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=Text=
=Text=
{{#Wiki_filter:App E-Sub-Area 5.6 -COC Field Forms
{{#Wiki_filter:App E-Sub-Area 5.6 - COC Field Forms  


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__ ._ .. ___ *_*_: .Project ii: GEL Chain.of*Custo(1ly aJid.  
l'iig_c: __. __ -.-*----~of~_., __._.. ___ *_*_:
.. CIELlabom1orics, LLC 2040*Savage Road OELQuotc,11:
.Project ii:
.. _. __ .. . ...-.* __ _ '*!Se<M*1ww,ge!.com'forGEL'$'SaropJeAc.ceptanceSQP*" ..
GEL Chain.of*Custo(1ly aJid. Analyti'calReq*&#xb5;~st.  
* 29407' l
.. CIELlabom1orics, LLC 2040*Savage Road OELQuotc,11:.. _. __
(84'.l)765*l l18*
.:~
PO Number: GEI:''Wm"kOrder*Numlier:
.. ----'-~--....-.* __ _
Client *Name:. .,, * .. ': 1':rojeciJSiie_Na11ie:
'*!Se<M*1ww,ge!.com'forGEL'$'SaropJeAc.ceptanceSQP*"..  
Address: Send Rcsulis:ro:*
* !'..'l!~dcs1011;,sc 29407' Phonc:.(843).5~6-817 l Fa~1 (84'.l)765*l l18*
* SamplelD *-For itim;io.dltts
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-i11dic.'U'-te:s1"i"I and :tl1m J11te/1ime" , f; .. lQ.(:\. "-* _.li.:.{ 17(i< Plione#:  
PO Number:
(:'olli<t<<I (Millt*ry)
GEI:''Wm"kOrder*Numlier:
.. '(lllll!uil)
Client *Name:.  
<ons1dc1;<i*l  
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Address:
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No..
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Circle Dcliveiabll!': C'cfA I.QC.S11mmnrv*.1 Level J I Level 2 */' Lcvcl3 f. Levc1'4 -
I);-. * * . C11v/er T<imp: .G.)* J>(c:1(tV'l1ive*Typc:-HJ\."
i>uriiplC Colkc!illnijmpZonc
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.. AA ""Areoibfc J\'l;id; Htxan"*
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'l;ime,
App E-Sub-Area 5.6 -Field Survey Checklists The MJW Companies GPS Field Survey Checklist The following field survey chE>cklist on{ l' thv *.!JrvPY trilrn ha:; wa lkecJ to loc;1tion that they will begin a GPS survey. This checklist is intendPd !u wrify nf!m.* of the or changed or cables came loo:.e. between initial setup lo<.at1or 1 and tlw
*'Rcccivod.by.(iiigncd}
*,1irv1"v leti:.dt1on.  
'Dl!tc,.
*;tf.'p 9 once the current walkover segml:'nt i'., romp!eto;>
GEL.I'M;
: 1. ..
*1
Verify the Ludlum l\rlett'r h in R .. 11;.> rnnclP r* j. 2.
, 'Airbiilll; 3
_ Verify that the l.url!um Meter 1:: ,1ite1 ridlllrE; dhpl<iy of "DlJP" and "V;1h1P"
, Airl>1ll6:.  
* 3. t) .= . . 4.
.,,): Cl~ill.of Cust~)'.NUmlJc"t... ~licnt Oclcrinini4 lJ. qc Co~~.;*:N::; Wi~11al sr.mpi~;1:8 ~-:frin ni;"k* f'l) ~ f.Foldfii1nlko10,_!IB," 1r<111i~o**~\\ ~1011~, i-fS ~Ma:rix-S1iii<c saniplo, :\\1sfr,, ~i... ;. SpliiQP,up_liwe*sampl<;,'<;'- Gial>, :c-~ c~,t11pl>>!Jc Filr Loli Receiving.U>>~ '()iily 1.):Fi~ld.. FihC!ll<!: *Fqfliq\\lid OIJ1UicC:&#xa3;iindicutc~vith B.. y.. for.yet. lhC s&,11~p}e.\\Wlj n~io*rii1~r~d.cr *,N :' &#xa3;~{ ~n~ptc.WI)~ nUJ"li~!~ m~~J>"iJ,
that Antennd "btr>rnal" 5. . .. -Set Menu l to "Data'' 5 ... i 1 *:: Mam<?. a file to start thi:'  
.C(fg'ot/Y'S,tt!!l:lnt~t.'I?
.:ind thP data loggH ! .. ..."'! ..... , ** !-ilename:
: 4.)' Mi:i~~)~ -91~ia~.'DWt=f)(inl<ing ~Vawr~ GW:'!:Gf~~~1thlfflit:r,,S\\Y:.,,.Snsiai.:1; Wti:tcr1* \\YW~Wa~1e.w ~~l!r, *\\\\'"' \\\\r~11!1 1,Mc;_..~t.Ji~~ 1:.~r(~tid~ SO::S.Od, *SU~-So:d ii1ii;n1~* :u.e.-~t~dti:. ss~soli~ W~~J'1, 91'10H;~t*.. pjjrq~ r~Wipc; U#U.iiui:.;.it.*. i:c.;111. *N..,),l----~1'..::'E;,,:S-* --:::--'N=0--~-1
---.... ---.. 1; / ! ; 7.
.SJ S*~1ilt;.Lo0ly!i* R<qu~l1e~;. i\\11~lylk.'nlJ;,cuioil.r<\\<Jll<>l<il'!i.e. ~UDD. ~OIOW7,4.7Ml ond 1'1ni1b<1'of<<i11l11inm*pro*i<lcd for **ch. (l.<.1120~~.* J.. ~O*IVBtri70A: I);-.
Set Menu l lo ."SlallJ','
C11v/er T<imp:  
iHHl M*:*n'.I .1 t1.1 **sc*11*-.nr" ; ' 8.
.G.)* J>(c:1(tV'l1ive*Typc:-HJ\\." llydmtillori~.A~lt(N.1.~*N1~ric'Acitl,:Sli*=.~~tiiu~ Hydro;u~lc~~,;;~~... 1 S1i!01!U: Ati~.. AA ""Areoibfc J\\'l;id; HX*~ Htxan"* ST7'i.,.~rlittmTJJl91.u.lfo~c; lfoop1vi~~a1jy~ h :'!ilde~."'! ~c1w~.field blaril C
__ ._ Verify that 1::
*\\:Vi;UTE... LA.BORAT(:my" YEp.~ow*~FH,;E l'INK~ 0 q:.1ENJ"'
thf-' *,r11rit:;
 
.,1!, tht* di--plc.iy 11n thE* I udh,irn _,., ,... 9. .*
App E-Sub-Area 5.6 - Field Survey Checklists
__ Wht*n set Menu l to .. D.1ia'' and close the c.urrent file. *1 ' -. -. .;... *' .. Name:--* ... :":::..o4-_!
 
_* _:'_ .... .' f**' . f*l" .. .. Date. _________
The MJW Companies GPS Field Survey Checklist The following field survey chE>cklist i~ u~ed on{ l' thv *.!JrvPY trilrn ha:; wa lkecJ to th~: loc;1tion that they will begin a GPS survey. This checklist is intendPd !u wrify nf!m.* of the ~-nbl~~ or :.i~tting-; changed or cables came loo:.e. between th<~ initial setup lo<.at1or 1 and tlw th~ld *,1irv1"v leti:.dt1on. Lornpi~'h' *;tf.'p 9 once the current walkover segml:'nt i'., romp!eto;>
_
: 1.
The MJW Companies GPS Initial Setup Checklist
.. __;,._,j;~-- Verify the Ludlum l\\rlett'r h in R.. 11;.> rnnclP r*
: 1. __ L Complete ',ource c:herk c.f i udlum
: j.
: 2. ____ LL.__ __ Power off Lutlluni lv1dl'.'r
: 2.
: 3. .
--i.,.~~:'. _ Verify that the l.url!um Meter 1::,1ite1 ridlllrE; dhpl<iy of "DlJP" and "V;1h1P"
Trimble J'i
: 3.
\rint rn *,11:,pi>ncl
t)
: 6. --.-6,.-... Con:1ectthe Serial to tl1P ftimble SIA 7. ____ L __ Conn.e-c.1 uF''.:>
.=
1 .
: 4.
to tlH' l r1111ble 8. L/ 9. J..,/ / 10. v / _ Verify that the ! udlum Mt'tr>r altr:*rnat ing of "DUP'' dlHl Po.wt;>r on Trim bk ,ind It.'! rt t<J compielely bout 12.  
--~Verify that Antennd ~.tat;:*~, "btr>rnal"
...
: 5.
Merrn l to ''Statu:;" Jnd i\kn11 .) lo*
. *---'~:..__: i~.. - Set Menu l to "Data''
.. *"*vPr'' ./,,' H. ------*Set Menu 1 to "D.it,1**
5
1!:!. ***--*--J
... i 1 *::
... /._. _ Name a t8l>l file .md <Jrl t hr*
Mam<?. a file to start thi:' (*u1a~nt 'l.ln'~V.:ind ~t.ut thP data loggH
logr'.F*r
!-ilename: ---.... ---..
: 16.
1;
Menu 1 to "Statu-:;" ;md MentJ .J tn *"-..cn,.r:ir" 17.
/
that thi:*
: 7.
i*, ri::.idini,;
.-<~;2_._ Set Menu l lo."SlallJ',' iHHl M*:*n'.I.1 t1.1 **sc*11*-.nr"
the ,.mip the db&#xb5;lay Llll tlit: Ludlum 18. ____
: 8.
MP.nu 1 to "Dnt./' and ,*,lrJ>* th>.' cur ;1_:11l.  
_.::.:-..fl~::__. __._ Verify that th~ ~en.sor iic~ld 1:: r~drh1"\\ thf-' *,r11rit:;.,1!, tht* di--plc.iy 11n thE* I udh,irn
\...
: 9.
App E-Sub-Area 5.6-Instrument Field Sheets Instrument Field Response Check log 1. Instrument lnformationl  
.* -~&#xb5;) __ Wht*n fini~hed. set Menu l to.. D.1ia'' and close the c.urrent file.
*1
~.~. -
Name:--*... :":::..o4-_! _* _:'_.....'
f**'
f
*l"..
Date. _________ _
 
The MJW Companies GPS Initial Setup Checklist
: 1. __ L Complete ',ource c:herk c.f i udlum fvl~tPr
: 2.
____ LL.__ __ Power off Lutlluni lv1dl'.'r
: 3.
. -*-.~~---Verify Trimble J'i ~h11tdown \\rint rn *,11:,pi>ncl m(lc)(.~)
: 6. --.-6,.-
... ~ Con:1ectthe Serial cable~ to tl1P ftimble SIA
: 7.
____ L
__ Conn.e-c.1 t~xternal uF''.:> dt1t~r11i.1 1..-1hlf~ to tlH' l r1111ble
: 8.
L/
: 9.
J..,/
/
: 10.
v
/
_ Verify that the ! udlum Mt'tr>r i~ altr:*rnat ing d1~.play of "DUP'' dlHl "V,liul~"
Po.wt;>r on th~ Trim bk,ind ~'ftHt It.'! rt t<J compielely bout
: 12. -*_-~:*... _~et Merrn l to ''Statu:;" Jnd i\\kn11.) lo* h~**.. *"*vPr''
./,,'
H. ------*Set Menu 1 to "D.it,1**
1!:!. ***--*--J... /._. _ Name a t8l>l file.md ~r <Jrl t hr* 11~1t,1 logr'.F*r
: 16. **---~*Set Menu 1 to "Statu-:;" ;md MentJ.J tn *"-..cn,.r:ir"
: 17. ----~,--. V~rify that thi:* sen~OT tiE!l~1 i*, ri::.idini,; the,.mip ;i~. the db&#xb5;lay Llll tlit: Ludlum
: 18. ____ _j./~~----Set MP.nu 1 to "Dnt./' and,*,lrJ>* th>.' cur ;1_:11l. til~-
\\...
 
App E-Sub-Area 5.6-Instrument Field Sheets
 
Instrument Field Response Check log
: 1.
Instrument lnformationl  
/1 Ratemeter:
/1 Ratemeter:
Make/Model:
Make/Model:
LvJf 4,.,fi.,tfl.'
LvJf 4,.,fi.,tfl.' J-Detector 1:
J-Detector 1:
* Make/Model: --z-;;z{[,,H-" _ -/ d Blcron MicroRem Meter:
* Make/Model:  
2..
--z-;;z{[,,H-" _ -/ d Blcron MicroRem Meter: 2.. Check Source Information:
Check Source Information:
Serial No.
Serial No. ;:>c:(.,~'5 Serial No. fl(/UJ.?&#xa3;..2.
Serial No. fl(/UJ.?&#xa3;..2.
Serial No. ____ _
Serial No. ____ _ Cal. Due Date: 07A7f (., Cal. Due Date: __ _ Source 1 Isotope: ('/. -il J;2 Serial No.: i / { Activity:  
Cal. Due Date: 07A7f (.,
<.cJ
Cal. Due Date: __ _
* I Response Acceptance Range {+/-20%):
Source 1 Isotope: ('/. -il J;2 Serial No.:
uRem/hr +20% ___ uRem/hr -20% _. __ Assay Date: lq/fof O net cpm + 20% il . net cpm -20% _3 Source 2 lsotope:LsJJ7 Serial No.: l (Cfe'.?-1--
i / {
\ 2--Activity:  
Activity: <.cJ
{:M;l units: d;Assay Date: Response Acceptance Rani:i;e {+/-20%}:
* I units:~*
uRem/hr +20% ___ uRem/hr -20% ___ net cpm + 20%Lif6 7$ net cpm -20% '11'79' 3. Techniclan/Worker Performing Checks: Name: :J.
Response Acceptance Range {+/-20%): uRem/hr +20% ___
Time: o.g15-Title: __ T?""'-"',._1'----
uRem/hr -20% _. __
: 4. Site nr Location:
Assay Date: lq/fof O net cpm + 20% il ~.!. net cpm -20% _3 <~~,&
Site/Job:
Source 2 lsotope:LsJJ7 Serial No.: l (Cfe'.?-1-- \\ 2--
___
Activity: {:M;l units: d;Assay Date: ~
Response Acceptance Rani:i;e {+/-20%}: uRem/hr +20% ___
uRem/hr -20% ___
net cpm + 20%Lif6 7$ net cpm -20% '11'79'
: 3.
Techniclan/Worker Performing Checks:
Name: :J. /5.~r'i}.<
Date:ld.J-1~/('F Time: o.g15-
 
==Title:==
__ T?""'-"',._1'----
: 4.
Site nr Location:
Site/Job: ___
A_-_fC_
1_v._t;".~.~~----S-~*~Go=--
Location
Location


== Description:==
== Description:==
lA..J C.-r:!*rO"::>
GPS Coordinates {when required}:
X-Coord: ________ _
Y-Coord:. ________ _
Instrument Field Responsez Use Acceptance Criteria Remarks Rev 1 10/18/15 Meter Bkg Bkg Counts Source Source Response
+/-20%
Cnt (cpm) or Cnt (gross cpm or source Inst.
Battery Ca lib.
Check Time Of Amblent Temp.
lniti<ils and Comments (add'! Info; inst. Condition, etc.)
'Time uRem/hr)
TI me uRem/hr}
gross cpm current
{Y/N) check
{of) or uRem/hr (Y/N)
{Y/N}
Ratemeter
. Ratemeter 1 1 Ratemeter
: Ratemeter 1 Bicron NA
* Bicron NA j Bicron NA
: 1.
Instrument designated check source is listed on alibr tian 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 ofthree static counts at the same location. Repeat counts should be within 20%. If count rate diverges.
* signific;rntly, perform additional counts to eva 1uzite instrument stability


lA..J C.-r:!*rO"::>
App E-Sub-Area 5.6 - Sample Data Sheets  
GPS Coordinates
{when required}:
X-Coord: ________ _ Y-Coord:.
________ _ Instrument Field Responsez Use Acceptance Criteria Remarks Rev 1 10/18/15 Meter Bkg Bkg Counts Source Source Response +/-20% Cnt (cpm) or Cnt (gross cpm or source Inst. Battery Ca lib. Check Time Of Amblent Temp. lniti<ils and Comments (add'! Info; inst. Condition, etc.) 'Time uRem/hr) TI me uRem/hr} gross cpm current {Y/N) check {of) or uRem/hr (Y/N) {Y/N} Ratemeter . Ratemeter 1 1 Ratemeter
., ' : Ratemeter 1 Bicron NA
* Bicron NA j Bicron NA 1. Instrument designated check source is listed on alibr tian 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 ofthree static counts at the same location.
Repeat counts should be within 20%. If count rate diverges.
* signific;rntly, perform additional counts to eva 1 uzite instrument stability App E-Sub-Area 5.6 -Sample Data Sheets VTS .. #-
SAMPI,E I"OCA TION DA TA SHEET Date:
Name: /J.. .. ...., \_)ril'._-
.. *" 1 weather: u (j* ;::.: <-r i..i u' ) d..r ; *i z ( .;i:_ .-,, **--r-* ..
**
: 1. Sample Area (SA): SA Designation:
___ '5.:_(.p_A_.
_____ ... ____ ..


== Description:==
VTS
~--* T~
.. #- $&#xa3;R~'l!ClE'S SAMPI,E I"OCA TION DA TA SHEET Date: J:CtJ.~!5_
Name:
/J....
\\_)ril'._-.. *"
1 weather: u (j* ;::.: <-r i..i u' ) d..r ; *i z (.;i:_
.-,, **--r-*.. -*&'N*,~-
**.~-----
: 1. Sample Area (SA):
SA Designation: ___
'5.:_(.p_A_. _____... ____..


(1J :i ,dvl l#-SA Origin Location:
==
coora. System: ___ _ SA. Land Mark De:scription.  
Description:==
.. _ ........... .. .. Coord: 2. Sample Location Data: Sample Area ID: ..  
(1J :i,dvl l#-
... Matrix: ....  
SA Origin Location:
........ Location Coord: H!J..'?0 'M_J,;,_\_:1_2"_*
coora. System: ___ _
__ Alternate Location Measurements from SA origin and Local Coord.) X Dist. from Origin (0,0) tJ/ 19 Y from Origin: ___,J_J_f'L  
SA. Land Mark De:scription. ----*-~
*-. Site Sketch Attached (Yes) Sample Location
........... ~
Coord:
: 2. Sample Location Data:
Sample Area ID:.. --~.._\\.!!fi*'iS*'---... Matrix:.... s.~iJ.........
Location Coord: H!J..'?0 'M_J,;,_\\_:1_2"_* __
Alternate Location Measurements (di~tance from SA origin and Local Coord.)
X Dist. from Origin (0,0) tJ/ 19 Y Di~L from Origin: ___,J_J_f'L *-.
Site Sketch Attached (Yes) ~
Sample Location


== Description:==
== Description:==
  "'-! 1{b.J.
  ~4.~.rn__uf_~D!.~ll ~" "'-! 1{b.J. y(;.;,~tcl 1 Jon~.,, *fr~~<...d.:i.'{
1  
Canopy Typec &#xb5;>d.c*J ~"-*Land U sec hri'lL!;,J.:t<o___ Soil Moisture (Wel dcy,  
...d.:i.'{
.. * ( ;;, t *<. 1 { r I;,** * ;~
Canopy Typec &#xb5;>d.c*J U sec hri'lL!;,J.:t<o___
etc.): d().
Soil Moisture (Wel dcy, . . * ( ;;, t *<. 1 { r I;,**
1mf*-*~ _ -*
* etc.):
: 3. Location Radiation Readings:
_ -* . . 3. Location Radiation Readings:
1*---*
* 1*---*
2~p*~~1.
i Notes *-* .. ---'
--r-*;!~:~-;-* i Notes
time 1 .. cm I l L
' Coun~ time 1.. cm I
11.k..J \**--------1'-.--'1.j_}_}_
l ;;;-*----T~~~-T--*1-~- *~*'&"i c:.o~-~~?.O~!
__ f __
t;~,_--
____ l-*----.l--*-**-*--
L  
' t='tt. *---*--... * '
<~7r 1~0-L_.3IIL~--.s::t::.k -=l:i~ '!.;~~~!~' 11.k..J  
* _L_ _____ l__. l\,: ... ,, CAA G f'S fi'\1c "*;(:._-.. .,.,if" I '-Jlq. 4. Sample Information:
\\**--------1'-.--'1.j_}_}_ __ f __.J~G_k ____ l- *----.l--*-**-*--
Sample: Arca ID: 6.. \..E_!:' * \2.... \ * \-_lo_ 10/20/l':J TS SAMPLE I"OCATION DA TA SHEET Date: Project: N V5 /;'R.'.P.1\_
-~"'"'' ~ t='tt.  
___ _ Weather: \o.M 1 vo* 1 1. Sample Area {SA): SA Designmion:
\\~_tJ.'-\\'2.. ~
___
_L_ _____ l__.
___ .. ____ *---.. **---.
l\\,:...,, CAA d~ G f'S fi'\\1c "*;(:._-...,.,if" I '-Jlq.
: 4. Sample Information:
Sample: Arca ID: 6.. \\..E_!:' * \\2.... \\ * \\-_lo_
10/20/l':J  


== Description:==
TS
_  
~T~L$Eff'V~
\il
SAMPLE I"OCATION DA TA SHEET Date: J_l_~19.~ I~_
______ _ SA Origin Location:
Project:
______ ---***
N V5 /;'R.'.P.1\\_ ___ _
Coord. System: SA Land Mark Description-----------*-*----**----
Weather:
Coord: ___ **--*-____ _ 2. Sample Location Data: Sample Area ID: 5 .t_., R. 2. Matrix:  
c~, \\o.M 1 ~&~~ vo* 1
\ -*--
: 1. Sample Area {SA):
..... *-**-Location Coord:
SA Designmion: ___ ~4,. ___.. ____ *---.. **---.
__ Alternate Location Measurements (distance from SA,_origin and Local Coord.) X Dist from Origin (0,0). JJ.JA_.....  
 
'{Dist. from Origin: ___N_/-A-Sfre Sketch Attached (Yes) Sample Location
==
Description:==
_ \\il o~.s SA Origin Location: ______ ---*** -~----
Coord. System:
SA Land Mark Description-----------*-*----**----
Coord:
: 2. Sample Location Data:
Sample Area ID:
5.t_., R. 2.
Matrix: ~-~. \\
-~P-_..... *-**-
Location Coord:  
~i-~~Ll']_,,._. __
Alternate Location Measurements (distance from SA,_origin and Local Coord.)
X Dist from Origin (0,0). JJ.JA_.....  
'{Dist. from Origin: ___N_/-A-Sfre Sketch Attached (Yes) ~
Sample Location


== Description:==
== Description:==
 
Canopy Type: ----.0.-t~'f~\\~_Land Use: J:h.&#xa5;.-,n.~- Soil Moisture (Wet, dry, etc_):. ___ ~-----**
Canopy Type:
Use:
Soil Moisture (Wet, dry, etc_):. ___
3.. Location Radiation Readings:
3.. Location Radiation Readings:
I 2.x2 NaJ  
I 2.x2 NaJ  
--Bicron----* -.....
=---~~-. -- Bicron-- --* -
Notes I {c m) (uRem/hr)  
..... ~.----**-~-~ ---~
Notes I
{c m)
(uRem/hr)
: 4. Sample Information:
: 4. Sample Information:
Soil Color Sample Area ID: 6. LDA. IL. ?.. . I -l... Sample ID ---r--. Sampling Description  
Soil Color Sample Area ID: 6. LDA. IL. ?... I - l...
! (Surface Htter type/depth, sample depth retention, st_one or rocJs hy, erosion features s 'GI f""I'  
Sample ID ---r--.
.. 4ltML 1 ... ......,,S)'"'-""Yll\.....,\.1....!
Sampling Description (Surface Htter type/depth, sample depth retention,
__.Vl._,.,X""'"J"-'"\-c...5_,.__
'-~-1---"---'---<-----+----------+---re_fi_1_sa_l;_, st_one or rocJs toP-9.~a hy, erosion features s 'GI f""I' R;.~~.. 4ltML 1.........,,S)'"'-""Yll\\.....,\\.1....! __.Vl._,.,X""'"J"-'"\\-c...5_,.__ _________ ~
_________ I *-**-:i r
I  
__
*-**-:i r  
**-****--*-.. --.... **--*-!-*----
-~'--'-"'<:;::...::--+-'s:::.;.c::::L:>=r~~-s~~-1.~~.-~~~s..__ __ ---*-*--------~-1
--*-****-------Sa;ple Recorded OU form Lab;;l;d:  
------*~*-----*----------l Sa;ple Recorded OU Lab~ratory c~c form an~i"~t~i~;;:-Lab;;l;d: (N) 10/20/lS  
(N) 10/20/lS .,
 
SAMPLE LOCATION DATA SHEET Date: _l],,:::.' Project: N Weather: f.Lt.\IJ-.'.-
SAMPLE LOCATION DATA SHEET Date: _l],,:::.' '{~
1 J...dl t-1. Sample Area (SA): SA  
Project:
N Y~J'.F;DfL_.
Weather: f.Lt.\\IJ-.'.-1 -pt&-f-L\\~ J...dl t-
: 1. Sample Area (SA):
SA Designation:--~-~--*****----*


==
==
Description:==
Description:==
 
_ _\\-J_cod-_-'S=-----------
_ _\-J_cod-_-'S=-----------
SA Origin Location:
SA Origin Location:
Coord. System: ____ _ SA Land Mark
Coord. System: ____ _
SA Land Mark


== Description:==
== Description:==
 
Coord: ----**- --... *---
______ ---*--*-***
: 2. Sample Location Data:
Coord: ----**---... *---2. Sample Location Data: Sample Area JD: fl, v. *--Matrix:
Sample Area JD: fl, v. ~ *--
__ _ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist from Origin (O,O) __ J!J.-1-A___
Matrix: _&:,~_\\_ __ _
Y Dist from Origin: _..bl.j.A
Alternate Location Measurements (distance from SA origin and Local Coord.)
__ Site Sketch Attached (Yes) (@ Sample Location
X Dist from Origin (O,O) __ J!J.-1-A___
Y Dist from Origin: _..bl.j.A __
Site Sketch Attached (Yes) (@
Sample Location


== Description:==
== Description:==
_.t:O:''\\
r.:....~... ~~-':...ct'\\.....,~....,....,.1_,,l...,.ec...._,IJ('-=--S..._ _________ _
Canopy Type:. -*.Q.poo.. **-__ Land Use:..1::\\.\\ t."4-_ Soil Moisture (Wet, dry, etc.): *-***I:::b.-1'--**---
: 3. Location Radiation Read!!!~.
-------..--------------~
2x2 Naf
~
Bicron
( cpm).
~
( uRe.m/hr)
Notes
: 4. Sample Information:
Sample Area ID:~. <...:>A. (L ~- t - 2 escnption v ept D
b D h
I Depth Soil Type Seil Sample 1 Interval (Org; clay; Colar D
Sampling Descripticn 1s I sc-\\
&-.,,.,~
**71-,.-<'
: s. U..1\\.1....~.
6' l,; ~~.d<.
i (Surface. litter typefdepth, sample depth retention, I refosal, st~e or ro-9_~ topoe;raphy, erosion foatur<:s)
~m) sand etc.)
-_"3~~<2_;\\ __
--+*-***
:~~i-~;~'1. -- ~-'.~'.:~--~--
*--1*-n-* *-+=-j ___ -n *
--t--__;-----------
___ _L__..
Sample Recorded on Laboratory COC form and Container Labeled:
?) (N) 10/20/15.


_.t:O:''\
... . ...,.1_,,l...,.ec...._,IJ('-=--S..._
_________
_ Canopy Type: . -* .Q.poo .. **-__ Land Use: . .1::\.\ t."4-_ Soil Moisture (Wet, dry, etc.): *-***I:::b.-1'--**---
* 3. Location Radiation 2x2 Naf Bicron ( cpm) . ( uRe.m/hr)
Notes 4. Sample Information:
Sample Area
<...:>A. (L t -2 escnption v ept D b D h ------*-**--------*--
I Depth Soil Type Seil Sample 1 Interval (Org; clay; Colar D Sampling Descripticn 1s I sc-\
**71-,.-<'
..:;,.,.....,.
"' *----s. U..1\.1... 6' l,; . i (Surface.
litter typefdepth, sample depth retention, I refosal, or topoe;raphy, erosion foatur<:s) sand etc.)
__ --+*-*** ...
--
*--1*-n-*
*-+=-j ___ -n * --t--__;----
------------**** ---**-**-___ _L__ .. Sample Recorded on Laboratory COC form and Container Labeled: ?) (N) 10/20/15 .
SAMPLE LOCATlON DATA SHEET Date: _!1.:l4_:.J5.
SAMPLE LOCATlON DATA SHEET Date: _!1.:l4_:.J5.
Project: .. N  
Project:.. N y5~_F..4.)~*--*--
: 1. Sample Area (SA): SA Designmion:
: 1. Sample Area (SA):
c.o ___ . *-* ... *-***--*****  
SA Designmion: --o-~-:. c.o ___. *-*... *-***--*****  


==
==
Description:==
Description:==
 
__ \\,,..N--'--o..... c"~><l:_,5~-------
__ \,,..N--'--o  
SA Origin Location: ----**--*- ___
.....
Coord. System: __
SA Origin Location:  
SA Land Afark Description-Coord:
----**--*-
: 2. Sample Location Data:
___ Coord. System: __ . ___ _ SA Land Afark Description-Coord: ______ * --**-_. *-**---2. Sample Location Data:
Samp!~ Area ID: *- ~- ~
Area ID: *-* _ 12
* _ 12
* 4j ___ Mattix:  
* 4j ___ Mattix: _&sect;?.~.. -......
.. -...... Location Coard: _f'L..!:L?::.._&#xa3;.?.1.*  
Location Coard:
-*** ' ..... ____ \i-::d . .2.Y 5 -... 'icJ ._v_' __ _ A ltemate Location Measurements (distance from SA origin and Local Coord.} X Dist. from Origin (O,OL. N /A ---* Y Dist. from Origin: _bl_f.A--Site Sketch Attached (Yes)@ Canopy Type:  
_f'L..!:L?::.._&#xa3;.?.1.* '-i~**
.. -... -Land Use:
____ \\i-::d..2.Y 5 ~ -... 'icJ._v_' __ _
Soil Moisture (Wet, dry,
A ltemate Location Measurements (distance from SA origin and Local Coord.}
_ ........ __ 3. Locatiol!._
X Dist. from Origin (O,OL. N /A ---*
Radiation
Y Dist. from Origin: _bl_f.A--
__ _ 2x.2 Nal (cpm) 4. Sample Information:
Site Sketch Attached (Yes)@
Canopy Type: *--~~.. -
... -Land Use: _aj<:-.~~-*-- Soil Moisture (Wet, dry, etc_):_~'::f-** _........ __
: 3. Locatiol!._ Radiation Readi_n~g~s_: __ _
2x.2 Nal  
~
(cpm)
: 4. Sample Information:
Bicron (uRem/hr)
Bicron (uRem/hr)
Notes* Sample Area JD: 5. lPf\. '1 . 1-l Sample Recorded oo Labi:lratory COC form and Container Labeled: ff (N) 10/20/15 ' ...}}
Notes*
Sample Area JD: 5. lPf\\. ~. '1. 1-l Sample Recorded oo Labi:lratory COC form and Container Labeled: ff (N) 10/20/15  
'...}}

Latest revision as of 19:43, 9 January 2025

Radiological Survey and Dose Assessment Report for the Western New York Nuclear Service Center and Off-Site Areas in Follow Up to Aerial Gamma Radiation Survey Conducted in 2014, Rev. 0, Appendix E, Part 17 of 24
ML16293A812
Person / Time
Site: West Valley Demonstration Project, P00M-032
Issue date: 08/22/2016
From:
MJW Technical Services
To:
Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation
Shared Package
ML16293A155 List: ... further results
References
Download: ML16293A812 (13)


Text

App E-Sub-Area 5.6 - COC Field Forms

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4.)' Mi:i~~)~ -91~ia~.'DWt=f)(inl<ing ~Vawr~ GW:'!:Gf~~~1thlfflit:r,,S\\Y:.,,.Snsiai.:1; Wti:tcr1* \\YW~Wa~1e.w ~~l!r, *\\\\'"' \\\\r~11!1 1,Mc;_..~t.Ji~~ 1:.~r(~tid~ SO::S.Od, *SU~-So:d ii1ii;n1~* :u.e.-~t~dti:. ss~soli~ W~~J'1, 91'10H;~t*.. pjjrq~ r~Wipc; U#U.iiui:.;.it.*. i:c.;111. *N..,),l----~1'..::'E;,,:S-* --:::--'N=0--~-1

.SJ S*~1ilt;.Lo0ly!i* R<qu~l1e~;. i\\11~lylk.'nlJ;,cuioil.r<\\<Jll<>l<il'!i.e. ~UDD. ~OIOW7,4.7Ml ond 1'1ni1b<1'of<<i11l11inm*pro*i<lcd for **ch. (l.<.1120~~.* J.. ~O*IVBtri70A: I);-.

C11v/er T<imp:

.G.)* J>(c:1(tV'l1ive*Typc:-HJ\\." llydmtillori~.A~lt(N.1.~*N1~ric'Acitl,:Sli*=.~~tiiu~ Hydro;u~lc~~,;;~~... 1 S1i!01!U: Ati~.. AA ""Areoibfc J\\'l;id; HX*~ Htxan"* ST7'i.,.~rlittmTJJl91.u.lfo~c; lfoop1vi~~a1jy~ h :'!ilde~."'! ~c1w~.field blaril C

  • \\:Vi;UTE... LA.BORAT(:my" YEp.~ow*~FH,;E l'INK~ 0 q:.1ENJ"'

App E-Sub-Area 5.6 - Field Survey Checklists

The MJW Companies GPS Field Survey Checklist The following field survey chE>cklist i~ u~ed on{ l' thv *.!JrvPY trilrn ha:; wa lkecJ to th~: loc;1tion that they will begin a GPS survey. This checklist is intendPd !u wrify nf!m.* of the ~-nbl~~ or :.i~tting-; changed or cables came loo:.e. between th<~ initial setup lo<.at1or 1 and tlw th~ld *,1irv1"v leti:.dt1on. Lornpi~'h' *;tf.'p 9 once the current walkover segml:'nt i'., romp!eto;>

1.

.. __;,._,j;~-- Verify the Ludlum l\\rlett'r h in R.. 11;.> rnnclP r*

j.
2.

--i.,.~~:'. _ Verify that the l.url!um Meter 1::,1ite1 ridlllrE; dhpl<iy of "DlJP" and "V;1h1P"

3.

t)

.=

4.

--~Verify that Antennd ~.tat;:*~, "btr>rnal"

5.

. *---'~:..__: i~.. - Set Menu l to "Data

5

... i 1 *::

Mam<?. a file to start thi:' (*u1a~nt 'l.ln'~V.:ind ~t.ut thP data loggH

!-ilename: ---.... ---..

1;

/

7.

.-<~;2_._ Set Menu l lo."SlallJ',' iHHl M*:*n'.I.1 t1.1 **sc*11*-.nr"

8.

_.::.:-..fl~::__. __._ Verify that th~ ~en.sor iic~ld 1:: r~drh1"\\ thf-' *,r11rit:;.,1!, tht* di--plc.iy 11n thE* I udh,irn

9.

.* -~µ) __ Wht*n fini~hed. set Menu l to.. D.1ia and close the c.urrent file.

  • 1

~.~. -

Name:--*... :":::..o4-_! _* _:'_.....'

f**'

f

  • l"..

Date. _________ _

The MJW Companies GPS Initial Setup Checklist

1. __ L Complete ',ource c:herk c.f i udlum fvl~tPr
2.

____ LL.__ __ Power off Lutlluni lv1dl'.'r

3.

. -*-.~~---Verify Trimble J'i ~h11tdown \\rint rn *,11:,pi>ncl m(lc)(.~)

6. --.-6,.-

... ~ Con:1ectthe Serial cable~ to tl1P ftimble SIA

7.

____ L

__ Conn.e-c.1 t~xternal uF.:> dt1t~r11i.1 1..-1hlf~ to tlH' l r1111ble

8.

L/

9.

J..,/

/

10.

v

/

_ Verify that the ! udlum Mt'tr>r i~ altr:*rnat ing d1~.play of "DUP dlHl "V,liul~"

Po.wt;>r on th~ Trim bk,ind ~'ftHt It.'! rt t<J compielely bout

12. -*_-~:*... _~et Merrn l to Statu:;" Jnd i\\kn11.) lo* h~**.. *"*vPr

./,,'

H. ------*Set Menu 1 to "D.it,1**

1!:!. ***--*--J... /._. _ Name a t8l>l file.md ~r <Jrl t hr* 11~1t,1 logr'.F*r

16. **---~*Set Menu 1 to "Statu-:;" ;md MentJ.J tn *"-..cn,.r:ir"
17. ----~,--. V~rify that thi:* sen~OT tiE!l~1 i*, ri::.idini,; the,.mip ;i~. the dbµlay Llll tlit: Ludlum
18. ____ _j./~~----Set MP.nu 1 to "Dnt./' and,*,lrJ>* th>.' cur ;1_:11l. til~-

\\...

App E-Sub-Area 5.6-Instrument Field Sheets

Instrument Field Response Check log

1.

Instrument lnformationl

/1 Ratemeter:

Make/Model:

LvJf 4,.,fi.,tfl.' J-Detector 1:

  • Make/Model: --z-;;z{[,,H-" _ -/ d Blcron MicroRem Meter:

2..

Check Source Information:

Serial No. ;:>c:(.,~'5 Serial No. fl(/UJ.?£..2.

Serial No. ____ _

Cal. Due Date: 07A7f (.,

Cal. Due Date: __ _

Source 1 Isotope: ('/. -il J;2 Serial No.:

i / {

Activity: <.cJ

  • I units:~*

Response Acceptance Range {+/-20%): uRem/hr +20% ___

uRem/hr -20% _. __

Assay Date: lq/fof O net cpm + 20% il ~.!. net cpm -20% _3 <~~,&

Source 2 lsotope:LsJJ7 Serial No.: l (Cfe'.?-1-- \\ 2--

Activity: {:M;l units: d;Assay Date: ~

Response Acceptance Rani:i;e {+/-20%}: uRem/hr +20% ___

uRem/hr -20% ___

net cpm + 20%Lif6 7$ net cpm -20% '11'79'

3.

Techniclan/Worker Performing Checks:

Name: :J. /5.~r'i}.<

Date:ld.J-1~/('F Time: o.g15-

Title:

__ T?""'-"',._1'----

4.

Site nr Location:

Site/Job: ___

A_-_fC_

1_v._t;".~.~~----S-~*~Go=--

Location

Description:

lA..J C.-r:!*rO"::>

GPS Coordinates {when required}:

X-Coord: ________ _

Y-Coord:. ________ _

Instrument Field Responsez Use Acceptance Criteria Remarks Rev 1 10/18/15 Meter Bkg Bkg Counts Source Source Response

+/-20%

Cnt (cpm) or Cnt (gross cpm or source Inst.

Battery Ca lib.

Check Time Of Amblent Temp.

lniti<ils and Comments (add'! Info; inst. Condition, etc.)

'Time uRem/hr)

TI me uRem/hr}

gross cpm current

{Y/N) check

{of) or uRem/hr (Y/N)

{Y/N}

Ratemeter

. Ratemeter 1 1 Ratemeter

Ratemeter 1 Bicron NA
  • Bicron NA j Bicron NA
1.

Instrument designated check source is listed on alibr tian 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 ofthree static counts at the same location. Repeat counts should be within 20%. If count rate diverges.

  • signific;rntly, perform additional counts to eva 1uzite instrument stability

App E-Sub-Area 5.6 - Sample Data Sheets

VTS

~--* T~

.. #- $£R~'l!ClE'S SAMPI,E I"OCA TION DA TA SHEET Date: J:CtJ.~!5_

Name:

/J....

\\_)ril'._-.. *"

1 weather: u (j* ;::.: <-r i..i u' ) d..r ; *i z (.;i:_

.-,, **--r-*.. -*&'N*,~-

    • .~-----
1. Sample Area (SA):

SA Designation: ___

'5.:_(.p_A_. _____... ____..

==

Description:==

(1J :i,dvl l#-

SA Origin Location:

coora. System: ___ _

SA. Land Mark De:scription. ----*-~

........... ~

Coord:

2. Sample Location Data:

Sample Area ID:.. --~.._\\.!!fi*'iS*'---... Matrix:.... s.~iJ.........

Location Coord: H!J..'?0 'M_J,;,_\\_:1_2"_* __

Alternate Location Measurements (di~tance from SA origin and Local Coord.)

X Dist. from Origin (0,0) tJ/ 19 Y Di~L from Origin: ___,J_J_f'L *-.

Site Sketch Attached (Yes) ~

Sample Location

Description:

~4.~.rn__uf_~D!.~ll ~" "'-! 1{b.J. y(;.;,~tcl 1 Jon~.,, *fr~~<...d.:i.'{

Canopy Typec µ>d.c*J ~"-*Land U sec hri'lL!;,J.:t<o___ Soil Moisture (Wel dcy,

.. * ( ;;, t *<. 1 { r I;,** * ;~

etc.): d().

1mf*-*~ _ -*

3. Location Radiation Readings:

1*---*

2~p*~~1.

--r-*;!~:~-;-* i Notes

' Coun~ time 1.. cm I

l ;;;-*----T~~~-T--*1-~- *~*'&"i c:.o~-~~?.O~!

t;~,_--

L

<~7r 1~0-L_.3IIL~--.s::t::.k -=l:i~ '!.;~~~!~' 11.k..J

\\**--------1'-.--'1.j_}_}_ __ f __.J~G_k ____ l- *----.l--*-**-*--

-~"'" ~ t='tt.

\\~_tJ.'-\\'2.. ~

_L_ _____ l__.

l\\,:...,, CAA d~ G f'S fi'\\1c "*;(:._-...,.,if" I '-Jlq.

4. Sample Information:

Sample: Arca ID: 6.. \\..E_!:' * \\2.... \\ * \\-_lo_

10/20/l':J

TS

~T~L$Eff'V~

SAMPLE I"OCATION DA TA SHEET Date: J_l_~19.~ I~_

Project:

N V5 /;'R.'.P.1\\_ ___ _

Weather:

c~, \\o.M 1 ~&~~ vo* 1

1. Sample Area {SA):

SA Designmion: ___ ~4,. ___.. ____ *---.. **---.

==

Description:==

_ \\il o~.s SA Origin Location: ______ ---*** -~----

Coord. System:

SA Land Mark Description-----------*-*----**----

Coord:

2. Sample Location Data:

Sample Area ID:

5.t_., R. 2.

Matrix: ~-~. \\

-~P-_..... *-**-

Location Coord:

~i-~~Ll']_,,._. __

Alternate Location Measurements (distance from SA,_origin and Local Coord.)

X Dist from Origin (0,0). JJ.JA_.....

'{Dist. from Origin: ___N_/-A-Sfre Sketch Attached (Yes) ~

Sample Location

Description:

Canopy Type: ----.0.-t~'f~\\~_Land Use: J:h.¥.-,n.~- Soil Moisture (Wet, dry, etc_):. ___ ~-----**

3.. Location Radiation Readings:

I 2.x2 NaJ

=---~~-. -- Bicron-- --* -

..... ~.----**-~-~ ---~

Notes I

{c m)

(uRem/hr)

4. Sample Information:

Soil Color Sample Area ID: 6. LDA. IL. ?... I - l...

Sample ID ---r--.

Sampling Description (Surface Htter type/depth, sample depth retention,

'-~-1---"---'---<-----+----------+---re_fi_1_sa_l;_, st_one or rocJs toP-9.~a hy, erosion features s 'GI f""I' R;.~~.. 4ltML 1.........,,S)'"'-""Yll\\.....,\\.1....! __.Vl._,.,X""'"J"-'"\\-c...5_,.__ _________ ~

I

  • -**-:i r

-~'--'-"'<:;::...::--+-'s:::.;.c::::L:>=r~~-s~~-1.~~.-~~~s..__ __ ---*-*--------~-1


*~*-----*----------l Sa;ple Recorded OU Lab~ratory c~c form an~i"~t~i~;;:-Lab;;l;d: (N) 10/20/lS

SAMPLE LOCATION DATA SHEET Date: _l],,:::.' '{~

Project:

N Y~J'.F;DfL_.

Weather: f.Lt.\\IJ-.'.-1 -pt&-f-L\\~ J...dl t-

1. Sample Area (SA):

SA Designation:--~-~--*****----*

==

Description:==

_ _\\-J_cod-_-'S=-----------

SA Origin Location:

Coord. System: ____ _

SA Land Mark

Description:

Coord: ----**- --... *---

2. Sample Location Data:

Sample Area JD: fl, v. ~ *--

Matrix: _&:,~_\\_ __ _

Alternate Location Measurements (distance from SA origin and Local Coord.)

X Dist from Origin (O,O) __ J!J.-1-A___

Y Dist from Origin: _..bl.j.A __

Site Sketch Attached (Yes) (@

Sample Location

Description:

_.t:O:\\

r.:....~... ~~-':...ct'\\.....,~....,....,.1_,,l...,.ec...._,IJ('-=--S..._ _________ _

Canopy Type:. -*.Q.poo.. **-__ Land Use:..1::\\.\\ t."4-_ Soil Moisture (Wet, dry, etc.): *-***I:::b.-1'--**---

3. Location Radiation Read!!!~.

..--------------~

2x2 Naf

~

Bicron

( cpm).

~

( uRe.m/hr)

Notes

4. Sample Information:

Sample Area ID:~. <...:>A. (L ~- t - 2 escnption v ept D

b D h

I Depth Soil Type Seil Sample 1 Interval (Org; clay; Colar D

Sampling Descripticn 1s I sc-\\

&-.,,.,~

    • 71-,.-<'
s. U..1\\.1....~.

6' l,; ~~.d<.

i (Surface. litter typefdepth, sample depth retention, I refosal, st~e or ro-9_~ topoe;raphy, erosion foatur<:s)

~m) sand etc.)

-_"3~~<2_;\\ __

--+*-***

~~i-~;~'1. -- ~-'.~'.:~--~--
  • --1*-n-* *-+=-j ___ -n *

--t--__;-----------

___ _L__..

Sample Recorded on Laboratory COC form and Container Labeled:

?) (N) 10/20/15.

SAMPLE LOCATlON DATA SHEET Date: _!1.:l4_:.J5.

Project:.. N y5~_F..4.)~*--*--

1. Sample Area (SA):

SA Designmion: --o-~-:. c.o ___. *-*... *-***--*****

==

Description:==

__ \\,,..N--'--o..... c"~><l:_,5~-------

SA Origin Location: ----**--*- ___

Coord. System: __

SA Land Afark Description-Coord:

2. Sample Location Data:

Samp!~ Area ID: *- ~- ~

  • _ 12
  • 4j ___ Mattix: _§?.~.. -......

Location Coard:

_f'L..!:L?::.._£.?.1.* '-i~**

____ \\i-::d..2.Y 5 ~ -... 'icJ._v_' __ _

A ltemate Location Measurements (distance from SA origin and Local Coord.}

X Dist. from Origin (O,OL. N /A ---*

Y Dist. from Origin: _bl_f.A--

Site Sketch Attached (Yes)@

Canopy Type: *--~~.. -

... -Land Use: _aj<:-.~~-*-- Soil Moisture (Wet, dry, etc_):_~'::f-** _........ __

3. Locatiol!._ Radiation Readi_n~g~s_: __ _

2x.2 Nal

~

(cpm)

4. Sample Information:

Bicron (uRem/hr)

Notes*

Sample Area JD: 5. lPf\\. ~. '1. 1-l Sample Recorded oo Labi:lratory COC form and Container Labeled: ff (N) 10/20/15

'...