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{{#Wiki_filter:App E -Sub-Area 3.1 -COC Forms Y::::i e I o\ ' CliclltName: Project/Site Name: Fax#: Slloul;f lhh GEL Laboratories, Ll.C 2040.Savagc.Road Charleston, SC 29407 | {{#Wiki_filter:App E -Sub-Area 3.1 -COC Forms Y::::i e I o\ | ||
* Phone: (843) 556.8171 Fax: ( l!4 3) 766-I178 Sam11h: 1s1 {Fi!J in ih;i number*ofcontain<:rs for each test) <-* Prescrvarivc Type (6) be . Collc<:ted by: Send Results To: SarnplcJD *For c01m1osi1t.T ... imlit:a!f' .'iilarl *Time . (hhmm) Pie Id Filtered p;'" S*mple M>ittiX <un>ldercd !SC. R*dl* A o:u:d ?rsu vt *fa1ed 'er o | ' CliclltName: | ||
* Com_m*ents Note: e:xtrasampleJs reqtiired for sample 3 ' I I rz ' (fl ro_; 1£ J{p.'. IS t$8 ) l\Ji/\ 1rJ rJ' 1 T AT Rcoucs1cd: Nomial: .Rush: lraK Rcsufts: Yc5 ! No 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 * * ** * .S1!.lIW.k.Q.iJkc1iofl'rime Zone Pacific Central ----Mo1mtain C:.hain of Custody Signatures SampleShipplng aull Delivery Dct:ilh Rclin<)Uishcil By (Signed) D.i\IC | Project/Site Name: Fax#: Slloul;f lhh GEL Laboratories, Ll.C 2040.Savagc.Road Charleston, SC 29407 | ||
* Time-Reecivcd by(signc<l) Dale Time GBLPM: Mc!hud of Shipment: Date Shinned; 2 2 Airbill #: 3 1.)_.fhain_ Client For Lab ReceiVing U.-;e OnlJ QC Codr.s: N ""'Nonm1.l Bfar;k;FD .._ Pie/d,Qupli:cate, f.B ... Ohmk, Millrh Spike Milul;c. Spt};.ti.Duplu:at4. | * Phone: (843) 556.8171 Fax: ( l!4 3) 766-I178 Sam11h: | ||
1s1 {Fi!J in ih;i number*ofcontain<:rs for each test) <-* Prescrvarivc Type (6) be | |||
. Collc<:ted by: Send Results To: SarnplcJD | |||
*For c01m1osi1t.T | |||
... imlit:a!f' | |||
.'iilarl | |||
*Time . | |||
(hhmm) Pie Id Filtered p;'" S*mple M>ittiX <un>ldercd | |||
!SC. R*dl* A o:u:d ?rsu vt *fa1ed 'er o | |||
* Com_m*ents Note: e:xtrasampleJs reqtiired for sample 3 ' I I rz ' (fl ro_; | |||
1£ J{p.'. IS t$8 ) l\Ji/\ 1rJ rJ' 1 T AT Rcoucs1cd: | |||
Nomial: .Rush: | |||
lraK Rcsufts: | |||
Yc5 ! No C of A /. OC Summa;v f Level ! . I Lcvd 2 I LcvdJ I Level 4 RemuJ'ks: | |||
Are 1Jier11c any kn;1wwhazardY applicable to thesf! samples? | |||
(!so, .please list .the | |||
* * ** * .S1!.lIW.k.Q.iJkc1iofl'rime Zone Pacific Central | |||
----Mo1mtain C:.hain of Custody Signatures SampleShipplng aull Delivery Dct:ilh Rclin<)Uishcil By (Signed) | |||
D.i\IC | |||
* Time-Reecivcd by(signc<l) | |||
Dale Time GBLPM: Mc!hud of Shipment: | |||
Date Shinned; 2 2 Airbill #: 3 1.)_.fhain_ | |||
Client For Lab ReceiVing U.-;e OnlJ QC Codr.s: N ""'Nonm1.l Bfar;k;FD | |||
.._ Pie/d,Qupli:cate, f.B ... | |||
: Ohmk, Millrh Spike Milul;c. | |||
Spt};.ti.Duplu:at4.Sampk 1.G . ..r Orab, 3.} Flr:ld Fe:r 1.iqUW fodicruc a,. y ... f<tr fc.i.thi; rl1!!.d,rn1cn:d *Ji' *. for.11flm1fk;:.i.y13$ | |||
C;d'w.d).**$ru1! | |||
Jn.tact? | |||
>t,} Maoix Codes: DW,...D1inking Wi1ttr. *fiW=-Ot1;1unJw:Jl;i:r | |||
*. | |||
Wat<:r,* | |||
\Y""Wntcr;.ML...,.;'.,1L.,1; Lkiuii;I, | |||
\V11i.1i;.*0":'01I, l'"' | |||
___ ..:,;\'°''0'------1 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 | |||
* l). Cooler Temp: 6.) l'r**irv*lh*c Type' l!A | * l). Cooler Temp: 6.) l'r**irv*lh*c Type' l!A | ||
* Add, NI i\<id, SJ! S;xlium lly<lrrucklc,:SA Sulfmic A<m, Aworbi' Acid, !IK*'ll*i*nc; ST *Sodium 11>foS<.Jlfarc; 1rr.o P''""""'ivoi; *tirl<<l f*ol<I bl*nk C WHITE= LAJlORA TORY PINK= CU.ENT | * Add, NI i\<id, SJ! S;xlium lly<lrrucklc,:SA Sulfmic A<m, Aworbi' Acid, !IK*'ll*i*nc; ST *Sodium 11>foS<.Jlfarc; 1rr.o P''""""'ivoi; | ||
( lcl c / '.!,..-\ -e C10LA -!'age: .. -***--*--of GEL Chain of Custody and Analytical Request GEL Laboratories, LLC I Ll *-**-** *-****** .. ' .. **-**-Project#: 2040 Road GEL Quote#: ___ .. ........ ........ .... **-**" "'"Sec www.gel.com fo* G.EL's Sample Acceptance SOP'"* Charleslon, SC 29407 COCNumbcrlll; ** | *tirl<<l f*ol<I bl*nk C WHITE= LAJlORA TORY PINK= CU.ENT | ||
* GEL Work Order Number: Phone. (843) 556-&-171 PO Number: Fax: (843) ?66-l! 7 M Client Name: Phone#: Sam1ite Analysis Hequestcd (5J (1-'ill m llic number of containers for each lest) Projcc:t/Site Name: Fax II: ShquJtl ll1io ., __ Prcscrvauvc Type (6) >>m11Icbc Address: : Comments Collcclcd by: Send Results To: Note: extra sumple is *0;1!t:Cn!l0!' .. 11".:I r:ia:J:J TSC required for snmplc Qr. specific QC Sample ID (Miiitary) C'odt m Filfrttd Rodi t.* ,,, Rri;1.1 | ( lcl c / '.!,..-\ -e C10LA -!'age: .. -***--*-- | ||
* t111d \1fl1' dutr!IWm: Ye l.3!Cd licro 3, 1.. 3. I fo-20-1< i6-YO N rJ/p., NIP. w I 3. 3. E. l it1lD -is l'?> ,i;;O lw r-./A .l'J,,.. f\l l I , .3 't. :3 l u**?Cr! S' iL-1. DO N N/1>r. N/P-. v'1 'N \ I * , t. .'"{ \\}4)}*-1) 1l-\ 1-')6 N M/A l'l/A N \ J. /. c;. £, I I0*-2.D-1 S" I i;*.LJ5 N N/A f'i/P< N f'I l J. /. q, {;_ . . ., )_, 11.*f'ib N. t-.lfA NIA N I ,L., ,.., J (j !L . f, E,, /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 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) Time Rtccivod b1* (*1gr.od) Dote Time GEL?M: I 1 MoH1od Date Shinned: 2 2 /\*rbillll 3 3 Afrbillll I Ck::!in ofCu1tody Nucribc:r .... ( licinl Prir la/1 Receiving Un! 2} QC Cc<Jc:r;; X TD""' Trip alar.k, Ff)= 'Ffeld F,R = F.qLJ;prn;nL fJl:mk, \1S SaJT'.fllc-, .. 'vfa:rnc G :.-Gr'1.b, C =-Ccr.!pc.f.:ti; > , r,<rd hl!md fur mntm*i::o:. wil!l n-V .. y:=:; 1hc sa11!p:C .,....,Ji fi11c;:rcd <:r -N .. ft'r i;:impk \"'3n\oi Odd lilr.t::r1:;:J. C11stody Se(l/ J11rao? :1) Ma!1i>: Ct*t11t!i.' DW'**Drmk1flg W.:.[c.r1 GW*-*(jrn*m<h11:,1tcr, \V<.L,o!r. WW \V;1:,1, W"Wi!LlJ. M SO'-*SC1,I, SD** S1.'Jlm..:r.1, SS-=S&J!rt! 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 Tyµ.t": rt .. \ -H)'drc*c:Jilor:c A-c:rl. Nl -N1lnc Acid. S'li Uyit!ro:ud:.-. SA ... S;rJforic At:1*"111\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 FJLP. l'lNK =CLIENT .... | of GEL Chain of Custody and Analytical Request GEL Laboratories, LLC I Ll *-**-** *-****** | ||
It c -_,.,. -. Poge. -**-** ______ of_ GEL 'GEL Labornlories, LLC t --***----***-Chain of Custody and Analytical Request Project II: 2040 Read GEL Quot<: ti: --* --*--* "'*Sec www.gcl.com for GEL's Sample Acceprnnce SOP'""' Chorlestoit, SC 29407 *-,.,_ -** *--* ... COC Number (IJ: GEL Worl* Orde1* Number: l'huno: (ll4 3) 556-8171 l'ONmnbez: Fax: {843) 7(,6-1178 ClicntNnme* Phone#: Analysh Requested <SI (Fill in !he 1iumber of con1aincrs for cnch tesl) Project/Site Name: Fax II: Sl1ould 1111* ,, __ Prcscrvativo Typo (6) bo ccnd<lercd : Comments Collected by: Send Results To: Note: cxtrn sample is *o:tk *Tame TSC required for sampk Qr specific QC Sample ID (M!llc.ity) Cotl!! 111 r-1:1tt('J Rodi A. tmm*dd*)','t) 1'1 "' aacCl Rq:u | .. ' .. **-**-Project#: | ||
* Fm* com;:o.s.i1e.1 -imiir:a!e swrr und sf op c.klfeft1me r ,. J:rled )Cr OI e. I 1'1*.t1s NIA N]A. vJ 0 l 3.t. *i.. e. 2 lcJ*Z.iJ-1) 11: (JD llJ !'J/A lu/p.. rJ iV I 3 \,-z..*,3 11'*1'5 f'.i/A N)tr. f\l i 3. l, 2, t_, 't 11:?0 N N/A N/A vJ rJ i TAT Requested: Nofll'lal. Rt1sh: Socci!'v: /Sob""' to Suo:i,.ri;*l I Fax Results: Yes I No 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> E!tstem P3cific Ccmral Other ..... , ___ Mountaill Chain uf Custody Signatures Sa11Jple Sl1lp1Jing 1111d Oclirery Details Rchn111usilcd By (SigncJ) Dlllc Time Rec<111<:<l by [.11gr.<d) Dale TiillC GEL PM: J I Mclhcu ofShihmcnr: Date Shmped: 2 2 Airb11l#: 3 3 l\trb:JllJ: 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 G =OrO!b. C ... ) l Fiherc:d. Fci* !rq-.. id wnl1 11.. y | 2040 Road GEL Quote#: ___ .. ........ | ||
* rc1 )'CS. !he: sample w;:,:o nc:.:1 micr\'d C'!'. N & (or W;JS nl:'l licl.:1 Cr"l11<ly s,*(J/ ..r 1 Wa!ct, GW**Gm.mJw.ttt!r. 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 0111 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 | ........ | ||
.... **-**" "'"Sec www.gel.com fo* G.EL's Sample Acceptance SOP'"* Charleslon, SC 29407 COCNumbcrlll; | |||
** | |||
* GEL Work Order Number: Phone. (843) 556-&-171 PO Number: Fax: (843) ?66-l! 7 M Client Name: Phone#: Sam1ite Analysis Hequestcd (5J (1-'ill m llic number of containers for each lest) Projcc:t/Site Name: Fax II: ShquJtl ll1io ., __ Prcscrvauvc Type (6) >>m11Icbc Address: | |||
: Comments Collcclcd by: Send Results To: Note: extra sumple is *0;1!t:Cn!l0!' | |||
.. 11".:I r:ia:J:J TSC required for snmplc Qr. specific QC Sample ID (Miiitary) | |||
C'odt m Filfrttd Rodi t.* | |||
,,, | |||
Rri;1.1 | |||
* t111d \1fl1' dutr!IWm: | |||
Ye l.3!Cd licro 3, 1.. 3. I fo-20-1< | |||
i6-YO N rJ/p., NIP. w I 3. 3. E. l it1lD -is l'?> ,i;;O lw r-./A .l'J,,.. f\l l I , .3 't. :3 l u**?Cr! S' iL-1. DO N N/1>r. N/P-. v'1 'N \ I * , t. .'"{ \\}4)}*-1) 1l-\ 1-')6 N M/A l'l/A N \ J. /. c;. £, I I0*-2.D-1 S" I i;*.LJ5 N N/A f'i/P< N f'I l J. /. q, {;_ . . ., | |||
)_, 11.*f'ib N. t-.lfA NIA N I ,L., ,.., J (j !L . f, E,, /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 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) | |||
Time Rtccivod b1* (*1gr.od) | |||
Dote Time GEL?M: I 1 MoH1od Date Shinned: | |||
2 2 /\*rbillll 3 3 Afrbillll I Ck::!in ofCu1tody Nucribc:r | |||
.... ( licinl Prir la/1 Receiving Un! | |||
2} QC Cc<Jc:r;; | |||
X TD""' Trip alar.k, Ff)= 'Ffeld F,R = F.qLJ;prn;nL fJl:mk, \1S SaJT'.fllc-, | |||
.. 'vfa:rnc G :.-Gr'1.b, C =-Ccr.!pc.f.:ti; | |||
> , r,<rd hl!md fur mntm*i::o:. | |||
wil!l n-V .. y:=:; 1hc sa11!p:C | |||
.,....,Ji fi11c;:rcd | |||
<:r -N .. ft'r i;:impk \"'3n\oi Odd lilr.t::r1:;:J. | |||
C11stody Se(l/ J11rao? :1) Ma!1i>: Ct*t11t!i.' | |||
DW'**Drmk1flg W.:.[c.r1 GW*-*(jrn*m<h11:,1tcr, | |||
\V<.L,o!r. | |||
WW | |||
\V;1:,1, W"Wi!LlJ. | |||
M SO'-*SC1,I, SD** S1.'Jlm..:r.1, SS-=S&J!rt! | |||
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 Tyµ.t": rt .. \ -H)'drc*c:Jilor:c A-c:rl. Nl -N1lnc Acid. S'li Uyit!ro:ud:.-. | |||
SA ... S;rJforic At:1*"111\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 FJLP. l'lNK =CLIENT .... | |||
It c | |||
-_,.,. -. Poge. -**-** ______ of_ GEL 'GEL Labornlories, LLC t --***----***- | |||
Chain of Custody and Analytical Request Project II: 2040 Read GEL Quot<: ti: --* --*--* "'*Sec www.gcl.com for GEL's Sample Acceprnnce SOP'""' Chorlestoit, SC 29407 *- | |||
,.,_ -** *--* ... COC Number (IJ: GEL Worl* Orde1* Number: l'huno: (ll4 3) 556-8171 l'ONmnbez: | |||
Fax: {843) 7(,6-1178 ClicntNnme* | |||
Phone#: | |||
Analysh Requested | |||
<SI (Fill in !he 1iumber of con1aincrs for cnch tesl) Project/Site Name: Fax II: Sl1ould 1111* ,, __ Prcscrvativo Typo (6) bo ccnd<lercd | |||
: Comments Collected by: Send Results To: Note: cxtrn sample is *o:tk | |||
*Tame TSC required for sampk Qr specific QC Sample ID (M!llc.ity) | |||
Cotl!! 111 r-1:1tt('J Rodi A. tmm*dd*)','t) 1'1 "' aacCl Rq:u | |||
* Fm* com;:o.s.i1e.1 | |||
-imiir:a!e swrr und sf op c.klfeft1me r ,. J:rled )Cr OI | |||
: e. I 1'1*.t1s NIA N]A. vJ 0 l 3.t. *i.. e. 2 lcJ*Z.iJ-1) 11: (JD llJ !'J/A lu/p.. rJ iV I 3 \,-z..*,3 11'*1'5 f'.i/A N)tr. f\l i 3. l, 2, t_, 't 11:?0 N N/A N/A vJ rJ i TAT Requested: | |||
Nofll'lal. | |||
Rt1sh: Socci!'v: | |||
/Sob""' to Suo:i,.ri;*l I Fax Results: | |||
Yes I No 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> | |||
E!tstem P3cific Ccmral Other ..... , ___ Mountaill Chain uf Custody Signatures Sa11Jple Sl1lp1Jing 1111d Oclirery Details Rchn111usilcd By (SigncJ) | |||
Dlllc Time Rec<111<:<l by [.11gr.<d) | |||
Dale TiillC GEL PM: J I Mclhcu ofShihmcnr: | |||
Date Shmped: 2 2 Airb11l#: | |||
3 3 l\trb:JllJ: | |||
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 G =OrO!b. C ... | |||
) l Fiherc:d. | |||
Fci* !rq-.. id wnl1 11.. y | |||
* rc1 )'CS. !he: sample w;:,:o nc:.:1 micr\'d C'!'. N & (or W;JS nl:'l licl.:1 Cr"l11<ly s,*(J/ | |||
..r 1 Wa!ct, GW**Gm.mJw.ttt!r. | |||
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 0111 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 Typ::: tJA | * I) Cotdt!r Temp* {i J Typ::: tJA | ||
* A<.:fl, NI* A<!d, SH .a.Stlt"hl:lr! S,\ -Sulrtln:: Attfl, ,\A -ltX .. H<PCYlt-c-, ST c If Hil i.li f::ld c WHITE= LABO RA TORY YELLOW= l'ILE PINK= CLmNT | * A<.:fl, NI* | ||
-l-1eln CO(x-1 Pago; ___ ****-*--*****-of .... ............ **--GEL Chain of Custody and Analytical Request GEL LL(' l) Project II: 2040 Savage Road GEJ..Quorclt: nsce www.gC!l.com for GEL's Sample Acceptance SOP*" Ci1arlcston, SC 29407 ..... .. . ***** . , .... ******** .... . ..... COC :-!umber Ill; GEL Work Order Number. Phone:: (843) 556-8171 PO Number: Fax: (8431766-l ln Client Name: Phone#: Sample An:ilysis (5) (Fill ill the number of for each test) ProjccUSitc Nnmc: Fnxfi: Sl10uld <o-* Preservative Type (6) lhi* rnm1>lr be Address: CUJISfdE!r-(!"I] ; Cummcnts Collected by: Send Results To: Note: t:x(ra sample is *OJtc: C"'11J;.ct.::d f"ld SJomph: 15C required for sample QC" specific QC Sample ID l:o.Je i:l F Mo11nJt. Rod! 1\ . ,., 1*; Ol\cti t f'rJf CfJnWO.Ule.T ... JJ:tfii:r.J/e Wul .>fr)fJ 4flllt!i/it1U! .. bled lCro 3. I -J 0. . I \I), 20 | A<!d, SH .a.Stlt"hl:lr! | ||
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**--GEL Chain of Custody and Analytical Request GEL LL(' l) Project II: 2040 Savage Road GEJ..Quorclt: | |||
nsce www.gC!l.com for GEL's Sample Acceptance SOP*" Ci1arlcston, SC 29407 ..... .. . ***** . , .... ******** | |||
.... . ..... COC :-!umber Ill; GEL Work Order Number. Phone:: (843) 556-8171 PO Number: Fax: (8431766-l ln Client Name: Phone#: Sample An:ilysis (5) (Fill ill the number of for each test) ProjccUSitc Nnmc: Fnxfi: Sl10uld <o-* Preservative Type (6) lhi* rnm1>lr be Address: | |||
CUJISfdE!r-(!"I] | |||
; Cummcnts Collected by: Send Results To: Note: t:x(ra sample is *OJtc: C"'11J;.ct.::d f"ld SJomph: 15C required for sample QC" specific QC Sample ID l:o.Je i:l F Mo11nJt. | |||
Rod! 1\ . | |||
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\-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, GEL Work Order Number: l'hor:c: (843) 556-8171 PO Number: Fax: (843) 766-[ Climll Name: Phone II: Sumplc hmllysis Requested ts> (Fill in Ilic number of conlnincro for <;J1;;l1 tcst) Pmjecl/Site Name: Fax iJ.: Sh nu hi <--Prcmvativr lh!s }ample Address: consider<!d -, : Cum men ts Collected by: Send Rcsul1s To: Note: ex.Ira sample is *OJIC (1lJk..:tl*d 7Timi'! Fedd 'S>1:n1t!i; TSC rcq\1ircd for sample Co!k"'Ctt:J QC: specilic QC Sample ID <.:ode a1 ftHein:<l Rodi A "' "' u:11:U R(!&'I "' Far -mtlu;u/e .illJrl a11d .r/1Jp {hhmm) .. 1'll*d per o 3. ( )J K I ,c.-z.;; '\' i'-/'.ti':)-N N/A N/A vJ N 1 -5. f. ;;l,1. K ), ;;; . 2.0 "l S' N N/A. N/A N N \ j.1 .J.J Kl ii.l . zu., IL.f:LJ5 N N/A NIA 1'J. I"( I *--3 I. J. J. . R .J. -... \ rt*-'-; rt160 N N}A 'N(A; lf,,j N \ -. l.>*.f i ! 0-20. {6:10 N N/A N N l .::, *.s r. r(j *-;:,;; N 1'4/A 1'1tf.. N N l {. '.),<j 1lj 11> 2;;**:) 16:-3c; N N/A (\.j f'-1 I ::s' 1 . :iY. r<.. 2._ i.:J lG''.'-/1) N N/A N/A N N l -; . \ .<. 't Ill' ?t-f 5 ft,, c,i; £-6 NjA tv/A N f\J J TAT Rcqucslc<i: Nonnol* Rush: S11ocify: {SuhJ"l."t fl, t Fax Rcsuhs* Y.:.s : No Circle Deliverable: C of A i QC Sumni.uy level 1 L.:vcl2 Level 3 I Level Re111t1rks: Are rher<! any knvwri hazal'dJ applit;(lb{e w rile.Hf .1*m11pli:s? !(so. p/e,1.wt list th!! hu:urdx Time ZRM Ea.stem Pacific C'cn1ral Other ......... Monnrnjn Clrnin of Custofly Signature! S:implc and Details Rch!Ujtll>hcd By (S1gnc:tl) Dace Time Rc ... ...::1v("d by Dat-c nmc GEL PM: l I MctlicJ nt Shmmcn1 l)"1c Shinoctl 2 2 1\1rb1l1 Ii: J 3 A1rbill H I t (ltTu."1.Wy N!J1t.bci * ( hem ror L"/J (C,*, Ou(1 2 / QC Code< .. Non1lal TB= Tnpft!<lnk.1i'D..., }:1cltt nt!p!it::t!c. F.R ., P.i.;*;ipm;:r:t '\ES '* Sr1lu.: \rSU -!i..fa:m: Spike n.,rhr;:;Hc G" t.*nl:>. C 3.) 1"11.:lil.Frllcr.:d fr.rl1qu1d rnn,r1ci;o:". tnd1c.m:: wrlh i.1-Y-for Ille \i..v. HllC'Tl:'d .. '.\,; -ri;r :-;m:ph: f:ocld f;llcr.:*l Cu.mulvSeal 1111.i,1! .J} 1)\\." .... G'\ \\'.:i.r..:r. \\ \\' \V.1IL"r. \\'. \Yat.;r \U.* :i.fN. Ll*t!i!4i, SL *"i:..:J;:..:, .r;s 0 1; *f.11t...:r, , ... \\."1p..:, l" i:, .. .... !'ES .VO ,\::aly:us. .. meff,..J-U '1 c '601(JIJ*7-i7r)1\) anll (!Jf {I c . l, (t'Jf rlB *74"'rH | C of II ! QC Summary Lc,cl l i Level 2 """ol 3 I [.eve! 4 Rcm11rhr An* there a11y known Jra:mrd.1* | ||
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..... ld rjf)(){J tP Page: ___ *----*-* ........ .. of ... .................... **---GEL Chain of Custody and Analytical Request GEL Laburatortcs. LLC I Ci Project.#: **See www.gcl.com for GEL's Sample Acceptance SOP"* 2040 Road GEL Quote#: .... ... .......... .... -** .. ... Charlesto11, SC 29407 COC Number '"= GEL Work Order Number: Phone: (843) 556-8171 PO Number: Fa.<' (M.IJ 766-1 ln Clicn1Nnme; II: Samrlc Analysis tSl {Fill in the number of conraincr1l for each lest) Projc(t/Sitc Fax#: Should <** l'rc,cr'."*live *1his Address: ('UnSitlcrecJ ; Comments by: Send To: Note: extra snmpk is *l"nt;,: f,dJ TSC required for sample Ql' \Specific QC Sample ID c.1clc M..rlnx R::l11I .\ !mm.-dtl-)')') *'l \*:. Rt:J!U | ((so, p/easf! | ||
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\-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, GEL Work Order Number: l'hor:c: | |||
(843) 556-8171 PO Number: Fax: (843) 766-[ Climll Name: Phone II: Sumplc hmllysis Requested ts> (Fill in Ilic number of conlnincro for <;J1;;l1 tcst) Pmjecl/Site Name: Fax iJ.: Sh nu hi <--Prcmvativr lh!s }ample Address: | |||
consider<!d | |||
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Nonnol* Rush: S11ocify: | |||
{SuhJ"l."t fl, t Fax Rcsuhs* Y.:.s : No Circle Deliverable: | |||
C of A i QC Sumni.uy level 1 L.:vcl2 Level 3 I Level Re111t1rks: | |||
Are rher<! any knvwri hazal'dJ applit;(lb{e w rile.Hf .1*m11pli:s? | |||
!(so. p/e,1.wt list th!! hu:urdx Time ZRM Ea.stem Pacific C'cn1ral Other ......... | |||
Monnrnjn Clrnin of Custofly Signature! | |||
S:implc and Details Rch!Ujtll>hcd By (S1gnc:tl) | |||
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..... ld rjf)(){J tP Page: ___ *----*-* | |||
........ | |||
.. of ... .................... | |||
**---GEL Chain of Custody and Analytical Request GEL Laburatortcs. | |||
LLC I Ci Project.#: | |||
**See www.gcl.com for GEL's Sample Acceptance SOP"* 2040 Road GEL Quote#: .... ... .......... | |||
.... -** .. ... Charlesto11, SC 29407 COC Number '"= GEL Work Order Number: Phone: (843) 556-8171 PO Number: Fa.<' (M.IJ 766-1 ln Clicn1Nnme; II: Samrlc Analysis tSl {Fill in the number of conraincr1l for each lest) Projc(t/Sitc Fax#: Should <** l'rc,cr'."*live | |||
*1his Address: | |||
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Ye> I No Circle Dclivernblc; C of A ( QC Summary I Level I I Level Z ( Level 3 I Re111urks: | |||
Are thero any known hazard> applicable to these | |||
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#: 2040 GEL Quote# . .... **Sec www.gd.com for GEL's Sariple Acceptance Charleston. | |||
SC 2ry407 .... ***-* . ... . ...... COC Nnrnbcr!li; GEL Wo1*k Order Number: Phone: (843) 556-8171 PO Number. Fax: (84:1) 7(>6-1178 Client Name: Phone#-: | |||
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CofA ! QCSuml)lnry Level I l.cvcl 2 ' Lcvd .1 I Lewi.+ Rtmmrks: | |||
Are there any kmiwn hazardr applicahle tu rhese samples? | |||
!(so, ple.ase lfst the ha:ard1* | |||
ili!!lljlJJLC<.!lk'1iml.I!lnll.Z.!ulll Eastern Pacific Ccmrol Other Mounrnin | |||
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N / J, lo' !Z. Lf* !l) | |||
<( | |||
N ..j 3. !. s' '2 ' \. I 1) -z.\ *\) i0'.0D vJ J 3, ) I s ,£,(._ 10-z..11r 1505 ./3: I I '5 ' I(_ I 3 /0 --'l,\ ...,5 ,i:; ')-0 N 5 ' J2_ ' i.f ll) | |||
') | |||
N ,,; 3, I | |||
* c; , Q | * c; , Q | ||
* iQ-ZJ-J( /(000 eB TAT Rcquc*!cd: Ncmial: Rush: StcciFy: [S"bj''' to lfax Results. Yes I No Cirnlc Dclh*crablc.; C of A I QC I level I I Level 2 I Level J I Level *I Ari.' there any known hazards applicab!l' It> rhesc' !(so, please the Sample 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 3 3 Airb:lln. I } of -l'lr.n.il De1:rminC"J Fvr Lan Receiving 011(1 2) QC' N ""NOrnt::tl TU c-*Trip B1ar.k, FD=-Fli;;-id IJ1*ph<::rc. F.n <= Bl11!1k. MSc Malm; Spike Stimrlc, '1SD"" Sf:lko J)1:pl;t':tlC! G ... C ... J.l field J!'tlicr.::d. for liGi.:td mJtrjc-cs, 1i,:1th zi & f -(er y.;i!'. lhc o;u:*p!c \'ttt:<.. fic!d (1:1crr-ad .::r * !\:'" -tesr s.i.,np?o w.:u. tloc 1'icld filtatd C11smdy Seal /1'/oc"I? *1.l Cod::s: Wt!cr, GW .SW Wi,(;r. W\Y* Wa:iolc w*.\\'atcr, Ml** SO***Su:I, SD*=St!Jimi:nc, SL* Srw.JgL'1 SS .. .. *, 0=:011, 1:-.:.f*Dcr, p .. F" 'fl.\..:tl, :"ll*': i"ES NO 5 ) Silrttt*.1e J\r.:1.)r3il Ar.ntyucai (i e. 8Z£l>lJ. 6{JHIB/7-1'7UA) .i:.ntl of ,c."ltnmc:n jlrC;.Vickd f"r c-;:;t.:h (1 SUJJB -), -l). Cooler Temp.'* 6.j Typ.:: JIA .. .H_ydrc-cl1loru; Aoe1d. NI"" Nllrh: Acnt.. SH Hyi!fGl1r1z. Sl\ -Sulfonc: Ac-ul, AA -As..:url>lc Acid, UX .. Hcx:i.nc. ST"'" Sodit.::n 111;0.sulfa:i=, I fn("I pY-c-!l-i:r .... r.i:: .u!:!eii :-* J:::'IV-l l'!ald b::w.i;. c WHITE= LABORATORY YELLOW"' FIU'. PINK"' CLIENT j | * iQ-ZJ-J( | ||
.. . .* . . Page: ______ .._ of ________ _ Projc<<:i#: om:Quo1e 11' GEL Cbai'n of'Custodyand An*alytical:Request. '"*S.<:e www_,g.;Lc9mfor-GEPs Sample Acceptance SOR*.11< c:oc;.Numbcr 111: l'O,Numbcr:* * "-**** -.** * ----* GEL W01*1l Order Ni.Imber: | /(000 eB TAT Rcquc*!cd: | ||
* GEL LLC' 2040 Savngc Road Charleston, SC 29407 (e*tl) 556,3171 Frud843l*766,l l78 l {) Phone/I; Sample (fill in 1he-m1mber ofcontainer:i for each test} Fax#: sliou111 lhb ' Collc);lcd by_: $cnd:Rcsulls,To: Sample ID | Ncmial: Rush: StcciFy: | ||
* Fiir ,, fndicUtf' .vtarl"mul ,\'Im? JRteltime COJkcicJ . '(M!lltifry) (hhmm) <-.* Typc.(6) Comment$ Note;:extrn sample is required ,for.sainple ,specific QC J.t I L(, e.3 11\AG __ | [S"bj''' | ||
* TAT'Rcaucstcd: Normal: -Rush: (SOJbi"nosu"'hill'gc) IFail'Rcsults: Yes No Circle Dclivcrublc: C of A I QC*Si1mmarY Level I I . Level 2 ./ 3 I -Level 4 , _Remtirks:Areclhere_any1rtimwi applicp/ile ro.these hQzardv Samplll Co!leetjon Time ?'.One -Easterii Pacific '0t!icr_-. __ Mounrain Chain of.<;ustody Signatures* Sample Shipping-and' Deiivery Details "Time* Received by*(signcd), GEL PM: , 1* Method ofShlorncill:. Date Shinned: 2 2 "Airbill If: 3 Alibilllf: I_.) 0Ch*h1 of C0>tody"Nuriib., -Cliont D<:lctlllincd Far Lal> Rci:eiving U>e Ou/;-1.,) ', Qr.<;odc._: :N *'Nonn*l S.mp!c, Tll | to lfax Results. | ||
* FD.= Fic_ld_Duplicaui, l\ll"f,quipmcni Blink, ,._Ma11ix )lSU Spike Dupli<*I< Samplt, G Comp,.i1< lil'icld fibered: For liquid * ".Y ** rcir yco lhq0lllf,1o_w"" ;tj .:for:**mPl<:w.os no1.ficld "f1lto1<d. . Cm*1oti;rSeol1111oc!? C'o;Jcs: ow .... ormki1.1g Waicr. W.:i.tcr. w.n-c1, tfqOiJ, *. l-___ ,:.l2'::*.:<S_**...-=-'N"-O"-----l AMly1J* R*q11*>1<d:-* An;lyli<*l (i.e. ond m1mbrr of <onl*inm provided for <0<li (i;<. fl16"8'-3; 60/llB/}f70A:* 1).: | Yes I No Cirnlc Dclh*crablc.; | ||
* CmJ/er'Temp: 6 .. ) J\c;;itt;_Nl | C of A I QC I level I I Level 2 I Level J I Level *I Ari.' there any known hazards applicab!l' It> rhesc' | ||
* SA*" lhiruutfou:,*1C.i1<t il added e:lcavc.ficJd blank *C WUIT.E"' l,ABORA'I'ORY YJU:LOW =Fl.LE ------------------------------ | !(so, please the Sample Eai;tcm Paci rte Central Olhcr Mmmtaia Cl.min of Cus[ody Signatures Sample Shlpping a11d Delivery Details Roli"qll!Sh<d By {SigucJ) | ||
App E-Sub-Area 3.1-Instrument Field Sheets I I i . TS Rev 110/18/15 Instrument Field Response Check Log l. Instrument | Dole 'tim.c RccclV,,.j by (*1gr.od) | ||
* lt,!t: i2 Detector 1: Make/Model: ltt_'4M_ W-/.? Blcron MicroRem Meter: Serial No. Serial No. Serial No.-----2. Check Source Information: * / . Cal. Due Date: __ _ Source .. Serial No.: /// Activity: | D;.;lc Tune GF..LPM: | ||
* Response Acceptance Range (+/-20%): uRem/hr +20%__ uRem/hr-20% __ Assay net cpm + 20% 7'it net cpm -20% ;5!{',$66, Source 2 Isotope: Serial No.: Activity: t'J..tJ,)... unitsirC Assay Date: ..&'A_ Response Acceptance Range (+/-20%): uRem/hr +20% uRem/hr -20% net cpm + 20% IS..t 75 net cpm. -20% ST7''i 3. Technician Worker Performin Checks: Name: . Title: _..;_,e_cr ___ _ Date: lt?jr5"f.} nme: I.JS-$' Location | I I Metl!ud ol"Shor.monr Date Shinned: | ||
2 2 3 3 Airb:lln. | |||
I } | |||
of | |||
-l'lr.n.il De1:rminC"J Fvr Lan Receiving 011(1 2) QC' N ""NOrnt::tl TU c-*Trip B1ar.k, FD=-Fli;;-id IJ1*ph<::rc. | |||
F.n <= | |||
Bl11!1k. | |||
MSc Malm; Spike Stimrlc, | |||
'1SD"" | |||
Sf:lko J)1:pl;t':tlC! | |||
G ... | |||
C ... | |||
J.l field J!'tlicr.::d. | |||
for liGi.:td mJtrjc-cs, 1i,:1th zi & f -(er y.;i!'. lhc o;u:*p!c | |||
\'ttt:<.. | |||
fic!d (1:1crr-ad | |||
.::r * !\:'" -tesr s.i.,np?o w.:u. tloc 1'icld filtatd C11smdy Seal /1'/oc"I? | |||
*1.l Cod::s: | |||
Wt!cr, GW | |||
.SW Wi,(;r. W\Y* Wa:iolc w*.\\'atcr, Ml** | |||
SO***Su:I, SD*=St!Jimi:nc, SL* Srw.JgL'1 SS .. | |||
.. *, 0=:011, 1:-.:.f*Dcr, p .. | |||
F" 'fl.\..:tl, | |||
:"ll*': i"ES NO 5 ) Silrttt*.1e J\r.:1.)r3il Ar.ntyucai (i e. 8Z£l>lJ. | |||
6{JHIB/7-1'7UA) | |||
.i:.ntl of ,c."ltnmc:n jlrC;.Vickd f"r c-;:;t.:h (1 SUJJB -), | |||
-l). Cooler Temp.'* 6.j Typ.:: JIA .. .H_ydrc-cl1loru; Aoe1d. NI"" Nllrh: Acnt.. SH Hyi!fGl1r1z. | |||
Sl\ -Sulfonc: | |||
Ac-ul, AA -As..:url>lc Acid, UX .. Hcx:i.nc. | |||
ST"'" Sodit.::n 111;0.sulfa:i=, | |||
I fn("I pY-c-!l-i:r | |||
.... | |||
r.i:: .u!:!eii | |||
:-* J:::'IV-l l'!ald b::w.i;. | |||
c WHITE= LABORATORY YELLOW"' | |||
FIU'. PINK"' CLIENT j | |||
.. . .* . . Page: ______ .._ of ________ | |||
_ Projc<<:i#: | |||
om:Quo1e 11' GEL Cbai'n of'Custodyand An*alytical:Request. | |||
'"*S.<:e www_,g.;Lc9mfor-GEPs Sample Acceptance SOR*.11< | |||
c:oc;.Numbcr 111: l'O,Numbcr:* | |||
* "-**** -.** * ----* GEL W01*1l Order Ni.Imber: | |||
* GEL LLC' 2040 Savngc Road Charleston, SC 29407 (e*tl) 556,3171 Frud843l*766,l l78 l {) | |||
Phone/I; Sample (fill in 1he-m1mber ofcontainer:i for each test} Fax#: sliou111 lhb | |||
' | |||
Collc);lcd by_: $cnd:Rcsulls,To: | |||
Sample ID | |||
* Fiir | |||
,, fndicUtf' | |||
.vtarl"mul | |||
,\'Im? JRteltime COJkcicJ | |||
. '(M!lltifry) | |||
(hhmm) <-.* | |||
Typc.(6) | |||
Comment$ | |||
Note;:extrn sample is required | |||
,for.sainple | |||
,specific QC J.t I L(, e.3 11\AG | |||
__ | |||
* TAT'Rcaucstcd: | |||
Normal: -Rush: | |||
(SOJbi"nosu"'hill'gc) | |||
IFail'Rcsults: | |||
Yes No Circle Dclivcrublc: | |||
C of A I QC*Si1mmarY Level I I . Level 2 ./ | |||
3 I -Level 4 , _Remtirks:Areclhere_any1rtimwi applicp/ile ro.these hQzardv Samplll Co!leetjon Time ?'.One -Easterii Pacific | |||
'0t!icr_-. | |||
__ Mounrain Chain of.<;ustody Signatures* | |||
Sample Shipping-and' Deiivery Details "Time* Received by*(signcd), | |||
GEL PM: , 1* Method ofShlorncill:. | |||
Date Shinned: | |||
2 2 "Airbill If: 3 Alibilllf: | |||
I_.) 0Ch*h1 of C0>tody"Nuriib., | |||
-Cliont D<:lctlllincd Far Lal> Rci:eiving U>e Ou/;-1.,) ', Qr.<;odc._: | |||
:N *'Nonn*l S.mp!c, Tll | |||
* FD.= Fic_ld_Duplicaui, l\ll"f,quipmcni Blink, ,._Ma11ix | |||
)lSU Spike Dupli<*I< | |||
Samplt, G Comp,.i1< | |||
lil'icld fibered: | |||
For liquid | |||
* ".Y ** rcir yco lhq0lllf,1o_w"" | |||
;tj .:for:**mPl<:w.os no1.ficld "f1lto1<d. | |||
. Cm*1oti;rSeol1111oc!? | |||
C'o;Jcs: | |||
ow .... ormki1.1g Waicr. | |||
W.:i.tcr. | |||
w.n-c1, | |||
: tfqOiJ, | |||
*. | |||
l-___ ,:.l2'::*.:<S_**...-=-'N"-O"-----l AMly1J* R*q11*>1<d:-* | |||
An;lyli<*l (i.e. | |||
ond m1mbrr of <onl*inm provided for <0<li (i;<. fl16"8'-3; 60/llB/}f70A:* | |||
1).: | |||
* CmJ/er'Temp: | |||
6 .. ) | |||
J\c;;itt;_Nl | |||
* 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 I I i . TS Rev 110/18/15 Instrument Field Response Check Log l. Instrument lnformation 1 Ratemeter: | |||
Make/Model: | |||
* lt,!t: | |||
i2 Detector 1: Make/Model: | |||
ltt_'4M_ | |||
W-/.? Blcron MicroRem Meter: Serial No. | |||
Serial No. | |||
Serial No.-----2. Check Source Information: | |||
* / . Cal. Due Date: __ _ Source | |||
.. Serial No.: /// Activity: | |||
* Response Acceptance Range (+/-20%): | |||
uRem/hr +20%__ uRem/hr-20% | |||
__ Assay net cpm + 20% 7'it net cpm -20% ;5!{',$66, Source 2 Isotope: | |||
Serial No.: | |||
Activity: | |||
t'J..tJ,)... | |||
unitsirC Assay Date: ..&'A_ Response Acceptance Range (+/-20%): | |||
uRem/hr +20% uRem/hr -20% net cpm + 20% IS..t 75 net cpm. -20% ST7''i 3. Technician Worker Performin Checks: Name: | |||
. Title: _..;_,e_cr | |||
___ _ Date: lt?jr5"f.} | |||
nme: I.JS-$' Location | |||
== Description:== | == | ||
Y-Coord: VJ 079' '' 4. Site or Location: Slte/Job: __ (;) I GPS Coordinates (when required): X-Coord: IV Lf;J_ Slf. t:f I Instrument Field Response.1. Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20%. Inst. | Description:== | ||
* Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check. Of Temp. (add'l Info: inst. Condition, etc.} Time uRem/hr} Time uRem/ht) gross cpm current (V/N) check (oF) or uRem/fir (Y/N) (Y/N} ---Rate meter q1'! I "";"'" i'!D;t v v \j /l/oo Cs-87 a;-Rate meter ' I .u:,.. tf c..n ..... v 'if v 11¢.i? F ii/. I "(j.,,,,l,$,2.... Rate meter , I f ,. v Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca[ibration sticker. Record check source response (net cpm) prior to field deployment for air check sources being used. 2. Source and Background count rate sl:lould be determined from the avera&e of three static count$ at the same location. Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability | |||
* I I I I l I i I I j I Rev 110/18/15 1. Instrument lnformatloni Ratemeter; | Y-Coord: | ||
* Make/Model: Detector 1: Make/Model: Bicron MicroRem Meter: 2. Check Source Information; Instrument Field Response Check Log Serial No. Pl.D& O'i f Serial No. Serial No. ____ _ Cal. Due Date: 1/1'/I' Cal. Due Date: __ _ Assay Date: N_ft_ Source 1 Isotope: Cs-137 Serial No.: / /tW-t.z. Activity: Response Acceptance Range {+/-20%): uRem/hr +20% ___ uRem/hr-20% net cpm + 20'%.Bfl.f#l 1! net cpm -20% S B''f "\ Source 2 lsotope:"ZJ-..).3..2.-Serial No.: I ( f Activity: I Assay Date: Response Acceptance Range uRem/hr +20% ___ . uRem/hr -20% __ net cpm 7f ir net cpm -20% 3. Checks: Title: '(? L,,-4. Site or Location: Site/Job: _ ____ GPS (when required): X-Coord: /\/4)-.." ::ui '91.'7" I Instrument Field Response2 Meter _, Bkg Bkg Counts Source So.urce Response +/-20% Cnt {cpm) or Cnt (gross cpm or source Tlme uRem/hr) Time uRem/hr) gross cpm or uRem/hr (V/N) Rate meter '11t I ... n ... IM) .. /(pf'J /hl'f'I v Ratemeter I l .;;. Rate meter f I Ratemeter Bicron NA NA Sieren NA NA Bier on NA NA Bicron NA NA Date: /IJ A's;f .r TI me: Arya J Location | VJ 079' | ||
'' 4. Site or Location: | |||
Slte/Job: | |||
__ | |||
(;) I GPS Coordinates (when required): | |||
X-Coord: | |||
IV Lf;J_ Slf. t:f I Instrument Field Response.1. | |||
Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response | |||
+/-20%. Inst. | |||
* Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check. Of Temp. (add'l Info: inst. Condition, etc.} Time uRem/hr} | |||
Time uRem/ht) gross cpm current (V/N) check (oF) or uRem/fir (Y/N) (Y/N} ---Rate meter q1'! I "";"'" | |||
i'!D;t v v \j /l/oo Cs-87 a;-Rate meter ' I .u:,.. tf c..n ..... v 'if v 11¢.i? F ii/. I "(j.,,,,l,$,2.... | |||
Rate meter , I f ,. v Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca[ibration sticker. | |||
Record check source response (net cpm) prior to field deployment for air check sources being used. 2. Source and Background count rate sl:lould be determined from the avera&e of three static count$ at the same location. | |||
Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability | |||
* I I I I l I i I I j I Rev 110/18/15 | |||
: 1. Instrument lnformatloni Ratemeter; | |||
* Make/Model: | |||
Detector 1: Make/Model: | |||
Bicron MicroRem Meter: 2. Check Source Information; Instrument Field Response Check Log Serial No. Pl.D& O'i f Serial No. | |||
Serial No. ____ _ Cal. Due Date: 1/1'/I' Cal. Due Date: __ _ Assay Date: N_ft_ Source 1 Isotope: | |||
Cs-137 Serial No.: / /tW-t.z. | |||
Activity: | |||
Response Acceptance Range {+/-20%): | |||
uRem/hr +20% ___ uRem/hr-20% | |||
net cpm + 20'%.Bfl.f#l 1! net cpm -20% S B''f "\ Source 2 lsotope:"ZJ-..).3..2.-Serial No.: I ( f Activity: I Assay Date: | |||
Response Acceptance Range uRem/hr +20% ___ . uRem/hr -20% __ net cpm 7f ir net cpm -20% | |||
: 3. Checks: Title: '(? L,,-4. Site or Location: | |||
Site/Job: | |||
_ | |||
____ GPS (when required): | |||
X-Coord: | |||
/\/4)-.." | |||
::ui '91.'7" I Instrument Field Response2 Meter _, Bkg Bkg Counts Source So.urce Response | |||
+/-20% Cnt {cpm) or Cnt (gross cpm or source Tlme uRem/hr) | |||
Time uRem/hr) gross cpm or uRem/hr (V/N) Rate meter | |||
'11t I ... n ... IM) .. /(pf'J /hl'f'I v Ratemeter I l .;;. Rate meter f I Ratemeter Bicron NA NA Sieren NA NA Bier on NA NA Bicron NA NA Date: /IJ A's;f .r TI me: Arya J Location | |||
== | |||
Description:== | |||
___ | |||
_____ _ Y-Coord: | |||
LtJ 071, 0'(o r 3'1. 7" Use Acceptance Criteria | |||
* Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. {add'! Info; inst. Condition, etc.) current (Y/Nl check (of) (Y/N) y .,7 S""b.5 -cs ... 151 U'E ..,; i.; | |||
S'.c>. q '6TZ, .25 ,J... .,. £.!£. I r 1. 1 nstrument designated check source Is listed on calibration sticker. | |||
Record check source response (net cpm) prior to field deployment for all check sources being used. ;' 2. Source and Background count rate should be determined from the average of three static at the same location. | |||
Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability I I j* I i ! I I I I I I -MJW SER'VIC"oE'!S Rev 110/18/15 | |||
: 1. Instrument lnformation 1 Ratemeter: | |||
Make/Model: | |||
Detector 1: Make/Model: | |||
Bicron MlcroRem Meter: 2. Check Source Information: | |||
Instrument Field Response Check Log Serial No. | |||
Serial No. | |||
Serial No. ...,.... | |||
___ _ Cal. Due Date: | |||
Ci!I. Due Date: __ _ Source 1 Isotope: | |||
Serlal No.: //( Activity: units: vC.,,.-Response Acceptance Range (+/-20%): | |||
uRem/hr +20% ___ | |||
* uRem/hr-20% | |||
Assay net cpm + 20% r;' net cpm Source21sot9pe;($-f37 SerialNo.: | |||
/l't£,;z3 | |||
... /2 Activity:0..6. unitswC/ | |||
AssayDate: | |||
N/r Response Acceptance Range (+/-20%): | |||
uRem/hr +20% ___ uRem/hr -20% __ net cpm + 20% /J';l 7 $ net cpm -20% $jf1 3. Technlc:ian/Worker Performing Checks: Name: j:. *Jww=ka Title: _R_c._} __ _ | |||
Time: /t>e;oo Location | |||
== | |||
Description:== | |||
Y-Coord: | |||
Wc18°l(t} | |||
'3>"t. 4. Site or Location: | |||
Site/Job:, | |||
.... | |||
I _____ _ -, GPSCoordinates(whenrequired): | |||
X*Coord: | |||
Atl.P-0.;if Slf.'l I Instrument Field Responsel Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response | |||
+/-20% Inst. Battery Time Ambient lnit.ials and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check Of Temp. (add'J Info; inst. Condition, etc.) . Trme uRem/hr) | |||
Time uRem/hr) gross cpm current (Y/N) check (oF) or uRem/hr (Y/N} (Y/NJ ---Ratemeter | |||
/ ,.; "' | |||
I "" ...... L( /,{;l..f/ | |||
,,. .,, ""' \/ v y /60._("' | |||
5Zo "/h-,2<:2...._ | |||
f-);s; Rate meter I I'";" | |||
, 0 ,, /()/{J 51 . .:L (3"? | |||
Ratemeter I I I v Rate meter -Bicron NA NA Bicron NA NA ( Bicron NA NA Bicron NA NA 1. Instrument designated check source rs listed on calibration sticker. | |||
Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should b.e determined from the average of three stalk counts at the .same location. | |||
Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stability j i I I I I I I i \ | |||
! I I I Rev 110/18/15 Instrument Fle!d Response Check log 1. Instrument lnformatlon 1 Ratemeter: | |||
Make/Model: | |||
Detector 1: Make/Model: | |||
Bicron MicroRem Meter: 2. Check Source Information; Serial No. | |||
Serial No. f"R //.J...£¥,.2-Serlal Source 1 Isotope: | |||
-n..-)-;3)..Serial No.: // ( Actlv!ty: units: .p.Li Response Acceptance Range.(+/-20%): | |||
uRem/hr+20%___ | |||
uRem/hr*20% | |||
__ Cal. Due Date: Cal. Due Date: __ _ net cpm -20% 3S'fl.c6 Source 2 Isotope: | |||
U -<37 Serial No.: / e:;;:g ... f;i.. Activity: | |||
CJ,6,).. | |||
Assay Date: ..Af.J:t_ | |||
Response Acceptance Range (+/-20%): | |||
uRem/hr +20% ___ uRem/hr -20% net cpm + 20% /J,,.2. 2 :?' net cpm -20% gg 'f 'f Checks: 3. 17_,.-( Title: _c<...._'-"' | |||
____ _ 4. Site or Location: Site/Job: | |||
__ _..:;h___,;:. | |||
..... ?....:;;&.'--'-3 | |||
........... | |||
' .u GPS Coordinates (when required): | |||
X-Coord: | |||
N 51{.'1 I Instrument Field Response2 Meter Bkg Bkg Counts Source | |||
* Source Response | |||
+/-20% Cnt (cpm) or Cnt (gross cpm or source Time uRem/hr) | |||
Time uRem/hr} | |||
gross cpm or uRem/hr (Y/N} Date: !cf lf S--Time: /3o Y location | |||
== | |||
Description:== | |||
__ | |||
Y-Coord: | |||
WO ?'ii-0vo °J'f. 7 '' Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (Y/N) check (°Ft (Y/N) -Rate meter 1 | |||
'11?£ { '"'"' lf 5"'!'10 y \/ v fl..-..,23.2. | |||
j:X Rate meter I ,..,it... | |||
'I fl.ft; \/ \.f \1 151 J S--1. 0 I"' _,,.__r37 | |||
-Os; Rate meter I I I -Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source is listed on calibration sticker. | |||
Record check source response | |||
{net cpm) prlorto field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. | |||
Repeat counts should be within 20%. If count rate diverges significantly, perform ;iddltional counts to evaluate instrument stability I l I I I I I ' i i j I I I | |||
' .* | |||
: 1. Instrument lnformatlon 1 Ratemeter: | |||
Make/Mod el: Detector 1: Make/Model: | |||
Blcron MlcroRem Meter: 2. Check Source lnformatron: | |||
Instrument Field Response Check Log Serial No. ti10601i Serial No. ?£//J.-£if | |||
,2-. Serial Cal. Due Date: f'Jo/b _9al. Due Date: __ _ \ Assay Source 1 Isotope: | |||
Jl.,w)..JJ-:. | |||
Serial Na.: If I Activity: | |||
L6J units: .p£J.. Response Acceptance Range (+/-20%): | |||
uRem/hr+20%__ | |||
uRem/hr-20% | |||
net cpm + 20% '5:r7'1 r net cpm -20% | |||
Source 2 Isotope: | |||
LJ *!37 Seria I No.: //1£;.:J-{ | |||
,;L Activity: | |||
0.6/-. u nits:jfCL Assay Date: A!.L Response Acceptance Range (+/-20%): | |||
uRem/hr +20% __ uRem/hr -20% . net cpm + 20% (}p./ 5 net cpm -20% | |||
: 3. Technician/Worker Performing Checks: Name:.;;t Tit!e: _ _.1Z=-"'CT_,_ | |||
__ _ Date: /6/1(,/!5"' | |||
Time: /6?8 r . J.( Location | |||
== | |||
Description:== | |||
N LJ 0 , ., ' ,,, | |||
_____ _ X-Coord: | |||
Q 511. "'! Y-Coord: | |||
Yti 3"1.? 'I. Site or Location: | |||
Site/Job: | |||
GPS Coordinates (when required): | |||
! Instrument Field Response2 | |||
* Use Acceptance Criteria Remarks Rev 110/18/15 Meter Bkg Bkg Counts Source Source Response | |||
+/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt {gross cpm or source Calib. | |||
* Check Of Temp. (add'! Info: inst. Condition, etc.) lime uRem/hr) | |||
Time uRem/hr) gross cpm current (Y/N) check {°F) or uRem/hr (Y/N) .. (Y/N) . Rate meter I JU1n fJ.lf I 111*ti Lf tJS 0 rA/vl. v v v /6.3:2-->".3. 7 ---n. .2 ;$ 'L Ratemeter I | |||
//1f7 .... | |||
\j J1f \; J(J' 7 | |||
/".:;,f.]'7 C/cx Rate meter , I I I P"' 1 Ratemeter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on calibration sticker. | |||
Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. | |||
Repeat counts should be within 20%. If count rate diverges signlficantly, perform additional counts to evaluate instrument stability | |||
* I Rev 1 10/18/15 Instrument Field Response Check Log 1. Instrument lnformatlon 1 Ratemeter: | |||
Make/Model: | |||
* l_w)fvvi.... | |||
::Vt.I(,,,..)- | |||
Serial No.ePbO"!<< | |||
Detector 1: Make/Model: | |||
*&Jf11m lfll-f(J Serial No. 'P&J/;l...&"(.J-Cat. Due Date: | |||
Blcron MlcroRem Meter; Serial No.-----Cal. Due Date: __ _ 2. Check Source Information: | |||
Source l Isotope: | |||
-:IE..d:-32-: | |||
Serial.No.: | |||
If I Activity:.?/). | |||
I Response Acceptance Range (+/-20%): | |||
uRem/hr +20% __ uRem/h' -20% Assay Date:f net cpm + 20% | |||
f' net cpm -20%.Rg?;;.C Source 2 Isotope: | |||
4 | |||
* lJ? Serial No.: I ( 4*,:?5-J | |||
:.Z. Activity: | |||
0.6)-unitsf-:'.C,* | |||
Assay Date: 1\/,4 Response Acceptance Range (+/-20%): | |||
uRem/hr +20% __ uRem/hr-20% | |||
net cpm + 20% | |||
net cpm -20% ES&'f1 3. Technician Worker Performin Name: | |||
--"' Title: __ | |||
: 4. Site or Location: | |||
Site/Job: :J. ( 1 GPS Coordinates (when required): | |||
X-Coord: | |||
N 'f)-.6r:ilf'ft/, | |||
'I" I Instrument Field Response" Meter Bkg Bkg counts Source Source Response | |||
+/-20% Cnt (cpm) or Cnt {gross cpm or source Time uRem/hr) | |||
Time uRem/hr) gross cpm or uRem/hr (Y/N) Rate meter f MiY\ | |||
C!Jlvi | |||
'f6ll;l.6 C/Pt1'-v Rate meter I f IM;,.._ I { ;J\r.. \1 Rate meter Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA Location Description | |||
: __ | |||
______ _ t. J 0 ,r/ Y-Coord: | |||
w67f fP .n,7 Use Acceptance Criterra Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (V/N) check (oF) (Y/N) v y (h;l-JJ-{,ff_ v v . /)'t'f() | |||
1t.. I tJ7 P(J?'_ r I v 1. J nstrument designated check source is listed on calibration sticker. | |||
Record check source response (net cpm) prior to field deployment for e1fl check sources being used. 2. Source and Background count rate*:-;hould be determined from the average of thr!!e static counts at the same location. | |||
Repeat counts should be *withln 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stablllty I i I I l I i i ! | |||
I I I l_ Rev 110/18/15 Instrument Field Response Check Log* 1. Instrument lnformation 1 Ratemeter: | |||
Make/Model; Detector 1: Make/Model: | |||
Blcron MlcroRem Meter: 2. Check Source Information: | |||
Serial No.cl£(. | |||
Dj serial No. 1"f:f f.U-t.f2 Serial No. ____ _ Cal. Due Date: | |||
Cal. Due Date: source 1 Isotope: | |||
7A,;?32serial No.: {I ( | |||
Response Acceptance Range (+/-20%): | |||
uflem/hr | |||
+2.0% ___ uRem/hr -20% Assay Date: ( net cpm + 20% 371 i" net cpm -20% | |||
Source 2 lsotope:U Serial No.: / /1E):l../2. | |||
Activity: | |||
CJ,o,,;:L. | |||
Assay Date: Jll.l_ Response Acceptance Range (+/-20%): | |||
uRem/hr +20% ___ uRem/hr -20% net cpm + 20% I 3?-7$ net cpm -20% 8 3. Title: lZC"/ 4. Site or Location: | |||
Site/Job: | |||
ArlA .S. { GPS Coordinates fwhen required): | |||
X-Coord: | |||
N '/J-d£ J.if.q" I Instrument Field Response2 Meter Bkg Bkg Counts Source Source Response | |||
+/-20% Cnt {cpm) or Cnt (gross cpm or source Time uRem/llr) | |||
Time uRem/hr) gross cpm or uRem/hr (Y/N} Rate meter I | |||
... 11t-. I 1.J\O.o'l t../;)1('1 v Rate meter I r .... :'V' I ( :;.. 'fl{ c.DIV-'.} Ratemeter I Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bkron NA NA Date/f¥ Time: .ij',ZC Location | |||
== | |||
Description:== | |||
C .,,-f';.e.f.R V-Coord: | |||
IN 6 715° 'fD | |||
'' . Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'l Info; inst. Condition, etc.) current {Y/N) check (oF) (Y/N} " v 113..2... | |||
l/-t.s-j)£ \/ I I 3 'l £/2r v;J.£_ I/ 1. Instrument designated check source is listed on calibration sticker. | |||
Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. | |||
Repeat counts should be within 20%. If count rate diverges significantly, perform a dcHtlonal counts to evaluate instrument stability i I I i I I I I I Rev 110/18/15 rnstrument Field Response Check Log 1. Instrument lnformation 1 Ratemeter: | |||
Make/Model: | |||
f.,,J/()Jl.. | |||
j;l{/ ... ,2.. Detector l: Make/Model | |||
: --=t_v:..;.:'J'J"""'?v.,...i!t"-'-- | |||
..... 't""""lf_-_l_O | |||
__ Serial No. c/-(J' ti 9 8 Serial No. "PR.:1..Rt.Y;L Serial No. $378'A.-Cal. Due Date: | |||
Cal. Due Date:lv7j1JllS: | |||
Bicron MicroRem Meter: 2. Check Source Information: | |||
. Source l Isotope: | |||
=t'f:,?3).. | |||
Serial No.: fl/ Activity: | |||
C6 ./ units:/!?,: | |||
Response Acceptance Range (+/-20%): | |||
uRem/hr +20% __ uRem/hr -20% Assay oate: 1-'/in net cpm + 20% . tr net cpm -20% mu Source 2 Isotope: | |||
Serial No.: f f'*P'3--(2 Activity: | |||
l?.O,;L.. | |||
Assay Date: /\/A-Response Acceptance Range (+/-20%): | |||
uRem/hr +20% __ uR.em/hr | |||
-20% net cpm + 20% | |||
net cpm -20% | |||
: 3. Checks: Title: gcr-CY/17 Date:/O/zf I 4. Site or location; Site/Job: | |||
__ | |||
111 ;p I' ,, GPS Coordinates | |||
{when required): | |||
X-Coord: | |||
VL <i:L ...2S SY.'? Location Descriptlon:. | |||
__ ,. *" Y-Coord: | |||
W(J7o $'(} 31. 2 I Instrument Field Response2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response | |||
+/-20% Inst. Battery Time Ambient Initials and Comments Cnt {cpm) or Cnt {gross cpm or source Ca!ib. Check Of Temp. (add'! Info: inst. Condition, Time uRem/hr} | |||
Time uRem/hr) gross cpm current {Y/N) check (oF) oruRem/hr | |||
{Y/N) (Y/N) Rate meter /,.,.; ... . .. ,,... /Mi;..., | |||
'1-r:l .{, { I" 11-\{ y y 57 () | |||
t}.$-Rate meter . l ,.,.;,,.. | |||
II :._ | |||
\JJ VJ -..u* 6-IS/ Rate meter I ( ( I -Rate meter Bicron NA 6uLJJ..r NA l'J'i * | |||
\./ \f v 1Yf5'f | |||
().<; ---r--k. 2-Bicron NA . I NA I , I I I I () Bicron NA NA Bicron NA NA. 1. Instrument designated check source is listed on callbration sticker. | |||
Record check source response (oet cpm) prior to field deployment for all check sources being used. 2 .. Source and Background count rate should be determined from the average of three static counts at the same location. | |||
Repeat counts should be within 20%. If count rate diverges sJgnif!cantly, perform additional counts ta evaluate instrument stability I I . I I | |||
.----.w.l'-v .SGR'VICES Rev 110/18/15 i I I Instrument Field Response Check Log l. Instrument lnformatlon 1 Cal. Due Date: | |||
Cal. Due Date&#.£ Ratemeter: | |||
Make/Model: | |||
De1ec;tor 1: Make/Model: | |||
Bicron MlcroRem Meter: 2. Check Source Information: | |||
Source 1 No.: JI f | |||
/ units:&LJ Assay Date: / .t [J""o: Vo Meter Response Acceptance Range (+/-20%}: | |||
uRem/hr uRem/hr net cpm + 20% Y net cpm Source 2 Isotope:($./ | |||
J 7 Serial No.: { 1'8J-f )_ Activity: | |||
0..0.¢- | |||
Date: . Response Acceptance Range (+/-20%}: | |||
uRem/hr +20%__ uRem/hr-20% net cpm + 20% {'$.)....7 Y net cpm -20% '°t'f"'t? | |||
I Instrument Field Bkg Bkg Counts Sour.ce Source Response | |||
+/-20% Cnt (cpm} or Cnt (gross cpm or source Time uRem/hr) | |||
Time uRem/hr) gross cpm or uRem/hr (V/N) Date: | |||
( 3 .2... o Location Y-Coord: | |||
W d7"r Yo '3,. 7"" Use Acceptance Criteria R{:"!marks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'! Info: inst. Condition, etc.) current (V/N) check (oF} (Y/N) *-! Ratemeter I"";"" ?i'1. J.Cjd},. | |||
r l/'{t,,11 C.n-"{ , .. \j I rrt..-.1"5') | |||
Jf7 Rate meter , ( 1¥4.,,.,, | |||
JI cJ.-" 'I {/ | |||
Lt:. I | |||
-r--s '7 "JI.* Rate meter I I ( -' (/ Rate meter Bicron NA q. 1a IL.r NA | |||
'./ \{ "-../ f'3si Bicron NA ,. I NA f I I ,,,.. -*--'jf Y. ,, , Bicron NA NA {/ Bicron NA NA 1. Instrument designated check source is listed on calibration sticker. | |||
Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static*c;ounts at the same location. | |||
Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability I ! I I i I I i I i l ! I l I I I I I TS MJ"-'V SGR"VICtES Rev 110/18/15 | |||
: 1. Instrument Ratemeter; Make/Model: | |||
LvJ/f/JV' | |||
)) '{ { Detector 1: Make/Model: | |||
LvJ/11,.,.. | |||
'ft.{-/(J Bicron MicroRem Meter: 2. Check Source Information: | |||
Instrument Field Response Check Log Serial No. 11 C."6'-( Serial No. 'fg it"41t.f2. | |||
Serial No. B 6 '?'$ 6 Cal. Due Date; IPjrr:/'f::, | |||
Cal. Due Date: | |||
Source 1 Isotope: | |||
"'11--;?12-Serial No.: / j l Activity: | |||
..C..CJ. | |||
I Response Acceptance Range (+/-20%}: | |||
uRem/hr+20%__ | |||
uRein/hr net cpm -20% 'l>IT{.4 Source 2 Isotope: | |||
Serial No.: II ic;J.3-f.i Activity: | |||
6.6 ,;l-. units:&_ | |||
Assay Date: _LYA__ Response Acceptance Range {+/-20%): | |||
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% ('$l.7'S net cpm -20% | |||
: 3. Checks: Title: 'RCT 4. Site or Location: | |||
Site/Job: 3. I . ,, GPS Coordinates (when required): | |||
X-Coord: | |||
N Y;t ':ct '-S-L{. I Instrument Field Response2 Meter Bkg Bkg Counts Source Source Response | |||
+/-20% Cnt (cpm) or Crit {gross cpm or source Time uRem/hr}. | |||
Time uRem/hr) gross cpm or uRem/hr (Y/N) Ratemeter lw...1' 'l1. I t./kt' I Mi>\. | |||
/'"_fi-v Ratemeter | |||
) wl *'°h If Ir c../J,..,... | |||
\] Rate meter I r Rate meter Bicron NA h LA,,./J. | |||
r NA f ;i_r., /f,.J£/ ,, Bicron NA I NA I ;* I Bicron NA NA Bicron NA NA Time: IS""'S-0 Location | |||
== | |||
Description:== | |||
__ | |||
Y*Coord: | |||
W 6 7'l "'-[o $.:;. 7 ,,. Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'l Info: inst. Condition, etc.) current (Y)N) check (of} {Y/N) \{ y 15"1"'\ | |||
/.JC -rJ. -1 C!:'...'7 l...J ',/ | |||
t/f).£_ -!"?? f ' v lf .... , | |||
/J.4 -rt.. | |||
I I v 1. Instrument designated check source Is hsted on calibration sticker. | |||
Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate .should be determined from the average of three static counts at the same location. | |||
Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability | |||
! I i I l L Rev 110/18/15 I I i I Instrument Field Response Check Log 1. Instrument lnformatton 1 Ratemeter: | |||
Make/Mode!: | |||
L!lDLutA. | |||
')) . .'-/) -Z.. Detector 1: Make/Mode!: | |||
[<l!}l-VllA | |||
'fl/-lo Bicron MlcroRem Meter: z. Check Source Information: | |||
Serial No. J (p 'J. 131 Serio! No. ff!. /II/ J 'J Serial No. ti=;; ;J. '1 u Cal. Due Date: Cal. Due Date: Source 1 lsotope: | |||
*17, .2'32. Serial No.: J J l, Response Acceptance Range (-r/-20%): | |||
+20% __ uRem/hr -20% ==-Assay net cpm + 20% __ _ Source 2 Isotope: | |||
Cs Ill Serial No.: K7E'15 *"If? Activity: | |||
-v :2. units:µ.<:.<'. | |||
Assay Date; 1/20/t o Response Acceptance Range (+/-20%): | |||
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20%. __ _ 3. Technician/worker Performing Checks: Name: SffVt /(:rAISl'.l\Ar./ | |||
Title: _____ _ Date: uizdc(Time: | |||
Ofoo r ' net cpm -20% __ _ net cpm -20% __ _ 4. Site or Location: | |||
Site/Job:. | |||
__ | |||
location / L/ 0 I IC * [ / . " GPS Coordinates (when required): | |||
X-Caord: | |||
f1L LC J J 'ff': 0 Y-Coord: | |||
lV O'JR' 'fo :$' >.. .2. ! Instrument Field Response2 Use Acceptance Criteria Remarks t Meter Bkg Bkg Counts Source Soun:e Response | |||
+/-20% inst. Battery | |||
* Time Ambient Initials and Comments Cnt {cprn) or Cnt (gross cpm or source Ca!ib. Check Of Temp. (add'l Info: inst. Condition, etc.) Tlme uRem/hr} | |||
Time uRem/hr) gross cpm current (Y/N} check (of) or uRem/hr (Y/N) (Y/N} . . .. .. Ratemeter | |||
*I m1AJ | |||
:S: / 111 I fl/. /1%D'f y '-/ (JC/ 00 t;{1 fl/... z:s l.-Ratemeter Ir "u11J, f</.-1,) | |||
1 I tn11J J/qj? ...; y (J({f) 0 <Jy /J 7 Ratemeter I tYJ!d Y9?{ I m 1111 y y /ZJo t. I -1l. 2 17.. , Ratemeter I fiftr.I r11s '!.vi, ,J 17 'i''!JI' | |||
'/ y l!Z...)o 65, {. f'c)]I i Ratemeter | |||
'f M(/11 q1JO/ I /11 r ;V v y /boD &b.1-"ti.. 2 57 Ratemeter J f!trt/ q O"') 'f P11v. 1(_!.('{ y v /br>o (,, &,. l.. /. J J"/ Bicron . 'NA I NA 11 v y *fl 9o 0 c;CI Sieren NA 7 NA I "'I 'I y 1lso ts. r ! Bicron NA -') NA I K y y I I. ot:i ?nt,, ?_ 1. Instrument desi nated check source is listed on callbration sticker. | |||
Record check source res onse net c m rior to fleld de lo ment for a II check sources bein used. g p { p )p p y g 2. Source and Background rate should be determined from the average of three static: counts at the same location. | |||
Repeat counts should be within 20%. If count rate diverges I I I I I ' i l i I significantly, perform additional counts to evaluate instrument stability 1 ______ J Rev 110/18/15 i I ! : 1. Instrument Jnformation 1 Ratemeter: | |||
Make/Model: | |||
LiJdl(/ffl 2-Detector 1: Make/Model:LU'/Jc.-v/V\- | |||
t./i-1 o Bicron MicroRem Meter; 2. Check Source Information: | |||
Instrument Field Response Check Log Serial 1 J.7 Serial No. fl/ I l 11 lJ Serlal No. fl:V Y V< Cal. Due Date: q( Vi Cal. Due Date: l. Source 1 lsotope:"/1i | |||
*z..1-z.__ | |||
Serial No.: )//zr Assay Date: 1i.};;c:/ro Response Acceptance Range (+/-20%}: | |||
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% net cpm -20% __ _ Source 2 Isotope: | |||
C.s. ( 3] Serial No.: g--7 {I]-'18' Activity: | |||
,..0 2-. | |||
Assay Date: __ Response Acceptance Range {+/-20%): | |||
uRem/hr uRern/hr-20% | |||
__ net.cpm + 20%. __ _ net cpm -20% __ _ 3. Technician/Worker Performing Checks: Name: S'ffl/e K:rA.H//lttA/ | |||
Title: _____ _ Date: Jo/z1t('Time: | |||
tJf!S 4. Site or location: | |||
Location | |||
_____ _ GPS Coordinates (when required): | |||
X-Coord: | |||
;11 </), Lff'( 'I I Y-Coord: | |||
VI) 018'. b 7 11 2-I Instrument Field Response2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source | |||
* Source Response | |||
-+'/* 20% Inst. Battery lime Ambient lnitial!i and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) Time uRem/hr) | |||
Time uRem/hr} | |||
gross cpm current (Y/N) check (oF} oruRem/hr (Y/N) {Y/N) -y --.... -Ratemeter f /fl I Ill l<f9\ I rJ1 IN flo1/(,, | |||
y ()Cj/( jg-_ if 'Th. ZJZ = Ratemeter J 1'A1N q I I rYI IN I J.-'ff'_< | |||
y '/ aCit < {3". 'f l< 11* Ratemeter J ft11tJ CJ() I CJ I 1Y/IN ..:i11'1'1 y y /Jo 'P (,;c,,_*7 | |||
. Rate meter J tlf 1,J CJo I q I mt/./ U..; Ir y Y' I Jvc {.,k,. / Cs IJl i Ratemeter j (i11ri/ CJoz'i J (!J_{f.f | |||
::Jo ') q y i 1.\00 1 z_ 3 --ft. 2 > L.-! Ratemeter lm1rJ CfD.J'f I Ml/./ IJS11.,I y y 12.s I JI Bicron | |||
* NA -7 NA If< v y {JCJ1( ((,"/ ---lh. 2n. I Bicron NA I NA ,., .... ; y IPOO 1 *11_ 2-1 '2-Bicron NA 1 NA /{(' v | |||
/"2., -fl, Z3L . . . 1. Instrument designated check source 1s fisted on cal1brat1on sticker. | |||
Record check source response (net cpm) prior to field deployment for all check sources being used . --2. Source and Background count rate should be determined from the average of three static counts at the same location. | |||
Repeat counts should be within 20%. If count rate diverges significantly, perform a'dditional counts to evaluate instrument stability | |||
-* i i j I I I TS* | |||
:&GRV.ICE.'lli" Rev 110/18/15 | |||
: 1. Instrument lnformatlon 1 Ratemeter: | |||
Make}Modet: | |||
Detector 1: Make/Mode!; | |||
Blcron MlcroRem Meter: 2. Check Source Information: | |||
Instrument Field Response Check Log Cal. Due Date: | |||
. Ca!. Due Date: 8f'6f W Source 1 Isotope: | |||
'1li-l$1-Serial No.: /f / Activlty:<:b.! | |||
units:,,vC Assay Response Acceptance Range (+/-20%): | |||
uRem/hr+20%__ | |||
uRem/hr-20% | |||
.* net cpm + 20f:li,7e;g net cpm -20% 3)C'"6 Source 2 Serial No.: | |||
Activity: | |||
0 .o..J..-units:,&-<; | |||
Assay Date: _.tLtl= Response Acceptance Range (-1-/-20%): | |||
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20%(?2'7 | |||
:$.. net cpm -20% S!f_f 3. Title: | |||
Date: lo/..2.!/!2: | |||
Time: O'f r 1 4. Site or Location: | |||
Site/Job: | |||
_ | |||
..:..I _____ _,_ Location Descriptlon:. | |||
__ | |||
:-1 o:it/m.C ff i * .L;:.... | |||
o-t:> U. I "" GPS Coordinates (when required): | |||
X-Coord: | |||
LY-;:f...e:. L V-Coord: £0 37. Z l Instrument Field Responsei Use Acceptance-Criteria Remarks Meter Bkg . Bkg Counts Source Soun::e Response | |||
+/-20% Inst. Battery Time Ambient lnltials and Comments Cnt (cpm} or Cnt (gross cpm or source Ca lib. Check Of Temp. {add' I Info; Inst. Condition, etc.} Time uRem/hr) | |||
Time uRem/hr) gross cpm current (Y/N) check (cF) or uRem/hr (Y/N) (Y/N) Rate meter I w..*"" q /'f 7 ,.11.fu. | |||
.. l/?tW ,-..1Jhtt, v \./ tJ1so 5"6.L{ "17...-2$2. | |||
fk Rate meter t 1 ...... IM4'l' rJ?AA, v hi '" 1114'<1 :S-6. s /_c;-(3'7 Rate meter ' 7 ( I .._, Rate meter Bicron NA 1-i uw,u rt"' NA q \.7 \/ | |||
<-C x Bicron NA . I NA ' l r I { u Blcron NA NA | |||
* Bicron NA NA 1. Instrument designated check source ls listed on cal!brat1on stkker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and aackg:rou nd count rate should be determined from the average of three static*counts at the same locat!on. | |||
Repeat counts should be within 20%. If count rate diverges signlflcantly, perform additional counts to evaluate Instrument stability I j | |||
: 1. Instrument lnformatlon 1 Ratemeter: | |||
Make/Model: | |||
Lu (I; Detector 1: Make/Model: | |||
{ :t/.5M Bicron MlcroRem Meter: 2. Check Source Information: | |||
Instrument Field Response Check log Serial No. | |||
* Serial No.t6>'6/lf.2. | |||
serial No. $&'f.$b. | |||
Cal. Due Date: | |||
Cal. Due Date: | |||
FJ Source 1 lsotope:'TJ-.-}.3,,_ | |||
Serial No.: /If Activity: | |||
<::O .I units: µt;;" Response Acceptance Range (+/-20%): | |||
uRem/hr +20% __ uRem/hr -20% Assay net cpm + 20o/oC'J | |||
?1f net cpm *20% IS" 1'-"t: Source 2 "J7 Serial No.: //'f *;?;3-1 :L Activity: | |||
!Y pr un!ts: J)C-i Assay Date: &A:. Response Acceptance Range (+/-20%): | |||
uRem/hr +20% _. _ uRem/hr-20%__ | |||
net cpm + | |||
net cpm -20% | |||
: 3. Technician/Worker Performing Checks: Name: X EJ"",,,..J?s | |||
. Title: 'fZ ( 'r Time::¢{73G7 4. Site or Location: | |||
Site/Job: | |||
kt". '3. ( * . , | |||
* Location | |||
== | |||
Description:== | |||
__ | |||
,. / o 'e7/a' **' 4' , ,,. GPS Coordinates (when required]: | |||
X-Coord: | |||
1v 'fpl .?Lg L Y-Coord: | |||
vv e>? 8'" "lo .:J7. 7 ' I Instrument Field Response2 Use Acceptance | |||
_Criteria Remarks Rev 110/18/lS Meter Bkg Bkg Counts Source Source Response | |||
+/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm)or Cnt (gross cpm or source Ca!ib. Check Of Temp. (add'I Info: Inst. Condition, etc.} Time uRem/hr) | |||
Time. uRem/hr) gross cpm current (Y/NJ check (of) or uRem/hr (Y/N} (Y/N) Rate meter ' (fl';).. | |||
,_ J. 'f J. t!D""' WI.,:-..,... | |||
l/?75J | |||
\/ \/ v (3tJ/ 7 71..-)'!2-tJ-f Rate meter * . I CA.;\.--.. | |||
I I q a tJ ',. __ rv VJ XI t</5 t:d;. > l/"s-f3 7 '1Jf Rate meter I I ( f v Ratemeter Bicron NA q NA t )01/1'1-.ft1.ir | |||
\I *V ,; /7,/7!., -rrt..-:1- | |||
"j 2._ Br Blcron NA . I NA J I I ( ....... Bicron NA NA Bicron NA NA 1. Instrument designated check source Is llsted on calibratlon st1c:lrer. | |||
Record check source response (net cpml prior to field deployment for all sources being used. 2... Source and Background count rate should be determined from the average of three static counts at the same location. | |||
Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stability I | |||
lns.trument Fleld Response Check Log 1. Instrument lnformation 1 Serial No. /'f C.£.(.$1 Serial No. | |||
Cal. Due Ca!. Due Date: | |||
.( I Ratemeter: | |||
Make/Model: | |||
Detector 1: Make/Model: | |||
Sieren MlcroRem Meter: | |||
* Serial No. 'A'q 5 b 2. Check Source Information: | |||
Source 1 Isotope: | |||
Serial No_: /f ( Activity: | |||
c::O * ( | |||
Response Acceptance Range (+/-20%): | |||
uRem/hr +20% __ uRem/hr -20% net cpm -20% | |||
Source 2 Serial No.: / /fE)3--(2. | |||
Activity: | |||
t).a;L.. | |||
units:_k'L'; | |||
Assay Date: L'.Il4_ Response Acceptance Range (+/-20%): | |||
LI Rem/hr +20% __ uRem/hr -20%__ net cpm + 20% __ _ net cpm -20% 3. Checks: ntle: __ __ "! __ _ Date: to,.4jf£ lime: 153i 4. Site or Location: | |||
Site/Job: .,:S. / Location | |||
== | |||
Description:== | |||
____ | |||
GPS Coordinates (when required): | |||
X-Coord: | |||
N {{..,;l D;;z.'l '5?l 'i "' Y-Coord: | |||
Wo?K"'1fd: | |||
n 2 ;-, I Instrument Field Responsa2 Use Acceptance Criteria Remarks Rev 110/18/lS Meter Bkg Bkg Counts Source source Response | |||
+/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Callb. Check Of Temp. (add'! Info; Inst. Condition, etc.) TI me uRem/hr) | |||
Time uRem/hr) gross cpm current {Y/N) check (°F) or uRem/hr (Y/N) (Y/N} Rate meter I .a...'-lf f o I .--nt.. I ""':x v '{ v ft;?/ 6<6. f ;z_ Rate meter I '-** *-.f I ..... "'YI. lr'J'lf'7cn,,_,. | |||
-!./ \JI /'$'?/'-/ | |||
'7.'-/ /s-13.7-0£ n . ., Rate meter | |||
, r f ( {./ Rate meter Bicron NA lf/fU</ l..r NA hr \( \J ,/ | |||
67/-1 In... -2"5'1 _(.)?' Bicron NA , NA ' I I ( -Blcron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca!lbrat1on sticker. | |||
Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. | |||
Repeat counts should be within 20%. lf count rate diverges significantly, perform additional counts. to evaluate Instrument steblllty I | |||
App E-Sub-Area 3.1-Sample Data Sheets | |||
SAMPLE LOCATION DATA SHEET . Project: | |||
/VY $ f:. \(..\:)Pl Weather: | |||
_flu | |||
: 1. Sample Area (SA): SA Designation: 3 . \ | |||
== Description:== | == Description:== | ||
&rtV,ecJ SA Origin Location: | |||
Coord_ System: ____ _ SA Land Mark | |||
== Description:== | == Description:== | ||
:c:.vyv-Cv-:>lJ Coard: .2. Sample Location Data: Sample Area ID: Matrix: | |||
\ .. LocationCoord: | |||
f\J 42.l-/<J0f.£JS5 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0.0) r...i I A Y Dist. fron1 Origin: . Nj 11 I Site Sketch Attached (Yes) Sample Location | |||
== Description:== | == | ||
Description:== | |||
(om 8DtJ, no '\:i+o..I Canopy Type: | |||
__ Land Use: | |||
Soil Moisture (Wet, dry, 3. L R. d" ' R d" ocat1on a 1at10n ea mgs: 2x2 NaI i Bicron Notes (cpm) (uRem/hr) | |||
. ; Count time 1 cm Im i lcm lm (min) ! I I 1.'.)5i tO"l'i \ g I iJIA I !f';,1, 0 lf'. f./ 1 g --4. Sample Information: | |||
Sample Area ID: 3 * \ * \ . 6 , /-;{ Soil Color Sample ID Samplitig De[)'cription (Surface litter type/depth, sample depth retention, | |||
: refusal, stone or rock, to po ra h , erosion features) | |||
Sample Recorded on Laboratory COC form and Container Labeled (N) (to -100 I &vii-'-:s. \.I.LS' NJA 10/20/15 SAMPLE LOCATION DATA SHEET Date:1t/o*-20-1-r-Proj_ecr: | |||
tJ 'yg;JZ.DA Weather: | |||
J?crfly Clo vd1.;. 1 ..va.rm -r.,.,..,e. | |||
5;-c;A--:10:: 1. Sample Area (SA): SA Designation: | |||
__ 3_._\ ___ _ | |||
== Description:== | == Description:== | ||
_{pm B d '-'-=----'--''-=-"-=--------- | |||
SA Origin Location: | |||
Coor d. System: -----SA Land Mark | |||
== Description:== | == Description:== | ||
__]2,ivtw{!J | |||
: 2. Sample Location Data: Coord: idiz,tJ Sample Area ID: 3, i . 2 Matrix: | |||
Location Coord: j.J . u 134 -hl en. '1 $ 0 6 'i I | |||
* Alternate Location Measurements (distance fi-om SA c1rigin and Local Coord.) X Dist. from Origin (0,0) | |||
Y Di:>t. from Origin: u.) \le I Site Sketch Attached (Yes) @ Sample Location | |||
== Description:== | == | ||
Description:== | |||
Canopy Type: ()Pt<" Land Use: _ _E_Q.,:(W. | |||
__ Soil Moisture (Wet, dry, etc): | |||
-.:o, w-t-1" 3 L ti R d' ti R d' oca on a I.a on ea mgs: 2x2 NaI B'cron Notes (cpm) ; (uRem/hr) | |||
Count time 1 cm Im \cm lm (min) .. -. -* --****** | |||
I !ILlCZ tO ID .Lil f\ I ll 42.l! iOw63 t-****-I | |||
: 4. Sample Information: | |||
Sample Area ID: _3_. \ , 7 , I[ . I -l D b D th escnoticm | |||
'Y ep Depth Soi/Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) :-efusal, stone or rock, toEography, erosion features) | |||
O-IS \ tSa:.,..n 3.1. | |||
15-30 '7 (}: \ R .. 'lJ1,...i,/\. | |||
£, 2 IJ}Pc | |||
!,D*. l | |||
'3.L 2.. f, 3 Nf f< {uO -1 vu Mvd J l}>t). k /' | |||
':?..1.*z.e..'1 n.1-wo.\.e c I Sample Recorded on Laboratory COC form and Container Labeled: (N) ' | |||
SAMPLE LOCATION DATA SHEET Date: ID -Zo Project: | |||
1'-Jj 5 tg_pf.L_. | |||
__ _ Weather: | |||
pcf'f\-r Clo:,cLy | |||
, c&Cc/c--< | |||
I. Sample Area (SA): SA Designation: | |||
3, I | |||
== Description:== | == Description:== | ||
== | __ Gx='-'-ri'--'-f | ||
'=1c ..... / | |||
SA Origin Location: | |||
______ Coord. System: __ _ SA Land Mark | |||
== Description:== | == Description:== | ||
*--Coord: 2. Sample Location Data: Sample Area ID: 3 r l v 3 .. E Matrix: | |||
__ | L_ . Location Coord: W 1<6,/!1 CJ L/ __& LJ -Z | ||
* 4 'l 13 '-18' S\crt | |||
'. 2.5 e"'d : I '1; 3 o Alternate Location Measurements (distance from SA origin and Local Coord.) / "7 1 r -, . l l)'\ V(WCu\ 67. a ,s. W '"'fYD/\I\ | |||
: 3. I. 5 X Dist. from Origin (O,O)___Mfjl | |||
__ , * | |||
* Y Di!;l. from Origin: _.N-"'111-\.lft--- | |||
Q Site Sketch Attached (Yes) <<l Sample Location | |||
_IL_s ____ Canopy Type: Op-ch Land Use: {G(hJ Soil Moisture (Wet, dry, etc): 3 L f R a* ti R d. oca ion a ta on ea mgs: | |||
* 2x2 NaI ; B**cron Notes (cpm) (uRem/hr) | |||
Count time lcm Im 1 cm Im (min) -; I ID {;t;c_p iO ! I '1 'l g --I {()/t/1-10 'lo ct .sJl!:t-i, -----* 4. Sample Information: | |||
Sample Area ID: 3. l. 3, E, I-'i Depth Soil Type Soil Sample ID Sampling Description Interval | |||
{Org; clay; Color (cm sand, etc) (Surface litter type/depth, sample depth retention, | |||
:efusal, stone or rock, to oo-ra h , erosion features) | |||
Sample Recorded on Laboratory COC form and Container Lab(lled; (N) | |||
Date: /0-7./-/) | |||
Project: | |||
AJ'YScR..00 SAMPLE LOCATION DATA SHEET Name: *Jii0 | |||
* V[)'...tJ;it. | |||
Weather: | |||
WO,tM 0 l. Sample Area (SA): SA Designation: | |||
__ | |||
SA Origin Location: | |||
== Description:== | == | ||
Description:== | |||
Com .f-; <:..{d Coo rd. System: -----SA Land Mark | Com .f-; <:..{d Coo rd. System: -----SA Land Mark | ||
== Description:== | == Description:== | ||
.... w__.'_D.>-l_J-t--- | |||
Coord: 2. Sample Location Data: Sample Area ID: 3 . \, Lf Matrix: so,_\_ Location Coord: N 7 f{, w1Cffr'/'J cl Alternate Location Measurements | |||
{distance from SA c1rigin and Local X Dist. from Origin (0,0) rJ Y Dist. from Origin: --t-N....:.i/"""'-'--- | |||
: 3. I . 3 / 3'5 ff, S l Site Sketch Attached (Yes) Sample Location | |||
== | |||
Description:== | |||
Um {i t. l J (Ls Canopy Type: 0 p-t.V\ Land Use: fQ_(fl.A Soil Moisture (Wet, dry, etc): J) 0{ 3. L R d" ti R d' ocatwn a 1a on ca mgs: 2x2 Nal Be.Cron Notes (cpm) (uRem/hr) | |||
Count time lcm lm I 1 cm Im (min) I 'jg 8"5 5( 7 v I f1 1 q3 '(j 922/( ' tJ J f\ : !' 4. Sample Information: | |||
Sample Area ID: J . j , Y , £. . f-!./ Soil Color Sample ID Sampling Description (Surface litter type/depth, sample depth retention, | |||
: refusal, stone or rock, to o!Zra h , erosion features Sample Recorded on Laboratory COC form and Container Labeled: | |||
(N) | |||
SAMPLE LOCATION DATA SHEET Date: | |||
Project: | |||
---+-jJ"--'V,_,5._...f..,.""""'J2,-'{)1'1'------ | |||
Name: Weather: | |||
Clo | |||
* ud:-t I 1. Sample Area (SA): SA Designation: | |||
_____ _ | |||
== Description:== | == Description:== | ||
* CoYt'i Htf d SA Origin Location: | |||
SA Land Mark | |||
== Description:== | == Description:== | ||
* | |||
-. ___ _ Coord. | |||
Coard: 2. Sample Location Data: Sample Area JD: Matrix: So* { Location Coord: tJ L/2 t/ 8Z l.f / °J . -IAI 7 '(-u7 <l. 'lg'0 Alternate Location Kifeasurements dTstance from SA origin and Local Coord.) X Dist. from Origin ((),0) J/ k Y Dist. from Origin: _JjJ) l:l . | |||
Site Sketch Attached (Yes) @) Sample Location | |||
== Description:== | == Description:== | ||
{orn h (, td , 5tul _ | |||
Canopy Type: 0 '/)(,fl etc.): Dty l Land Use: __f__a.r lk. Soil Moisture (Wet, dry, 3. Location Radiation ReadinCJs: | |||
Count time (min) I 2x2 Nal (cpm) lcm 4. Sample Information: | |||
Soil Color Im Bicron (uRem/hr) | |||
Notes lcm . lm Sample ID Sample Area ID: 3, / . 5. 12. | |||
Sampling Deseriptimz (Surface litter type/depth, sample depth retention, | |||
: refusal, stone or rock, topo ra h , erosion features Sample Recorded on Laboratory COC form and Container Labeled: | |||
(N) 10/20/15 | |||
SAMPLE LOCATION DATA SHEET Project: | |||
N\Ktilfil | |||
__ _ Name: -r;:.i BYD<..,..V'- | |||
Weather: | |||
Cfoxly,, | |||
ww:w. 1. Sample Area (SA): SA Designation: | |||
== | |||
Description:== | |||
SA Origin Location: | |||
Coord. System: -----SA Land Mark | |||
== Description:== | == Description:== | ||
Coord: 2. Sample Location Data: Sample Area lD: \. Le Matrix: s*6 *, \ Location Coord: itj 7 'I, Lt 7 'if3 4 s *-f\I Lf_2. 4?'3257" Alternate Location Measurements (distance from SA origin and Local Cof:rd.) | |||
X Dist. from Origin (0.0) N{ Pf Y Dist. from Site Sketch Attached (Yes) Sample Location | |||
== | |||
Description:== | |||
Grn d t1o | |||
____________ | |||
_ Canopy Land Use: . .fuv\..A., | |||
etc.): Dt\,1 Soil Moisture (Wet, dry, ' 3 L f R d" ti R d" oca ton a 1a on ea mgs: 2x2 Na! Bicron Notes (cpm) (uRem/hr) | |||
Count time !cm lm )cm Im (min) ( '7iq2-o X' 7 Al J /4. l S? <c:; | |||
(_ f\J/A ... 4. Sample Information: | |||
Sample Al-ea ID: .3. LG:> , J2.., 1-lf D 'ti bDtl escnp* on ep 1: Depth Soil Type Soil Sample ID Sampling Desaiptio11 l11terval | |||
* (Org; clay; Color (Surface | |||
[itter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) 6-'!S-' * \ t--.n,,,,, | |||
3i.t_.,,2...I | |||
/\J /4 IS-6Q_. \ hi'l'L_.A,.- | |||
: i. \.1 ... (L "'2. ,Jt 3o-t.t<> | |||
bfl)vV-- | |||
i!J n-(.g {)-/ (,) <.> | |||
i-.,,..,.._ | |||
.... 12.. t.1 l!l rq.. Sample Recor<led on Laboratory COC form and Container Labeled: | |||
(Y) (N) 10/20/15 SAMPLE LOCATION DAT A SHEET Date:# iO-IJ-1S-Project: | |||
J) Y5ck!.1)A Weather: | |||
5ui\V\y1 l.oo\ I. Sample Area (SA): SA Designation: | |||
-=3,_,_\-'------- | |||
== | |||
Description:== | |||
____(Qr n e\.O SA Origin Location: | |||
--*-----____ Coord. System: _ *------SA Land Mark Descriplion: | |||
'Q,;, \l"'"t*wcd Coard: Yoo -f-*t:. I _f;*" sJ. 2. | |||
Location Data: \\) J-jl>!f,ll'{.? | |||
'fJ){'r'\Y> | |||
Sample Area ID: :3, l. 7 Matrix: '501-_L LocationCoord: | |||
w7'8', (Jt7'if9.11" | |||
:J+/-!/2, '/(/&1i(' | |||
N Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) J\f\ Y Dist. from Origin: | |||
Site Sketch Attached (Yes) @) Sample Location | |||
== | |||
Description:== | |||
!c.L (Off1 .sh:aj /c.) rLh?..{)1i'"ed I Canopy Type: Q pe I'} 3 L t' R d' f Land Use: FQ..viM,. | |||
__ Soil Moisture (Wet, dt)', | |||
. oca mn a ia 10n R d" ea mgs: 2x2 NaI B*cron Notes (cpm) (uRem/hr) | |||
Count time \cm Im ' !cm lm ' (min) ' I 1019 .'2. q '1 q 3 g 8" ;Jf A 10 8 'ii f;'" <j q Z.CJ -l i I 4. Sample Information: | |||
Sample Area ID: 3. \ , *7, IC . I -Z.. D b D th escnotwn IY ep Depth Soil Type Soil Sample ID Sampling Description Interval | |||
-(Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ;efusal, stone or rock, to2ogra2hy, erosion features) o-/5"° b\d/,,,a: | |||
I k-'(\ 3 I ,7, f:. , 111 A /5 -:, 0 c.;<\-l ...... ; I j::i.,.....,. | |||
3 J | |||
.l,. Nii'\" -Sample Recorded on Laboratory COC form and Container Labeled: | |||
ff) (N) | |||
SAMPLE LOCATION DATA SHEET Date: iiJ-tCJ-i r Project: | |||
/JY5eK..M Name: --r;;;. | |||
* 6i1>:d.;... | |||
Weather: | |||
s0n'f\y / c. oo *--*--*----*- | |||
: 1. Sample Area (SA): SA Designation: | |||
_5__;_._\ | |||
_____ _ Desciiption; | |||
__ | |||
SA Origin Location: | |||
Coord. System: ____ _ SA Land Mark | |||
== Description:== | == Description:== | ||
SA Origin Location: | |||
v\ '<(u..."'d Coord: 2. Sample Location Data: Sample Area ID: _'3--'-'. | |||
l'-._8"--- | |||
___ Matrix: | |||
_l_ Location Coord: VJ/&. lo7X1t1°' | |||
Alternate Location Measurements (distance from SA ciriginand Local Coord.) X Dist. from Origin (0,0) | |||
Y Dist. from Origin: rJ1P< Site Sketch Attached (Yes) Sample Location | |||
== | |||
Description:== | |||
[Dn"' h rcvn sk\\t...S lo (tx,uS 11 260 f-L Lv -,,_ ---a} ------- | |||
Land Use: carnt-\eld Soil Moisture (Wet. dry. | |||
Canopy Type: Ope f1 3. Location Radiation Readings: | |||
I 2x2 NaI B*.cron Notes* (cpm) (uRem/hr) | |||
Count time lcm lm lcm ! Im : 1 ..... -(!_Uin) --.. _ l, ci;qzo CJLf x-t* 'tJ .. , ' IJ//< I 9 x-'7 I qo 8'! __ | |||
I -**-*-**** 4. Sample Information: | |||
Sample Area ID: 3 , \ . , £-1 7- | |||
--------------*-- | |||
Soil Color Sample JD Sampling Description (Surface litter type/depth, sample depth retention, stone or rock, to o a b ', erosion features) | |||
Sample Recorded on Laboratory COC form and Container Labeled: | |||
(N) | |||
Date: IO -Z0-1-:r Project: | |||
JJY 5 f !2.DA Weather: | |||
'Svti1*1.y; u.ptr>. I. Sample Area (SA): SAMPLE LOCATION DATA SHEET 1).rorc="'' | |||
. SA Designation: | |||
__ 3-----". | |||
j ____ _ | |||
== Description:== | == Description:== | ||
(pl(\ el d. | |||
SA Origin Location: | |||
Coor d. System: -----SA Land Mark | |||
== Description:== | == Description:== | ||
== Description:== | Coord: 2. Sample Location Data: Sample Area ID: ---'3"'--. | ||
}'--._CJ | |||
__ Matrjx:. | |||
<;.., ,_\ _ ,_. Location Coard: W 7 8'. 0t 19 (p St/ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (O.O)_JJ} | |||
l'r Y Di!:t. from Origin: Ai/ 1-\ Site Sketch Attached (Yes) . | |||
Sample Location | |||
== | |||
Description:== | |||
.. | |||
..... \ | |||
_____ _ Canopy Type: 0 ...... | |||
___ Land Use: | |||
Soil Moisture (Wet, dry, etc):._--'D'--'-",f-/ | |||
__ 3. L Rd' . R a* ocahon a iabon ea m2s: 2x2 Nal ! B:.cron Notes (cpm) (uRemlhr) | |||
I Count time I cm lm lcm Im (min.) :** { \Of>W Ji) Di.ff 7 7 ----.tJ/ jl. I IOI.{ 1 'l.-!O/V 2 ,__. N/A i -*-4. Sample Information: | |||
Sample Area ID: 3. \ ,. q. £!. * /-2. D b D h escnption 1y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!rraphy, erosion features) | |||
()-J s--:;,o;t 112..-u'->"'\ | |||
E, I NJ rr Jfj-jD ll./\c. ... .. I C;,t,2.. | |||
0-fl_ Sample Recorded on Laboratory COC fonn and Container Labeled: | |||
eJ (N) | |||
L Date: tO{ 7.-[ ( J ") Project: | |||
N\.\ SER 0 r+ Weather: | |||
Lloi.:.d,L\ | |||
1 S-01.S 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: gt'()l.\;rJ SA Designation: | |||
A l"'{_Q-.. | |||
3 . l SA Origin Location: | |||
== | |||
Description:== | |||
(Di--n t 1 d SA Land Mark | |||
== Description:== | == Description:== | ||
Coord. System: LrJ.-( lorj Coard: l'.t .lo 1 =j ;;i.:;i. | |||
LJ ;-i,. (.I %{0 2. Sample Location Data: *sample Area ID: _?J_. l"""'._l_o | |||
____ Matrix: .501 \ { dcul Location Coord: 1 | |||
* G 'b uOO 3 4 d-. 411 I d, 0 l:, Alternate Location Measurements (distance from SA origin and Local Coord.) LI <s y a.-d5. X Dist. from Origin (0,0) Y Dist. from Origin: ____ --r co../ 1 r Site Sketch Attached (Yes) -u-r I H'St ()'j-(O!'"'J Sample Location | |||
== Description:== | == | ||
Description:== | |||
Cc rn?i?.. tel :tlcd 5 I Canopy Type: C'J Q8'! etc.): cla.mr J at Land Use: | |||
Soil Moisture (Wet, dry, 3. L. Rad' . R d. ocatmn iat10n ea mizs: 2x2Nal Bicron Notes (cpm) (uRem/hr) | |||
Count time lcm lm lcm lm (min) l II <oqs-ro, 99 '" lf '1 rJ I If (0. '150 , 4. Sample Information: | |||
Sample Area JD: 3. 1.10 E.. \ E. d. b D h Descnotion 1y eot : Deptlz Soil Type Soil Sample JD Sampling Descriptio11 I1zterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) 0-1'5" I d!A..Ll | |||
.E. \ IS. :'.>O ,561 ! 1 duv | |||
'3. 1.1/).E' | |||
,d-I I _----.. Sample Recorded on Laboratory COC form and Container Labeled(Q)} | |||
(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: J.e (?..({is-Project: | |||
N \I s e ( or4 Name: Grow!) Weather: | |||
(I. uv ::!l y 50 | |||
* 1. Sample Area (SA): SA Designation: | |||
___ _ SA Origin Location: | |||
== Description:== | == | ||
Description:== | |||
__,,C...::.o_r"'...:...* | |||
__ | |||
Coord. System: lu:J-f lur-> SA Land Mark | |||
== Description:== | == Description:== | ||
== | __..Dr"'-=l\/l.=Lv=:i..,...:q... | ||
____ _ Coord: T5.l..7'1 '-/.:l. | |||
* | 3 2. Sample Location Data: Sample Area ID: 3. I./ r Matrix: °So* I ( do.i Location Coord: r 'b 'G 1 q 1-0 4 d. ' <../ l 1 l, Alternate Location Measurements (distance from SA origin and Local Coord.) I$ G L.{ o..d..S wd of C 11/1 x Dist. from Origin (0,0) y Dist. from Origin: | ||
.d I edjt '* brlJsh/ l/N-ml | |||
( I '1 *_ Site Sketch Attached (Yes) Sample Location | |||
== Description:== | == | ||
Description:== | |||
C0rn-f1 d ol stct.l b | |||
__.. | {,!l Canopy Type; | ||
._ __ Land Use: | |||
__ Soil Moisture (Wet, dry, etc.): do.mp, f'ill li...l.\fL..- | |||
: 3. L Rd" ti R d" ocation a 1a on ea m2s: 2x2Na1 Bicron Notes (cpm) (uRem/hr) | |||
Count time I cm Im I cm lm (min) I 10 1D, 31../o | |||
* 7 lD | |||
{ JD_"f:(.P./ | |||
Ill d.9D 4. Sample Information: | |||
Sample Area ID: 3.1. II El -E D b D h escnption 1y ept : Deptlz Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) | |||
D-i "(" do,1..1 . !-,..,.,,., | |||
... "J... I. I I E I I '.S *30 Jei.J 6-u .... | |||
<..I. rf .EZ.. ! Sample Recorded on Laboratory COC form and Container Labeled: | |||
rf!J. (N) 10/2.0/15 Date: \ o l -z. d 1 '5 Project: | |||
fU '-i SE f4 SAlVIPLE LOCATION DATA SHEET Name: S gl'Dwn , -I Weather: | |||
(_ \ | |||
1 S 0.) 1. Sample Area (SA): SA Designation: | |||
:3:,. j SA. Origin Location: | |||
== Description:== | == | ||
Description:== | |||
LCr:'lf 1 d J Coord. System: Cod-{ [>>."S SA Land Mark | LCr:'lf 1 d J Coord. System: Cod-{ [>>."S SA Land Mark | ||
== Description:== | == Description:== | ||
____ _ I Coord: l't.L.1'4d..J.1 4';;;.t.J'i:ObS 2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix: j { C Location Coord: l\ ,;J,.l-l :s-C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) ;:) (p + L{ tt..-ds clt\ L X Dist. from Origin (0,0) Y Dist. from Origin: ____ of Co....v-' Site Sketch Attached (Yes) J Cl{<..:;' :'itcd 1:5 Sample Location | |||
____ _ I Coord: l't.L.1'4d..J. | |||
1 4';;;.t.J'i:ObS | |||
: 2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix: | |||
j { C Location Coord: l\ ,;J,.l-l | |||
:s-C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) ;:) (p + L{ tt..-ds clt\ L X Dist. from Origin (0,0) Y Dist. from Origin: ____ | |||
of Co....v-' | |||
Site Sketch Attached (Yes) | |||
J Cl{<..:;' | |||
:'itcd 1:5 Sample Location | |||
== | |||
Description:== | |||
locn-P1dd..) | |||
s+oJ k5 Canopy Type: OQtn Land Use: \:n..rro etc.): (k,l'VI? | |||
,flo v.;dv,. Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on ia on ea mgs: 2x2 Nal Bicron Notes (cpm) (uRem/hr) | |||
Countfane | |||
[cm lm 1 cm l Im (min) ; l 1{ YL1 10. qui f'J (A l ii | |||
: 4. Sample Sample Area ID: '?::.. l . f ;;i.. E I | |||
* E ;.;l, D 'ti bDth escnp on 1y ep* Depth Soil Type Soil Sample ID Sampling Description Interval (Org; day; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, top0graphy, erosion features) | |||
CHS | |||
{ r lo.I..! 161'(,,,/"\ | |||
3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._, | |||
* ., 3._1. \;;l.E.d. | |||
I -.......... | |||
Sample Recorded on Laboratory COC form and Container 10/20/15 SAMPLE LOCATION DATA SHEET Date: Io l "Z-\ (IS Project: | |||
f\! \.\ SE. R.D 4 Name: S gl't>Wn . I Weather: | |||
(_ \ | |||
.' S 'O 5 1. Sample Are.a (SA): SA Designation: | |||
fl<<(A S. I SA Origin Location; | |||
== | |||
Description:== | |||
----'G_o_r SA Land Mark | |||
== Description:== | == Description:== | ||
Coord. System: Lix!-( Ui,"!,) Coord: !'5. l. *Ol-:1 l(;,,.i.J | |||
: 2. Sample Location Data: Sample Area ID: \ . 13 Matri;.<: | |||
Location Coard: *1. o .. (?-":{ '7 7 cl J LI J., Y 'is' J.. I It> 6 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location | |||
== | |||
Description:== | |||
* de!. i staJ. t5 J J;tJ Nwv+: ( (lf I ; n :s+ru K5 I d cf c I o..rt.?-CanopY, Type: | |||
__ Land Use: fo./,'\'V etc.): dctl"t'Jf I t1D Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on 1a on ea me;s! 2x2 NaJ Bicron Notes (cpm) (uRem/hr) | |||
Count time lcm lm lcm I Im (min) . ! 'J..9 10 '8' fJ !-A I l) I $" '-/ 4. Sample Information: | |||
SampleArealD: | |||
'5.1. ! 3 fZI -R.J, D b D th escnption 1y ev . Depth Soil type Soil SampJelD Sampling | |||
.Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention. | |||
(cm) sand, etc.) refusal, stone or rock, topography, erosion features) f\*IS :soi I llc-1_ L/ | |||
3.\.13.R. | |||
I Soi I br?>w.,.., | |||
3.1. 13.<<..:), | |||
I I Sample Recorded on Laboratory COC form and Container Labeled: | |||
(N) "10/20/15 Date: i O [ z.. d ! $ Project: '1 SE.!(..() | |||
4 SAMPLE LOCATION DATA SHEET Name: S rSV!}wYJ Weather: | |||
(_ ( v:;°'--'1 1 $-05 I. Sample Area (SA): sA Designation: | |||
(\(ZD.._, | |||
: s. I | |||
== Description:== | == Description:== | ||
-LOr :'[ +: Id rt SA Origin Location: | |||
Coo rd. System: lr:d--f Uf1 "-SA Land Mark | |||
== Description:== | == Description:== | ||
Coard: l't. t, 1!.J ;7.J.' t(;;,.4 G3, 2. Sample Location Data: Sample Area ID: \ . \ l\. Matrix: Sci [ ( | |||
Location Coord: . L, TS S G 5 L\ Y Z :J. 1 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location | |||
== | |||
Description:== | |||
lcl i :s-toJ c.f *u-?. el l 4 lD. '-l (L.J_:;, | |||
n orl-i1 C <VI d Q_()JtJ MQ_a__ Canopy Type: 0 Land Use: f o__rm Soi I Moisture (Wet, dry,_ etc.): | |||
llO 3 L ti Rad" ti R d. . oca on ia on ea m2s: 2x2NaI Bicron Notes (cpm) (uRem/hr) | |||
Count time l cm lm 1 cm lm (min) I 't G S-'8' 93al t l ciq.o<., | |||
111 9 I 4. Sll.mple Information: | |||
Sample Area ID: | |||
['1 D ' ti b D h escnp; on >Y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand. etc.) refu,sal, stone or rock, topograEhy, erosion features) 0-1$ :sell /Ja.u bn.v.. .. 3 .i . 11.{ .R. \ | |||
0oi! f da.J brbv.in 3 _ l . I'-\ . I( <l I -Sample Recorded on Laboratory COC form and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1ol-z-t [cs Project: | |||
f\.I'=\ SE.((_.()?\; | |||
Name: S. grt>wn Weather: | |||
(_ vv-R1.1 1 s-05 1. Sample Area (SA): SA Designation: | |||
3 | |||
== Description:== | == Description:== | ||
Corrif ,JJ. SA Origin Location: | |||
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 | |||
== | |||
Description:== | |||
in k--5 1 ----ft!) '-/ll-rd..i fJ a+ ( a..r 1 c.. | |||
o F s-k.! b Canopy Type: | |||
__ Land Use: | |||
etc.): dtL'<<*f Soil Moisture (Wet, dry, 3 L ti R d" ti R d" oca on a 1a on ea mes: 2x2Nal Bicron Notes (cpm) (uRem/hr) | |||
Count time I cm 1m lcm lm (min) I IV (, {o I 10 'l..3 't JO pJ (4 I 10 :}'Jl., I () /'rD . 4. Sample Information: | |||
Sample Area JD: '5.1. I$ RI -D b D h escnption | |||
*Y ept : Depth Soil JYpe Soil Sample ID Sampling Description. | |||
Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) | |||
{}-Is-'Soil / c,\a,y. bni .... ..., 3 ,J 15".R-I \$-:,)0 '; l { clt\'-1 b"'"""' 3_i.1S".R-::i._ | |||
-Sample Recorded on Laboratory COC form and Container Labeled:@ | |||
(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: \ c \ <-i{ l 'S Project: | |||
fv \_l S. E.. K'...D 4 Name: ::f. grown Weather: | |||
(_ ( vvc\..y ? 5 *05 1. Sample Area (SA): SA Designation: | |||
f\fx D.. I | |||
== Description:== | == Description:== | ||
lorn+: r ;ij rl. SA Origin Location: | |||
SA Land }.{ark | |||
== Description:== | == Description:== | ||
. I Cooid. System: ld-( Gl'1'\ _ Coard: lo 1'-1 :AJ. t.(.1,,L\ G 2. Sample Location Data: Sample Area ID: -\ *. , (a Location Coord: 1 i-, C9 l l '11 $' Matrix: S'-< j ( ci c,ll L\ ";).*41l'd.313 Alternate Location Measurements (distance from SA origin and Local Coo rd.) 1 * " _..;, ( N r r "-" | |||
c:. X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached in shtt.s Sample Location | |||
== Description:== | == | ||
Description:== | |||
Jin Canop)\ Type: etc.): a.tu*1Ap 1 flll Land Use: _.C-:_o.._.r-" | |||
.. iY'--'"'--- | |||
Soil Moisture (Wet, dry, 3 L t" R d. ti R d" . oca ion a 1a on ea 2x2 NaJ Bicron Notes (cpm) (uRem/hr) | |||
Count time lcm Im 1cm lm (min) l 101 !3+ ci 9 I NM l 't er yt, 1 71-i-=i-4. Sample Information: | |||
Sample Area JD: | |||
I (p IZ! -R :.2.. b D b Descri1>tion 1y cpt : Depth Soil Type Soil Sample JD Sampling Description | |||
" Jnterval (Org; clay; Color (Surface Litter type/depth, sample depth retention, (cm) sand. etc.) refusal, stone or rock, topography, erosion features) | |||
C'i-1 s :l'Di ! | |||
.611)1,:;r') | |||
3.l.\ln.R.-! | |||
1$-<.0 ::io1I do..c.1 bl'bl-..Cl 3_1.11.:>-R-*d... | |||
"""' Sample Recorded on Laboratory COC form and Container (N) 10/20/15 Date: 10( w(rS" !*. l < r:_ fl f\.L]_ Project;_-'-\J | |||
__ ..:>L:._1'--_u_ | |||
IT'---SAMPLE LOCATION DATA SHEET Name: -:S-. (Sl()v-..":l Weather: | |||
:S\j(lny I ..... so") L Sample Arca (SA): ' SA Designation: | |||
A-ei1>.. | |||
: 3. \ SA Origin Location: | |||
== Description:== | == | ||
Description:== | |||
C.ornfi d SA Land Mark | C.ornfi d SA Land Mark | ||
== Description:== | == Description:== | ||
\;xi*'-wll.l Coord. System: Lttt-Lt>>'1j Coord: ..J:L. \, 14 1... "L l\ 'J.. t..I | |||
: 2. Sample Location Data: Sample Area ID: | |||
____ Matrix: s1:1*1 Location Coord: **rLG L\ :l .c.\'8"\ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dhit. from Origin: ___ _ Site Sketch Attached (Yes) 9 Sample Location | |||
== | |||
Description:== | |||
C.. 01nft j | |||
Canopy Type: O ?'U'J ' Land Use: -fa-rm Soil Moisture (Wet, dry, etc): d..\Ur\y 3 L f R a* ti R d. . oca mn a ia on ea m2s: 2x2 NaI B:.cron Notes (cprn) (uRem/hr) | |||
Count time !cm Im I Jcm Im (min) I s -I.A \ Ci d.S'i | |||
! 4. Sample Information: | |||
SampleArea!D: | |||
3_1,11 {<.!-Rz_ | |||
("S-R.l.r D "ti bDtl escnp on *Y ep* i: Depth Soil Type Soil Sample!/) | |||
Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) * :efusal, stone or rock, topo-graphy, erosion features) 0-15' ft:ipso; | |||
\ | |||
*'\.l.11. | |||
R. \ l'S*3D i 'txt\,"r, 3-1./1.tZ.;A 0-1.$" +Dc."<11 I bmJo,)t) | |||
: 3. I . l7. (( . S' | |||
+opso*, \ :3,_!_11.IZ...\n Sample Recorded on Labo:ratory COC form and Container (N) | |||
Date: j ti{ t.o{ f 5 Project: | |||
t\J\.\ SC-12..CJA SAMPLE LOCATION DATA SHEET Name: S !5rot.*.J"! | |||
Weather: | |||
du ... 1, 'SO,:? 1. Sample Area (SA): i\fQ.tL SA Designation: | |||
_3_. | |||
SA Origin Location: | |||
SA Land Mark | |||
== Description:== | == Description:== | ||
d-ri | |||
: 2. Sample Location Data: | |||
== Description:== | == Description:== | ||
d- | |||
Orfitit.\rA Sample Area ID: __,,,3"--._,_l _ . .:...1 '6..:___ | |||
___ Matrix: :Soi I { c\t\Lj Location Coo rd: 1 i -(Ji+ 3 Yd.* '-l c; d-S 'K :l. Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) Y Di!;t. from Origin: ___ _ Site Sketch Attached* | |||
(Yes) @ Sample Location | |||
== | |||
Description:== | |||
. LC'lnfi | |||
, skJ k'.s Canopy Type: | |||
* 0 Land Use: fo..<f'Y) | |||
Soil Moisture (Wet, dry, etc): QQl/Y'\T | |||
: 3. d R d" Loeation Ra iation ea 2x2 Nal B cron ii Notes (cpm) (uRem/hr) | |||
!1 Count time lcm lm ! Jcm lm (min) ! l er t::il.1-!:J "5' i 1J I-A -l | |||
: 4. Sample Information: | |||
Sample Area ID: 3. \. IZ Kl* R 2. D . ti b D h escnp <>n 1y ept : Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) stone or rock, topography, ero*sion features) do.LI 1-:=;;-:sc. | |||
I c..ln,' b-t*_._,,, | |||
<-.\ .1t.((. L , Sample Recorded on Laboratory COC form and Container Labeled: | |||
(N) | |||
Date: !U [ d-O / l) Project: | |||
f'll'l :St. ((DA-Weather: | |||
'Svnriy , | |||
(0615 1. Sample Area (SA): SA Designation: SAMPLE LOCATION DATA SHEET Name: -:f. | |||
---"C""-u_r_4_i_t-"-l'-"- | |||
___ | |||
SA Origin Location: | |||
-----------<;;oord. | |||
System: ¢n SA Land Mark | |||
== Description:== | == Description:== | ||
-=c}_'"'-,,---'-'1 | |||
=Wc=(;\:..+l/---- | |||
Coord: n;. | |||
lfl-. l/'i'DG3 | |||
: 2. Sample Location Data: Sample Area ID: 3 | |||
* t . Matrix: c30.1..I Location Coard: f G TiC7 l..\ 4 d, ,LJ '6-:t ;;:5 'J.., Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location | |||
== | |||
Description:== | |||
Or.rr-!=1Jd in Canopy | |||
__ Land Use: | |||
\ 3. L R d" . R d. ocation a 1ation ea mgs: 2x2 Na! (cpm) B:cron (uRem/hr) | |||
Soil Moisture | |||
{Wet, dry, etc): dll.-YVl'i) | |||
I Notes Count time 1 cm lm 1 cm 1m -{min) ' qq1s-9 Ito **t I 'J., Ntf+ \ q '\ (,, i 4. Sample Information: | |||
Sample Area ID: 3. ! . IJ. -R D b D b escnpt1on ept ; Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ;efusal, stone or rock, topography, erosion features) 0, IS" | |||
/cla._,, | |||
hrt,t;..>r) 3 .J _1"1 .R.. / 1S-3o Set l r lbrvwn 3 .1.1CJ _r:.__-;;. | |||
-Sample Recorded on Laboratory COC form Container Labeled: | |||
(N) | |||
Project: | |||
N''-\ 'SE: (2..DA Weather: | |||
SUClny) I <;;cf 5 J. Sample Area (SA}: SA Designation: '3 * [ SA Origin Location: | |||
SA land Mark | |||
== Description:== | == Description:== | ||
: 2. Sample Location Data: SAMPLE LOCATION DATA SHEET Name: G;Y'\l\J"') | |||
== Description:== | == | ||
Description:== | |||
__ | |||
Coord. System: {rd-I C?inj Coard: li. l<i14:;p, | |||
\...l'J...Yib{.;3. | |||
Sample Area ID: 3 .\ | |||
* d-0 Matrix: | |||
Location Coord: I "D * \,, 1-'6 I ?J L\-_;)._;_, | |||
_._4 '8"-'-l '6_13o.,._ | |||
___ _ ( .3 n.-t\..)) | |||
i oD .(:-t-. +1-r. cU-i vt V..HU-'j Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (O,Q) Y Di:rt. from Origin: ----Site Sketch Attached (Yes) Sample Loca,tion | |||
== Description:== | == | ||
Description:== | |||
s-6Jl:> dtl4-w\ Canopy Type: | |||
Land Use: -f.n.q'b Soil Moisture (Wet, dry, 3 L Rd' . R d" . ocation a 1at1on ea m2s: 2x2 NaI B cron Notes (com) (uRem/hr) | |||
* | Count time 1cm 1 m I cm 1m (min) ! | ||
'?(:,?.:1 | |||
*1 'S | |||
! CJ | |||
%)11 ;;l,. ' 4. Sample Information: | |||
Sample Area JD: | |||
J.O. fZ 1-RA D . f b D th escnp ion *Y ep Depth Soil Type So.ii Sample ID Sampling Description Interval (Org; clay; 0>/or (Surface litter type/depth, sample depth retention, (cm) sand, etc) | |||
* refusal, stone or rock, topography, erosion features) | |||
D-tS frt;0NV s .1 | |||
* rz. 1 "'-of'nL 1c.c..k.S i:S .30 .:s.oil frno.vt-l b-t*,,,"' | |||
3.1. ?.1i. tC?... | |||
nc...k. s " Sample Recorded on Laboratory COC fQrm and Container (N) | |||
Weather: | |||
, c...\.zs:iy 1 Lo5 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: -::S-. CSrtw 'Q SA Designation: | |||
A-\"...o, | |||
: 3. I SA Origin Location: | |||
== Description:== | == | ||
Description:== | |||
Ll'l""*rl*i | |||
Ll'l""*rl*i ,.__JJ. Coord. System: I o:tp c""0 | ,.__JJ. Coord. System: I o:tp c""0 | ||
* SA Land Mm-'k | * SA Land Mm-'k | ||
== Description:== | == Description:== | ||
Coord: 1 .L,1 q d. . Y *;;i.. '-l '8"0(0 2. Sample Location Data: Sample Area ID: 3 * ( | Coord: 1 .L,1 q d. . Y *;;i.. '-l '8"0(0 2. Sample Location Data: Sample Area ID: 3 * ( | ||
* Matrix: S.t> *, L Location Coard: 1 '[ . G f 9 (i, 3 ?-. __!:!_?. . l{ "6' d.. 4 t\ ')._ l q '.:, yo_...-t,l:5 . tJ E c + civi v t W':J\.'i Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist from Origin (0,0) Y Di!;t from Origin: ----Site Sketch Attached (Yes) §) Sample Location | * Matrix: S.t> *, L Location Coard: 1 '[ . G f 9 (i, 3 ?-. __!:!_?. | ||
. l{ "6' d.. 4 t\ ')._ l q '.:, yo_...-t,l:5 | |||
. tJ E c + civi v t W':J\.'i Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist from Origin (0,0) Y Di!;t from Origin: ----Site Sketch Attached (Yes) §) Sample Location | |||
== | |||
Description:== | |||
C-Vr,---f.i | |||
..._J._J | |||
> s-kA \:::..S Canopy | |||
..... ?_Q_,v'"\ | |||
____ Land Use: Soil Moisture (Wet. dry, etc): dfl...VYlf | |||
: 3. L Rd" . R d' ocation a iat10n ea mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr) | |||
Count time !cm Im lcm lm (min) *-* I 9 f 0 !"Jffi I 93-tj 'Z"l-C(O | |||
. -4. Sample Information: | |||
Sample Area ID: S. I . d-I Kl -f<. d.., D . t* b D h cscnp1 ion 'Y ept : Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, | |||
{cm) sand, etc) refusal, stone or rock, topmrraphy, erosion features) so:\ bv.rV"l "3-1. l . ((_ (-r--\'5 *30 bl'llwn 3. J. (2-J, I -Sample Recorded on Laboratory COC form and Container Labeled: | |||
J (N) | |||
Project: | |||
fJLJ SE R D-4 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: --:(. | |||
SA Designation: | |||
: 3. ( SA Origin Location: | |||
== | |||
Description:== | |||
* _C_o_o_rd | |||
__ | |||
__ _ SA Land Mark | |||
== Description:== | == Description:== | ||
Project: | Coard: TL!. 1 L/ ;A?., . J. l/ (0 2. Sample Location Data: SampleAreaID: | ||
?,.l.?;J_ | |||
Matrix: .JoiL_ Location Coord: t t". L SS-Lf :J.. 'i 3 0 1-3 Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ fJE I i'l '-{tt-rt.U frrn1 (C.r Site Sketch Attached Sample Location | |||
== | |||
Description:== | |||
ct:-;'fl{; | |||
r_I r,{ I siu. lb c:J Canopy Type: Onw Land Use: .ki.rM I Soil Moisture (Wet, dry, etc): da.mp 3. 'L Rd' . R d' ocatwn a 1ahon ca m2s: 2x2 Nal B=cron Notes (cpm) (uRem/hr) | |||
Count time lcm Im lcm lm {min) I "l'Od.D 9 lO tJ . ft I '8843 '('Cl<tG. 4. Sample Information; Sample Area ID: 3. J | |||
* g.:l. (< ( -R;), D b D th escr1pt1on | |||
)y ep Depth Soil Type Soil Sample ID Samplbzg Description lllterval (Org; clay; Color (Surface | |||
!itler type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!!raphy, erosion features) o-iS 0o*\ | |||
3.f. J,,::A .IZ l Sc | |||
: 3. I. | |||
{!.,,;;>._ | |||
-Sample Recorded on Laboratory COC form and Container Labeled: | |||
Date: Io( 2c{ IS" Project: | |||
N"-1 SE f. o+\-SAMPLE LOCATION DATA SHEET Name: brnwn . I Weather: | |||
:Su11ny i c..lea....r, (of) S L Sample Area (SA): SA Designation: | |||
ftc"'.lo.. | |||
3 . I SA Origin Location: | |||
== | |||
Description:== | |||
(o,..-,-,.{,*dd. | |||
_C_o_o_rd | |||
__ | |||
Coord: "1'i{.Ip7L/ | |||
J.d.. =ti;.;(. | |||
t.J rD l0 SA Land Mark | |||
== Description:== | == Description:== | ||
: 2. Sample Location Data: Sample Area ID: 3. ! . Matrix: Soi I Loe a ti on C oord: 7 ""6 . (r, 7 D 4 3 __'.:[ ;;i . t.I '%' d. ' Alternate Location Measurements (distance from SA cirigin and Local Coord.) X Dist. from Origin (0,0) Y from Origin: ___ _ ! 30 4 lt-rV\:i | |||
.N Site Sketch Attached (Yes) (.Ol'Yr(:j Q,td : ." ll/ _ _s Sample Location | |||
== Description:== | == | ||
Description:== | |||
Canopy Type:_O ___ \;'_Q.111 | |||
____ Land Use: -hv1-v-., | |||
Soil Moisture (Wet, dry, etc):.-----od_,_<l_Wl--F-f--L t' R d' f R d' oca wn a 1a 10n ea mg.s: 2x2 Nal B,cron Notes* ; (cpm) (uRem/hr) | |||
Date: | ! Count time lcm Im I cm Im (min) '* .. ! rO q 1 {.), '1 10 fl} ( 4 I | ||
'1 S-"f Cf i .. I I I 1]1 4. Sample Information: | |||
Sample Area ID: 3. I. :;2.3 KI -R;A D b D h escript1on 1y ept : Dept It Soil Type Soil Sample ID Sampling Descriptioll Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, toEograehx, erosion featuretl._ | |||
o-1s-Soi\ brtU..."l 3 .1.:i,i.r-.1 | |||
*.. 1$*30 Sc-1 I b,-ii.,..r. | |||
: 3. '* | |||
Sample Recorded on Laboratory COC form and Container Labeled: (N) | |||
Date: io( 2o{r:5" Project Dtt Weather: | |||
S\Jnnq . d t<i...r G-o 3 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: -:::r. f3rn!P ') SA Designation: | |||
A-n ..... * ! SA Origin location: | |||
== Description:== | == | ||
Description:== | |||
(o.,-nt i | |||
_C_o_o-rd-.-S-y-st-em-: | |||
-/-v.:t-1-(......-I i_IJ_:3-__ _ SA Land Mark | |||
== Description:== | == Description:== | ||
dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J. | |||
: 2. Sample Location Data: Sample Area ID: _?.:>_._l | |||
:Jo; L_ Location Coord: Alternate Location Measurements (distance from SA c*rigin and Local Coord.) 10 l...t tJ +11T'IV\ | |||
CD..,, X Dist. from Origin (0,0) Y from Origin: ___ _ Sample Location | |||
== Description:== | == | ||
Description:== | |||
__ c_c_' r_n_f_r_* | |||
__ c_c_' r_n_f_r_* 1> __ r_1 _sh __ _____________ ---, Site Sketch Attached (Yes) Canopy Land Use: {o_.,.n., Soil Moisture (Wet, dry, etc:): d(J.,yj/\pF---3. L Rd" . R d" ocat10n a 1atlon ea rn1!s: 2x2 NaI B,cron Notes (cpm) (uRem/hr) Count time !cm Im lcm lm {min) -! t)L:Si er 3o;;< 1 JG J\f i A \ qq 'l 'K qd,!S-1:1 I 4. Sample Information: Sample Area JD: | 1> __ | ||
r_1 _sh __ | |||
_____________ | |||
---, Site Sketch Attached (Yes) Canopy Land Use: {o_.,.n., | |||
Soil Moisture (Wet, dry, etc:): d(J.,yj/\pF--- | |||
: 3. L Rd" . R d" ocat10n a 1atlon ea rn1!s: 2x2 NaI B,cron Notes (cpm) (uRem/hr) | |||
Count time !cm Im lcm lm {min) -! t)L:Si er 3o;;< 1 JG J\f i A \ qq 'l 'K qd,!S-1:1 I 4. Sample Information: | |||
Sample Area JD: | |||
* 3. I. d.4 R.J | * 3. I. d.4 R.J | ||
* R... D b D h escnpt1on 1y ept : Depth Soil Type Soil Sample ID Sampling Description !llterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topography, erosion features) 0-t S' .So,\ brt.w.-i 3_ 1 _:i.,<.(. IZ. r 15-)D 'Sot I 3.1.';),'"{.1<.J, Sample Recorded on Laboratory COC form and Container (N) r r ,. -r}} | * R... D b D h escnpt1on 1y ept : Depth Soil Type Soil Sample ID Sampling Description | ||
!llterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topography, erosion features) 0-t S' .So,\ brt.w.-i 3_ 1 _:i.,<.(. | |||
IZ. r 15-)D 'Sot I 3.1.';),'"{.1<.J, Sample Recorded on Laboratory COC form and Container (N) r r ,. -r}} |
Revision as of 02:21, 30 June 2018
Text
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Y-Coord: VJ 079' 4. Site or Location: Slte/Job: __ (;) I GPS Coordinates (when required): X-Coord: IV Lf;J_ Slf. t:f I Instrument Field Response.1. Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20%. Inst.
- Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check. Of Temp. (add'l Info: inst. Condition, etc.} Time uRem/hr}
Time uRem/ht) gross cpm current (V/N) check (oF) or uRem/fir (Y/N) (Y/N} ---Rate meter q1'! I "";"'" i'!D;t v v \j /l/oo Cs-87 a;-Rate meter ' I .u:,.. tf c..n ..... v 'if v 11¢.i? F ii/. I "(j.,,,,l,$,2.... Rate meter , I f ,. v Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca[ibration sticker. Record check source response (net cpm) prior to field deployment for air check sources being used. 2. Source and Background count rate sl:lould be determined from the avera&e of three static count$ at the same location. Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability
- I I I I l I i I I j I Rev 110/18/15
- 1. Instrument lnformatloni Ratemeter;
- Make/Model:
Detector 1: Make/Model: Bicron MicroRem Meter: 2. Check Source Information; Instrument Field Response Check Log Serial No. Pl.D& O'i f Serial No. Serial No. ____ _ Cal. Due Date: 1/1'/I' Cal. Due Date: __ _ Assay Date: N_ft_ Source 1 Isotope: Cs-137 Serial No.: / /tW-t.z. Activity: Response Acceptance Range {+/-20%): uRem/hr +20% ___ uRem/hr-20% net cpm + 20'%.Bfl.f#l 1! net cpm -20% S Bf "\ Source 2 lsotope:"ZJ-..).3..2.-Serial No.: I ( f Activity: I Assay Date: Response Acceptance Range uRem/hr +20% ___ . uRem/hr -20% __ net cpm 7f ir net cpm -20%
- 3. Checks: Title: '(? L,,-4. Site or Location:
Site/Job: _ ____ GPS (when required): X-Coord: /\/4)-.."
- ui '91.'7" I Instrument Field Response2 Meter _, Bkg Bkg Counts Source So.urce Response
+/-20% Cnt {cpm) or Cnt (gross cpm or source Tlme uRem/hr) Time uRem/hr) gross cpm or uRem/hr (V/N) Rate meter '11t I ... n ... IM) .. /(pf'J /hl'f'I v Ratemeter I l .;;. Rate meter f I Ratemeter Bicron NA NA Sieren NA NA Bier on NA NA Bicron NA NA Date: /IJ A's;f .r TI me: Arya J Location
== Description:==
___ _____ _ Y-Coord: LtJ 071, 0'(o r 3'1. 7" Use Acceptance Criteria
- Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. {add'! Info; inst. Condition, etc.) current (Y/Nl check (of) (Y/N) y .,7 S""b.5 -cs ... 151 U'E ..,; i.;
S'.c>. q '6TZ, .25 ,J... .,. £.!£. I r 1. 1 nstrument designated check source Is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. ;' 2. Source and Background count rate should be determined from the average of three static at the same location. Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability I I j* I i ! I I I I I I -MJW SER'VIC"oE'!S Rev 110/18/15
- 1. Instrument lnformation 1 Ratemeter:
Make/Model: Detector 1: Make/Model: Bicron MlcroRem Meter: 2. Check Source Information: Instrument Field Response Check Log Serial No. Serial No. Serial No. ...,.... ___ _ Cal. Due Date: Ci!I. Due Date: __ _ Source 1 Isotope: Serlal No.: //( Activity: units: vC.,,.-Response Acceptance Range (+/-20%): uRem/hr +20% ___
- uRem/hr-20%
Assay net cpm + 20% r;' net cpm Source21sot9pe;($-f37 SerialNo.: /l't£,;z3 ... /2 Activity:0..6. unitswC/ AssayDate: N/r Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% __ net cpm + 20% /J';l 7 $ net cpm -20% $jf1 3. Technlc:ian/Worker Performing Checks: Name: j:. *Jww=ka Title: _R_c._} __ _ Time: /t>e;oo Location
== Description:==
Y-Coord: Wc18°l(t} '3>"t. 4. Site or Location: Site/Job:, .... I _____ _ -, GPSCoordinates(whenrequired): X*Coord: Atl.P-0.;if Slf.'l I Instrument Field Responsel Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient lnit.ials and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check Of Temp. (add'J Info; inst. Condition, etc.) . Trme uRem/hr) Time uRem/hr) gross cpm current (Y/N) check (oF) or uRem/hr (Y/N} (Y/NJ ---Ratemeter / ,.; "' I "" ...... L( /,{;l..f/ ,,. .,, ""' \/ v y /60._("' 5Zo "/h-,2<:2...._ f-);s; Rate meter I I'";" , 0 ,, /()/{J 51 . .:L (3"? Ratemeter I I I v Rate meter -Bicron NA NA Bicron NA NA ( Bicron NA NA Bicron NA NA 1. Instrument designated check source rs listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should b.e determined from the average of three stalk counts at the .same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stability j i I I I I I I i \ ! I I I Rev 110/18/15 Instrument Fle!d Response Check log 1. Instrument lnformatlon 1 Ratemeter: Make/Model: Detector 1: Make/Model: Bicron MicroRem Meter: 2. Check Source Information; Serial No. Serial No. f"R //.J...£¥,.2-Serlal Source 1 Isotope: -n..-)-;3)..Serial No.: // ( Actlv!ty: units: .p.Li Response Acceptance Range.(+/-20%): uRem/hr+20%___ uRem/hr*20% __ Cal. Due Date: Cal. Due Date: __ _ net cpm -20% 3S'fl.c6 Source 2 Isotope: U -<37 Serial No.: / e:;;:g ... f;i.. Activity: CJ,6,).. Assay Date: ..Af.J:t_ Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% net cpm + 20% /J,,.2. 2 :?' net cpm -20% gg 'f 'f Checks: 3. 17_,.-( Title: _c<...._'-"' ____ _ 4. Site or Location: Site/Job: __ _..:;h___,;:. ..... ?....:;;&.'--'-3 ........... ' .u GPS Coordinates (when required): X-Coord: N 51{.'1 I Instrument Field Response2 Meter Bkg Bkg Counts Source
- Source Response
+/-20% Cnt (cpm) or Cnt (gross cpm or source Time uRem/hr) Time uRem/hr} gross cpm or uRem/hr (Y/N} Date: !cf lf S--Time: /3o Y location
== Description:==
__ Y-Coord: WO ?'ii-0vo °J'f. 7 Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (Y/N) check (°Ft (Y/N) -Rate meter 1 '11?£ { '"'"' lf 5"'!'10 y \/ v fl..-..,23.2. j:X Rate meter I ,..,it... 'I fl.ft; \/ \.f \1 151 J S--1. 0 I"' _,,.__r37 -Os; Rate meter I I I -Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source is listed on calibration sticker. Record check source response {net cpm) prlorto field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform ;iddltional counts to evaluate instrument stability I l I I I I I ' i i j I I I ' .*
- 1. Instrument lnformatlon 1 Ratemeter:
Make/Mod el: Detector 1: Make/Model: Blcron MlcroRem Meter: 2. Check Source lnformatron: Instrument Field Response Check Log Serial No. ti10601i Serial No. ?£//J.-£if ,2-. Serial Cal. Due Date: f'Jo/b _9al. Due Date: __ _ \ Assay Source 1 Isotope: Jl.,w)..JJ-:. Serial Na.: If I Activity: L6J units: .p£J.. Response Acceptance Range (+/-20%): uRem/hr+20%__ uRem/hr-20% net cpm + 20% '5:r7'1 r net cpm -20% Source 2 Isotope: LJ *!37 Seria I No.: //1£;.:J-{ ,;L Activity: 0.6/-. u nits:jfCL Assay Date: A!.L Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% . net cpm + 20% (}p./ 5 net cpm -20%
- 3. Technician/Worker Performing Checks: Name:.;;t Tit!e: _ _.1Z=-"'CT_,_
__ _ Date: /6/1(,/!5"' Time: /6?8 r . J.( Location
== Description:==
N LJ 0 , ., ' ,,, _____ _ X-Coord: Q 511. "'! Y-Coord: Yti 3"1.? 'I. Site or Location: Site/Job: GPS Coordinates (when required): ! Instrument Field Response2
- Use Acceptance Criteria Remarks Rev 110/18/15 Meter Bkg Bkg Counts Source Source Response
+/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt {gross cpm or source Calib.
- Check Of Temp. (add'! Info: inst. Condition, etc.) lime uRem/hr)
Time uRem/hr) gross cpm current (Y/N) check {°F) or uRem/hr (Y/N) .. (Y/N) . Rate meter I JU1n fJ.lf I 111*ti Lf tJS 0 rA/vl. v v v /6.3:2-->".3. 7 ---n. .2 ;$ 'L Ratemeter I //1f7 .... \j J1f \; J(J' 7 /".:;,f.]'7 C/cx Rate meter , I I I P"' 1 Ratemeter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges signlficantly, perform additional counts to evaluate instrument stability
- I Rev 1 10/18/15 Instrument Field Response Check Log 1. Instrument lnformatlon 1 Ratemeter:
Make/Model:
- l_w)fvvi....
- Vt.I(,,,..)-
Serial No.ePbO"!<< Detector 1: Make/Model:
- &Jf11m lfll-f(J Serial No. 'P&J/;l...&"(.J-Cat. Due Date:
Blcron MlcroRem Meter; Serial No.-----Cal. Due Date: __ _ 2. Check Source Information: Source l Isotope: -:IE..d:-32-: Serial.No.: If I Activity:.?/). I Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/h' -20% Assay Date:f net cpm + 20% f' net cpm -20%.Rg?;;.C Source 2 Isotope: 4
- lJ? Serial No.: I ( 4*,:?5-J
- .Z. Activity:
0.6)-unitsf-:'.C,* Assay Date: 1\/,4 Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr-20% net cpm + 20% net cpm -20% ES&'f1 3. Technician Worker Performin Name: --"' Title: __
- 4. Site or Location:
Site/Job: :J. ( 1 GPS Coordinates (when required): X-Coord: N 'f)-.6r:ilf'ft/, 'I" I Instrument Field Response" Meter Bkg Bkg counts Source Source Response +/-20% Cnt (cpm) or Cnt {gross cpm or source Time uRem/hr) Time uRem/hr) gross cpm or uRem/hr (Y/N) Rate meter f MiY\ C!Jlvi 'f6ll;l.6 C/Pt1'-v Rate meter I f IM;,.._ I { ;J\r.. \1 Rate meter Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA Location Description
- __
______ _ t. J 0 ,r/ Y-Coord: w67f fP .n,7 Use Acceptance Criterra Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (V/N) check (oF) (Y/N) v y (h;l-JJ-{,ff_ v v . /)'t'f() 1t.. I tJ7 P(J?'_ r I v 1. J nstrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for e1fl check sources being used. 2. Source and Background count rate*:-;hould be determined from the average of thr!!e static counts at the same location. Repeat counts should be *withln 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stablllty I i I I l I i i ! I I I l_ Rev 110/18/15 Instrument Field Response Check Log* 1. Instrument lnformation 1 Ratemeter: Make/Model; Detector 1: Make/Model: Blcron MlcroRem Meter: 2. Check Source Information: Serial No.cl£(. Dj serial No. 1"f:f f.U-t.f2 Serial No. ____ _ Cal. Due Date: Cal. Due Date: source 1 Isotope: 7A,;?32serial No.: {I ( Response Acceptance Range (+/-20%): uflem/hr +2.0% ___ uRem/hr -20% Assay Date: ( net cpm + 20% 371 i" net cpm -20% Source 2 lsotope:U Serial No.: / /1E):l../2. Activity: CJ,o,,;:L. Assay Date: Jll.l_ Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% net cpm + 20% I 3?-7$ net cpm -20% 8 3. Title: lZC"/ 4. Site or Location: Site/Job: ArlA .S. { GPS Coordinates fwhen required): X-Coord: N '/J-d£ J.if.q" I Instrument Field Response2 Meter Bkg Bkg Counts Source Source Response +/-20% Cnt {cpm) or Cnt (gross cpm or source Time uRem/llr) Time uRem/hr) gross cpm or uRem/hr (Y/N} Rate meter I ... 11t-. I 1.J\O.o'l t../;)1('1 v Rate meter I r .... :'V' I ( :;.. 'fl{ c.DIV-'.} Ratemeter I Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bkron NA NA Date/f¥ Time: .ij',ZC Location
== Description:==
C .,,-f';.e.f.R V-Coord: IN 6 715° 'fD . Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'l Info; inst. Condition, etc.) current {Y/N) check (oF) (Y/N} " v 113..2... l/-t.s-j)£ \/ I I 3 'l £/2r v;J.£_ I/ 1. Instrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform a dcHtlonal counts to evaluate instrument stability i I I i I I I I I Rev 110/18/15 rnstrument Field Response Check Log 1. Instrument lnformation 1 Ratemeter: Make/Model: f.,,J/()Jl.. j;l{/ ... ,2.. Detector l: Make/Model
- --=t_v:..;.:'J'J"""'?v.,...i!t"-'--
..... 't""""lf_-_l_O __ Serial No. c/-(J' ti 9 8 Serial No. "PR.:1..Rt.Y;L Serial No. $378'A.-Cal. Due Date: Cal. Due Date:lv7j1JllS: Bicron MicroRem Meter: 2. Check Source Information: . Source l Isotope: =t'f:,?3).. Serial No.: fl/ Activity: C6 ./ units:/!?,: Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% Assay oate: 1-'/in net cpm + 20% . tr net cpm -20% mu Source 2 Isotope: Serial No.: f f'*P'3--(2 Activity: l?.O,;L.. Assay Date: /\/A-Response Acceptance Range (+/-20%): uRem/hr +20% __ uR.em/hr -20% net cpm + 20% net cpm -20%
- 3. Checks: Title: gcr-CY/17 Date:/O/zf I 4. Site or location; Site/Job:
__ 111 ;p I' ,, GPS Coordinates {when required): X-Coord: VL <i:L ...2S SY.'? Location Descriptlon:. __ ,. *" Y-Coord: W(J7o $'(} 31. 2 I Instrument Field Response2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt {cpm) or Cnt {gross cpm or source Ca!ib. Check Of Temp. (add'! Info: inst. Condition, Time uRem/hr} Time uRem/hr) gross cpm current {Y/N) check (oF) oruRem/hr {Y/N) (Y/N) Rate meter /,.,.; ... . .. ,,... /Mi;..., '1-r:l .{, { I" 11-\{ y y 57 () t}.$-Rate meter . l ,.,.;,,.. II :._ \JJ VJ -..u* 6-IS/ Rate meter I ( ( I -Rate meter Bicron NA 6uLJJ..r NA l'J'i * \./ \f v 1Yf5'f ().<; ---r--k. 2-Bicron NA . I NA I , I I I I () Bicron NA NA Bicron NA NA. 1. Instrument designated check source is listed on callbration sticker. Record check source response (oet cpm) prior to field deployment for all check sources being used. 2 .. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges sJgnif!cantly, perform additional counts ta evaluate instrument stability I I . I I .----.w.l'-v .SGR'VICES Rev 110/18/15 i I I Instrument Field Response Check Log l. Instrument lnformatlon 1 Cal. Due Date: Cal. Due Date&#.£ Ratemeter: Make/Model: De1ec;tor 1: Make/Model: Bicron MlcroRem Meter: 2. Check Source Information: Source 1 No.: JI f / units:&LJ Assay Date: / .t [J""o: Vo Meter Response Acceptance Range (+/-20%}: uRem/hr uRem/hr net cpm + 20% Y net cpm Source 2 Isotope:($./ J 7 Serial No.: { 1'8J-f )_ Activity: 0..0.¢- Date: . Response Acceptance Range (+/-20%}: uRem/hr +20%__ uRem/hr-20% net cpm + 20% {'$.)....7 Y net cpm -20% '°t'f"'t? I Instrument Field Bkg Bkg Counts Sour.ce Source Response +/-20% Cnt (cpm} or Cnt (gross cpm or source Time uRem/hr) Time uRem/hr) gross cpm or uRem/hr (V/N) Date: ( 3 .2... o Location Y-Coord: W d7"r Yo '3,. 7"" Use Acceptance Criteria R{:"!marks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'! Info: inst. Condition, etc.) current (V/N) check (oF} (Y/N) *-! Ratemeter I"";"" ?i'1. J.Cjd},. r l/'{t,,11 C.n-"{ , .. \j I rrt..-.1"5') Jf7 Rate meter , ( 1¥4.,,.,, JI cJ.-" 'I {/ Lt:. I -r--s '7 "JI.* Rate meter I I ( -' (/ Rate meter Bicron NA q. 1a IL.r NA './ \{ "-../ f'3si Bicron NA ,. I NA f I I ,,,.. -*--'jf Y. ,, , Bicron NA NA {/ Bicron NA NA 1. Instrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static*c;ounts at the same location. Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability I ! I I i I I i I i l ! I l I I I I I TS MJ"-'V SGR"VICtES Rev 110/18/15
- 1. Instrument Ratemeter; Make/Model:
LvJ/f/JV' )) '{ { Detector 1: Make/Model: LvJ/11,.,.. 'ft.{-/(J Bicron MicroRem Meter: 2. Check Source Information: Instrument Field Response Check Log Serial No. 11 C."6'-( Serial No. 'fg it"41t.f2. Serial No. B 6 '?'$ 6 Cal. Due Date; IPjrr:/'f::, Cal. Due Date: Source 1 Isotope: "'11--;?12-Serial No.: / j l Activity: ..C..CJ. I Response Acceptance Range (+/-20%}: uRem/hr+20%__ uRein/hr net cpm -20% 'l>IT{.4 Source 2 Isotope: Serial No.: II ic;J.3-f.i Activity: 6.6 ,;l-. units:&_ Assay Date: _LYA__ Response Acceptance Range {+/-20%): uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% ('$l.7'S net cpm -20%
- 3. Checks: Title: 'RCT 4. Site or Location:
Site/Job: 3. I . ,, GPS Coordinates (when required): X-Coord: N Y;t ':ct '-S-L{. I Instrument Field Response2 Meter Bkg Bkg Counts Source Source Response +/-20% Cnt (cpm) or Crit {gross cpm or source Time uRem/hr}. Time uRem/hr) gross cpm or uRem/hr (Y/N) Ratemeter lw...1' 'l1. I t./kt' I Mi>\. /'"_fi-v Ratemeter ) wl *'°h If Ir c../J,..,... \] Rate meter I r Rate meter Bicron NA h LA,,./J. r NA f ;i_r., /f,.J£/ ,, Bicron NA I NA I ;* I Bicron NA NA Bicron NA NA Time: IS""'S-0 Location
== Description:==
__ Y*Coord: W 6 7'l "'-[o $.:;. 7 ,,. Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'l Info: inst. Condition, etc.) current (Y)N) check (of} {Y/N) \{ y 15"1"'\ /.JC -rJ. -1 C!:'...'7 l...J ',/ t/f).£_ -!"?? f ' v lf .... , /J.4 -rt.. I I v 1. Instrument designated check source Is hsted on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate .should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability ! I i I l L Rev 110/18/15 I I i I Instrument Field Response Check Log 1. Instrument lnformatton 1 Ratemeter: Make/Mode!: L!lDLutA. ')) . .'-/) -Z.. Detector 1: Make/Mode!: [<l!}l-VllA 'fl/-lo Bicron MlcroRem Meter: z. Check Source Information: Serial No. J (p 'J. 131 Serio! No. ff!. /II/ J 'J Serial No. ti=;; ;J. '1 u Cal. Due Date: Cal. Due Date: Source 1 lsotope:
- 17, .2'32. Serial No.: J J l, Response Acceptance Range (-r/-20%):
+20% __ uRem/hr -20% ==-Assay net cpm + 20% __ _ Source 2 Isotope: Cs Ill Serial No.: K7E'15 *"If? Activity: -v :2. units:µ.<:.<'. Assay Date; 1/20/t o Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% __ net cpm + 20%. __ _ 3. Technician/worker Performing Checks: Name: SffVt /(:rAISl'.l\Ar./ Title: _____ _ Date: uizdc(Time: Ofoo r ' net cpm -20% __ _ net cpm -20% __ _ 4. Site or Location: Site/Job:. __ location / L/ 0 I IC * [ / . " GPS Coordinates (when required): X-Caord: f1L LC J J 'ff': 0 Y-Coord: lV O'JR' 'fo :$' >.. .2. ! Instrument Field Response2 Use Acceptance Criteria Remarks t Meter Bkg Bkg Counts Source Soun:e Response +/-20% inst. Battery
- Time Ambient Initials and Comments Cnt {cprn) or Cnt (gross cpm or source Ca!ib. Check Of Temp. (add'l Info: inst. Condition, etc.) Tlme uRem/hr}
Time uRem/hr) gross cpm current (Y/N} check (of) or uRem/hr (Y/N) (Y/N} . . .. .. Ratemeter
- I m1AJ
- S: / 111 I fl/. /1%D'f y '-/ (JC/ 00 t;{1 fl/... z:s l.-Ratemeter Ir "u11J, f</.-1,)
1 I tn11J J/qj? ...; y (J({f) 0 <Jy /J 7 Ratemeter I tYJ!d Y9?{ I m 1111 y y /ZJo t. I -1l. 2 17.. , Ratemeter I fiftr.I r11s '!.vi, ,J 17 'i!JI' '/ y l!Z...)o 65, {. f'c)]I i Ratemeter 'f M(/11 q1JO/ I /11 r ;V v y /boD &b.1-"ti.. 2 57 Ratemeter J f!trt/ q O"') 'f P11v. 1(_!.('{ y v /br>o (,, &,. l.. /. J J"/ Bicron . 'NA I NA 11 v y *fl 9o 0 c;CI Sieren NA 7 NA I "'I 'I y 1lso ts. r ! Bicron NA -') NA I K y y I I. ot:i ?nt,, ?_ 1. Instrument desi nated check source is listed on callbration sticker. Record check source res onse net c m rior to fleld de lo ment for a II check sources bein used. g p { p )p p y g 2. Source and Background rate should be determined from the average of three static: counts at the same location. Repeat counts should be within 20%. If count rate diverges I I I I I ' i l i I significantly, perform additional counts to evaluate instrument stability 1 ______ J Rev 110/18/15 i I ! : 1. Instrument Jnformation 1 Ratemeter: Make/Model: LiJdl(/ffl 2-Detector 1: Make/Model:LU'/Jc.-v/V\- t./i-1 o Bicron MicroRem Meter; 2. Check Source Information: Instrument Field Response Check Log Serial 1 J.7 Serial No. fl/ I l 11 lJ Serlal No. fl:V Y V< Cal. Due Date: q( Vi Cal. Due Date: l. Source 1 lsotope:"/1i
- z..1-z.__
Serial No.: )//zr Assay Date: 1i.};;c:/ro Response Acceptance Range (+/-20%}: uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% net cpm -20% __ _ Source 2 Isotope: C.s. ( 3] Serial No.: g--7 {I]-'18' Activity: ,..0 2-. Assay Date: __ Response Acceptance Range {+/-20%): uRem/hr uRern/hr-20% __ net.cpm + 20%. __ _ net cpm -20% __ _ 3. Technician/Worker Performing Checks: Name: S'ffl/e K:rA.H//lttA/ Title: _____ _ Date: Jo/z1t('Time: tJf!S 4. Site or location: Location _____ _ GPS Coordinates (when required): X-Coord:
- 11 </), Lff'( 'I I Y-Coord
VI) 018'. b 7 11 2-I Instrument Field Response2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source
- Source Response
-+'/* 20% Inst. Battery lime Ambient lnitial!i and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) Time uRem/hr) Time uRem/hr} gross cpm current (Y/N) check (oF} oruRem/hr (Y/N) {Y/N) -y --.... -Ratemeter f /fl I Ill l<f9\ I rJ1 IN flo1/(,, y ()Cj/( jg-_ if 'Th. ZJZ = Ratemeter J 1'A1N q I I rYI IN I J.-'ff'_< y '/ aCit < {3". 'f l< 11* Ratemeter J ft11tJ CJ() I CJ I 1Y/IN ..:i11'1'1 y y /Jo 'P (,;c,,_*7 . Rate meter J tlf 1,J CJo I q I mt/./ U..; Ir y Y' I Jvc {.,k,. / Cs IJl i Ratemeter j (i11ri/ CJoz'i J (!J_{f.f
- Jo ') q y i 1.\00 1 z_ 3 --ft. 2 > L.-! Ratemeter lm1rJ CfD.J'f I Ml/./ IJS11.,I y y 12.s I JI Bicron
- NA -7 NA If< v y {JCJ1( ((,"/ ---lh. 2n. I Bicron NA I NA ,., .... ; y IPOO 1 *11_ 2-1 '2-Bicron NA 1 NA /{(' v
/"2., -fl, Z3L . . . 1. Instrument designated check source 1s fisted on cal1brat1on sticker. Record check source response (net cpm) prior to field deployment for all check sources being used . --2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform a'dditional counts to evaluate instrument stability -* i i j I I I TS*
- &GRV.ICE.'lli" Rev 110/18/15
- 1. Instrument lnformatlon 1 Ratemeter:
Make}Modet: Detector 1: Make/Mode!; Blcron MlcroRem Meter: 2. Check Source Information: Instrument Field Response Check Log Cal. Due Date: . Ca!. Due Date: 8f'6f W Source 1 Isotope: '1li-l$1-Serial No.: /f / Activlty:<:b.! units:,,vC Assay Response Acceptance Range (+/-20%): uRem/hr+20%__ uRem/hr-20% .* net cpm + 20f:li,7e;g net cpm -20% 3)C'"6 Source 2 Serial No.: Activity: 0 .o..J..-units:,&-<; Assay Date: _.tLtl= Response Acceptance Range (-1-/-20%): uRem/hr +20% __ uRem/hr -20% __ net cpm + 20%(?2'7
- $.. net cpm -20% S!f_f 3. Title:
Date: lo/..2.!/!2: Time: O'f r 1 4. Site or Location: Site/Job: _ ..:..I _____ _,_ Location Descriptlon:. __
- -1 o:it/m.C ff i * .L;:....
o-t:> U. I "" GPS Coordinates (when required): X-Coord: LY-;:f...e:. L V-Coord: £0 37. Z l Instrument Field Responsei Use Acceptance-Criteria Remarks Meter Bkg . Bkg Counts Source Soun::e Response +/-20% Inst. Battery Time Ambient lnltials and Comments Cnt (cpm} or Cnt (gross cpm or source Ca lib. Check Of Temp. {add' I Info; Inst. Condition, etc.} Time uRem/hr) Time uRem/hr) gross cpm current (Y/N) check (cF) or uRem/hr (Y/N) (Y/N) Rate meter I w..*"" q /'f 7 ,.11.fu. .. l/?tW ,-..1Jhtt, v \./ tJ1so 5"6.L{ "17...-2$2. fk Rate meter t 1 ...... IM4'l' rJ?AA, v hi '" 1114'<1 :S-6. s /_c;-(3'7 Rate meter ' 7 ( I .._, Rate meter Bicron NA 1-i uw,u rt"' NA q \.7 \/ <-C x Bicron NA . I NA ' l r I { u Blcron NA NA
- Bicron NA NA 1. Instrument designated check source ls listed on cal!brat1on stkker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and aackg:rou nd count rate should be determined from the average of three static*counts at the same locat!on.
Repeat counts should be within 20%. If count rate diverges signlflcantly, perform additional counts to evaluate Instrument stability I j
- 1. Instrument lnformatlon 1 Ratemeter:
Make/Model: Lu (I; Detector 1: Make/Model: { :t/.5M Bicron MlcroRem Meter: 2. Check Source Information: Instrument Field Response Check log Serial No.
- Serial No.t6>'6/lf.2.
serial No. $&'f.$b. Cal. Due Date: Cal. Due Date: FJ Source 1 lsotope:'TJ-.-}.3,,_ Serial No.: /If Activity: <::O .I units: µt;;" Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% Assay net cpm + 20o/oC'J ?1f net cpm *20% IS" 1'-"t: Source 2 "J7 Serial No.: //'f *;?;3-1 :L Activity: !Y pr un!ts: J)C-i Assay Date: &A:. Response Acceptance Range (+/-20%): uRem/hr +20% _. _ uRem/hr-20%__ net cpm + net cpm -20%
- 3. Technician/Worker Performing Checks: Name: X EJ"",,,..J?s
. Title: 'fZ ( 'r Time::¢{73G7 4. Site or Location: Site/Job: kt". '3. ( * . ,
- Location
== Description:==
__ ,. / o 'e7/a' **' 4' , ,,. GPS Coordinates (when required]: X-Coord: 1v 'fpl .?Lg L Y-Coord: vv e>? 8'" "lo .:J7. 7 ' I Instrument Field Response2 Use Acceptance _Criteria Remarks Rev 110/18/lS Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm)or Cnt (gross cpm or source Ca!ib. Check Of Temp. (add'I Info: Inst. Condition, etc.} Time uRem/hr) Time. uRem/hr) gross cpm current (Y/NJ check (of) or uRem/hr (Y/N} (Y/N) Rate meter ' (fl';).. ,_ J. 'f J. t!D""' WI.,:-..,... l/?75J \/ \/ v (3tJ/ 7 71..-)'!2-tJ-f Rate meter * . I CA.;\.--.. I I q a tJ ',. __ rv VJ XI t</5 t:d;. > l/"s-f3 7 '1Jf Rate meter I I ( f v Ratemeter Bicron NA q NA t )01/1'1-.ft1.ir \I *V ,; /7,/7!., -rrt..-:1- "j 2._ Br Blcron NA . I NA J I I ( ....... Bicron NA NA Bicron NA NA 1. Instrument designated check source Is llsted on calibratlon st1c:lrer. Record check source response (net cpml prior to field deployment for all sources being used. 2... Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stability I lns.trument Fleld Response Check Log 1. Instrument lnformation 1 Serial No. /'f C.£.(.$1 Serial No. Cal. Due Ca!. Due Date: .( I Ratemeter: Make/Model: Detector 1: Make/Model: Sieren MlcroRem Meter:
- Serial No. 'A'q 5 b 2. Check Source Information:
Source 1 Isotope: Serial No_: /f ( Activity: c::O * ( Response Acceptance Range (+/-20%): uRem/hr +20% __ uRem/hr -20% net cpm -20% Source 2 Serial No.: / /fE)3--(2. Activity: t).a;L.. units:_k'L'; Assay Date: L'.Il4_ Response Acceptance Range (+/-20%): LI Rem/hr +20% __ uRem/hr -20%__ net cpm + 20% __ _ net cpm -20% 3. Checks: ntle: __ __ "! __ _ Date: to,.4jf£ lime: 153i 4. Site or Location: Site/Job: .,:S. / Location
== Description:==
____ GPS Coordinates (when required): X-Coord: N {{..,;l D;;z.'l '5?l 'i "' Y-Coord: Wo?K"'1fd: n 2 ;-, I Instrument Field Responsa2 Use Acceptance Criteria Remarks Rev 110/18/lS Meter Bkg Bkg Counts Source source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Callb. Check Of Temp. (add'! Info; Inst. Condition, etc.) TI me uRem/hr) Time uRem/hr) gross cpm current {Y/N) check (°F) or uRem/hr (Y/N) (Y/N} Rate meter I .a...'-lf f o I .--nt.. I ""':x v '{ v ft;?/ 6<6. f ;z_ Rate meter I '-** *-.f I ..... "'YI. lr'J'lf'7cn,,_,. -!./ \JI /'$'?/'-/ '7.'-/ /s-13.7-0£ n . ., Rate meter , r f ( {./ Rate meter Bicron NA lf/fU</ l..r NA hr \( \J ,/ 67/-1 In... -2"5'1 _(.)?' Bicron NA , NA ' I I ( -Blcron NA NA Bicron NA NA 1. Instrument designated check source ls listed on ca!lbrat1on sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. lf count rate diverges significantly, perform additional counts. to evaluate Instrument steblllty I App E-Sub-Area 3.1-Sample Data Sheets
SAMPLE LOCATION DATA SHEET . Project: /VY $ f:. \(..\:)Pl Weather: _flu
- 1. Sample Area (SA): SA Designation: 3 . \
Description:
&rtV,ecJ SA Origin Location: Coord_ System: ____ _ SA Land Mark
Description:
- c:.vyv-Cv-:>lJ Coard: .2. Sample Location Data: Sample Area ID: Matrix:
\ .. LocationCoord: f\J 42.l-/<J0f.£JS5 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0.0) r...i I A Y Dist. fron1 Origin: . Nj 11 I Site Sketch Attached (Yes) Sample Location
== Description:==
(om 8DtJ, no '\:i+o..I Canopy Type: __ Land Use: Soil Moisture (Wet, dry, 3. L R. d" ' R d" ocat1on a 1at10n ea mgs: 2x2 NaI i Bicron Notes (cpm) (uRem/hr) . ; Count time 1 cm Im i lcm lm (min) ! I I 1.'.)5i tO"l'i \ g I iJIA I !f';,1, 0 lf'. f./ 1 g --4. Sample Information: Sample Area ID: 3 * \ * \ . 6 , /-;{ Soil Color Sample ID Samplitig De[)'cription (Surface litter type/depth, sample depth retention,
- refusal, stone or rock, to po ra h , erosion features)
Sample Recorded on Laboratory COC form and Container Labeled (N) (to -100 I &vii-'-:s. \.I.LS' NJA 10/20/15 SAMPLE LOCATION DATA SHEET Date:1t/o*-20-1-r-Proj_ecr: tJ 'yg;JZ.DA Weather: J?crfly Clo vd1.;. 1 ..va.rm -r.,.,..,e. 5;-c;A--:10:: 1. Sample Area (SA): SA Designation: __ 3_._\ ___ _
Description:
_{pm B d '-'-=----'---=-"-=--------- SA Origin Location: Coor d. System: -----SA Land Mark
Description:
__]2,ivtw{!J
- 2. Sample Location Data: Coord: idiz,tJ Sample Area ID: 3, i . 2 Matrix:
Location Coord: j.J . u 134 -hl en. '1 $ 0 6 'i I
- Alternate Location Measurements (distance fi-om SA c1rigin and Local Coord.) X Dist. from Origin (0,0)
Y Di:>t. from Origin: u.) \le I Site Sketch Attached (Yes) @ Sample Location
== Description:==
Canopy Type: ()Pt<" Land Use: _ _E_Q.,:(W. __ Soil Moisture (Wet, dry, etc): -.:o, w-t-1" 3 L ti R d' ti R d' oca on a I.a on ea mgs: 2x2 NaI B'cron Notes (cpm) ; (uRem/hr) Count time 1 cm Im \cm lm (min) .. -. -* --****** I !ILlCZ tO ID .Lil f\ I ll 42.l! iOw63 t-****-I
- 4. Sample Information:
Sample Area ID: _3_. \ , 7 , I[ . I -l D b D th escnoticm 'Y ep Depth Soi/Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) :-efusal, stone or rock, toEography, erosion features) O-IS \ tSa:.,..n 3.1. 15-30 '7 (}: \ R .. 'lJ1,...i,/\. £, 2 IJ}Pc !,D*. l '3.L 2.. f, 3 Nf f< {uO -1 vu Mvd J l}>t). k /' ':?..1.*z.e..'1 n.1-wo.\.e c I Sample Recorded on Laboratory COC form and Container Labeled: (N) ' SAMPLE LOCATION DATA SHEET Date: ID -Zo Project: 1'-Jj 5 tg_pf.L_. __ _ Weather: pcf'f\-r Clo:,cLy , c&Cc/c--< I. Sample Area (SA): SA Designation: 3, I
Description:
__ Gx='-'-ri'--'-f '=1c ..... / SA Origin Location: ______ Coord. System: __ _ SA Land Mark
Description:
- --Coord: 2. Sample Location Data: Sample Area ID: 3 r l v 3 .. E Matrix:
L_ . Location Coord: W 1<6,/!1 CJ L/ __& LJ -Z
- 4 'l 13 '-18' S\crt
'. 2.5 e"'d : I '1; 3 o Alternate Location Measurements (distance from SA origin and Local Coord.) / "7 1 r -, . l l)'\ V(WCu\ 67. a ,s. W '"'fYD/\I\
- 3. I. 5 X Dist. from Origin (O,O)___Mfjl
__ , *
- Y Di!;l. from Origin: _.N-"'111-\.lft---
Q Site Sketch Attached (Yes) <<l Sample Location _IL_s ____ Canopy Type: Op-ch Land Use: {G(hJ Soil Moisture (Wet, dry, etc): 3 L f R a* ti R d. oca ion a ta on ea mgs:
- 2x2 NaI ; B**cron Notes (cpm) (uRem/hr)
Count time lcm Im 1 cm Im (min) -; I ID {;t;c_p iO ! I '1 'l g --I {()/t/1-10 'lo ct .sJl!:t-i, -----* 4. Sample Information: Sample Area ID: 3. l. 3, E, I-'i Depth Soil Type Soil Sample ID Sampling Description Interval {Org; clay; Color (cm sand, etc) (Surface litter type/depth, sample depth retention,
- efusal, stone or rock, to oo-ra h , erosion features)
Sample Recorded on Laboratory COC form and Container Lab(lled; (N) Date: /0-7./-/) Project: AJ'YScR..00 SAMPLE LOCATION DATA SHEET Name: *Jii0
- V[)'...tJ;it.
Weather: WO,tM 0 l. Sample Area (SA): SA Designation: __ SA Origin Location:
== Description:==
Com .f-; <:..{d Coo rd. System: -----SA Land Mark
Description:
.... w__.'_D.>-l_J-t--- Coord: 2. Sample Location Data: Sample Area ID: 3 . \, Lf Matrix: so,_\_ Location Coord: N 7 f{, w1Cffr'/'J cl Alternate Location Measurements {distance from SA c1rigin and Local X Dist. from Origin (0,0) rJ Y Dist. from Origin: --t-N....:.i/"""'-'---
- 3. I . 3 / 3'5 ff, S l Site Sketch Attached (Yes) Sample Location
== Description:==
Um {i t. l J (Ls Canopy Type: 0 p-t.V\ Land Use: fQ_(fl.A Soil Moisture (Wet, dry, etc): J) 0{ 3. L R d" ti R d' ocatwn a 1a on ca mgs: 2x2 Nal Be.Cron Notes (cpm) (uRem/hr) Count time lcm lm I 1 cm Im (min) I 'jg 8"5 5( 7 v I f1 1 q3 '(j 922/( ' tJ J f\ : !' 4. Sample Information: Sample Area ID: J . j , Y , £. . f-!./ Soil Color Sample ID Sampling Description (Surface litter type/depth, sample depth retention,
- refusal, stone or rock, to o!Zra h , erosion features Sample Recorded on Laboratory COC form and Container Labeled:
(N) SAMPLE LOCATION DATA SHEET Date: Project: ---+-jJ"--'V,_,5._...f..,.""""'J2,-'{)1'1'------ Name: Weather: Clo
- ud:-t I 1. Sample Area (SA): SA Designation:
_____ _
Description:
- CoYt'i Htf d SA Origin Location:
SA Land Mark
Description:
-. ___ _ Coord. Coard: 2. Sample Location Data: Sample Area JD: Matrix: So* { Location Coord: tJ L/2 t/ 8Z l.f / °J . -IAI 7 '(-u7 <l. 'lg'0 Alternate Location Kifeasurements dTstance from SA origin and Local Coord.) X Dist. from Origin ((),0) J/ k Y Dist. from Origin: _JjJ) l:l . Site Sketch Attached (Yes) @) Sample Location
Description:
{orn h (, td , 5tul _ Canopy Type: 0 '/)(,fl etc.): Dty l Land Use: __f__a.r lk. Soil Moisture (Wet, dry, 3. Location Radiation ReadinCJs: Count time (min) I 2x2 Nal (cpm) lcm 4. Sample Information: Soil Color Im Bicron (uRem/hr) Notes lcm . lm Sample ID Sample Area ID: 3, / . 5. 12. Sampling Deseriptimz (Surface litter type/depth, sample depth retention,
- refusal, stone or rock, topo ra h , erosion features Sample Recorded on Laboratory COC form and Container Labeled:
(N) 10/20/15
SAMPLE LOCATION DATA SHEET Project: N\Ktilfil __ _ Name: -r;:.i BYD<..,..V'- Weather: Cfoxly,, ww:w. 1. Sample Area (SA): SA Designation:
== Description:==
SA Origin Location: Coord. System: -----SA Land Mark
Description:
Coord: 2. Sample Location Data: Sample Area lD: \. Le Matrix: s*6 *, \ Location Coord: itj 7 'I, Lt 7 'if3 4 s *-f\I Lf_2. 4?'3257" Alternate Location Measurements (distance from SA origin and Local Cof:rd.) X Dist. from Origin (0.0) N{ Pf Y Dist. from Site Sketch Attached (Yes) Sample Location
== Description:==
Grn d t1o ____________ _ Canopy Land Use: . .fuv\..A., etc.): Dt\,1 Soil Moisture (Wet, dry, ' 3 L f R d" ti R d" oca ton a 1a on ea mgs: 2x2 Na! Bicron Notes (cpm) (uRem/hr) Count time !cm lm )cm Im (min) ( '7iq2-o X' 7 Al J /4. l S? <c:; (_ f\J/A ... 4. Sample Information: Sample Al-ea ID: .3. LG:> , J2.., 1-lf D 'ti bDtl escnp* on ep 1: Depth Soil Type Soil Sample ID Sampling Desaiptio11 l11terval
- (Org; clay; Color (Surface
[itter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) 6-'!S-' * \ t--.n,,,,, 3i.t_.,,2...I /\J /4 IS-6Q_. \ hi'l'L_.A,.-
- i. \.1 ... (L "'2. ,Jt 3o-t.t<>
bfl)vV-- i!J n-(.g {)-/ (,) <.> i-.,,..,.._ .... 12.. t.1 l!l rq.. Sample Recor<led on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15 SAMPLE LOCATION DAT A SHEET Date:# iO-IJ-1S-Project: J) Y5ck!.1)A Weather: 5ui\V\y1 l.oo\ I. Sample Area (SA): SA Designation: -=3,_,_\-'-------
== Description:==
____(Qr n e\.O SA Origin Location: --*-----____ Coord. System: _ *------SA Land Mark Descriplion: 'Q,;, \l"'"t*wcd Coard: Yoo -f-*t:. I _f;*" sJ. 2. Location Data: \\) J-jl>!f,ll'{.? 'fJ){'r'\Y> Sample Area ID: :3, l. 7 Matrix: '501-_L LocationCoord: w7'8', (Jt7'if9.11"
- J+/-!/2, '/(/&1i('
N Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) J\f\ Y Dist. from Origin: Site Sketch Attached (Yes) @) Sample Location
== Description:==
!c.L (Off1 .sh:aj /c.) rLh?..{)1i'"ed I Canopy Type: Q pe I'} 3 L t' R d' f Land Use: FQ..viM,. __ Soil Moisture (Wet, dt)', . oca mn a ia 10n R d" ea mgs: 2x2 NaI B*cron Notes (cpm) (uRem/hr) Count time \cm Im ' !cm lm ' (min) ' I 1019 .'2. q '1 q 3 g 8" ;Jf A 10 8 'ii f;'" <j q Z.CJ -l i I 4. Sample Information: Sample Area ID: 3. \ , *7, IC . I -Z.. D b D th escnotwn IY ep Depth Soil Type Soil Sample ID Sampling Description Interval -(Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ;efusal, stone or rock, to2ogra2hy, erosion features) o-/5"° b\d/,,,a: I k-'(\ 3 I ,7, f:. , 111 A /5 -:, 0 c.;<\-l ...... ; I j::i.,.....,. 3 J .l,. Nii'\" -Sample Recorded on Laboratory COC form and Container Labeled: ff) (N) SAMPLE LOCATION DATA SHEET Date: iiJ-tCJ-i r Project: /JY5eK..M Name: --r;;;.
- 6i1>:d.;...
Weather: s0n'f\y / c. oo *--*--*----*-
- 1. Sample Area (SA): SA Designation:
_5__;_._\ _____ _ Desciiption; __ SA Origin Location: Coord. System: ____ _ SA Land Mark
Description:
v\ '<(u..."'d Coord: 2. Sample Location Data: Sample Area ID: _'3--'-'. l'-._8"--- ___ Matrix: _l_ Location Coord: VJ/&. lo7X1t1°' Alternate Location Measurements (distance from SA ciriginand Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: rJ1P< Site Sketch Attached (Yes) Sample Location
== Description:==
[Dn"' h rcvn sk\\t...S lo (tx,uS 11 260 f-L Lv -,,_ ---a} ------- Land Use: carnt-\eld Soil Moisture (Wet. dry. Canopy Type: Ope f1 3. Location Radiation Readings: I 2x2 NaI B*.cron Notes* (cpm) (uRem/hr) Count time lcm lm lcm ! Im : 1 ..... -(!_Uin) --.. _ l, ci;qzo CJLf x-t* 'tJ .. , ' IJ//< I 9 x-'7 I qo 8'! __ I -**-*-**** 4. Sample Information: Sample Area ID: 3 , \ . , £-1 7-
*--
Soil Color Sample JD Sampling Description (Surface litter type/depth, sample depth retention, stone or rock, to o a b ', erosion features) Sample Recorded on Laboratory COC form and Container Labeled: (N) Date: IO -Z0-1-:r Project: JJY 5 f !2.DA Weather: 'Svti1*1.y; u.ptr>. I. Sample Area (SA): SAMPLE LOCATION DATA SHEET 1).rorc=" . SA Designation: __ 3-----". j ____ _
Description:
(pl(\ el d. SA Origin Location: Coor d. System: -----SA Land Mark
Description:
Coord: 2. Sample Location Data: Sample Area ID: ---'3"'--. }'--._CJ __ Matrjx:. <;.., ,_\ _ ,_. Location Coard: W 7 8'. 0t 19 (p St/ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (O.O)_JJ} l'r Y Di!:t. from Origin: Ai/ 1-\ Site Sketch Attached (Yes) . Sample Location
== Description:==
.. ..... \ _____ _ Canopy Type: 0 ...... ___ Land Use: Soil Moisture (Wet, dry, etc):._--'D'--'-",f-/ __ 3. L Rd' . R a* ocahon a iabon ea m2s: 2x2 Nal ! B:.cron Notes (cpm) (uRemlhr) I Count time I cm lm lcm Im (min.) :** { \Of>W Ji) Di.ff 7 7 ----.tJ/ jl. I IOI.{ 1 'l.-!O/V 2 ,__. N/A i -*-4. Sample Information: Sample Area ID: 3. \ ,. q. £!. * /-2. D b D h escnption 1y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!rraphy, erosion features) ()-J s--:;,o;t 112..-u'->"'\ E, I NJ rr Jfj-jD ll./\c. ... .. I C;,t,2.. 0-fl_ Sample Recorded on Laboratory COC fonn and Container Labeled: eJ (N) L Date: tO{ 7.-[ ( J ") Project: N\.\ SER 0 r+ Weather: Lloi.:.d,L\ 1 S-01.S 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: gt'()l.\;rJ SA Designation: A l"'{_Q-.. 3 . l SA Origin Location:
== Description:==
(Di--n t 1 d SA Land Mark
Description:
Coord. System: LrJ.-( lorj Coard: l'.t .lo 1 =j ;;i.:;i. LJ ;-i,. (.I %{0 2. Sample Location Data: *sample Area ID: _?J_. l"""'._l_o ____ Matrix: .501 \ { dcul Location Coord: 1
- G 'b uOO 3 4 d-. 411 I d, 0 l:, Alternate Location Measurements (distance from SA origin and Local Coord.) LI <s y a.-d5. X Dist. from Origin (0,0) Y Dist. from Origin: ____ --r co../ 1 r Site Sketch Attached (Yes) -u-r I H'St ()'j-(O!'"'J Sample Location
== Description:==
Cc rn?i?.. tel :tlcd 5 I Canopy Type: C'J Q8'! etc.): cla.mr J at Land Use: Soil Moisture (Wet, dry, 3. L. Rad' . R d. ocatmn iat10n ea mizs: 2x2Nal Bicron Notes (cpm) (uRem/hr) Count time lcm lm lcm lm (min) l II <oqs-ro, 99 '" lf '1 rJ I If (0. '150 , 4. Sample Information: Sample Area JD: 3. 1.10 E.. \ E. d. b D h Descnotion 1y eot : Deptlz Soil Type Soil Sample JD Sampling Descriptio11 I1zterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) 0-1'5" I d!A..Ll .E. \ IS. :'.>O ,561 ! 1 duv '3. 1.1/).E' ,d-I I _----.. Sample Recorded on Laboratory COC form and Container Labeled(Q)} (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: J.e (?..({is-Project: N \I s e ( or4 Name: Grow!) Weather: (I. uv ::!l y 50
- 1. Sample Area (SA): SA Designation:
___ _ SA Origin Location:
== Description:==
__,,C...::.o_r"'...:...* __ Coord. System: lu:J-f lur-> SA Land Mark
Description:
__..Dr"'-=l\/l.=Lv=:i..,...:q... ____ _ Coord: T5.l..7'1 '-/.:l. 3 2. Sample Location Data: Sample Area ID: 3. I./ r Matrix: °So* I ( do.i Location Coord: r 'b 'G 1 q 1-0 4 d. ' <../ l 1 l, Alternate Location Measurements (distance from SA origin and Local Coord.) I$ G L.{ o..d..S wd of C 11/1 x Dist. from Origin (0,0) y Dist. from Origin: .d I edjt '* brlJsh/ l/N-ml ( I '1 *_ Site Sketch Attached (Yes) Sample Location
== Description:==
C0rn-f1 d ol stct.l b {,!l Canopy Type; ._ __ Land Use: __ Soil Moisture (Wet, dry, etc.): do.mp, f'ill li...l.\fL..-
- 3. L Rd" ti R d" ocation a 1a on ea m2s: 2x2Na1 Bicron Notes (cpm) (uRem/hr)
Count time I cm Im I cm lm (min) I 10 1D, 31../o
- 7 lD
{ JD_"f:(.P./ Ill d.9D 4. Sample Information: Sample Area ID: 3.1. II El -E D b D h escnption 1y ept : Deptlz Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) D-i "(" do,1..1 . !-,..,.,,., ... "J... I. I I E I I '.S *30 Jei.J 6-u .... <..I. rf .EZ.. ! Sample Recorded on Laboratory COC form and Container Labeled: rf!J. (N) 10/2.0/15 Date: \ o l -z. d 1 '5 Project: fU '-i SE f4 SAlVIPLE LOCATION DATA SHEET Name: S gl'Dwn , -I Weather: (_ \ 1 S 0.) 1. Sample Area (SA): SA Designation:
- 3:,. j SA. Origin Location:
== Description:==
LCr:'lf 1 d J Coord. System: Cod-{ [>>."S SA Land Mark
Description:
____ _ I Coord: l't.L.1'4d..J. 1 4';;;.t.J'i:ObS
- 2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix:
j { C Location Coord: l\ ,;J,.l-l
- s-C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) ;:) (p + L{ tt..-ds clt\ L X Dist. from Origin (0,0) Y Dist. from Origin: ____
of Co....v-' Site Sketch Attached (Yes) J Cl{<..:;'
- 'itcd 1:5 Sample Location
== Description:==
locn-P1dd..) s+oJ k5 Canopy Type: OQtn Land Use: \:n..rro etc.): (k,l'VI? ,flo v.;dv,. Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on ia on ea mgs: 2x2 Nal Bicron Notes (cpm) (uRem/hr) Countfane [cm lm 1 cm l Im (min) ; l 1{ YL1 10. qui f'J (A l ii
- 4. Sample Sample Area ID: '?::.. l . f ;;i.. E I
- E ;.;l, D 'ti bDth escnp on 1y ep* Depth Soil Type Soil Sample ID Sampling Description Interval (Org; day; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, top0graphy, erosion features)
CHS { r lo.I..! 161'(,,,/"\ 3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._,
- ., 3._1. \;;l.E.d.
I -.......... Sample Recorded on Laboratory COC form and Container 10/20/15 SAMPLE LOCATION DATA SHEET Date: Io l "Z-\ (IS Project: f\! \.\ SE. R.D 4 Name: S gl't>Wn . I Weather: (_ \ .' S 'O 5 1. Sample Are.a (SA): SA Designation: fl<<(A S. I SA Origin Location;
== Description:==
'G_o_r SA Land Mark
Description:
Coord. System: Lix!-( Ui,"!,) Coord: !'5. l. *Ol-:1 l(;,,.i.J
- 2. Sample Location Data: Sample Area ID: \ . 13 Matri;.<:
Location Coard: *1. o .. (?-":{ '7 7 cl J LI J., Y 'is' J.. I It> 6 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location
== Description:==
- de!. i staJ. t5 J J;tJ Nwv+: ( (lf I ; n :s+ru K5 I d cf c I o..rt.?-CanopY, Type:
__ Land Use: fo./,'\'V etc.): dctl"t'Jf I t1D Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on 1a on ea me;s! 2x2 NaJ Bicron Notes (cpm) (uRem/hr) Count time lcm lm lcm I Im (min) . ! 'J..9 10 '8' fJ !-A I l) I $" '-/ 4. Sample Information: SampleArealD: '5.1. ! 3 fZI -R.J, D b D th escnption 1y ev . Depth Soil type Soil SampJelD Sampling .Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention. (cm) sand, etc.) refusal, stone or rock, topography, erosion features) f\*IS :soi I llc-1_ L/ 3.\.13.R. I Soi I br?>w.,.., 3.1. 13.<<..:), I I Sample Recorded on Laboratory COC form and Container Labeled: (N) "10/20/15 Date: i O [ z.. d ! $ Project: '1 SE.!(..() 4 SAMPLE LOCATION DATA SHEET Name: S rSV!}wYJ Weather: (_ ( v:;°'--'1 1 $-05 I. Sample Area (SA): sA Designation: (\(ZD.._,
- s. I
Description:
-LOr :'[ +: Id rt SA Origin Location: Coo rd. System: lr:d--f Uf1 "-SA Land Mark
Description:
Coard: l't. t, 1!.J ;7.J.' t(;;,.4 G3, 2. Sample Location Data: Sample Area ID: \ . \ l\. Matrix: Sci [ ( Location Coord: . L, TS S G 5 L\ Y Z :J. 1 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location
== Description:==
lcl i :s-toJ c.f *u-?. el l 4 lD. '-l (L.J_:;, n orl-i1 C <VI d Q_()JtJ MQ_a__ Canopy Type: 0 Land Use: f o__rm Soi I Moisture (Wet, dry,_ etc.): llO 3 L ti Rad" ti R d. . oca on ia on ea m2s: 2x2NaI Bicron Notes (cpm) (uRem/hr) Count time l cm lm 1 cm lm (min) I 't G S-'8' 93al t l ciq.o<., 111 9 I 4. Sll.mple Information: Sample Area ID: ['1 D ' ti b D h escnp; on >Y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand. etc.) refu,sal, stone or rock, topograEhy, erosion features) 0-1$ :sell /Ja.u bn.v.. .. 3 .i . 11.{ .R. \ 0oi! f da.J brbv.in 3 _ l . I'-\ . I( <l I -Sample Recorded on Laboratory COC form and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1ol-z-t [cs Project: f\.I'=\ SE.((_.()?\; Name: S. grt>wn Weather: (_ vv-R1.1 1 s-05 1. Sample Area (SA): SA Designation: 3
Description:
Corrif ,JJ. SA Origin Location: SA Land Mark
Description:
- 2. Sample Location Data: Sample Area ID: . \ . I Matrix: :Soi ( (dn LI Location Coord: l . c*7 r I S5 L\?.. Ll o }.7 1..1 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: Site Sketch Attached Sample Loca.tiort
== Description:==
in k--5 1 ----ft!) '-/ll-rd..i fJ a+ ( a..r 1 c.. o F s-k.! b Canopy Type: __ Land Use: etc.): dtL'<<*f Soil Moisture (Wet, dry, 3 L ti R d" ti R d" oca on a 1a on ea mes: 2x2Nal Bicron Notes (cpm) (uRem/hr) Count time I cm 1m lcm lm (min) I IV (, {o I 10 'l..3 't JO pJ (4 I 10 :}'Jl., I () /'rD . 4. Sample Information: Sample Area JD: '5.1. I$ RI -D b D h escnption
- Y ept : Depth Soil JYpe Soil Sample ID Sampling Description.
Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) {}-Is-'Soil / c,\a,y. bni .... ..., 3 ,J 15".R-I \$-:,)0 '; l { clt\'-1 b"'"""' 3_i.1S".R-::i._ -Sample Recorded on Laboratory COC form and Container Labeled:@ (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: \ c \ <-i{ l 'S Project: fv \_l S. E.. K'...D 4 Name: ::f. grown Weather: (_ ( vvc\..y ? 5 *05 1. Sample Area (SA): SA Designation: f\fx D.. I
Description:
lorn+: r ;ij rl. SA Origin Location: SA Land }.{ark
Description:
. I Cooid. System: ld-( Gl'1'\ _ Coard: lo 1'-1 :AJ. t.(.1,,L\ G 2. Sample Location Data: Sample Area ID: -\ *. , (a Location Coord: 1 i-, C9 l l '11 $' Matrix: S'-< j ( ci c,ll L\ ";).*41l'd.313 Alternate Location Measurements (distance from SA origin and Local Coo rd.) 1 * " _..;, ( N r r "-" c:. X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached in shtt.s Sample Location
== Description:==
Jin Canop)\ Type: etc.): a.tu*1Ap 1 flll Land Use: _.C-:_o.._.r-" .. iY'--'"'--- Soil Moisture (Wet, dry, 3 L t" R d. ti R d" . oca ion a 1a on ea 2x2 NaJ Bicron Notes (cpm) (uRem/hr) Count time lcm Im 1cm lm (min) l 101 !3+ ci 9 I NM l 't er yt, 1 71-i-=i-4. Sample Information: Sample Area JD: I (p IZ! -R :.2.. b D b Descri1>tion 1y cpt : Depth Soil Type Soil Sample JD Sampling Description " Jnterval (Org; clay; Color (Surface Litter type/depth, sample depth retention, (cm) sand. etc.) refusal, stone or rock, topography, erosion features) C'i-1 s :l'Di ! .611)1,:;r') 3.l.\ln.R.-! 1$-<.0 ::io1I do..c.1 bl'bl-..Cl 3_1.11.:>-R-*d... """' Sample Recorded on Laboratory COC form and Container (N) 10/20/15 Date: 10( w(rS" !*. l < r:_ fl f\.L]_ Project;_-'-\J __ ..:>L:._1'--_u_ IT'---SAMPLE LOCATION DATA SHEET Name: -:S-. (Sl()v-..":l Weather:
- S\j(lny I ..... so") L Sample Arca (SA): ' SA Designation:
A-ei1>..
- 3. \ SA Origin Location:
== Description:==
C.ornfi d SA Land Mark
Description:
\;xi*'-wll.l Coord. System: Lttt-Lt>>'1j Coord: ..J:L. \, 14 1... "L l\ 'J.. t..I
- 2. Sample Location Data: Sample Area ID:
____ Matrix: s1:1*1 Location Coord: **rLG L\ :l .c.\'8"\ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dhit. from Origin: ___ _ Site Sketch Attached (Yes) 9 Sample Location
== Description:==
C.. 01nft j Canopy Type: O ?'U'J ' Land Use: -fa-rm Soil Moisture (Wet, dry, etc): d..\Ur\y 3 L f R a* ti R d. . oca mn a ia on ea m2s: 2x2 NaI B:.cron Notes (cprn) (uRem/hr) Count time !cm Im I Jcm Im (min) I s -I.A \ Ci d.S'i ! 4. Sample Information: SampleArea!D: 3_1,11 {<.!-Rz_ ("S-R.l.r D "ti bDtl escnp on *Y ep* i: Depth Soil Type Soil Sample!/) Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) * :efusal, stone or rock, topo-graphy, erosion features) 0-15' ft:ipso; \
- '\.l.11.
R. \ l'S*3D i 'txt\,"r, 3-1./1.tZ.;A 0-1.$" +Dc."<11 I bmJo,)t)
- 3. I . l7. (( . S'
+opso*, \ :3,_!_11.IZ...\n Sample Recorded on Labo:ratory COC form and Container (N) Date: j ti{ t.o{ f 5 Project: t\J\.\ SC-12..CJA SAMPLE LOCATION DATA SHEET Name: S !5rot.*.J"! Weather: du ... 1, 'SO,:? 1. Sample Area (SA): i\fQ.tL SA Designation: _3_. SA Origin Location: SA Land Mark
Description:
d-ri
- 2. Sample Location Data:
Description:
Orfitit.\rA Sample Area ID: __,,,3"--._,_l _ . .:...1 '6..:___ ___ Matrix: :Soi I { c\t\Lj Location Coo rd: 1 i -(Ji+ 3 Yd.* '-l c; d-S 'K :l. Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) Y Di!;t. from Origin: ___ _ Site Sketch Attached* (Yes) @ Sample Location
== Description:==
. LC'lnfi , skJ k'.s Canopy Type:
- 0 Land Use: fo..<f'Y)
Soil Moisture (Wet, dry, etc): QQl/Y'\T
- 3. d R d" Loeation Ra iation ea 2x2 Nal B cron ii Notes (cpm) (uRem/hr)
!1 Count time lcm lm ! Jcm lm (min) ! l er t::il.1-!:J "5' i 1J I-A -l
- 4. Sample Information:
Sample Area ID: 3. \. IZ Kl* R 2. D . ti b D h escnp <>n 1y ept : Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) stone or rock, topography, ero*sion features) do.LI 1-:=;;-:sc. I c..ln,' b-t*_._,,, <-.\ .1t.((. L , Sample Recorded on Laboratory COC form and Container Labeled: (N) Date: !U [ d-O / l) Project: f'll'l :St. ((DA-Weather: 'Svnriy , (0615 1. Sample Area (SA): SA Designation: SAMPLE LOCATION DATA SHEET Name: -:f. ---"C""-u_r_4_i_t-"-l'-"- ___ SA Origin Location:
<;;oord.
System: ¢n SA Land Mark
Description:
-=c}_'"'-,,---'-'1 =Wc=(;\:..+l/---- Coord: n;. lfl-. l/'i'DG3
- 2. Sample Location Data: Sample Area ID: 3
- t . Matrix: c30.1..I Location Coard: f G TiC7 l..\ 4 d, ,LJ '6-:t ;;:5 'J.., Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location
== Description:==
Or.rr-!=1Jd in Canopy __ Land Use: \ 3. L R d" . R d. ocation a 1ation ea mgs: 2x2 Na! (cpm) B:cron (uRem/hr) Soil Moisture {Wet, dry, etc): dll.-YVl'i) I Notes Count time 1 cm lm 1 cm 1m -{min) ' qq1s-9 Ito **t I 'J., Ntf+ \ q '\ (,, i 4. Sample Information: Sample Area ID: 3. ! . IJ. -R D b D b escnpt1on ept ; Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ;efusal, stone or rock, topography, erosion features) 0, IS" /cla._,, hrt,t;..>r) 3 .J _1"1 .R.. / 1S-3o Set l r lbrvwn 3 .1.1CJ _r:.__-;;. -Sample Recorded on Laboratory COC form Container Labeled: (N)
Project: N-\ 'SE: (2..DA Weather: SUClny) I <;;cf 5 J. Sample Area (SA}: SA Designation: '3 * [ SA Origin Location: SA land Mark
Description:
- 2. Sample Location Data: SAMPLE LOCATION DATA SHEET Name: G;Y'\l\J"')
== Description:==
__ Coord. System: {rd-I C?inj Coard: li. l<i14:;p, \...l'J...Yib{.;3. Sample Area ID: 3 .\
- d-0 Matrix:
Location Coord: I "D * \,, 1-'6 I ?J L\-_;)._;_, _._4 '8"-'-l '6_13o.,._ ___ _ ( .3 n.-t\..)) i oD .(:-t-. +1-r. cU-i vt V..HU-'j Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (O,Q) Y Di:rt. from Origin: ----Site Sketch Attached (Yes) Sample Loca,tion
== Description:==
s-6Jl:> dtl4-w\ Canopy Type: Land Use: -f.n.q'b Soil Moisture (Wet, dry, 3 L Rd' . R d" . ocation a 1at1on ea m2s: 2x2 NaI B cron Notes (com) (uRem/hr) Count time 1cm 1 m I cm 1m (min) ! '?(:,?.:1
- 1 'S
! CJ %)11 ;;l,. ' 4. Sample Information: Sample Area JD: J.O. fZ 1-RA D . f b D th escnp ion *Y ep Depth Soil Type So.ii Sample ID Sampling Description Interval (Org; clay; 0>/or (Surface litter type/depth, sample depth retention, (cm) sand, etc)
- refusal, stone or rock, topography, erosion features)
D-tS frt;0NV s .1
- rz. 1 "'-of'nL 1c.c..k.S i:S .30 .:s.oil frno.vt-l b-t*,,,"'
3.1. ?.1i. tC?... nc...k. s " Sample Recorded on Laboratory COC fQrm and Container (N) Weather: , c...\.zs:iy 1 Lo5 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: -::S-. CSrtw 'Q SA Designation: A-\"...o,
- 3. I SA Origin Location:
== Description:==
Ll'l""*rl*i ,.__JJ. Coord. System: I o:tp c""0
- SA Land Mm-'k
Description:
Coord: 1 .L,1 q d. . Y *;;i.. '-l '8"0(0 2. Sample Location Data: Sample Area ID: 3 * (
- Matrix: S.t> *, L Location Coard: 1 '[ . G f 9 (i, 3 ?-. __!:!_?.
. l{ "6' d.. 4 t\ ')._ l q '.:, yo_...-t,l:5 . tJ E c + civi v t W':J\.'i Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist from Origin (0,0) Y Di!;t from Origin: ----Site Sketch Attached (Yes) §) Sample Location
== Description:==
C-Vr,---f.i ..._J._J > s-kA \:::..S Canopy ..... ?_Q_,v'"\ ____ Land Use: Soil Moisture (Wet. dry, etc): dfl...VYlf
- 3. L Rd" . R d' ocation a iat10n ea mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr)
Count time !cm Im lcm lm (min) *-* I 9 f 0 !"Jffi I 93-tj 'Z"l-C(O . -4. Sample Information: Sample Area ID: S. I . d-I Kl -f<. d.., D . t* b D h cscnp1 ion 'Y ept : Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, {cm) sand, etc) refusal, stone or rock, topmrraphy, erosion features) so:\ bv.rV"l "3-1. l . ((_ (-r--\'5 *30 bl'llwn 3. J. (2-J, I -Sample Recorded on Laboratory COC form and Container Labeled: J (N) Project: fJLJ SE R D-4 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: --:(. SA Designation:
- 3. ( SA Origin Location:
== Description:==
- _C_o_o_rd
__ __ _ SA Land Mark
Description:
Coard: TL!. 1 L/ ;A?., . J. l/ (0 2. Sample Location Data: SampleAreaID: ?,.l.?;J_ Matrix: .JoiL_ Location Coord: t t". L SS-Lf :J.. 'i 3 0 1-3 Alternate Location Measurements (distance from SA c*rigin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ fJE I i'l '-{tt-rt.U frrn1 (C.r Site Sketch Attached Sample Location
== Description:==
ct:-;'fl{; r_I r,{ I siu. lb c:J Canopy Type: Onw Land Use: .ki.rM I Soil Moisture (Wet, dry, etc): da.mp 3. 'L Rd' . R d' ocatwn a 1ahon ca m2s: 2x2 Nal B=cron Notes (cpm) (uRem/hr) Count time lcm Im lcm lm {min) I "l'Od.D 9 lO tJ . ft I '8843 '('Cl<tG. 4. Sample Information; Sample Area ID: 3. J
- g.:l. (< ( -R;), D b D th escr1pt1on
)y ep Depth Soil Type Soil Sample ID Samplbzg Description lllterval (Org; clay; Color (Surface !itler type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!!raphy, erosion features) o-iS 0o*\ 3.f. J,,::A .IZ l Sc
- 3. I.
{!.,,;;>._ -Sample Recorded on Laboratory COC form and Container Labeled: Date: Io( 2c{ IS" Project: N"-1 SE f. o+\-SAMPLE LOCATION DATA SHEET Name: brnwn . I Weather:
- Su11ny i c..lea....r, (of) S L Sample Area (SA): SA Designation:
ftc"'.lo.. 3 . I SA Origin Location:
== Description:==
(o,..-,-,.{,*dd. _C_o_o_rd __ Coord: "1'i{.Ip7L/ J.d.. =ti;.;(. t.J rD l0 SA Land Mark
Description:
- 2. Sample Location Data: Sample Area ID: 3. ! . Matrix: Soi I Loe a ti on C oord: 7 ""6 . (r, 7 D 4 3 __'.:[ ;;i . t.I '%' d. ' Alternate Location Measurements (distance from SA cirigin and Local Coord.) X Dist. from Origin (0,0) Y from Origin: ___ _ ! 30 4 lt-rV\:i
.N Site Sketch Attached (Yes) (.Ol'Yr(:j Q,td : ." ll/ _ _s Sample Location
== Description:==
Canopy Type:_O ___ \;'_Q.111 ____ Land Use: -hv1-v-., Soil Moisture (Wet, dry, etc):.-----od_,_<l_Wl--F-f--L t' R d' f R d' oca wn a 1a 10n ea mg.s: 2x2 Nal B,cron Notes* ; (cpm) (uRem/hr) ! Count time lcm Im I cm Im (min) '* .. ! rO q 1 {.), '1 10 fl} ( 4 I '1 S-"f Cf i .. I I I 1]1 4. Sample Information: Sample Area ID: 3. I. :;2.3 KI -R;A D b D h escript1on 1y ept : Dept It Soil Type Soil Sample ID Sampling Descriptioll Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, toEograehx, erosion featuretl._ o-1s-Soi\ brtU..."l 3 .1.:i,i.r-.1
- .. 1$*30 Sc-1 I b,-ii.,..r.
- 3. '*
Sample Recorded on Laboratory COC form and Container Labeled: (N) Date: io( 2o{r:5" Project Dtt Weather: S\Jnnq . d t<i...r G-o 3 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: -:::r. f3rn!P ') SA Designation: A-n ..... * ! SA Origin location:
== Description:==
(o.,-nt i _C_o_o-rd-.-S-y-st-em-: -/-v.:t-1-(......-I i_IJ_:3-__ _ SA Land Mark
Description:
dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J.
- 2. Sample Location Data: Sample Area ID: _?.:>_._l
- Jo; L_ Location Coord: Alternate Location Measurements (distance from SA c*rigin and Local Coord.) 10 l...t tJ +11T'IV\
CD..,, X Dist. from Origin (0,0) Y from Origin: ___ _ Sample Location
== Description:==
__ c_c_' r_n_f_r_* 1> __ r_1 _sh __ _____________ ---, Site Sketch Attached (Yes) Canopy Land Use: {o_.,.n., Soil Moisture (Wet, dry, etc:): d(J.,yj/\pF---
- 3. L Rd" . R d" ocat10n a 1atlon ea rn1!s: 2x2 NaI B,cron Notes (cpm) (uRem/hr)
Count time !cm Im lcm lm {min) -! t)L:Si er 3o;;< 1 JG J\f i A \ qq 'l 'K qd,!S-1:1 I 4. Sample Information: Sample Area JD:
- 3. I. d.4 R.J
- R... D b D h escnpt1on 1y ept : Depth Soil Type Soil Sample ID Sampling Description
!llterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topography, erosion features) 0-t S' .So,\ brt.w.-i 3_ 1 _:i.,<.(. IZ. r 15-)D 'Sot I 3.1.';),'"{.1<.J, Sample Recorded on Laboratory COC form and Container (N) r r ,. -r}}