ['1 KI*((_~
' tion b>Y D epth :
D escnp; 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. \
)$-~D 0oi! f da.J brbv.in 3 _l . I'-\ . I( <l I
Sample Recorded on Laboratory COC form and Container Labeled:~ (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: 1ol-z-t [cs Project: f\.I'=\ SE.((_.()?\; Name: S. grt>wn Weather: (_ ~ vv-R1.1 1 s-05
- 1. Sample Area (SA):
SA Designation: Pt<~D._ 3 ~I
Description:
Corrif ,JJ. SA Origin Location: SA Land Mark
Description:
_[)~r_..10U~u~\'l..1~1"t-------
- 2. Sample Location Data:
Sample Area ID: -~ . \ . I ~ Matrix: :Soi ( (dn LI Location Coord: l ~ . c*7 r I S5 L\?.. Ll o }.7 1..1 ~ Alternate Location Measurements (distance from SA origin and Local Coord.)
~ ft!) '-/ll-rd..i fJ a+
X Dist. from Origin (0,0) Y Dist. from Origin: ( a..r 1 c.. i1.n+~r o F s-k.! b Site Sketch Attached (Yes)~ Sample Loca.tiort
Description:
lorn+;~.lct in ~cJ k--5 1 Canopy Type: ~O_._Q_e.~_'\,___ _ Land Use: ~OJ>ib Soil Moisture (Wet, dry, etc.): dtL'<<*f 3 L ocation R ad"1ation R ead"mes: 2x2Nal Bicron Notes (cpm) (uRem/hr) Count time I cm 1m lcm lm (min) I IV (, {o I 10 'l..3 't ~ JO pJ (4 I 10 :}'Jl., I () /'rD . 4. Sample Information: Sample Area JD: '5.1. I$ RI - ~J, Descnption b*Y D ept h : 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 s~ '; l { clt\'-1
\$-:,)0 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: Cooid. System: ld-( Gl'1'\ _ SA Land }.{ark
Description:
~L.!.!)r-",v~Q...'""'w><.:o.,,,,,u'4------ Coard: l~- lo 1'-1 :AJ. t.(.1,,L\ ~o G~
. I
- 2. Sample Location Data:
Sample Area ID: -~ -\ *., (a Matrix: S'-< j ( ci c,ll Location Coord: 1 i-, C9l l '11 $' L\ ";).*41l'd.313 Alternate Location Measurements (distance from SA origin and Local Coo rd.) 1 ~ *Lt~.....--~
" _..;, ( Nc:.r r X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ "-" ~ c~
in shtt.s Site Sketch Attached (Yes)~ Sample Location
Description:
l~1*nf";,Jc\, Jin ~+oJtS Canop)\ Type: O~ Land Use: _.C-:_o.._.r-" ..iY'--'"'--- Soil Moisture (Wet, dry, etc.): a.tu*1Ap 1 flll
- 3. L ocat"ion R ad.1ation R ead"m~:
2x2 NaJ Bicron Notes (cpm) (uRem/hr) Count time lcm Im 1cm lm (min) l 101 !3+ ci :J.~4 9 ~ I NM l 't er yt, 1 71- i-=i-
- 4. Sample Information: Sample Area JD: ~.I. I (p IZ! - R:.2..
Descri1>tion b1y D cptb : Depth Soil Type Soil Sample JD Sampling Description Jnterval (Org; clay; Color (Surface Litter type/depth, sample depth retention, (cm) sand. etc.) refusal, stone or rock, topography, erosion features) C'i-1 s :l'Di ! cl~'-! .611)1,:;r') 3.l.\ln.R.-! 1$-<.0 ::io1I do..c.1 bl'bl-..Cl 3_1.11.:>-R-*d... Sample Recorded on Laboratory COC form and Container Labeled:~) (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: 10( w(rS" Project;_-'-\J
*. l ~1 <
! __ r:_ fl f\.L]_
..:>L:._1'--_u_ IT'--- Name: -:S-. (Sl()v-..":l Weather: :S\j(lny I d~ ..... so")
L Sample Arca (SA): SA Designation: A-ei1>.. 3. \ C.ornfi d
Description:
-~--'--"-~--~,....,...----~
SA Origin Location: Coord. System: Lttt- Lt>>'1j SA Land Mark
Description:
\;xi*'-wll.l Coord: ..J:L.\, 14 1... "L l\ 'J.. t..I ~t)63
- 2. Sample Location Data:
Sample Area ID: --~_-_\_._\_i-_ ___ Matrix: s1:1*1 \~Ail~ Location Coord: **rLG l~~G1 L\ :l .c.\'8"\ CJ~ 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.d j rLJf-ul~~k..,.,.::,~------------ Canopy Type: O ?'U'J ' Land Use: -fa-rm Soil Moisture (Wet, dry, etc): d..\Ur\y 3 . L oca f mn R a a*ia tion R ea d.m2s: 2x2 NaI B:.cron Notes (cprn) (uRem/hr) Count time !cm Im I Jcm Im (min) I 9~yo ~qd[) l~ s ~./ -I.A
\ Ci d.S'i '"6~30
- 4. Sample Information: SampleArea!D: 3_1,11 {<.!-Rz_ ("S-R.l.r Descnp "tion bDtl*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; \ O~vn *'\.l.11. R. \ l'S*3D +i)<;>_~(\*, i 'txt\,"r, 3-1./1.tZ.;A 0-1.$" +Dc."<11 I bmJo,)t) 3. I . l7. (( . S' 15*~0 +opso*, \ b~ :3,_!_11.IZ...\n Sample Recorded on Labo:ratory COC form and Container Labeled:~ (N)
SAMPLE LOCATION DATA SHEET Date: j ti{ t.o{ f 5 Project: t\J\.\ SC-12..CJA Name: S !5rot.*.J"! Weather: du . .d,~ 1
, 'SO,:?
- 1. Sample Area (SA):
i\fQ.tL SA Designation: _3_.~----~
Description:
Orfitit.\rA SA Origin Location: SA Land Mark
Description:
d-ri ~W!;\\,j
- 2. Sample Location Data:
Sample Area ID: __,,,3"--._,_l_. .:. .1'6..:____ _ _ Matrix: :Soi I {c\t\Lj Location Coo rd: 1 i - (Ji+ ~ ~~ 3 Yd.* '-l c; d-S 'K :l. Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) Y Di!;t. from Origin: _ _ __ Site Sketch Attached* (Yes) @ Sample Location
Description:
. LC'lnfi ~\d. , skJ k'.s d~J Canopy Type:
- 0 ~Vl Land Use: fo..<f'Y) Soil Moisture (Wet, dry, etc): QQl/Y'\T
- 3. Loeation Ra diation R ea d"mgs~
2x2 Nal B cron i Notes
!1 (cpm) (uRem/hr)
Count time lcm lm ! Jcm lm (min) ! l er 6l'>'~ t::il.1-!:J "5' - i 1J I-A l ~~O'~ ~~?;o
- 4. Sample Information: Sample Area ID: 3. \. IZ Kl* R2.
Descnp . ti<>n b1y Dept h: Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ~efusal, stone or rock, topography, ero*sion features)
"0~1$" ~o-,1 do.LI b(l,\,;~"1 -:3:,.l.l~-fZ-)
1-:=;;-:sc. ~c:~ I c..ln,'
, b-t*_._,,, <-.\ .1t.((. L Sample Recorded on Laboratory COC form and Container Labeled: (N)
SAMPLE LOCATION DATA SHEET Date: !U [ d-O / l) Project: f'll'l :St. ((DA- Name: -:f. 8.rt.~-iq
'Svnriy , Cl~.,,,,,-, (06 5 1
Weather:
- 1. Sample Area (SA):
SA Designation: __._fu-=--t1>=-~~~-\ ' - - - - - - _D~scription: ---"C""-u_r_4_i_t-"-l'-"-___~---~ SA Origin Location: ---- ------- <;;oord. System: ~ ¢n SA Land Mark
Description:
-=c}_'"'-,,---'-'1~'-><i=Wc=(;\:..+l/---- Coord: n;. ~7l/2-Z. lfl-. l/'i'DG3
- 2. Sample Location Data:
Sample Area ID: 3
- t . I~ Matrix: ~ c30.1..I Location Coard: f ~. GTiC7 l..\ ~ 4d, ,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 (Yes)~ Sample Location
Description:
Or.rr-!=1Jd in si-it---'-A~_k-=~=---------------------- Canopy Type:~--/'\,____ _ Land Use: +~.-M Soil Moisture {Wet, dry, etc): dll.-YVl'i)
\
I
- 3. L ocation R ad"1ation . R ea d.mgs:
2x2 Na! B:cron Notes (cpm) (uRem/hr) Count time 1 cm lm 1 cm 1m - {min) qq1s- 9 Ito **t I 'J., Ntf+
\ q ~ '\ (,, ~n~
i
- 4. Sample Information: Sample Area ID: 3. ! . IJ. -R I*~
D escnpt1on b~Y Deptb ; 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" ~:'l /cla._,, hrt,t;..>r) 3 .J _1"1 .R.. / 1S-3o Set l r d~Lj lbrvwn 3 .1.1CJ _r:.__-;;. Sample Recorded on Laboratory COC form ~nd Container Labeled: (N)
~:r.s-A~ ~l..S~'VICGS SAMPLE LOCATION DATA SHEET Project: N-\ 'SE: (2..DA Name: ~ G;Y'\l\J"')
Weather: SUClny) cJ~ I <;;cf 5 J. Sample Area (SA}: SA Designation: A(~ '3 * [
Description:
_G_~_*rn(.:_*t_"-'-'\c!::.l.-__-----;,.,----- SA Origin Location: Coord. System: {rd-I C?inj SA land Mark
Description:
&x-i~u.io,.~ Coard: li. l<i14:;p, \...l'J...Yib{.;3.
- 2. Sample Location Data:
Sample Area ID: 3 .\
- d-0 Matrix: ~'1\W~
Location Coord: I "D *\,, 1-'6 I?J L\- _;)._;_,_._4'8"-'-l'6_13o.,.__ _ __ ( 3~ .3 ~ n.-t\..)) Alternate Location Measurements (distance from SA origin and Local Coard.) i oD .(:-t-. +1-r. .~ X Dist. from Origin (O,Q) Y Di:rt. from Origin: ---- cU- i vt V..HU-'j Site Sketch Attached (Yes) ~ Sample Loca,tion
Description:
(ti,~rrf1~lJ s-6Jl:> dtl4-w\ Canopy Type: t'?~ro Land Use: -f.n.q'b Soil Moisture (Wet, dry, etc):~--
- 3. L ocation Rd' a 1at1on . R ea d"m2s:
2x2 NaI B cron Notes (com) (uRem/hr) Count time 1cm 1m I cm 1m (min)
! Cf.d.3~ '?(:,?.:1 *1 'S ~(-A CJ ~1-N %)11 ;;l,. ~~
~
- 4. Sample Information: Sample Area JD: ~.I. J.O. fZ 1- RA D escnp . f ion b*Y D epth 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 ~cl( frt;0NV brt**~/'I s .1 *d.~. rz. 1 "'-of'nL 1c.c..k.S i:S .30 .:s.oil frno.vt-l b-t*,,,"' 3.1. ?.1i. tC?... ~mn~ nc...k. s Sample Recorded on Laboratory COC fQrm and Container Labeled!~ (N)
SAMPLE LOCATION DATA SHEET Name: -::S-. CSrtw 'Q Weather: ~nny , c...\.zs:iy 1 Lo5
- l. Sample Area (SA):
SA Designation: A-\"...o, 3. I
Description:
Ll'l""*rl*i ,.__JJ. SA Origin Location: SA Land Mm-'k
Description:
c)xiv~wo~::j Coord. System: I Coord: o:tp 1 ~ .L,1 q d. . c""0
- Y *;;i.. '-l '8"0(0
- 2. Sample Location Data:
Sample Area ID: 3 * ( * ~I Matrix: S.t> *, L Location Coard: 1 '[ . G f 9 (i, 3 ?-. __!:!_?. . l{ "6' d.. 4 t\ ')._ l q '.:, yo_...-t,l:5 . Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist from Origin (0,0) Y Di!;t from Origin: tJ E c + civi v t W':J\.'i Site Sketch Attached (Yes) §) Sample Location
Description:
C-Vr,---f.i ..._J._J > s-kA \:::..S cJ~Rr!l---et Canopy Type:~o.....?_Q_,v'_"\ _ _ _ Land Use: ~W) Soil Moisture (Wet. dry, etc): dfl...VYlf
- 3. L ocation Rd" a iat10n . R ead'mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr)
Count time !cm Im lcm lm (min) *-* I 9~00 ~t{~o 9 f0 !"Jffi I 93-tj 'Z"l-C(O .
- 4. Sample Information: Sample Area ID: S. I . d- I Kl - f<. d..,
Dcscnp1 . t*ion b'Y D epth : Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, {cm) sand, etc) r-- refusal, stone or rock, topmrraphy, erosion features) 0-(~ so:\ bv.rV"l "3-1. ~ l . ((_ ( -
\'5 *30 ~i\. bl'llwn 3. J. ~(. (2- J, I
Sample Recorded on Laboratory COC form and Container Labeled: J (N)
SAMPLE LOCATION DATA SHEET Project: fJLJ SE RD-4 Name: --:(. e~-'o
- l. Sample Area (SA):
SA Designation: fl.r~.a, 3. (
Description:
- (crriti~)o{
SA Origin Location: _C_o_o_rd__-S~y~st~em-:--.-/!kf=-.-,+/~/o_n_a_ __ SA Land Mark
Description:
flrivt.w~Lf Coard: TL!. 1 L/ ;A?., . ~ J. l/ ~o (0
- 2. Sample Location Data:
SampleAreaID: ?,.l.?;J_ Matrix: .JoiL_ Location Coord: t t". L t"?~ SS- Lf :J.. ~ 'i 3 0 1- 3 Alternate Location Measurements (distance from SA c*rigin and Local Coord.) fJE X Dist. from Origin (0,0) Y Dist. from Origin: _ _ __ Ii'l '-{tt-rt.U frrn1 (C.r Site Sketch Attached (Yes)~ Sample Location
Description:
ct:-;'fl{; r_I r,{ I siu. lb c:J ~O<J. Canopy Type: Onw I Land Use: .ki.rM Soil Moisture (Wet, dry, etc): da.mp
- 3. 'L ocatwn Rd' a 1ahon . R ca d'm2s:
2x2 Nal B=cron Notes (cpm) (uRem/hr) Count time lcm Im lcm lm {min) I ~-rsD "l'Od.D 9 lO tJ .ft I '8843 '('Cl<tG.
--~
- 4. Sample Information; Sample Area ID: 3. J
- g.:l. (< ( -R;),
D escr1pt1on b)y Dep th 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*\ bit.~,., 3.f. J,,::A .IZ l 15"-~6 Sc ~j bri;.~:.., 3. I. J.~. {!.,,;;>._ Sample Recorded on Laboratory COC form and Container Labeled: ~(N).
SAMPLE LOCATION DATA SHEET Date: Io( 2c{ IS" Project: N"-1 SE f. o+\- Name: :f~ brnwn
. I Weather: :Su11ny i c..lea....r, (of) S L Sample Area (SA):
SA Designation: ftc"'.lo.. 3 . I
Description:
(o,..-,-,.{,*dd. SA Origin Location: _C_o_o_rd__-S-ys-t-em-.-_-\-cd-+f~fo-~-0--~ SA Land Mark
Description:
clriv~wci..y Coord: "1'i{.Ip7L/ J.d.. =ti;.;(. t.J rD l0
- 2. Sample Location Data:
Sample Area ID: 3. ! . ~3 Matrix: Soi I Loe a ti on C oord: 7 ""6 . (r, 7 ~ D43 __'.:[ ;;i . t.I '%' d. ~ ~;1 Alternate Location Measurements (distance from SA cirigin and Local Coord.) X Dist. from Origin (0,0) Y Di~;t. from Origin: _ _ __ ! 30 4 lt-rV\:i .N Site Sketch Attached (Yes) ~~ Sample Location
Description:
-----~~1~ (.Ol'Yr(:j Q,td :." ~I. ll/__s 1~ttl.._!_f*~-------------
Canopy Type:_O___ _ _ _ _ Land Use:
\;'_Q.111 -hv1-v-., Soil Moisture (Wet, dry, etc):.-----od_,_<l_Wl--F-f--
~ L oca t'wn R a d'1a f 10n R ea d'mg.s: 2x2 Nal B,cron ; Notes* (cpm) (uRem/hr) ! Count time lcm Im I cm Im (min) '* ..
! rO .~'&"O q 1 {.), '1 10 fl} ( 4 I .. 101s~4 '1 S-"f Cf i I
I I 1]1
- 4. Sample Information: Sample Area ID: 3. I. :;2.3 KI - R;A Descript1on b1y Depth :
DeptIt 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. '* a~.R.~ Sample Recorded on Laboratory COC form and Container Labeled: ~ (N)
r r ,. -r SAMPLE LOCATION DATA SHEET Date: io( 2o{r:5" Project N~ SE.~ Dtt Name: -:::r. f3rn!P ') Weather: S\Jnnq . d t<i...r G-o 3
- 1. Sample Area (SA):
SA Designation: A-n. . . * ~ !
Description:
(o.,- nt i ~.Jcl. SA Origin location: _C_o_o-rd-.-S-y-st-em-:-/-v.:t-1-(......-Ii_IJ_:3-SA Land Mark
Description:
dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J. t\~.<.J8'640
- 2. Sample Location Data:
Sample Area ID: _?.:>_._l_.;).-~-'-----Matrix: :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 Di~;t. from Origin: _ _ __ Site Sketch Attached (Yes)
~N~
Sample Location
Description:
__c_c_'r_n_f_r_*1>__~_cl___,__1r_1_sh __a_l_~_:.::i_ _ _ _ _ _ _ _ _ _ _ _ _---, Canopy Type:--'D"""-'1'1--'bl__,__~- Land Use: {o_.,.n., Soil Moisture (Wet, dry, etc:): d(J.,yj/\pF---
- 3. L ocat10n Rd" a 1atlon. R ea d"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 iA
\ qq 'l 'K qd,!S-1:1 I
- 4. Sample Information: Sample Area JD:
- 3. I. d.4 R.J
- R... ~
D escnpt1on b1y D epth : 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 b~'-"'1 3.1.';),'"{.1<.J, Sample Recorded on Laboratory COC form and Container Labeled:~ (N)}}