ML16293A392: Difference between revisions

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Project/Site Name: Fax#: Slloul;f lhh GEL Laboratories, Ll.C 2040.Savagc.Road Charleston, SC 29407
Project/Site Name: Fax#: Slloul;f lhh GEL Laboratories, Ll.C 2040.Savagc.Road Charleston, SC 29407
* Phone: (843) 556.8171 Fax: ( l!4 3) 766-I178 Sam11h:
* 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  
1s1 {Fi!J in ih;i number*ofcontain<:rs for each test) <-* Prescrvarivc Type (6) be . Collc<:ted by: Send Results To: SarnplcJD  
. Collc<:ted by: Send Results To: SarnplcJD  
*For c01m1osi1t.T  
*For c01m1osi1t.T  
... imlit:a!f'  
... imlit:a!f'  
.'iilarl  
.'iilarl  
*Time .  
*Time . (hhmm) Pie Id Filtered p;'" S*mple M>ittiX <un>ldercd  
(hhmm) Pie Id Filtered p;'" S*mple M>ittiX <un>ldercd  
!SC. R*dl* A o:u:d ?rsu vt *fa1ed 'er o
!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_;
* Com_m*ents Note: e:xtrasampleJs reqtiired for sample 3 ' I I rz ' (fl ro_;
1&#xa3; J{p.'. IS t$8 ) l\Ji/\ 1rJ rJ' 1 T AT Rcoucs1cd:
1&#xa3; J{p.'. IS t$8 ) l\Ji/\ 1rJ rJ' 1 T AT Rcoucs1cd:
Nomial: .Rush:
Nomial: .Rush:
lraK Rcsufts:
lraK Rcsufts: Yc5 ! No C of A /. OC Summa;v f Level ! . I Lcvd 2 I LcvdJ I Level 4 RemuJ'ks:
Yc5 ! No C of A /. OC Summa;v f Level ! . I Lcvd 2 I LcvdJ I Level 4 RemuJ'ks:
Are 1Jier11c any kn;1wwhazardY applicable to thesf! samples? (!so, .please list .the  
Are 1Jier11c any kn;1wwhazardY applicable to thesf! samples?  
(!so, .please list .the  
* * ** * .S1!.lIW.k.Q.iJkc1iofl'rime Zone Pacific Central  
* * ** * .S1!.lIW.k.Q.iJkc1iofl'rime Zone Pacific Central  
----Mo1mtain C:.hain of Custody Signatures SampleShipplng aull Delivery Dct:ilh Rclin<)Uishcil By (Signed)
----Mo1mtain C:.hain of Custody Signatures SampleShipplng aull Delivery Dct:ilh Rclin<)Uishcil By (Signed) D.i\IC
D.i\IC
* Time-Reecivcd by(signc<l)
* Time-Reecivcd by(signc<l)
Dale Time GBLPM: Mc!hud of Shipment:
Dale Time GBLPM: Mc!hud of Shipment:
Line 43: Line 38:
Client For Lab ReceiVing U.-;e OnlJ QC Codr.s: N ""'Nonm1.l Bfar;k;FD  
Client For Lab ReceiVing U.-;e OnlJ QC Codr.s: N ""'Nonm1.l Bfar;k;FD  
.._ Pie/d,Qupli:cate, f.B ...  
.._ Pie/d,Qupli:cate, f.B ...  
: Ohmk, Millrh Spike Milul;c.
: Ohmk, Millrh Spike Milul;c. Spt};.ti.Duplu:at4.Sampk 1.G . ..r Orab, 3.} Flr:ld Fe:r 1.iqUW fodicruc a,. y ... f<tr fc.i.thi; rl1!!.d,rn1cn:d *Ji' *. for.11flm1fk;:.i.y13$
Spt};.ti.Duplu:at4.Sampk 1.G . ..r Orab, 3.} Flr:ld Fe:r 1.iqUW fodicruc a,. y ... f<tr fc.i.thi; rl1!!.d,rn1cn:d *Ji' *. for.11flm1fk;:.i.y13$
C;d'w.d).**$ru1!
C;d'w.d).**$ru1!
Jn.tact?  
Jn.tact? >t,} Maoix Codes: DW,...D1inking Wi1ttr. *fiW=-Ot1;1unJw:Jl;i:r  
>t,} Maoix Codes: DW,...D1inking Wi1ttr. *fiW=-Ot1;1unJw:Jl;i:r  
*.
*.
Wat<:r,*  
Wat<:r,* \Y""Wntcr;.ML...,.;'.,1L.,1; Lkiuii;I,  
\Y""Wntcr;.ML...,.;'.,1L.,1; Lkiuii;I,  
\V11i.1i;.*0":'01I, l'"'
\V11i.1i;.*0":'01I, l'"'
___ ..:,;\'&deg;''0'------1 S"mplc AnalJ"i*
___ ..:,;\'&deg;''0'------1 S"mplc AnalJ"i* R<q11<ntd:*
R<q11<ntd:*
Andylicol in<lhutl.roquc.i<u  
Andylicol in<lhutl.roquc.i<u  
\I.e. S:hO Jl; 6lllO!ll7410A) ornl nua1!>rr.-0f rnn1_.inou p1witl<d for <odi (i,&#xa2;. 8)60fl -;, 40i!Wl'N70A
\I.e. S:hO Jl; 6lllO!ll7410A) ornl nua1!>rr.-0f rnn1_.inou p1witl<d for <odi (i,&#xa2;. 8)60fl -;, 40i!Wl'N70A
Line 59: Line 50:
* Add, NI i\<id, SJ! S;xlium lly<lrrucklc,:SA Sulfmic A<m, Aworbi' Acid, !IK*'ll*i*nc; ST *Sodium 11>foS<.Jlfarc; 1rr.o P''""""'ivoi;  
* Add, NI i\<id, SJ! S;xlium lly<lrrucklc,:SA Sulfmic A<m, Aworbi' Acid, !IK*'ll*i*nc; ST *Sodium 11>foS<.Jlfarc; 1rr.o P''""""'ivoi;  
*tirl<<l f*ol<I bl*nk C WHITE= LAJlORA TORY PINK= CU.ENT   
*tirl<<l f*ol<I bl*nk C WHITE= LAJlORA TORY PINK= CU.ENT   
( lcl c / '.!,..-\ -e C10LA -!'age: .. -***--*--
( lcl c / '.!,..-\ -e C10LA -!'age: .. -***--*--of GEL Chain of Custody and Analytical Request GEL Laboratories, LLC I Ll *-**-** *-****** .. ' .. **-**-Project#:
of GEL Chain of Custody and Analytical Request GEL Laboratories, LLC I Ll *-**-** *-******  
2040 Road GEL Quote#: ___ .. ........ ........  
.. ' .. **-**-Project#:
2040 Road GEL Quote#: ___ .. ........  
........  
.... **-**" "'"Sec www.gel.com fo* G.EL's Sample Acceptance SOP'"* Charleslon, SC 29407 COCNumbcrlll;  
.... **-**" "'"Sec www.gel.com fo* G.EL's Sample Acceptance SOP'"* Charleslon, SC 29407 COCNumbcrlll;  
**
**
Line 73: Line 61:
Rri;1.1
Rri;1.1
* t111d \1fl1' dutr!IWm:
* t111d \1fl1' dutr!IWm:
Ye l.3!Cd licro 3, 1.. 3. I fo-20-1<
Ye l.3!Cd licro 3, 1.. 3. I fo-20-1< i6-YO N rJ/p., NIP. w I 3. 3. E. l it 1 lD -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;. &#xa3;, I I0*-2.D-1 S" I i;*.LJ5 N N/A f'i/P< N f'I l J. /. q, {;_ . . .,  
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;. &#xa3;, 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<)
)_, 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:
1 tR'.UO eB N/Ft r</A N (\) I TAT Rcaucsted:
Nonna!: Rus!1: Specify:  
Nonna!: Rus!1: Specify: (S*hJ"' ru S'..rch01g<J J Fax Rcsu!ls: Yes I No Circle Deliverable:
(S*hJ"' ru S'..rch01g<J J Fax Rcsu!ls:
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)
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)
Time Rtccivod b1* (*1gr.od)
Dote Time GEL?M: I 1 MoH1od Date Shinned:
Dote Time GEL?M: I 1 MoH1od Date Shinned: 2 2 /\*rbillll 3 3 Afrbillll I Ck::!in ofCu1tody Nucribc:r  
2 2 /\*rbillll 3 3 Afrbillll I Ck::!in ofCu1tody Nucribc:r  
.... ( licinl Prir la/1 Receiving Un!
.... ( licinl Prir la/1 Receiving Un!
2} QC Cc<Jc:r;;
2} QC Cc<Jc:r;;
Line 91: Line 73:
.. 'vfa:rnc G :.-Gr'1.b, C =-Ccr.!pc.f.:ti;  
.. 'vfa:rnc G :.-Gr'1.b, C =-Ccr.!pc.f.:ti;  
> , r,<rd hl!md fur mntm*i::o:.
> , r,<rd hl!md fur mntm*i::o:.
wil!l n-V .. y:=:; 1hc sa11!p:C  
wil!l n-V .. y:=:; 1hc sa11!p:C .,....,Ji fi11c;:rcd  
.,....,Ji fi11c;:rcd  
<:r -N .. ft'r i;:impk \"'3n\oi Odd lilr.t::r1:;:J.
<:r -N .. ft'r i;:impk \"'3n\oi Odd lilr.t::r1:;:J.
C11stody Se(l/ J11rao? :1) Ma!1i>: Ct*t11t!i.'
C11stody Se(l/ J11rao? :1) Ma!1i>: Ct*t11t!i.'
DW'**Drmk1flg W.:.[c.r1 GW*-*(jrn*m<h11:,1tcr,  
DW'**Drmk1flg W.:.[c.r 1 GW*-*(jrn*m<h11:,1tcr,  
\V<.L,o!r.
\V<.L,o!r.
WW  
WW  
\V;1:,1, W"Wi!LlJ.
\V;1:,1, W"Wi!LlJ.
M SO'-*SC1,I, SD** S1.'Jlm..:r.1, SS-=S&J!rt!
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,  
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 Ty&#xb5;.t": rt .. \ -H)'drc*c:Jilor:c A-c:rl. Nl -N1lnc Acid. S'li Uyit!ro:ud:.-.
: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*  
SA ... S;rJforic At:1*"1 1 1\A .. A1tcrb11; Ar;1d, UX' .. Hcx.1ru;.
(i o 8J61iB. 3, CO/tJIJIN70A-I) Cu11ler Temp. (1 J Ty&#xb5;.t": rt .. \ -H)'drc*c:Jilor:c A-c:rl. Nl -N1lnc Acid. S'li Uyit!ro:ud:.-.
ST'"" Scd.:l!1111*1*nosulf:ilt:, Lf 11&#xa2; r:ru.trvi\Hv.:
SA ... S;rJforic At:1*"111\A .. A1tcrb11; Ar;1d, UX' .. Hcx.1ru;.
ST'"" Scd.:l!1111*1*nosulf:ilt:,
Lf 11&#xa2; r:ru.trvi\Hv.:
15 .itl.!ccl  
15 .itl.!ccl  
.... tc:.a. ... .: fi:ld t:m1J.: c wmn LABORJ\ TORY FJLP. l'lNK =CLIENT ....
.... tc:.a. ... .: fi:ld t:m1J.: c wmn LABORJ\ TORY FJLP. l'lNK =CLIENT ....
Line 124: Line 102:
Nofll'lal.
Nofll'lal.
Rt1sh: Socci!'v:  
Rt1sh: Socci!'v:  
/Sob""' to Suo:i,.ri;*l I Fax Results:
/Sob""' to Suo:i,.ri;*l I Fax Results: Yes I No Dclivernblc:  
Yes I No Dclivernblc:  
<:of A I QC Summarv I Level I I Level 2 f Level J I Lcvcl*l Remal'lrs:
<:of A I QC Summarv I Level I I Level 2 f Level J I Lcvcl*l Remal'lrs:
Are there a11y /mown hazard.>
Are there a11y /mown hazard.> appficablC' ru these samples? {fsr;, please list the hazard>
appficablC' ru these samples?  
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)
{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:
Dale TiillC GEL PM: J I Mclhcu ofShihmcnr:
Date Shmped: 2 2 Airb11l#:
Date Shmped: 2 2 Airb11l#:
Line 137: Line 111:
I ) CbaJi1 c{C..'\oiCOdf N11.:nbct  
I ) CbaJi1 c{C..'\oiCOdf N11.:nbct  
** ('l:c-nl Fur Lah Rcc:ei1.Jmg Use Ouh 2} Q<:Cedc:r1*
** ('l:c-nl Fur Lah Rcc:ei1.Jmg Use Ouh 2} Q<:Cedc:r1*
N .. Ncmial TB :ic. Trtp lH.:sr.k, FTl.,. F;e!d Duplicalt?:,
N .. Ncmial TB :ic. Trtp lH.:sr.k, FTl.,. F;e!d Duplicalt?:, F.U-= Eri;.i:prm::iL  
F.U-= Eri;.i:prm::iL  
\f:l = Mr.ln)I: Spike. Sarr.pie-,  
\f:l = Mr.ln)I:
::a MJtaiJi: Spike G =OrO!b. C ... ) l Fiherc:d.
Spike. Sarr.pie-,  
::a MJtaiJi:
Spike G =OrO!b. C ...  
) l Fiherc:d.
Fci* !rq-.. id wnl1 11.. y
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/  
* rc1 )'CS. !he: sample w;:,:o nc:.:1 micr\'d C'!'. N & (or W;JS nl:'l licl.:1 Cr"l11<ly s,*(J/  
Line 151: Line 121:
SO. Sc.fom:nt.
SO. Sc.fom:nt.
SL*:*Sluilg..:.
SL*:*Sluilg..:.
SS**StJ:td 0111 f'*
SS**StJ:td 011 1 f'*
r =W1(1::,
r =W1(1::, lJ **lltmc, l?**fL\.iJI, YES NO 5)
lJ **lltmc, l?**fL\.iJI, YES NO 5)
Ar.aly1i11 Rcqi..cstcd' Aa.!lyur.::i.I m-e1!'IOJ.  
Ar.aly1i11 Rcqi..cstcd' Aa.!lyur.::i.I m-e1!'IOJ.  
{r .I!! S2t:i0Cl, t!Ol0nl".1470A)  
{r .I!! S2t:i0Cl, t!Ol0nl".1470A)  
Line 164: Line 133:
S,\ -Sulrtln::
S,\ -Sulrtln::
Attfl, ,\A -
Attfl, ,\A -
ltX .. H<PCYlt-c-,
ltX .. H<PCYlt-c-, ST c If Hil i.li f::ld c WHITE= LABO RA TORY YELLOW= l'ILE PINK= CLmNT   
ST c If Hil i.li f::ld c WHITE= LABO RA TORY YELLOW= l'ILE PINK= CLmNT   
-l-1eln CO(x-1 Pago; ___ ****-*--*****-of .... ............  
-l-1eln CO(x-1 Pago; ___ ****-*--*****-of .... ............  
**--GEL Chain of Custody and Analytical Request GEL LL(' l) Project II: 2040 Savage Road GEJ..Quorclt:
**--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 ..... .. . ***** . , .... ********  
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]  
.... . ..... 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:
; 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\ .  
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  
,., 1*; Ol\cti t f'rJf CfJnWO.Ule.T  
... JJ:tfii:r.J/e Wul .>fr)fJ 4flllt!i/it1U!  
... JJ:tfii:r.J/e Wul .>fr)fJ 4flllt!i/it1U!  
Line 182: Line 147:
* a Ju
* a Ju
* 2-0 I) l'b N N/A ti/A. N N. l TAT Rcuuostcd:
* 2-0 I) l'b N N/A ti/A. N N. l TAT Rcuuostcd:
Normal* Rush: S11cc1!y:  
Normal* Rush: S11cc1!y: (Sub:i:t:r IL*
(Sub:i:t:r IL*
l Fax Rc1>ults* ; No Cirdc Ddi\>crabk:
l Fax Rc1>ults* ; No Cirdc Ddi\>crabk:
C of II ! QC Summary Lc,cl l i Level 2 """ol 3 I [.eve! 4 Rcm11rhr An* there a11y known Jra:mrd.1*
C of II ! QC Summary Lc,cl l i Level 2 """ol 3 I [.eve! 4 Rcm11rhr An* there a11y known Jra:mrd.1*
applicable w these sump/es?  
applicable w these sump/es? ((so, p/easf!  
((so, p/easf!  
/hi! !w::al'd!
/hi! !w::al'd!
S<1rnplc East cm Pacit1o c.11tml Other Mmtmain Cltain ufCustorly Signatures Snmple Shipping  
S<1rnplc East cm Pacit1o c.11tml Other Mmtmain Cltain ufCustorly Signatures Snmple Shipping :uni Dcli\'cr)'
:uni Dcli\'cr)'
Details lly (Sif:ncdi D;\IC Tmic by (:;1g:r.C"dJ Di1t<: Timi;:-GEL PM: I 1 Mcth .. J ,,f')Ju1>o:<nt Date Shinned* 2 2 A11b1ll 1I 3 3 AirbiH;J I.}
Details lly (Sif:ncdi D;\IC Tmic by (:;1g:r.C"dJ Di1t<: Timi;:-GEL PM: I 1 Mcth .. J ,,f')Ju1>o:<nt Date Shinned*
2 2 A11b1ll 1I 3 3 AirbiH;J I.}
o(('u,.!NI)*  
o(('u,.!NI)*  
* ( lic<rn For l11h U"" 011(1* QC ('i:ij:::s.  
* ( lic<rn For l11h U"" 011(1* QC ('i:ij:::s.  
-..._ -:.
-..._ -:.
S.rn\p:-..9.
S.rn\p:-..9.
l'R,.. Tl'1p BJ.ml Ff)= Field EB*. F\lt1!pmCJ"1L nJ:11!l,  
l'R,.. Tl'1p BJ.ml Ff)= Field EB*. F\lt1!pmCJ"1L nJ:11!l, \fS ,, '\*k:lrh.
\fS ,, '\*k:lrh.
Spike S.s1r.p!C!, \T.Sn-:-
Spike S.s1r.p!C!,  
\T.Sn-:-
Sp1i.:C! .. rl*.o;.a.tc G *. Cir:!.t-. C .
Sp1i.:C! .. rl*.o;.a.tc G *. Cir:!.t-. C .
1.) Fu:ldl:ilLc1..:d F'c-1 :14**J:.J ll1i'l.lfJ{C\.
1.) Fu:ldl:ilLc1..:d F'c-1 :14**J:.J ll1i'l.lfJ{C\.
Line 210: Line 169:
Seal Tm;r,1' 'l D\\-
Seal Tm;r,1' 'l D\\-
f;.\\ C'lr11! . .1J:Jw::J  
f;.\\ C'lr11! . .1J:Jw::J  
.. t. Surf::.._l!"  
.. t. Surf::.._l!" \\".:ir.:r, \\ W W \\';st.::r.  
\\".:ir.:r,  
\\ W W \\';st.::r.  
\.1J.*
\.1J.*
1.,..p6i.
1.,..p6i.
SO*=S:d.
SO*=S:d. SD*
SD*
SL SS :-i..1Ji.:  
SL SS :-i..1Ji.:  
\\'..1. .. I.!. tJ t-*1*11h:r. P  
\\'..1. .. I.!. tJ t-*1*1 1 h:r. P  
: l. t *w:t*, F h..:.11.  
: l. t *w:t*, F h..:.11. :-..i ** )'[.') NO 5]
:-..i ** )'[.') NO 5]
Ri:o.l";.J.::fl1i:J*
Ri:o.l";.J.::fl1i:J*
tl'.:"'1Ut.:i.!CL[  
tl'.:"'1Ut.:i.!CL[ (i C". X260R. fJOlfJ(Jo'NlCA)  
(i C". X260R. fJOlfJ(Jo'NlCA)  
..:irn.1llt:m1':r1lf  
..:irn.1llt:m1':r1lf  
(:"  
(:" . J.  
. J.  
-1) Coc1!t:r (1.J IL\ **
-1) Coc1!t:r (1.J IL\ **
i\Ctd, NI * "!'-.in:.:  
i\Ctd, NI * "!'-.in:.:  
Line 235: Line 188:
liX
liX
* ST -S1:d;m111:-:.:11  
* ST -S1:d;m111:-:.:11  
.. :.:.H.Jrc,  
.. :.:.H.Jrc, [fJ:..i pr;:-<o:nM  
[fJ:..i pr;:-<o:nM  
... -..:: !"-
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*.
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Line 245: Line 197:
...... of ... ... *-...... ,., __ GEL Chain of Custody and Analytical Request GEL Labornlonos.
...... of ... ... *-...... ,., __ GEL Chain of Custody and Analytical Request GEL Labornlonos.
LLC _J Project II: 2040 Sarngc Road GELQ1mtcf.:
LLC _J Project II: 2040 Sarngc Road GELQ1mtcf.:
n:scc www.g<?l.com for GEL's Snmple Acceptance SOP*'i' Charleston, SC 29407 .. .. .. ..... ........  
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  
COC Number 111, GEL Work Order Number: l'hor:c:  
-, : Cum men ts Collected by: Send Rcsul1s To: Note: ex.Ira sample is *OJIC (1lJk..:tl*d 7 Timi'! Fedd 'S>1:n1t!i; TSC rcq\1ircd for sample Co!k"'Ctt:J QC: specilic QC Sample ID  
(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  
<.:ode a1 ftHein:<l Rodi A  
"' "' u:11:U R(!&'I "' Far  
"' "' u:11:U R(!&'I "' Far  
-mtlu;u/e  
-mtlu;u/e .illJrl a11d .r/1Jp  
.illJrl a11d .r/1Jp  
{hhmm) .. 1'll*d per o 3. ( )J K I ,c.-z.;; '\' i'-/'.ti':)-
{hhmm) .. 1'll*d per o 3. ( )J K I ,c.-z.;;  
'\' i'-/'.ti':)-
N N/A N/A vJ N 1 -5. f. ;;l,1. K ), ;;; . 2.0 "l S' N N/A. N/A N N \ j.1 .J.J Kl ii.l . zu., IL.f:LJ5 N N/A NIA 1'J. I"( I *--3 I. J. J. . R .J. -... \ rt*-'-; rt160 N N}A 'N(A; lf,,j N \ -. l.>*.f i ! 0-20. {6:10 N N/A N N l .::, *.s r.
N N/A N/A vJ N 1 -5. f. ;;l,1. K ), ;;; . 2.0 "l S' N N/A. N/A N N \ j.1 .J.J Kl ii.l . zu., IL.f:LJ5 N N/A NIA 1'J. I"( I *--3 I. J. J. . R .J. -... \ rt*-'-; rt160 N N}A 'N(A; lf,,j N \ -. l.>*.f i ! 0-20. {6:10 N N/A N N l .::, *.s r.
r(j *-;:,;;
r(j *-;:,;;
Line 269: Line 216:
S:implc and Details Rch!Ujtll>hcd By (S1gnc:tl)
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  
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...,  
* ( hem ror L"/J (C,*, Ou(1 2 / QC Code< .. Non1lal TB= Tnpft!<lnk.1i'D..., }:1cltt nt!p!it::t!c.
}:1cltt nt!p!it::t!c.
F.R ., P.i.;*;ipm;:r:t  
F.R ., P.i.;*;ipm;:r:t  
'\ES '*
'\ES '*
Sr1lu.:  
Sr1lu.:  
\rSU -!i..fa:m:
\rSU -!i..fa:m:
Spike n.,rhr;:;Hc G" t.*nl:>.
Spike n.,rhr;:;Hc G" t.*nl:>. C 3.) 1"11.:lil.Frllcr.:d fr.rl1qu1d rnn,r1ci;o:".
C 3.) 1"11.:lil.Frllcr.:d fr.rl1qu1d rnn,r1ci;o:".
tnd1c.m::
tnd1c.m::
wrlh i.1-Y-for Ille  
wrlh i.1-Y-for Ille  
\i..v.
\i..v.
HllC'Tl:'d .. '.\,; -ri;r :-;m:ph:
HllC'Tl:'d .. '.\,; -ri;r :-;m:ph:
f:ocld f;llcr.:*l Cu.mulvSeal 1111.i,1!  
f:ocld f;llcr.:*l Cu.mulvSeal 1111.i,1! .J}
.J}
1)\\." ....
1)\\." ....
G'\  
G'\  
Line 288: Line 232:
\\ \\'  
\\ \\'  
\V.1IL"r.  
\V.1IL"r.  
\\'. \Yat.;r \U.* :i.fN. Ll*t!i!4i, SL *"i:..:J;:..:,  
\\'. \Yat.;r \U.* :i.fN. Ll*t!i!4i, SL *"i:..:J;:..:, .r;s 0
.r;s 0
1; *f.11t...:r, , ... \\."1p..:, l" i:, .. .... !'ES .VO  
1; *f.11t...:r,  
, ... \\."1p..:,
l" i:, .. .... !'ES .VO  
,\::aly:us.  
,\::aly:us.  
..
..
Line 300: Line 241:
anll  
anll  
(!Jf  
(!Jf  
{I c  
{I c . l, (t'Jf rlB *74"'rH
. l, (t'Jf rlB *74"'rH
* t ). Cim/c,. T.:m&#xb5; (1 J tt.\ *  
* t ). Cim/c,. T.:m&#xb5; (1 J tt.\ *  
;\(td, .'\it " i'Wnc Acut_ SH:..:
;\(td, .'\it " i'Wnc Acut_ SH:..:
So\ ,. Sul1um: /'IC.lei  
So\ ,. Sul1um: /'IC.lei ,\,\ **
,\,\ **
A._:Jd. HX" ST -
A._:Jd. HX" ST -
1bJ .. aJh.r:::,
1bJ .. aJh.r:::, lf  
lf  
.. *.:: 1s ::ti!:l-:1{  
.. *.:: 1s ::ti!:l-:1{  
.. h:..:i'c  
.. h:..:i'c  
(' WIUT.E LABOHATORY FILE   
(' WIUT.E LABOHATORY FILE   
..... ld rjf)(){J tP Page: ___ *----*-*  
..... ld rjf)(){J tP Page: ___ *----*-* ........ .. of ... ....................  
........  
.. of ... ....................  
**---GEL Chain of Custody and Analytical Request GEL Laburatortcs.
**---GEL Chain of Custody and Analytical Request GEL Laburatortcs.
LLC I Ci Project.#:  
LLC I Ci Project.#:  
**See www.gcl.com for GEL's Sample Acceptance SOP"* 2040 Road GEL Quote#: .... ... ..........  
**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  
.... -** .. ... 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:  
*1his Address: ('UnSitlcrecJ  
('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-)')')  
; 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 \*:.
*'l \*:.
Rt:J!U
Rt:J!U
* Ft>1*  
* Ft>1*  
-inclu.tJlt'  
-inclu.tJlt'  
.,*/urt r111d j'/ml dtrte1Jsmf:."  
.,*/urt r111d j'/ml dtrte1Jsmf:." !Mnum) ,., l.1tcd Iler o )3 I .ID E ! lO**J,\-\
!Mnum) ,., l.1tcd Iler o )3 I .ID E ! lO**J,\-\
lS" DD t--1 I . \0 E 2 l0'.05 f'1 ./ "<..,. I I ). e: j 10**;2. I, I S>
lS" DD t--1 I . \0 E 2 l0'.05 f'1 ./ "<..,. I I ). e: j 10**;2. I, I S>
Ni ./ 3. I I d, E.. 1. 10.;J.1*5 N /3 I. l 2> '<l *l  
Ni ./ 3. I I d, E.. 1. 10.;J.1*5 N /3 I. l 2> '<l *l  
Line 334: Line 267:
N I 1-:) K *. *J, 10
N I 1-:) K *. *J, 10
* ri /l'. (){) N I !. I'-\ k\ JO,;). I-1i; JQ.:.}.D N . ./ 3 ! rq ;(} .* ?-J-115 JO:J.J; N l'A T Rcuucstcd:
* ri /l'. (){) N I !. I'-\ k\ JO,;). I-1i; JQ.:.}.D N . ./ 3 ! rq ;(} .* ?-J-115 JO:J.J; N l'A T Rcuucstcd:
Nonru1I:
Nonru1I: Rmb: S1Jecil}': (Subp.!'1;1 rl) l F.:i.x Yes : No Circle Dcl"*crabk C' <>f A I QC-Summ;uy Level ! Lcvcl 2 ; Lovcl 3 I L.,,-cl 4 J!e1mwks:
Rmb: S1Jecil}':  
(Subp.!'1;1 rl) l F.:i.x Yes : No Circle Dcl"*crabk C' <>f A I QC-Summ;uy Level ! Lcvcl 2 ; Lovcl 3 I L.,,-cl 4 J!e1mwks:
Are then; any known applicable to these ,,*amp/es?
Are then; any known applicable to these ,,*amp/es?
if so, pleasr: !isl the ha::ard1*  
if so, pleasr: !isl the ha::ard1*  
;:wrnyle Cnllcc!ion Tll]C Zone E.'itern Pacific ("cntrnl Other -*-** ....
;:wrnyle Cnllcc!ion Tll]C Zone E.'itern Pacific ("cntrnl Other -*-** ....
Chain Qf Signatures Sample Sl1ipping anti Deliver*y Dctail.1 Jklm4u1oh'd By I Signed) Dale Tinic Rc<(IW<l by (Srgr.cd)
Chain Qf Signatures Sample Sl1ipping anti Deliver*y Dctail.1 Jklm4u1oh'd By I Signed) Dale Tinic Rc<(IW<l by (Srgr.cd)
D:.ua T11nc GEL PM: I I nfSl11rimcnt Dato Shitmcd.
D:.ua T11nc GEL PM: I I nfSl11rimcnt Dato Shitmcd. 2 2 1\irbill J 3 1\irbiJl 11. 1 )
2 2 1\irbill J 3 1\irbiJl  
: 11. 1 )
of N111tLbtr
of N111tLbtr
* Clir:r:t Oc!i.:rmm:4 F<Jr Lah mg l;w Ou(r :2) QC  
* Clir:r:t Oc!i.:rmm:4 F<Jr Lah mg l;w Ou(r :2) QC  
:-.;: .... Nonl1..tl TR.,, rrip Rl.lT)k, 140 =field F.H" nl.lnk. 'J!;;
:-.;: .... Nonl1..tl TR.,, rrip Rl.lT)k, 140 =field F.H" nl.lnk. 'J!;;
* Sr1J...::  
* Sr1J...::  
\1SU-=  
\1SU-= -Sr1kc  
-Sr1kc  
?&deg;):ti"t"p-!..:, G: Orab*. C * (\)UlJ'l1..!S1\o.l ) Fu:ltl Fcir mrl1c1.1lc l"im tl-\' -fc-r 1llC l'o!Ll.ii l'cld w fo1l F:c!d tillCt(.j, Cmrmly Sttal :\1;:,rii:  
?&deg;):ti"t"p-!..:,
G: Orab*. C * (\)UlJ'l1..!S1\o.l ) Fu:ltl Fcir mrl1c1.1lc l"im tl-\' -fc-r 1llC l'o!Ll.ii l'cld w fo1l F:c!d tillCt(.j, Cmrmly Sttal :\1;:,rii:  
(.'(1J.:.,:
(.'(1J.:.,:
OW Dn:aln"'1:  
OW Dn:aln"'1:  
\\'J!i:.r,  
\\'J!i:.r, (";'\
(";'\
* Cir111;u1.h\-dti.*f, SW S*.:r!Jt.i!  
* Cir111;u1.h\-dti.*f, SW S*.:r!Jt.i!  
\\ W  
\\ W  
Line 363: Line 289:
SO c;.oJ. SD SS *S11l1d \\.';i."t.."...
SO c;.oJ. SD SS *S11l1d \\.';i."t.."...
0 01t (*
0 01t (*
* l1*.\V1p1' l:
* l 1*.\V1p1' l:
i:.*  
i:.*  
!'ES NO Stlm&#xb5;!i:i k..cqlli::sl-cl.!  
!'ES NO Stlm&#xb5;!i:i k..cqlli::sl-cl.!  
.* \r:.:ilyll1..il mclhic.I 1ca.i:.zc.s1N (J.C' 826\ln,  
.* \r:.:ilyll1..il mclhic.I 1ca.i:.zc.s1N (J.C' 826\ln,  
():-.LI m.unbc-r for t-;?J..11 (L !.!' ** 1c21J!IB  
():-.LI m.unbc-r for t-;?J..11 (L !.!' ** 1c21J!IB -J, ()ii/IJB:l./7tt4.  
-J, ()ii/IJB:l./7tt4.  
-1) Cno/er Temp* f,} l'rc<<1\acW1.?
-1) Cno/er Temp* f,} l'rc<<1\acW1.?
Tm..? llA -lly.:.Jri.:-chkrtc  
Tm..? llA -lly.:.Jri.:-chkrtc  
Line 374: Line 299:
* Ai::1J. SH..,.
* Ai::1J. SH..,.
S*Jlhn;:..:  
S*Jlhn;:..:  
;\c.::d.  
;\c.::d. ,\.'\
,\.'\
* Ai:.i;.l.
* Ai:.i;.l.
* ST--SmlitJ.tn If rrc.i;,::rv:-iti  
* ST--SmlitJ.tn If rrc.i;,::rv:-iti  
Line 397: Line 321:
Pl> TAT Rcqucsrcd:
Pl> TAT Rcqucsrcd:
Nomml* ttush; Sllcoify;  
Nomml* ttush; Sllcoify;  
!Stl!i"'
!Stl!i"' m I Fa:< Results: Ye> I No Circle Dclivernblc; C of A ( QC Summary I Level I I Level Z ( Level 3 I Re111urks:
m I Fa:< Results:
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  
Are thero any known hazard> applicable to these  
!{so, please the ha:;aYds i,iamplc C:ol(cctiga Iilll.lt.Z.olli:
!{so, please the ha:;aYds i,iamplc C:ol(cctiga Iilll.lt.Z.olli:
Eastern Pi!cific Ccmral Other ___ ., Mou main of Cnsto<ly Signatures Sample Shipping  
Eastern Pi!cific Ccmral Other ___ ., Mou main of Cnsto<ly Signatures Sample Shipping :rnd Delivery Detail! Rclm4uisl:ed By (SigncJ) Da.!c:. Ti nu: Rc"c1vcd by (sigr.cd) p,,.
:rnd Delivery Detail! Rclm4uisl:ed By (SigncJ)
Da.!c:. Ti nu: Rc"c1vcd by (sigr.cd) p,,.
GEL PM: I I Mrthod ol"SJ,,prncnt*
GEL PM: I I Mrthod ol"SJ,,prncnt*
Dalo Shioocd.
Dalo Shioocd. 2 2 Airbillff:
2 2 Airbillff:
3 3 Ailbill Ii
3 3 Ailbill Ii
* For Lah f/,e(:einng Uw 011/r 2 J QC CoGd;s;.
* For Lah f/,e(:einng Uw 011/r 2 J QC CoGd;s;. N.""' N'ic"llial Si.lmp:e.
N.""' N'ic"llial Si.lmp:e.
TH. ::I Trip *mar.k. FD..,. Field F:H .:::L 1-'.qu;prn:ml Matrix St:nj)!C, :\ISD ... Mi'lln!C G ... Orab, c ...
TH. ::I Trip *mar.k. FD..,. Field F:H .:::L 1-'.qu;prn:ml Matrix St:nj)!C,  
:\ISD ... Mi'lln!C G ... Orab, c ...
J.}
J.}
for liq.;u}
for liq.;u}
Line 420: Line 337:
4.i Maln.'I Cutl:::i' D\V *Ori=tlrn1g Wutcr.
4.i Maln.'I Cutl:::i' D\V *Ori=tlrn1g Wutcr.
SW**
SW**
W:!.lcr,  
W:!.lcr, 'VW 1 W11:.u: Wa1C"1 1 Ml.=-M'.1.'lt.'
'VW 1W11:.u: Wa1C"11 Ml.=-M'.1.'lt.'
Li4:..mf 1 SL**:tll!.l!c.c, W.1.'>!i=, 0-011_ l' Wif'I\!.  
Li4:..mf1 SL**:tll!.l!c.c, W.1.'>!i=,
:.'I *l !'.CS NO 5.l Rcqllt.S!t'!l A!'llll)'l.'(LI! (a.c.
0-011_ l' Wif'I\!.  
:.'I *l !'.CS NO 5.l Rcqllt.S!t'!l A!'llll)'l.'(LI!  
(a.c.
liOlOBIN?UA)
liOlOBIN?UA)
Dntl of Ct:-:'}t::i.111c:n.
Dntl of Ct:-:'}t::i.111c:n.
f..:t C3t!h (i a:. 8]1;f}[j  
f..:t C3t!h (i a:. 8]1;f}[j -J. 60/()BIN'i'OA  
-J. 60/()BIN'i'OA  
-I). C11ofcr romp. !'.r J Jl.r\ ... !Jy,ltec:litot1c Acid. NJ -N11r-u: Ac:uJ. S[J -Sdtl;;:in SJ\-. :'i*Jt{i.nc A,c;ui. Af\ -ASt:&#xa2;rb:c  
-I). C11ofcr romp. !'.r J Jl.r\ ... !Jy,ltec:litot1c Acid. NJ -N11r-u:
Ac:uJ. S[J -Sdtl;;:in SJ\-. :'i*Jt{i.nc A,c;ui. Af\ -ASt:&#xa2;rb:c  
/\tfd, U]( -
/\tfd, U]( -
ST-S<:c!.cim Th1i:m:lfotc.
ST-S<:c!.cim Th1i:m:lfotc.
lf 11.:i prutr ... !lh,,*c.  
lf 11.:i prutr ... !lh,,*c. ;:..  
;:..  
.. tc.avc !'iclj b' .. ,nk.. c WHITE= LABORATORY FILE i*iri n\ (nr')./V
.. tc.avc !'iclj b' .. ,nk.. c WHITE= LABORATORY FILE i*iri n\ (nr')./V
__
__
or -* / a --**** .... ***** ..... ***-**--GEL Chain of Custody and Analytical Request GEL laboratories, LLC Pro.1cc1  
or -* / a --**** .... ***** ..... ***-**--GEL Chain of Custody and Analytical Request GEL laboratories, LLC Pro.1cc1 #: 2040 GEL Quote# . .... **Sec www.gd.com for GEL's Sariple Acceptance Charleston.
#: 2040 GEL Quote# . .... **Sec www.gd.com for GEL's Sariple Acceptance Charleston.
SC 2ry407 .... ***-* . ... . ...... COC Nnrnbcr!li; GEL Wo1*k Order Number: Phone: (843) 556-8171 PO Number. Fax: (84:1) 7(>6-1178 Client Name: Phone#-: Sant[lle Aonlysis Requested 1 5 1 (Fill in the number of containers for each test) ProjcctJSite Nnmc:: Fnx#: Should !hi* , .. Prcscrvalivc T}pc (6) l>mplc he Address: C\}1isiclueot.I  
SC 2ry407 .... ***-* . ... . ...... COC Nnrnbcr!li; GEL Wo1*k Order Number: Phone: (843) 556-8171 PO Number. Fax: (84:1) 7(>6-1178 Client Name: Phone#-:
Sant[lle Aonlysis Requested 151 (Fill in the number of containers for each test) ProjcctJSite Nnmc:: Fnx#: Should !hi* , .. Prcscrvalivc T}pc (6) l>mplc he Address:
C\}1isiclueot.I  
: Comments Collected by: Send Results To: Note: extrn sample is f:oM 'l11.."l1p!i:=
: Comments Collected by: Send Results To: Note: extrn sample is f:oM 'l11.."l1p!i:=
TSC required for sample Cu!l.:ct.eiJ Q[' specific QC Sample ID l'"oJc 121 F1i1c-red MJ!l1X R*di A (mm*dd*)')')
TSC required for sample Cu!l.:ct.eiJ Q[' specific QC Sample ID l'"oJc 121 F1i1c-red MJ!l1X R*di A (mm*dd*)')')
Line 449: Line 357:
,., l<i!td )ero J 3.1 , u. [ I {O Z.1 /1 s "r'1 " 3.1. (I. &#xa3; ;), JD 'z,/tS 1?*.i-10 iJ v'3. I. IS .. I( \ 1.: 21 /1s N .J3. I 1S r:. d_ [l; I (, Z.! 15 l'i".YS f"J ,/j I. Kl 101 /1s N /-:, ! . IL i<J_ iC L.i/(5' I L-j t5 I'-\ f _,;. ,.. /. -I '/ /
,., l<i!td )ero J 3.1 , u. [ I {O Z.1 /1 s "r'1 " 3.1. (I. &#xa3; ;), JD 'z,/tS 1?*.i-10 iJ v'3. I. IS .. I( \ 1.: 21 /1s N .J3. I 1S r:. d_ [l; I (, Z.! 15 l'i".YS f"J ,/j I. Kl 101 /1s N /-:, ! . IL i<J_ iC L.i/(5' I L-j t5 I'-\ f _,;. ,.. /. -I '/ /
e6 3 . ! . ii.> I*: .* ' I ' ..., ..... \ .. . *.,,,. \ TAT Rcqucstctl:
e6 3 . ! . ii.> I*: .* ' I ' ..., ..... \ .. . *.,,,. \ TAT Rcqucstctl:
Normal Rush: Socc1fV:  
Normal Rush: Socc1fV: . {51,;.bil'Cf I Fax Yes J Ne.\ C1rdc Deliverable:
. {51,;.bil'Cf I Fax Yes J Ne.\ C1rdc Deliverable:
CofA ! QCSuml)lnry Level I l.cvcl 2 ' Lcvd .1 I Lewi.+ Rtmmrks: Are there any kmiwn hazardr applicahle tu rhese samples? !(so, ple.ase lfst the ha:ard1* ili!!lljlJJLC<.!lk'1iml.I!lnll.Z.!ulll Eastern Pacific Ccmrol Other Mounrnin .... .... Chai11 of Custocly Signatures Santple SltiJ1ph1g  
CofA ! QCSuml)lnry Level I l.cvcl 2 ' Lcvd .1 I Lewi.+ Rtmmrks:
:111d Delivery Octail11 Rclmqnishcu By ISign&#xa2;oJ Datr= T1111c b)" ("1gncd) DatP.? nmo GEL PM: I I ol Shmmcnt Date Shipped* 2 '2 A1rb1ll 3 J Arrboll# l ) { 1u1.i:J fll Nt.ml'cr
Are there any kmiwn hazardr applicahle tu rhese samples?  
* Dc:len:nL.".:c::d For L11fi R-:c,,ffi11K .i:\*i! 011lr .!' CC:l*.'gcl::!>
!(so, ple.ase lfst the ha:ard1*
ili!!lljlJJLC<.!lk'1iml.I!lnll.Z.!ulll Eastern Pacific Ccmrol Other Mounrnin  
.... .... Chai11 of Custocly Signatures Santple SltiJ1ph1g  
:111d Delivery Octail11 Rclmqnishcu By ISign&#xa2;oJ Datr= T1111c b)" ("1gncd)
DatP.? nmo GEL PM: I I ol Shmmcnt Date Shipped*
2 '2 A1rb1ll 3 J Arrboll# l ) { 1u1.i:J fll Nt.ml'cr
* Dc:len:nL.".:c::d For L11fi R-:c,,ffi11K  
.i:\*i! 011lr .!' CC:l*.'gcl::!>
X -.
X -.
TR -Tfip 1)!.1r.k.
TR -Tfip 1)!.1r.k.
Line 467: Line 367:
Ell .. Fqtii)1nU:r.1 n!:mk, \rS '" \.1a1rrc.  
Ell .. Fqtii)1nU:r.1 n!:mk, \rS '" \.1a1rrc.  
\rsn -M<'ln"-SpH:c Ocr:1(:.1!:!
\rsn -M<'ln"-SpH:c Ocr:1(:.1!:!
c; Cir:il,,
c; Cir:il,, C
C
* I }
* I }
fllLc:roed. lkpmJ  
fllLc:roed. lkpmJ  
Line 484: Line 383:
L111:.;d,SO  
L111:.;d,SO  
.. "i1d.  
.. "i1d.  
*Skd,",'..:,  
*Skd,",'..:, "1S.-.':-..1bd W;,,,t..:, o*n1l r. *f*J!t..1.1'  
"1S.-.':-..1bd W;,,,t..:,
o*n1l r. *f*J!t..1.1'  
\\'1l"*:.  
\\'1l"*:.  
[." t'r.-1*.i:.
[." t'r.-1*.i:.
Line 492: Line 389:
An.alyn:;
An.alyn:;
Rc."Cit:.C\lCiJ*
Rc."Cit:.C\lCiJ*
mctl;L*il CC:o'.!Uelittd (Ii: 826(}B.{10t1.HV7.C*741A) ilflll fur C':!:Lh {I c *'-t;.'tJl1l:J:l.;J11-1  
mctl;L*il CC:o'.!Uelittd (Ii: 826(}B.{10t1.HV7.C*741A) ilflll fur C':!:Lh {I c *'-t;.'tJl1l:J:l.;J11-1 . 11 Cuoler Temp. 6}
. 11 Cuoler Temp. 6}
TtJle. U.\ *  
TtJle. U.\ *  
:\<:"i>i.
:\<:"i>i.
Line 501: Line 397:
ScJ;::.m lf11\l
ScJ;::.m lf11\l
* tick.I bfo::l c J?ILF.. rl.:-<K = CLIEl'iT   
* tick.I bfo::l c J?ILF.. rl.:-<K = CLIEl'iT   
*cl e_ld Co ex.. l'oge: _ .. _ . --* ..... -* -. **-.. ,.. ....... --. *-.. -*-*--* GEL Chain of Custody and Analytical Request GllL Laboralorics, LLC Pro1cct II: 2040 Road GEL Quolo II: _ ....... ... . "'"'See www.gcLcoin for GEL's Sample Acceptance SOP*'" Ch*rleslott, SC 29407 ...... --* .. .---* ********
*cl e_ld Co ex.. l'oge: _ .. _ . --* ..... -* -. **-.. ,.. ....... --. *-.. -*-*--* GEL Chain of Custody and Analytical Request GllL Laboralorics, LLC Pro1cct II: 2040 Road GEL Quolo II: _ ....... ... . "'"'See www.gcLcoin for GEL's Sample Acceptance SOP*'" Ch*rleslott, SC 29407 ...... --* .. .---* ******** COC Number tll: .. . ...... GEL Work Order Number: Phone: (843) 556-S 171 PON11mbcr:
COC Number tll: .. . ...... GEL Work Order Number: Phone: (843) 556-S 171 PON11mbcr:
Fa11: {843) 766-1 J7S Client Name: Phone II: Sample Analysis Req11colcd  
Fa11: {843) 766-1 J7S Client Name: Phone II: Sample Analysis Req11colcd  
<51 (Fill m the number ofconlainers for each .lest) Project/Site Name: Fax II: Sbould < .* l'rcsctvalivc Typo (6) flil*
<5 1 (Fill m the number ofconlainers for each .lest) Project/Site Name: Fax II: Sbould < .* l'rcsctvalivc Typo (6) flil*
be Address:
be Address: con.ldcrcd  
con.ldcrcd  
: Comments Collcclcd by: Send To: Note: extra is
: Comments Collcclcd by: Send To: Note: extra is
* lJatc  
* lJatc  
Line 512: Line 406:
'" *< Qi4.!;0 ltr:gu *For c:Y1111io,,*irc:r  
'" *< Qi4.!;0 ltr:gu *For c:Y1111io,,*irc:r  
.. mdic:<llt  
.. mdic:<llt  
.'tlc.:rt 1111rl Jy/t:1fm1e ihhmm) ><  
.'tlc.:rt 1111rl Jy/t:1fm1e ihhmm) >< )CJ"O ./ 3.1. G;i. \Z... I tv,,z1, 1 s 1'-*L r; Lr-1 _/ 3.). L*), e. . z.. lo .--z.H(' rl/'.::J.'5' N J 3. I, Lv K.. 3 10 q,\-1 )'
)CJ"O ./ 3.1. G;i. \Z... I tv,,z1,1s 1'-*L r; Lr-1 _/ 3.). L*), e. . z.. lo .--z.H('
rl/'.::J.'5' N J 3. I, Lv K.. 3 10 q,\-1 )'
N / J, lo' !Z. Lf* !l)  
N / J, lo' !Z. Lf* !l)  
<(
<(
Line 521: Line 413:
N ,,; 3, I
N ,,; 3, I
* c; , Q
* c; , Q
* iQ-ZJ-J(  
* iQ-ZJ-J( /(000 eB TAT Rcquc*!cd:
/(000 eB TAT Rcquc*!cd:
Ncmial: Rush: StcciFy: [S"bj''' to lfax Results. Yes I No Cirnlc Dclh*crablc.;
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'  
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)
!(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)
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.
D;.;lc Tune GF..LPM:
I I Metl!ud ol"Shor.monr Date Shinned:
2 2 3 3 Airb:lln.
I }
I }
of  
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.
-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 <=
F.n <=
Bl11!1k.
Bl11!1k. MSc Malm; Spike Stimrlc, '1SD""
MSc Malm; Spike Stimrlc,  
'1SD""
Sf:lko J)1:pl;t':tlC!
Sf:lko J)1:pl;t':tlC!
G ...
G ...
C ...
C ...
J.l field J!'tlicr.::d.
J.l field J!'tlicr.::d.
for liGi.:td mJtrjc-cs, 1i,:1th zi & f -(er y.;i!'. lhc o;u:*p!c  
for liGi.:td mJtrjc-cs, 1i,:1th zi & f -(er y.;i!'. lhc o;u:*p!c \'ttt:<..
\'ttt:<..
fic!d (1:1crr-ad  
fic!d (1:1crr-ad  
.::r * !\:'" -tesr s.i.,np?o w.:u. tloc 1'icld filtatd C11smdy Seal /1'/oc"I?  
.::r * !\:'" -tesr s.i.,np?o w.:u. tloc 1'icld filtatd C11smdy Seal /1'/oc"I?  
*1.l Cod::s:
*1.l Cod::s:
Wt!cr, GW  
Wt!cr, GW .SW Wi,(;r. W\Y* Wa:iolc w*.\\'atcr, Ml**
.SW Wi,(;r. W\Y* Wa:iolc w*.\\'atcr, Ml**
SO***Su:I, SD*=St!Jimi:nc, SL* Srw.JgL'1 SS ..  
SO***Su:I, SD*=St!Jimi:nc, SL* Srw.JgL'1 SS ..  
.. *, 0=:011, 1:-.:.f*Dcr, p ..
.. *, 0=:011, 1:-.:.f*Dcr, p ..
F" 'fl.\..:tl,  
F" 'fl.\..:tl, :"ll*': i"ES NO 5 ) Silrttt*.1e J\r.:1.)r3il Ar.ntyucai (i e. 8Z&#xa3;l>lJ. 6{JHIB/7-1'7UA) .i:.ntl of ,c."ltnmc:n jlrC;.Vickd f"r c-;:;t.:h (1 SUJJB -),  
:"ll*': i"ES NO 5 ) Silrttt*.1e J\r.:1.)r3il Ar.ntyucai (i e. 8Z&#xa3;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.
-l). Cooler Temp.'* 6.j Typ.:: JIA .. .H_ydrc-cl1loru; Aoe1d. NI"" Nllrh: Acnt.. SH Hyi!fGl1r1z.
Sl\ -Sulfonc:
Sl\ -Sulfonc: Ac-ul, AA -As..:url>lc Acid, UX .. Hcx:i.nc.
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  
ST"'" Sodit.::n 111;0.sulfa:i=,
I fn("I pY-c-!l-i:r  
....
....
r.i:: .u!:!eii  
r.i:: .u!:!eii :-* J:::'IV-l l'!ald b::w.i;. c WHITE= LABORATORY YELLOW"' FIU'. PINK"' CLIENT j   
:-* J:::'IV-l l'!ald b::w.i;.
.. . .* . . Page: ______ .._ of ________ _ Projc<<:i#:
c WHITE= LABORATORY YELLOW"'
FIU'. PINK"' CLIENT j   
.. . .* . . Page: ______ .._ of ________
_ Projc<<:i#:
om:Quo1e 11' GEL Cbai'n of'Custodyand An*alytical:Request.  
om:Quo1e 11' GEL Cbai'n of'Custodyand An*alytical:Request.  
'"*S.<:e www_,g.;Lc9mfor-GEPs Sample Acceptance SOR*.11<
'"*S.<:e www_,g.;Lc9mfor-GEPs Sample Acceptance SOR*.11< c:oc;.Numbcr 1 1 1: l'O,Numbcr:*  
c:oc;.Numbcr 111: l'O,Numbcr:*  
* "-**** -.** * ----* GEL W01*1l Order Ni.Imber:
* "-**** -.** * ----* GEL W01*1l Order Ni.Imber:
* GEL LLC' 2040 Savngc Road Charleston, SC 29407 (e*tl) 556,3171 Frud843l*766,l l78 l {)
* GEL LLC' 2040 Savngc Road Charleston, SC 29407 (e*tl) 556,3171 Frud843l*766,l l78 l {)
Line 579: Line 450:
Sample ID
Sample ID
* Fiir  
* Fiir  
,, fndicUtf'  
,, fndicUtf' .vtarl"mul  
.vtarl"mul  
,\'Im? JRteltime COJkcicJ . '(M!lltifry) (hhmm) <-.*
,\'Im? JRteltime COJkcicJ  
Typc.(6) Comment$ Note;:extrn sample is required ,for.sainple ,specific QC J.t I L(, e.3 11\AG
. '(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:
* TAT'Rcaucstcd:
Normal: -Rush:  
Normal: -Rush: (SOJbi"nosu"'hill'gc)
(SOJbi"nosu"'hill'gc)
IFail'Rcsults:
IFail'Rcsults:
Yes No Circle Dclivcrublc:
Yes No Circle Dclivcrublc:
Line 599: Line 462:
'0t!icr_-.
'0t!icr_-.
__ Mounrain Chain of.<;ustody Signatures*
__ Mounrain Chain of.<;ustody Signatures*
Sample Shipping-and' Deiivery Details "Time* Received by*(signcd),
Sample Shipping-and' Deiivery Details "Time* Received by*(signcd), GEL PM: , 1* Method ofShlorncill:.
GEL PM: , 1* Method ofShlorncill:.
Date Shinned: 2 2 "Airbill If: 3 Alibilllf:
Date Shinned:
I_.) 0Ch*h1 of C0>tody"Nuriib., -Cliont D<:lctlllincd Far Lal> Rci:eiving U>e Ou/;-1.,) ', Qr.<;odc._:  
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
:N *'Nonn*l S.mp!c, Tll
* FD.= Fic_ld_Duplicaui, l\ll"f,quipmcni Blink, ,._Ma11ix  
* FD.= Fic_ld_Duplicaui, l\ll"f,quipmcni Blink, ,._Ma11ix )lSU Spike Dupli<*I<
)lSU Spike Dupli<*I<
Samplt, G Comp,.i1<
Samplt, G Comp,.i1<
lil'icld fibered:
lil'icld fibered: For liquid  
For liquid  
* ".Y ** rcir yco lhq0lllf,1o_w""  
* ".Y ** rcir yco lhq0lllf,1o_w""  
;tj .:for:**mPl<:w.os no1.ficld "f1lto1<d.  
;tj .:for:**mPl<:w.os no1.ficld "f1lto1<d. . Cm*1oti;rSeol1111oc!?
. Cm*1oti;rSeol1111oc!?
C'o;Jcs: ow .... ormki1.1g Waicr.
C'o;Jcs:
ow .... ormki1.1g Waicr.
W.:i.tcr.
W.:i.tcr.
w.n-c1,  
w.n-c1,  
Line 628: Line 484:
J\c;;itt;_Nl
J\c;;itt;_Nl
* SA*"
* SA*"
lhiruutfou:,*1C.i1<t il added e:lcavc.ficJd blank *C WUIT.E"'
lhiruutfou:,*1C.i1<t il added e:lcavc.ficJd blank *C WUIT.E"' l,ABORA'I'ORY YJU:LOW =Fl.LE  
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:
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:
Line 635: Line 490:
* lt,!t:
* lt,!t:
i2 Detector 1: Make/Model:
i2 Detector 1: Make/Model:
ltt_'4M_
ltt_'4M_ W-/.? Blcron MicroRem Meter: Serial No.
W-/.? Blcron MicroRem Meter: Serial No.
Serial No.
Serial No.
Serial No.-----2. Check Source Information:  
Serial No.-----2. Check Source Information:  
Line 648: Line 502:
t'J..tJ,)...
t'J..tJ,)...
unitsirC Assay Date: ..&'A_ Response Acceptance Range (+/-20%):
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:  
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
. Title: _..;_,e_cr
___ _ Date: lt?jr5"f.}
___ _ Date: lt?jr5"f.}
nme: I.JS-$' Location  
nme: I.JS-$' Location


==
== Description:==
Description:==


Y-Coord:
Y-Coord: VJ 079'  
VJ 079'  
'' 4. Site or Location:
'' 4. Site or Location:
Slte/Job:
Slte/Job:
__  
__  
(;) I GPS Coordinates (when required):
(;) I GPS Coordinates (when required):
X-Coord:
X-Coord: IV Lf;J_ Slf. t:f I Instrument Field Response.1.
IV Lf;J_ Slf. t:f I Instrument Field Response.1.
Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20%. Inst.
Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response  
* 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 "";"'"
+/-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&#xa2;.i? F ii/. I "(j.,,,,l,$,2....
i'!D;t v v \j /l/oo Cs-87 a;-Rate meter ' I .u:,.. tf c..n ..... v 'if v 11&#xa2;.i? F ii/. I "(j.,,,,l,$,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.
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.
Record check source response (net cpm) prior to field deployment for air check sources being used. 2. Source and Background count rate sl:lould be determined from the avera&e of three static count$ at the same location.
Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability
Repeat counts should be within 20%. lfcount rate diverges significantly, perform additional counts ta evaluate instrument stability
* I I I I l I i I I j I Rev 110/18/15  
* I I I I l I i I I j I Rev 110/18/15  
Line 677: Line 524:
Detector 1: 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.
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:
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:
Cs-137 Serial No.: / /tW-t.z.
Activity:
Response Acceptance Range {+/-20%):
Response Acceptance Range {+/-20%):
uRem/hr +20% ___ uRem/hr-20%
uRem/hr +20% ___ uRem/hr-20%
Line 688: Line 533:
_
_
____ GPS (when required):
____ GPS (when required):
X-Coord:  
X-Coord: /\/4)-.." ::ui '91.'7" I Instrument Field Response 2 Meter _, Bkg Bkg Counts Source So.urce Response +/-20% Cnt {cpm) or Cnt (gross cpm or source Tlme uRem/hr) Time uRem/hr) gross cpm or uRem/hr (V/N) Rate meter  
/\/4)-.."  
'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
::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:==
Description:==


___
___
_____ _ Y-Coord:
_____ _ Y-Coord: LtJ 071, 0'(o r 3'1. 7" Use Acceptance Criteria
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.;
* Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. {add'! Info; inst. Condition, etc.) current (Y/Nl check (of) (Y/N) y .,7 S""b.5 -cs ... 151 U'E ..,; i.;
S'.c>. q '6TZ, .25 ,J... .,. &#xa3;.!&#xa3;. I r 1. 1 nstrument designated check source Is listed on calibration sticker.
S'.c>. q '6TZ, .25 ,J... .,. &#xa3;.!&#xa3;. I r 1. 1 nstrument designated check source Is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. ;' 2. Source and Background count rate should be determined from the average of three static at the same location.
Record check source response (net cpm) prior to field deployment for all check sources being used. ;' 2. Source and Background count rate should be determined from the average of three static at the same location.
Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability I I j* I i ! I I I I I I -MJW SER'VIC"oE'!S Rev 110/18/15  
Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability I I j* I i ! I I I I I I -MJW SER'VIC"oE'!S Rev 110/18/15  
: 1. Instrument lnformation 1 Ratemeter:
: 1. Instrument lnformation 1 Ratemeter:
Line 711: Line 549:
Instrument Field Response Check Log Serial No.
Instrument Field Response Check Log Serial No.
Serial No.
Serial No.
Serial No. ...,....
Serial No. ...,.... ___ _ Cal. Due Date:
___ _ Cal. Due Date:
Ci!I. Due Date: __ _ Source 1 Isotope:
Ci!I. Due Date: __ _ Source 1 Isotope:
Serlal No.: //( Activity: units: vC.,,.-Response Acceptance Range (+/-20%):
Serlal No.: //( Activity: units: vC.,,.-Response Acceptance Range (+/-20%):
Line 719: Line 556:
Assay net cpm + 20% r;' net cpm Source21sot9pe;($-f37 SerialNo.:  
Assay net cpm + 20% r;' net cpm Source21sot9pe;($-f37 SerialNo.:  
/l't&#xa3;,;z3  
/l't&#xa3;,;z3  
... /2 Activity:0..6. unitswC/
... /2 Activity:0..6. unitswC/ AssayDate:
AssayDate:
N/r Response Acceptance Range (+/-20%):
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._} __ _
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  
Time: /t>e;oo Location


==
== Description:==
Description:==


Y-Coord:
Y-Coord: Wc18&deg;l(t}  
Wc18&deg;l(t}  
'3>"t. 4. Site or Location:
'3>"t. 4. Site or Location:
Site/Job:,  
Site/Job:,  
....
....
I _____ _ -, GPSCoordinates(whenrequired):
I _____ _ -, GPSCoordinates(whenrequired):
X*Coord:
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  
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/  
I "" ...... L( /,{;l..f/  
,,. .,, ""' \/ v y /60._("'
,,. .,, ""' \/ v y /60._("' 5Zo "/h-,2<:2...._
5Zo "/h-,2<:2...._
f-);s; Rate meter I I'";" , 0 ,, /()/{J 51 . .:L (3"?
f-);s; Rate meter I I'";"  
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.
, 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 \   
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:
! I I I Rev 110/18/15 Instrument Fle!d Response Check log 1. Instrument lnformatlon 1 Ratemeter:
Line 751: Line 579:
Detector 1: Make/Model:
Detector 1: Make/Model:
Bicron MicroRem Meter: 2. Check Source Information; Serial No.
Bicron MicroRem Meter: 2. Check Source Information; Serial No.
Serial No. f"R //.J...&#xa3;&#xa5;,.2-Serlal Source 1 Isotope:  
Serial No. f"R //.J...&#xa3;&#xa5;,.2-Serlal Source 1 Isotope: -n..-)-;3)..Serial No.: // ( Actlv!ty: units: .p.Li Response Acceptance Range.(+/-20%):
-n..-)-;3)..Serial No.: // ( Actlv!ty: units: .p.Li Response Acceptance Range.(+/-20%):
uRem/hr+20%___
uRem/hr+20%___
uRem/hr*20%
uRem/hr*20%
__ Cal. Due Date: Cal. Due Date: __ _ net cpm -20% 3S'fl.c6 Source 2 Isotope:
__ Cal. Due Date: Cal. Due Date: __ _ net cpm -20% 3S'fl.c6 Source 2 Isotope: U -<37 Serial No.: / e:;;:g ... f;i.. Activity:
U -<37 Serial No.: / e:;;:g ... f;i.. Activity:
CJ,6,)..
CJ,6,)..
Assay Date: ..Af.J:t_
Assay Date: ..Af.J:t_
Line 766: Line 592:
...........  
...........  
' .u GPS Coordinates (when required):
' .u GPS Coordinates (when required):
X-Coord:
X-Coord: N 51{.'1 I Instrument Field Response 2 Meter Bkg Bkg Counts Source
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
* 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:==
Description:==


__
__
Y-Coord:
Y-Coord: WO ?'ii-0 vo &deg;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 (&deg;Ft (Y/N) -Rate meter 1  
WO ?'ii-0vo &deg;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 (&deg;Ft (Y/N) -Rate meter 1  
'11?&#xa3; { '"'"' lf 5"'!'10 y \/ v fl..-..,23.2.
'11?&#xa3; { '"'"' lf 5"'!'10 y \/ v fl..-..,23.2.
j:X Rate meter I ,..,it...  
j:X Rate meter I ,..,it...  
'I fl.ft; \/ \.f \1 151 J S--1. 0 I"' _,,.__r37  
'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.
-Os; Rate meter I I I -Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source is listed on calibration sticker.
Record check source response  
{net cpm) prlorto field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location.
Repeat counts should be within 20%. If count rate diverges significantly, perform ;iddltional counts to evaluate instrument stability I l I I I I I ' i i j I I I  
Repeat counts should be within 20%. If count rate diverges significantly, perform ;iddltional counts to evaluate instrument stability I l I I I I I ' i i j I I I  
' .*  
' .*  
Line 791: Line 608:
Blcron MlcroRem Meter: 2. Check Source lnformatron:
Blcron MlcroRem Meter: 2. Check Source lnformatron:
Instrument Field Response Check Log Serial No. ti10601i Serial No. ?&#xa3;//J.-&#xa3;if  
Instrument Field Response Check Log Serial No. ti10601i Serial No. ?&#xa3;//J.-&#xa3;if  
,2-. Serial Cal. Due Date: f'Jo/b _9al. Due Date: __ _ \ Assay Source 1 Isotope:
,2-. Serial Cal. Due Date: f'Jo/b _9al. Due Date: __ _ \ Assay Source 1 Isotope: Jl.,w)..JJ-:.
Jl.,w)..JJ-:.
Serial Na.: If I Activity:
Serial Na.: If I Activity:
L6J units: .p&#xa3;J.. Response Acceptance Range (+/-20%):
L6J units: .p&#xa3;J.. Response Acceptance Range (+/-20%):
Line 798: Line 614:
uRem/hr-20%
uRem/hr-20%
net cpm + 20% '5:r7'1 r net cpm -20%
net cpm + 20% '5:r7'1 r net cpm -20%
Source 2 Isotope:
Source 2 Isotope: LJ *!37 Seria I No.: //1&#xa3;;.:J-{  
LJ *!37 Seria I No.: //1&#xa3;;.:J-{  
,;L Activity:
,;L Activity:
0.6/-. u nits:jfCL Assay Date: A!.L Response Acceptance Range (+/-20%):
0.6/-. u nits:jfCL Assay Date: A!.L Response Acceptance Range (+/-20%):
Line 805: Line 620:
: 3. Technician/Worker Performing Checks: Name:.;;t Tit!e: _ _.1Z=-"'CT_,_
: 3. Technician/Worker Performing Checks: Name:.;;t Tit!e: _ _.1Z=-"'CT_,_
__ _ Date: /6/1(,/!5"'
__ _ Date: /6/1(,/!5"'
Time: /6?8 r . J.( Location  
Time: /6?8 r . J.( Location


==
== Description:==
Description:==


N LJ 0 , ., ' ,,,
N LJ 0 , ., ' ,,,
_____ _ X-Coord:
_____ _ X-Coord: Q 511. "'! Y-Coord:
Q 511. "'! Y-Coord:
Yti 3"1.? 'I. Site or Location:
Yti 3"1.? 'I. Site or Location:
Site/Job:
Site/Job:
GPS Coordinates (when required):  
GPS Coordinates (when required):  
! Instrument Field Response2
! Instrument Field Response 2
* Use Acceptance Criteria Remarks Rev 110/18/15 Meter Bkg Bkg Counts Source Source Response  
* 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.
+/-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 {&deg;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  
* Check Of Temp. (add'! Info: inst. Condition, etc.) lime uRem/hr)
Time uRem/hr) gross cpm current (Y/N) check {&deg;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 ....  
//1f7 ....  
\j J1f \; J(J' 7  
\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.
/".:;,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.
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
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:
* I Rev 1 10/18/15 Instrument Field Response Check Log 1. Instrument lnformatlon 1 Ratemeter:
Line 834: Line 644:
*&Jf11m lfll-f(J Serial No. 'P&J/;l...&"(.J-Cat. Due Date:
*&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:
Blcron MlcroRem Meter; Serial No.-----Cal. Due Date: __ _ 2. Check Source Information:
Source l Isotope:  
Source l Isotope: -:IE..d:-32-:
-:IE..d:-32-:
Serial.No.:
Serial.No.:
If I Activity:.?/).
If I Activity:.?/).
I Response Acceptance Range (+/-20%):
I Response Acceptance Range (+/-20%):
uRem/hr +20% __ uRem/h' -20% Assay Date:f net cpm + 20%
uRem/hr +20% __ uRem/h' -20% Assay Date:f net cpm + 20%
f' net cpm -20%.Rg?;;.C Source 2 Isotope:
f' net cpm -20%.Rg?;;.C Source 2 Isotope: 4
4
* lJ? Serial No.: I ( 4*,:?5-J :.Z. Activity:
* lJ? Serial No.: I ( 4*,:?5-J  
:.Z. Activity:
0.6)-unitsf-:'.C,*
0.6)-unitsf-:'.C,*
Assay Date: 1\/,4 Response Acceptance Range (+/-20%):
Assay Date: 1\/,4 Response Acceptance Range (+/-20%):
Line 852: Line 659:
: 4. Site or Location:
: 4. Site or Location:
Site/Job: :J. ( 1 GPS Coordinates (when required):
Site/Job: :J. ( 1 GPS Coordinates (when required):
X-Coord:
X-Coord: N 'f)-.6 r:ilf'ft/, 'I" I Instrument Field Response" Meter Bkg Bkg counts Source Source Response +/-20% Cnt (cpm) or Cnt {gross cpm or source Time uRem/hr) Time uRem/hr) gross cpm or uRem/hr (Y/N) Rate meter f MiY\
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  
C!Jlvi  
'f6ll;l.6 C/Pt1'-v Rate meter I f IM;,.._ I { ;J\r.. \1 Rate meter Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA Location Description  
'f6ll;l.6 C/Pt1'-v Rate meter I f IM;,.._ I { ;J\r.. \1 Rate meter Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA Location Description  
: __
: __
______ _ t. J 0 ,r/ Y-Coord:
______ _ 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.
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 !
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:
I I I l_ Rev 110/18/15 Instrument Field Response Check Log* 1. Instrument lnformation 1 Ratemeter:
Make/Model; Detector 1: Make/Model:
Make/Model; Detector 1: Make/Model:
Blcron MlcroRem Meter: 2. Check Source Information:
Blcron MlcroRem Meter: 2. Check Source Information:
Serial No.cl&#xa3;(.
Serial No.cl&#xa3;(. Dj serial No. 1"f:f f.U-t.f2 Serial No. ____ _ Cal. Due Date:
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 (
Cal. Due Date: source 1 Isotope:
7A,;?32serial No.: {I (
Response Acceptance Range (+/-20%):
Response Acceptance Range (+/-20%):
uflem/hr  
uflem/hr +2.0% ___ uRem/hr -20% Assay Date: ( net cpm + 20% 371 i" net cpm -20%
+2.0% ___ uRem/hr -20% Assay Date: ( net cpm + 20% 371 i" net cpm -20%
Source 2 lsotope:U Serial No.: / /1E):l../2.
Source 2 lsotope:U Serial No.: / /1E):l../2.
Activity:
Activity:
Line 882: Line 679:
Site/Job:
Site/Job:
ArlA .S. { GPS Coordinates fwhen required):
ArlA .S. { GPS Coordinates fwhen required):
X-Coord:
X-Coord: N '/J-d&#xa3; J.if.q" I Instrument Field Response 2 Meter Bkg Bkg Counts Source Source Response +/-20% Cnt {cpm) or Cnt (gross cpm or source Time uRem/llr)
N '/J-d&#xa3; 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  
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&#xa5; Time: .ij',ZC Location  
... 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&#xa5; Time: .ij',ZC Location


==
== Description:==
Description:==


C .,,-f';.e.f.R V-Coord:
C .,,-f';.e.f.R V-Coord: IN 6 715&deg; 'fD  
IN 6 715&deg; '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...
'' . 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)&#xa3; \/ I I 3 'l &#xa3;/2r v;J.&#xa3;_ I/ 1. Instrument designated check source is listed on calibration sticker.
l/-t.s-j)&#xa3; \/ I I 3 'l &#xa3;/2r v;J.&#xa3;_ 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.
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:
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:
Make/Model:
Line 904: Line 696:
__ Serial No. c/-(J' ti 9 8 Serial No. "PR.:1..Rt.Y;L Serial No. $378'A.-Cal. Due Date:
__ 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:
Cal. Due Date:lv7j1JllS:
Bicron MicroRem Meter: 2. Check Source Information:  
Bicron MicroRem Meter: 2. Check Source Information: . Source l Isotope: =t'f:,?3)..
. Source l Isotope:  
=t'f:,?3)..
Serial No.: fl/ Activity:
Serial No.: fl/ Activity:
C6 ./ units:/!?,:
C6 ./ units:/!?,:
Line 914: Line 704:
l?.O,;L..
l?.O,;L..
Assay Date: /\/A-Response Acceptance Range (+/-20%):
Assay Date: /\/A-Response Acceptance Range (+/-20%):
uRem/hr +20% __ uR.em/hr  
uRem/hr +20% __ uR.em/hr -20% net cpm + 20%
-20% net cpm + 20%
net cpm -20%  
net cpm -20%  
: 3. Checks: Title: gcr-CY/17 Date:/O/zf I 4. Site or location; Site/Job:
: 3. Checks: Title: gcr-CY/17 Date:/O/zf I 4. Site or location; Site/Job:
Line 921: Line 710:
111 ;p I' ,, GPS Coordinates  
111 ;p I' ,, GPS Coordinates  
{when required):
{when required):
X-Coord:
X-Coord: VL <i:L ...2S SY.'? Location Descriptlon:.
VL <i:L ...2S SY.'? Location Descriptlon:.
__ ,. *" Y-Coord: W(J7o $'(} 31. 2 I Instrument Field Response 2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt {cpm) or Cnt {gross cpm or source Ca!ib. Check Of Temp. (add'! Info: inst. Condition, Time uRem/hr} Time uRem/hr) gross cpm current {Y/N) check (oF) oruRem/hr  
__ ,. *" Y-Coord:
{Y/N) (Y/N) Rate meter /,.,.; ... . .. ,,... /Mi;..., '1-r:l .{, { I" 11-\{ y y 57 ()
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 ,.,.;,,..
t}.$-Rate meter . l ,.,.;,,..
II :._  
II :._  
\JJ VJ -..u* 6-IS/ Rate meter I ( ( I -Rate meter Bicron NA 6uLJJ..r NA l'J'i *  
\JJ VJ -..u* 6-IS/ Rate meter I ( ( I -Rate meter Bicron NA 6uLJJ..r NA l'J'i *  
\./ \f v 1Yf5'f  
\./ \f v 1Yf5'f  
().<; ---r--k. 2-Bicron NA . I NA I , I I I I () Bicron NA NA Bicron NA NA. 1. Instrument designated check source is listed on callbration sticker.
().<; ---r--k. 2-Bicron NA . I NA I , I I I I () Bicron NA NA Bicron NA NA. 1. Instrument designated check source is listed on callbration sticker. Record check source response (oet cpm) prior to field deployment for all check sources being used. 2 .. Source and Background count rate should be determined from the average of three static counts at the same location.
Record check source response (oet cpm) prior to field deployment for all check sources being used. 2 .. Source and Background count rate should be determined from the average of three static counts at the same location.
Repeat counts should be within 20%. If count rate diverges sJgnif!cantly, perform additional counts ta evaluate instrument stability I I . I I   
Repeat counts should be within 20%. If count rate diverges sJgnif!cantly, perform additional counts ta evaluate instrument stability I I . I I   
.----.w.l'-v .SGR'VICES Rev 110/18/15 i I I Instrument Field Response Check Log l. Instrument lnformatlon 1 Cal. Due Date:
.----.w.l'-v .SGR'VICES Rev 110/18/15 i I I Instrument Field Response Check Log l. Instrument lnformatlon 1 Cal. Due Date:
Line 948: Line 731:
Date: . Response Acceptance Range (+/-20%}:
Date: . Response Acceptance Range (+/-20%}:
uRem/hr +20%__ uRem/hr-20% net cpm + 20% {'$.)....7 Y net cpm -20% '&deg;t'f"'t?
uRem/hr +20%__ uRem/hr-20% net cpm + 20% {'$.)....7 Y net cpm -20% '&deg;t'f"'t?
I Instrument Field Bkg Bkg Counts Sour.ce Source Response  
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')
+/-20% Cnt (cpm} or Cnt (gross cpm or source Time uRem/hr)
Jf7 Rate meter , ( 1&#xa5;4.,,.,, JI cJ.-" 'I {/
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&#xa5;4.,,.,,
JI cJ.-" 'I {/
Lt:. I  
Lt:. I  
-r--s '7 "JI.* Rate meter I I ( -' (/ Rate meter Bicron NA q. 1a IL.r NA  
-r--s '7 "JI.* Rate meter I I ( -' (/ Rate meter Bicron NA q. 1a IL.r NA  
'./ \{ "-../ f'3si Bicron NA ,. I NA f I I ,,,.. -*--'jf Y. ,, , Bicron NA NA {/ Bicron NA NA 1. Instrument designated check source is listed on calibration sticker.
'./ \{ "-../ 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.
Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static*c;ounts at the same location.
Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability I ! I I i I I i I i l ! I l I I I I I TS MJ"-'V SGR"VICtES Rev 110/18/15  
Repeat counts should be within 20%. lf cou.nt rate diverges significantly, perform additional counts to evaluate instrument stability I ! I I i I I i I i l ! I l I I I I I TS MJ"-'V SGR"VICtES Rev 110/18/15  
: 1. Instrument Ratemeter; Make/Model:
: 1. Instrument Ratemeter; Make/Model:
Line 967: Line 743:
'ft.{-/(J Bicron MicroRem Meter: 2. Check Source Information:
'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.
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::,
Serial No. B 6 '?'$ 6 Cal. Due Date; IPjrr:/'f::, Cal. Due Date:
Cal. Due Date:
Source 1 Isotope: "'11--;?12-Serial No.: / j l Activity:  
Source 1 Isotope:  
..C..CJ. I Response Acceptance Range (+/-20%}:
"'11--;?12-Serial No.: / j l Activity:  
..C..CJ.
I Response Acceptance Range (+/-20%}:
uRem/hr+20%__
uRem/hr+20%__
uRein/hr net cpm -20% 'l>IT{.4 Source 2 Isotope:
uRein/hr net cpm -20% 'l>IT{.4 Source 2 Isotope:
Serial No.: II ic;J.3-f.i Activity:
Serial No.: II ic;J.3-f.i Activity:
6.6 ,;l-. units:&_
6.6 ,;l-. units:&_ Assay Date: _LYA__ Response Acceptance Range {+/-20%):
Assay Date: _LYA__ Response Acceptance Range {+/-20%):
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% ('$l.7'S net cpm -20%  
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20% ('$l.7'S net cpm -20%  
: 3. Checks: Title: 'RCT 4. Site or Location:
: 3. Checks: Title: 'RCT 4. Site or Location:
Site/Job: 3. I . ,, GPS Coordinates (when required):
Site/Job: 3. I . ,, GPS Coordinates (when required):
X-Coord:
X-Coord: N Y;t ':ct '-S-L{. I Instrument Field Response 2 Meter Bkg Bkg Counts Source Source Response +/-20% Cnt (cpm) or Crit {gross cpm or source Time uRem/hr}.
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>\.  
Time uRem/hr) gross cpm or uRem/hr (Y/N) Ratemeter lw...1' 'l1. I t./kt' I Mi>\.  
/'"_fi-v Ratemeter  
/'"_fi-v Ratemeter ) wl *'&deg;h If Ir c../J,..,...  
) wl *'&deg;h If Ir c../J,..,...  
\] Rate meter I r Rate meter Bicron NA h LA,,./J. r NA f ;i_r., /f,.J&#xa3;/ ,, Bicron NA I NA I ;* I Bicron NA NA Bicron NA NA Time: IS""'S-0 Location
\] Rate meter I r Rate meter Bicron NA h LA,,./J.
r NA f ;i_r., /f,.J&#xa3;/ ,, Bicron NA I NA I ;* I Bicron NA NA Bicron NA NA Time: IS""'S-0 Location  


==
== Description:==
Description:==


__
__
Y*Coord:
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"'\  
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 ',/
/.JC -rJ. -1 C!:'...'7 l...J ',/
t/f).&#xa3;_ -!"?? f ' v lf .... ,  
t/f).&#xa3;_ -!"?? f ' v lf .... ,  
/J.4 -rt..
/J.4 -rt..
I I v 1. Instrument designated check source Is hsted on calibration sticker.
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.
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  
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:
! I i I l L Rev 110/18/15 I I i I Instrument Field Response Check Log 1. Instrument lnformatton 1 Ratemeter:
Line 1,008: Line 773:
[<l!}l-VllA  
[<l!}l-VllA  
'fl/-lo Bicron MlcroRem Meter: z. Check Source Information:
'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:  
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%):  
*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:  
+20% __ uRem/hr -20% ==-Assay net cpm + 20% __ _ Source 2 Isotope:
Cs Ill Serial No.: K7E'15 *"If? Activity:  
-v :2. units:&#xb5;.<:.<'.
-v :2. units:&#xb5;.<:.<'.
Assay Date; 1/20/t o Response Acceptance Range (+/-20%):
Assay Date; 1/20/t o Response Acceptance Range (+/-20%):
Line 1,020: Line 783:
__
__
location / L/ 0 I IC * [ / . " GPS Coordinates (when required):
location / L/ 0 I IC * [ / . " GPS Coordinates (when required):
X-Caord:
X-Caord: f1L LC J J 'ff': 0 Y-Coord: lV O'JR' 'fo :$' >.. .2. ! Instrument Field Response 2 Use Acceptance Criteria Remarks t Meter Bkg Bkg Counts Source Soun:e Response +/-20% inst. Battery
f1L LC J J 'ff': 0 Y-Coord:
* 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  
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  
*I m1AJ  
:S: / 111 I fl/. /1%D'f y '-/ (JC/ 00 t;{1 fl/... z:s l.-Ratemeter Ir "u11J, f</.-1,)
: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  
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'  
'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.
'/ 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:
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:
Make/Model:
Line 1,039: Line 795:
*z..1-z.__
*z..1-z.__
Serial No.: )//zr Assay Date: 1i.};;c:/ro Response Acceptance Range (+/-20%}:
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:
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:  
C.s. ( 3] Serial No.: g--7 {I]-'18' Activity:  
,..0 2-.
,..0 2-.
Assay Date: __ Response Acceptance Range {+/-20%):
Assay Date: __ Response Acceptance Range {+/-20%):
Line 1,049: Line 804:
Location
Location
_____ _ GPS Coordinates (when required):
_____ _ GPS Coordinates (when required):
X-Coord:  
X-Coord: ;11 </), Lff'( 'I I Y-Coord: VI) 018'. b 7 11 2-I Instrument Field Response 2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source
;11 </), Lff'( 'I I Y-Coord:
* 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'_<
VI) 018'. b 7 11 2-I Instrument Field Response2 Use Acceptance Criteria Remarks Meter Bkg Bkg Counts Source
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
* 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  
* 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.
/"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.
Record check source response (net cpm) prior to field deployment for all check sources being used . --2. Source and Background count rate should be determined from the average of three static counts at the same location.
Repeat counts should be within 20%. If count rate diverges significantly, perform a'dditional counts to evaluate instrument stability  
Repeat counts should be within 20%. If count rate diverges significantly, perform a'dditional counts to evaluate instrument stability  
-* i i j I I I TS*  
-* i i j I I I TS*  
Line 1,070: Line 816:
Detector 1: Make/Mode!;
Detector 1: Make/Mode!;
Blcron MlcroRem Meter: 2. Check Source Information:
Blcron MlcroRem Meter: 2. Check Source Information:
Instrument Field Response Check Log Cal. Due Date:  
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.!
. Ca!. Due Date: 8f'6f W Source 1 Isotope:  
'1li-l$1-Serial No.: /f / Activlty:<:b.!
units:,,vC Assay Response Acceptance Range (+/-20%):
units:,,vC Assay Response Acceptance Range (+/-20%):
uRem/hr+20%__
uRem/hr+20%__
Line 1,080: Line 824:
0 .o..J..-units:,&-<;
0 .o..J..-units:,&-<;
Assay Date: _.tLtl= Response Acceptance Range (-1-/-20%):
Assay Date: _.tLtl= Response Acceptance Range (-1-/-20%):
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20%(?2'7  
uRem/hr +20% __ uRem/hr -20% __ net cpm + 20%(?2'7 :$.. net cpm -20% S!f_f 3. Title:
:$.. net cpm -20% S!f_f 3. Title:
Date: lo/..2.!/!2:
Date: lo/..2.!/!2:
Time: O'f r 1 4. Site or Location:
Time: O'f r 1 4. Site or Location:
Line 1,088: Line 831:
..:..I _____ _,_ Location Descriptlon:.
..:..I _____ _,_ Location Descriptlon:.
__  
__  
:-1 o:it/m.C ff i * .L;:....
:-1 o:it/m.C ff i * .L;:.... o-t:> U. I "" GPS Coordinates (when required):
o-t:> U. I "" GPS Coordinates (when required):
X-Coord: LY-;:f...e:. L V-Coord: &#xa3;0 37. Z l Instrument Field Responsei Use Acceptance-Criteria Remarks Meter Bkg . Bkg Counts Source Soun::e Response +/-20% Inst. Battery Time Ambient lnltials and Comments Cnt (cpm} or Cnt (gross cpm or source Ca lib. Check Of Temp. {add' I Info; Inst. Condition, etc.} Time uRem/hr) Time uRem/hr) gross cpm current (Y/N) check (cF) or uRem/hr (Y/N) (Y/N) Rate meter I w..*"" q /'f 7 ,.11.fu.  
X-Coord:
LY-;:f...e:. L V-Coord: &#xa3;0 37. Z l Instrument Field Responsei Use Acceptance-Criteria Remarks Meter Bkg . Bkg Counts Source Soun::e Response  
+/-20% Inst. Battery Time Ambient lnltials and Comments Cnt (cpm} or Cnt (gross cpm or source Ca lib. Check Of Temp. {add' I Info; Inst. Condition, etc.} Time uRem/hr)
Time uRem/hr) gross cpm current (Y/N) check (cF) or uRem/hr (Y/N) (Y/N) Rate meter I w..*"" q /'f 7 ,.11.fu.  
.. l/?tW ,-..1Jhtt, v \./ tJ1so 5"6.L{ "17...-2$2.
.. 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 \/  
fk Rate meter t 1 ...... IM4'l' rJ?AA, v hi '" 1 114'<1 :S-6. s /_c;-(3'7 Rate meter ' 7 ( I .._, Rate meter Bicron NA 1-i uw,u rt"' NA q \.7 \/  
<-C x Bicron NA . I NA ' l r I { u Blcron NA NA
<-C x Bicron NA . I NA ' l r I { u Blcron NA NA
* Bicron NA NA 1. Instrument designated check source ls listed on cal!brat1on stkker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and aackg:rou nd count rate should be determined from the average of three static*counts at the same locat!on.
* Bicron NA NA 1. Instrument designated check source ls listed on cal!brat1on stkker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and aackg:rou nd count rate should be determined from the average of three static*counts at the same locat!on.
Line 1,105: Line 844:
Instrument Field Response Check log Serial No.
Instrument Field Response Check log Serial No.
* Serial No.t6>'6/lf.2.
* Serial No.t6>'6/lf.2.
serial No. $&'f.$b.
serial No. $&'f.$b. Cal. Due Date:
Cal. Due Date:
Cal. Due Date:
Cal. Due Date:
FJ Source 1 lsotope:'TJ-.-}.3,,_
FJ Source 1 lsotope:'TJ-.-}.3,,_
Serial No.: /If Activity:  
Serial No.: /If Activity:  
<::O .I units: &#xb5;t;;" Response Acceptance Range (+/-20%):
<::O .I units: &#xb5;t;;" Response Acceptance Range (+/-20%):
uRem/hr +20% __ uRem/hr -20% Assay net cpm + 20o/oC'J  
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:  
?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%):
!Y pr un!ts: J)C-i Assay Date: &A:. Response Acceptance Range (+/-20%):
uRem/hr +20% _. _ uRem/hr-20%__
uRem/hr +20% _. _ uRem/hr-20%__
net cpm +
net cpm +
net cpm -20%  
net cpm -20%  
: 3. Technician/Worker Performing Checks: Name: X EJ"",,,..J?s  
: 3. Technician/Worker Performing Checks: Name: X EJ"",,,..J?s . Title: 'fZ ( 'r Time::&#xa2;{73G7 4. Site or Location:
. Title: 'fZ ( 'r Time::&#xa2;{73G7 4. Site or Location:
Site/Job:
Site/Job:
kt". '3. ( * . ,
kt". '3. ( * . ,
* Location  
* Location


==
== Description:==
Description:==


__  
__  
,. / o 'e7/a' **' 4' , ,,. GPS Coordinates (when required]:
,. / o 'e7/a' **' 4' , ,,. GPS Coordinates (when required]:
X-Coord:
X-Coord: 1v 'fpl .?Lg L Y-Coord: vv e>? 8'" "lo .:J7. 7 ' I Instrument Field Response 2 Use Acceptance
1v 'fpl .?Lg L Y-Coord:
_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.,:-..,...
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  
l/?75J  
\/ \/ v (3tJ/ 7 71..-)'!2-tJ-f Rate meter * . I CA.;\.--..
\/ \/ 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 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-
\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.
"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.
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
Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate Instrument stability I
Line 1,156: Line 885:
Source 2 Serial No.: / /fE)3--(2.
Source 2 Serial No.: / /fE)3--(2.
Activity:
Activity:
t).a;L..
t).a;L.. units:_k'L';
units:_k'L';
Assay Date: L'.Il4_ Response Acceptance Range (+/-20%):
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&#xa3; lime: 153i 4. Site or Location:
LI Rem/hr +20% __ uRem/hr -20%__ net cpm + 20% __ _ net cpm -20% 3. Checks: ntle: __ __ "! __ _ Date: to,.4jf&#xa3; lime: 153i 4. Site or Location:
Site/Job: .,:S. / Location  
Site/Job: .,:S. / Location


==
== Description:==
Description:==


____
____
GPS Coordinates (when required):
GPS Coordinates (when required):
X-Coord:
X-Coord: N {{..,;l D;;z.'l '5?l 'i "' Y-Coord: Wo?K"'1fd:
N {{..,;l D;;z.'l '5?l 'i "' Y-Coord:
n 2 ;-, I Instrument Field Responsa 2 Use Acceptance Criteria Remarks Rev 110/18/lS Meter Bkg Bkg Counts Source source Response +/-20% Inst. Battery Time Ambient Initials and Comments Cnt (cpm) or Cnt (gross cpm or source Callb. Check Of Temp. (add'! Info; Inst. Condition, etc.) TI me uRem/hr) Time uRem/hr) gross cpm current {Y/N) check (&deg;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,,_,.  
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 (&deg;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 /'$'?/'-/  
-!./ \JI /'$'?/'-/  
'7.'-/ /s-13.7-0&#xa3; n . ., Rate meter  
'7.'-/ /s-13.7-0&#xa3; n . ., Rate meter , r f ( {./ Rate meter Bicron NA lf/fU</ l..r NA hr \( \J ,/
, 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.
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
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   
App E-Sub-Area 3.1-Sample Data Sheets   


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


Line 1,194: Line 913:
:c:.vyv-Cv-:>lJ Coard: .2. Sample Location Data: Sample Area ID: Matrix:  
:c:.vyv-Cv-:>lJ Coard: .2. Sample Location Data: Sample Area ID: Matrix:  
\ .. LocationCoord:
\ .. LocationCoord:
f\J 42.l-/<J0f.&#xa3;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  
f\J 42.l-/<J0f.&#xa3;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:
 
(om 8DtJ, no '\:i+o..I Canopy Type:
__ Land Use:
__ Land Use:
Soil Moisture (Wet, dry, 3. L R. d" ' R d" ocat1on a 1at10n ea mgs: 2x2 NaI i Bicron Notes (cpm) (uRem/hr)  
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:
. ; 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 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:
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:
tJ 'yg;JZ.DA Weather: J?crfly Clo vd1.;. 1 ..va.rm -r.,.,..,e.
J?crfly Clo vd1.;. 1 ..va.rm -r.,.,..,e.
5;-c;A--:10:: 1. Sample Area (SA): SA Designation:
5;-c;A--:10:: 1. Sample Area (SA): SA Designation:
__ 3_._\ ___ _
__ 3_._\ ___ _
Line 1,223: Line 937:
Location Coord: j.J . u 134 -hl en. '1 $ 0 6 'i I
Location Coord: j.J . u 134 -hl en. '1 $ 0 6 'i I
* Alternate Location Measurements (distance fi-om SA c1rigin and Local Coord.) X Dist. from Origin (0,0)
* 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  
Y Di:>t. from Origin: u.) \le I Site Sketch Attached (Yes) @ Sample Location


==
== Description:==
Description:==


Canopy Type: ()Pt<" Land Use: _ _E_Q.,:(W.
Canopy Type: ()Pt<" Land Use: _ _E_Q.,:(W.
__ Soil Moisture (Wet, dry, etc):  
__ Soil Moisture (Wet, dry, etc):  
-.:o, w-t-1" 3 L ti R d' ti R d' oca on a I.a on ea mgs: 2x2 NaI B'cron Notes (cpm) ; (uRem/hr)
-.:o, w-t-1" 3 L ti R d' ti R d' oca on a I.a on ea mgs: 2x2 NaI B'cron Notes (cpm) ; (uRem/hr)
Count time 1 cm Im \cm lm (min) .. -. -* --******
Count time 1 cm Im \cm lm (min) .. -. -* --****** I !ILlCZ tO ID .Lil f\ I ll 42.l! iOw63 t-****-I  
I !ILlCZ tO ID .Lil f\ I ll 42.l! iOw63 t-****-I  
: 4. Sample Information:
: 4. Sample Information:
Sample Area ID: _3_. \ , 7 , I[ . I -l D b D th escnoticm  
Sample Area ID: _3_. \ , 7 , I[ . I -l D b D th escnoticm  
Line 1,242: Line 954:
'3.L 2.. f, 3 Nf f< {uO -1 vu Mvd J l}>t). k /'  
'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) '
':?..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:
SAMPLE LOCATION DATA SHEET Date: ID -Zo Project: 1'-Jj 5 tg_pf.L_.
1'-Jj 5 tg_pf.L_.
__ _ Weather: pcf'f\-r Clo:,cLy , c&Cc/c--<
__ _ Weather:
pcf'f\-r Clo:,cLy  
, c&Cc/c--<
I. Sample Area (SA): SA Designation:
I. Sample Area (SA): SA Designation:
3, I
3, I
Line 1,253: Line 962:


__ Gx='-'-ri'--'-f  
__ Gx='-'-ri'--'-f  
'=1c ..... /
'=1 c ..... /
SA Origin Location:
SA Origin Location:
______ Coord. System: __ _ SA Land Mark
______ Coord. System: __ _ SA Land Mark
Line 1,265: Line 974:
: 3. I. 5 X Dist. from Origin (O,O)___Mfjl
: 3. I. 5 X Dist. from Origin (O,O)___Mfjl
__ , *
__ , *
* Y Di!;l. from Origin: _.N-"'111-\.lft---
* Y Di!;l. from Origin: _.N-"'1 1 1-\.lft---
Q Site Sketch Attached (Yes) <<l Sample Location
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:
_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)
* 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:
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  
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)
{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)
Sample Recorded on Laboratory COC form and Container Lab(lled; (N)
Date: /0-7./-/)
Date: /0-7./-/)
Project:
Project: AJ'YScR..00 SAMPLE LOCATION DATA SHEET Name: *Jii0
AJ'YScR..00 SAMPLE LOCATION DATA SHEET Name: *Jii0
* V[)'...tJ;it.
* V[)'...tJ;it.
Weather:
Weather: WO,tM 0 l. Sample Area (SA): SA Designation:
WO,tM 0 l. Sample Area (SA): SA Designation:
__
__
SA Origin Location:  
SA Origin Location:  
Line 1,293: Line 998:
Coord: 2. Sample Location Data: Sample Area ID: 3 . \, Lf Matrix: so,_\_ Location Coord: N 7 f{, w1Cffr'/'J cl Alternate Location Measurements  
Coord: 2. Sample Location Data: Sample Area ID: 3 . \, Lf Matrix: so,_\_ Location Coord: N 7 f{, w1Cffr'/'J cl Alternate Location Measurements  
{distance from SA c1rigin and Local X Dist. from Origin (0,0) rJ Y Dist. from Origin: --t-N....:.i/"""'-'---
{distance from SA c1rigin and Local X Dist. from Origin (0,0) rJ Y Dist. from Origin: --t-N....:.i/"""'-'---
: 3. I . 3 / 3'5 ff, S l Site Sketch Attached (Yes) Sample Location  
: 3. I . 3 / 3'5 ff, S l Site Sketch Attached (Yes) Sample Location


==
== Description:==
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)
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:
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 , &#xa3;. . f-!./ Soil Color Sample ID Sampling Description (Surface litter type/depth, sample depth retention,  
Sample Area ID: J . j , Y , &#xa3;. . 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)
: 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:
SAMPLE LOCATION DATA SHEET Date:
Project:  
Project: ---+-jJ"--'V,_,5._...f..,.""""'J2,-'{)1'1'------
---+-jJ"--'V,_,5._...f..,.""""'J2,-'{)1'1'------
Name: Weather: Clo
Name: Weather:
Clo
* ud:-t I 1. Sample Area (SA): SA Designation:
* ud:-t I 1. Sample Area (SA): SA Designation:
_____ _
_____ _
Line 1,328: Line 1,028:
Soil Color Im Bicron (uRem/hr)
Soil Color Im Bicron (uRem/hr)
Notes lcm . lm Sample ID Sample Area ID: 3, / . 5. 12.
Notes lcm . lm Sample ID Sample Area ID: 3, / . 5. 12.
Sampling Deseriptimz (Surface litter type/depth, sample depth retention,  
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   
: 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:
SAMPLE LOCATION DATA SHEET Project: N\Ktilfil
N\Ktilfil
__ _ Name: -r;:.i BYD<..,..V'-
__ _ Name: -r;:.i BYD<..,..V'-
Weather:
Weather: Cfoxly,, ww:w. 1. Sample Area (SA): SA Designation:  
Cfoxly,,
ww:w. 1. Sample Area (SA): SA Designation:  


==
==
Line 1,347: Line 1,042:
== 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.)
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
X Dist. from Origin (0.0) N{ Pf Y Dist. from Site Sketch Attached (Yes) Sample Location  


==
== Description:==
Description:==


Grn d t1o
Grn d t1o
____________
____________
_ Canopy Land Use: . .fuv\..A.,
_ 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)
etc.): Dt\,1 Soil Moisture (Wet, dry, ' 3 L f R d" ti R d" oca ton a 1a on ea mgs: 2x2 Na! Bicron Notes (cpm) (uRem/hr)
Count time !cm lm )cm Im (min) ( '7iq2-o X' 7 Al J /4. l S? <c:;  
Count time !cm lm )cm Im (min) ( '7iq2-o X' 7 Al J /4. l S? <c:;  
(_ f\J/A ... 4. Sample Information:
(_ f\J/A ... 4. Sample Information:
Sample Al-ea ID: .3. LG:> , J2.., 1-lf D 'ti bDtl escnp* on ep 1: Depth Soil Type Soil Sample ID Sampling Desaiptio11 l11terval  
Sample Al-ea ID: .3. LG:> , J2.., 1-lf D 'ti bDtl escnp* on ep 1: Depth Soil Type Soil Sample ID Sampling Desaiptio11 l11terval  
* (Org; clay; Color (Surface  
* (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  
[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,.-
/\J /4 IS-6Q_. \ hi'l'L_.A,.-
: i. \.1 ... (L "'2. ,Jt 3o-t.t<>
: i. \.1 ... (L "'2. ,Jt 3o-t.t<>
Line 1,368: Line 1,058:
i!J n-(.g {)-/ (,) <.>
i!J n-(.g {)-/ (,) <.>
i-.,,..,.._  
i-.,,..,.._  
.... 12.. t.1 l!l rq.. Sample Recor<led on Laboratory COC form and Container Labeled:  
.... 12.. t.1 l!l rq.. Sample Recor<led on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15 SAMPLE LOCATION DAT A SHEET Date:# iO-IJ-1S-Project: J) Y5ck!.1)A Weather: 5ui\V\y 1 l.oo\ I. Sample Area (SA): SA Designation:  
(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,_,_\-'-------
-=3,_,_\-'-------


Line 1,383: Line 1,070:
'fJ){'r'\Y>
'fJ){'r'\Y>
Sample Area ID: :3, l. 7 Matrix: '501-_L LocationCoord:
Sample Area ID: :3, l. 7 Matrix: '501-_L LocationCoord:
w7'8', (Jt7'if9.11"  
w7'8', (Jt7'if9.11" :J+/-!/2, '/(/&1i('
: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:
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  
Site Sketch Attached (Yes) @) Sample Location


==
== Description:==
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,.
!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)',  
__ Soil Moisture (Wet, dt)', . oca mn a ia 10n R d" ea mgs: 2x2 NaI B*cron Notes (cpm) (uRem/hr)
. 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:
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  
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"&deg; b\d/,,,a:
-(Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) ;efusal, stone or rock, to2ogra2hy, erosion features) o-/5"&deg; b\d/,,,a:
I k-'(\ 3 I ,7, f:. , 111 A /5 -:, 0 c.;<\-l ...... ; I j::i.,.....,.
I k-'(\ 3 I ,7, f:. , 111 A /5 -:, 0 c.;<\-l ...... ; I j::i.,.....,.
3 J  
3 J .l,. Nii'\" -Sample Recorded on Laboratory COC form and Container Labeled: ff) (N)
.l,. Nii'\" -Sample Recorded on Laboratory COC form and Container Labeled:
SAMPLE LOCATION DATA SHEET Date: iiJ-tCJ-i r Project: /JY5eK..M Name: --r;;;.
ff) (N)
SAMPLE LOCATION DATA SHEET Date: iiJ-tCJ-i r Project:  
/JY5eK..M Name: --r;;;.
* 6i1>:d.;...
* 6i1>:d.;...
Weather:
Weather: s0n'f\y / c. oo *--*--*----*-
s0n'f\y / c. oo *--*--*----*-
: 1. Sample Area (SA): SA Designation:
: 1. Sample Area (SA): SA Designation:
_5__;_._\
_5__;_._\
Line 1,420: Line 1,099:
_l_ Location Coord: VJ/&. lo7X1t1&deg;'
_l_ Location Coord: VJ/&. lo7X1t1&deg;'
Alternate Location Measurements (distance from SA ciriginand Local Coord.) X Dist. from Origin (0,0)
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  
Y Dist. from Origin: rJ1P< Site Sketch Attached (Yes) Sample Location


==
== Description:==
Description:==


[Dn"' h rcvn sk\\t...S lo (tx,uS 11 260 f-L Lv -,,_ ---a} -------
[Dn"' h rcvn sk\\t...S lo (tx,uS 11 260 f-L Lv -,,_ ---a} -------
Line 1,434: Line 1,112:
--------------*--
--------------*--
Soil Color Sample JD Sampling Description (Surface litter type/depth, sample depth retention, stone or rock, to o a b ', erosion features)
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:  
Sample Recorded on Laboratory COC form and Container Labeled: (N)
(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:
Date: IO -Z0-1-:r Project:
__ 3-----". j ____ _
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.
(pl(\ el d.
SA Origin Location:
SA Origin Location:
Coor d. System: -----SA Land Mark
Coor d. System: -----SA Land Mark
Line 1,452: Line 1,124:


Coord: 2. Sample Location Data: Sample Area ID: ---'3"'--.  
Coord: 2. Sample Location Data: Sample Area ID: ---'3"'--.  
}'--._CJ
}'--._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}
__ 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) .
l'r Y Di!:t. from Origin: Ai/ 1-\ Site Sketch Attached (Yes) .
Sample Location  
Sample Location


==
== Description:==
Description:==


..  
..  
Line 1,470: Line 1,139:
Sample Area ID: 3. \ ,. q. &#xa3;!. * /-2. D b D h escnption 1y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!rraphy, erosion features)  
Sample Area ID: 3. \ ,. q. &#xa3;!. * /-2. D b D h escnption 1y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!rraphy, erosion features)  
()-J s--:;,o;t 112..-u'->"'\
()-J s--:;,o;t 112..-u'->"'\
E, I NJ rr Jfj-jD ll./\c. ... .. I C;,t,2..
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)
0-fl_ Sample Recorded on Laboratory COC fonn and Container Labeled:
L Date: tO{ 7.-[ ( J ") Project: N\.\ SER 0 r+ Weather: Lloi.:.d,L\
eJ (N)
1 S-0 1.S 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: gt'()l.\;rJ SA Designation:
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-..
A l"'{_Q-..
3 . l SA Origin Location:  
3 . l SA Origin Location:  
Line 1,482: Line 1,147:
==
==
Description:==
Description:==
 
(Di--n t 1 d SA Land Mark
(Di--n t 1 d SA Land Mark


== Description:==
== Description:==


Coord. System: LrJ.-( lorj Coard: l'.t .lo 1 =j ;;i.:;i.
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
LJ ;-i,. (.I %{0 2. Sample Location Data: *sample Area ID: _?J_. l"""'._l_o
____ Matrix: .501 \ { dcul Location Coord: 1
____ 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  
* 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:
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)
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:
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  
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  
.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
'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:
* 1. Sample Area (SA): SA Designation:
___ _ SA Origin Location:  
___ _ SA Origin Location:  
Line 1,519: Line 1,176:
__..Dr"'-=l\/l.=Lv=:i..,...:q...
__..Dr"'-=l\/l.=Lv=:i..,...:q...
____ _ Coord: T5.l..7'1 '-/.:l.
____ _ Coord: T5.l..7'1 '-/.:l.
3 2. Sample Location Data: Sample Area ID: 3. I./ r Matrix: &deg;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:  
3 2. Sample Location Data: Sample Area ID: 3. I./ r Matrix: &deg;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
.d I edjt '* brlJsh/ l/N-ml  
( I '1 *_ Site Sketch Attached (Yes) Sample Location  


==
== Description:==
Description:==


C0rn-f1 d ol stct.l b  
C0rn-f 1 d ol stct.l b  
{,!l Canopy Type;  
{,!l Canopy Type;  
._ __ Land Use:
._ __ Land Use:
Line 1,536: Line 1,190:
Ill d.9D 4. Sample Information:
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)
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 . !-,..,.,,.,  
D-i "(" do,1..1 . !-,..,.,,., ... "J... I. I I E I I '.S *30 Jei.J 6-u ....  
... "J... I. I I E I I '.S *30 Jei.J 6-u ....  
<..I. rf .EZ.. ! Sample Recorded on Laboratory COC form and Container Labeled: rf!J. (N) 10/2.0/15 Date: \ o l -z. d 1 '5 Project: fU '-i SE f4 SAlVIPLE LOCATION DATA SHEET Name: S gl'Dwn , -I Weather: (_ \
<..I. rf .EZ.. ! Sample Recorded on Laboratory COC form and Container Labeled:
rf!J. (N) 10/2.0/15 Date: \ o l -z. d 1 '5 Project:
fU '-i SE f4 SAlVIPLE LOCATION DATA SHEET Name: S gl'Dwn , -I Weather:  
(_ \
1 S 0.) 1. Sample Area (SA): SA Designation:  
1 S 0.) 1. Sample Area (SA): SA Designation:  
:3:,. j SA. Origin Location:  
:3:,. j SA. Origin Location:  
Line 1,555: Line 1,205:
1 4';;;.t.J'i:ObS  
1 4';;;.t.J'i:ObS  
: 2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix:
: 2. Sample Location Data: . Sample Area ID: -5 . \ . I ?.., Matrix:
j { C Location Coord: l\ ,;J,.l-l  
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: ____
:s-C' 71-lf Alternate Location Measurements (distance from SA origin and Local Coord.) ;:) (p + L{ tt..-ds clt\ L X Dist. from Origin (0,0) Y Dist. from Origin: ____
of Co....v-'
of Co....v-'
Site Sketch Attached (Yes)
Site Sketch Attached (Yes)
J Cl{<..:;'  
J Cl{<..:;'  
:'itcd 1:5 Sample Location  
:'itcd 1:5 Sample Location


==
== Description:==
Description:==


locn-P1dd..)
locn-P1dd..)
s+oJ k5 Canopy Type: OQtn Land Use: \:n..rro etc.): (k,l'VI?  
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)
,flo v.;dv,. Soil Moisture (Wet, dry, 3 L ti Rad" ti R d. . oca on ia on ea mgs: 2x2 Nal Bicron Notes (cpm) (uRem/hr)
Countfane  
Countfane  
[cm lm 1 cm l Im (min) ; l 1{ YL1 10. qui f'J (A l ii  
[cm lm 1 cm l Im (min) ; l 1{ YL1 10. qui f'J (A l ii  
Line 1,574: Line 1,221:
CHS  
CHS  
{ r lo.I..! 161'(,,,/"\
{ r lo.I..! 161'(,,,/"\
3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._,  
3 -i . I;}.. EI 1$*<,D :'.:ll>i 1/dQ1., brn.,._, * ., 3._1. \;;l.E.d.
* ., 3._1. \;;l.E.d.
I -..........
I -..........
Sample Recorded on Laboratory COC form and Container 10/20/15 SAMPLE LOCATION DATA SHEET Date: Io l "Z-\ (IS Project:
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: (_ \  
f\! \.\ SE. R.D 4 Name: S gl't>Wn . I Weather:  
(_ \  
.' S 'O 5 1. Sample Are.a (SA): SA Designation:
.' S 'O 5 1. Sample Are.a (SA): SA Designation:
fl<<(A S. I SA Origin Location;  
fl<<(A S. I SA Origin Location;  
Line 1,592: Line 1,236:
Coord. System: Lix!-( Ui,"!,) Coord: !'5. l. *Ol-:1 l(;,,.i.J  
Coord. System: Lix!-( Ui,"!,) Coord: !'5. l. *Ol-:1 l(;,,.i.J  
: 2. Sample Location Data: Sample Area ID: \ . 13 Matri;.<:
: 2. Sample Location Data: Sample Area ID: \ . 13 Matri;.<:
Location Coard: *1. o .. (?-":{ '7 7 cl J LI J., Y 'is' J.. I It> 6 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location  
Location Coard: *1. o .. (?-":{ '7 7 cl J LI J., Y 'is' J.. I It> 6 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached Sample Location


==
== Description:==
Description:==
* de!. i staJ. t5 J J;tJ Nwv+: ( (lf I ; n :s+ru K5 I d cf c I o..rt.?-CanopY, Type:
* 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)
__ 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:
Count time lcm lm lcm I Im (min) . ! 'J..9 10 '8' fJ !-A I l) I $" '-/ 4. Sample Information:
SampleArealD:  
SampleArealD:  
'5.1. ! 3 fZI -R.J, D b D th escnption 1y ev . Depth Soil type Soil SampJelD Sampling  
'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/
.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.
3.\.13.R.
I Soi I br?>w.,..,
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.!(..()
3.1. 13.<<..:),
4 SAMPLE LOCATION DATA SHEET Name: S rSV!}wYJ Weather: (_ ( v:;&deg;'--'1 1 $-05 I. Sample Area (SA): sA Designation:  
I I Sample Recorded on Laboratory COC form and Container Labeled:  
(\(ZD.._, s. I
(N) "10/20/15 Date: i O [ z.. d ! $ Project: '1 SE.!(..()
4 SAMPLE LOCATION DATA SHEET Name: S rSV!}wYJ Weather:  
(_ ( v:;&deg;'--'1 1 $-05 I. Sample Area (SA): sA Designation:  
(\(ZD.._,  
: s. I


== Description:==
== Description:==
Line 1,621: Line 1,257:


Coard: l't. t, 1!.J ;7.J.' t(;;,.4 G3, 2. Sample Location Data: Sample Area ID: \ . \ l\. Matrix: Sci [ (
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  
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:==
Description:==


lcl i :s-toJ c.f *u-?. el l 4 lD. '-l (L.J_:;,
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.):
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)
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<.,
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:
111 9 I 4. Sll.mple Information:
Sample Area ID:  
Sample Area ID:  
['1 D ' ti b D h escnp; on >Y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand. etc.) refu,sal, stone or rock, topograEhy, erosion features) 0-1$ :sell /Ja.u bn.v.. .. 3 .i . 11.{ .R. \
['1 D ' ti b D h escnp; on >Y ept : Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand. etc.) refu,sal, stone or rock, topograEhy, erosion features) 0-1$ :sell /Ja.u bn.v.. .. 3 .i . 11.{ .R. \
0oi! f da.J brbv.in 3 _ l . I'-\ . I( <l I -Sample Recorded on Laboratory COC form and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1ol-z-t [cs Project:
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.((_.()?\;
f\.I'=\ SE.((_.()?\;
Name: S. grt>wn Weather: (_ vv-R1.1 1 s-05 1. Sample Area (SA): SA Designation:
Name: S. grt>wn Weather:  
(_ vv-R1.1 1 s-05 1. Sample Area (SA): SA Designation:
3
3


Line 1,659: Line 1,290:
Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features)  
Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features)  
{}-Is-'Soil / c,\a,y. bni .... ..., 3 ,J 15".R-I \$-:,)0 '; l { clt\'-1 b"'"""' 3_i.1S".R-::i._  
{}-Is-'Soil / c,\a,y. bni .... ..., 3 ,J 15".R-I \$-:,)0 '; l { clt\'-1 b"'"""' 3_i.1S".R-::i._  
-Sample Recorded on Laboratory COC form and Container Labeled:@  
-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:
(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: \ c \ <-i{ l 'S Project:
fv \_l S. E.. K'...D 4 Name: ::f. grown Weather:  
(_ ( vvc\..y ? 5 *05 1. Sample Area (SA): SA Designation:
f\fx D.. I
f\fx D.. I


Line 1,671: Line 1,299:


== 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


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


==
Jin Canop)\ Type: etc.): a.tu*1Ap 1 flll Land Use: _.C-:_o.._.r-" .. iY'--'"'---
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)
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:
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:
Sample Area JD:
I (p IZ! -R :.2.. b D b Descri1>tion 1y cpt : Depth Soil Type Soil Sample JD Sampling Description  
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)
" 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 !  
C'i-1 s :l'Di !  
.611)1,:;r')
.611)1,:;r')
Line 1,691: Line 1,315:
"""' Sample Recorded on Laboratory COC form and Container (N) 10/20/15 Date: 10( w(rS" !*. l < r:_ fl f\.L]_ Project;_-'-\J
"""' 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_
__ ..:>L:._1'--_u_
IT'---SAMPLE LOCATION DATA SHEET Name: -:S-. (Sl()v-..":l Weather:  
IT'---SAMPLE LOCATION DATA SHEET Name: -:S-. (Sl()v-..":l Weather: :S\j(lny I ..... so") L Sample Arca (SA): ' SA Designation:
:S\j(lny I ..... so") L Sample Arca (SA): ' SA Designation:
A-ei1>.. 3. \ SA Origin Location:  
A-ei1>..  
: 3. \ SA Origin Location:  


==
==
Line 1,705: Line 1,327:
\;xi*'-wll.l Coord. System: Lttt-Lt>>'1j Coord: ..J:L. \, 14 1... "L l\ 'J.. t..I  
\;xi*'-wll.l Coord. System: Lttt-Lt>>'1j Coord: ..J:L. \, 14 1... "L l\ 'J.. t..I  
: 2. Sample Location Data: Sample Area ID:
: 2. Sample Location Data: Sample Area ID:
____ Matrix: s1:1*1 Location Coord: **rLG L\ :l .c.\'8"\ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dhit. from Origin: ___ _ Site Sketch Attached (Yes) 9 Sample Location  
____ Matrix: s1:1*1 Location Coord: **rLG L\ :l .c.\'8"\ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dhit. from Origin: ___ _ Site Sketch Attached (Yes) 9 Sample Location


==
== Description:==
Description:==


C.. 01nft j
C.. 01nft j
Line 1,715: Line 1,336:
! 4. Sample Information:
! 4. Sample Information:
SampleArea!D:
SampleArea!D:
3_1,11 {<.!-Rz_  
3_1,11 {<.!-Rz_ ("S-R.l.r D "ti bDtl escnp on *Y ep* i: Depth Soil Type Soil Sample!/)
("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; \  
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.
*'\.l.11.
R. \ l'S*3D i 'txt\,"r, 3-1./1.tZ.;A 0-1.$" +Dc."<11 I bmJo,)t)  
R. \ l'S*3D i 'txt\,"r, 3-1./1.tZ.;A 0-1.$" +Dc."<11 I bmJo,)t) 3. I . l7. (( . S'  
: 3. I . l7. (( . S'  
+opso*, \ :3,_!_11.IZ...\n Sample Recorded on Labo:ratory COC form and Container (N)
+opso*, \ :3,_!_11.IZ...\n Sample Recorded on Labo:ratory COC form and Container (N)
Date: j ti{ t.o{ f 5 Project:
Date: j ti{ t.o{ f 5 Project: t\J\.\ SC-12..CJA SAMPLE LOCATION DATA SHEET Name: S !5rot.*.J"!
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:
Weather:
du ... 1, 'SO,:? 1. Sample Area (SA): i\fQ.tL SA Designation:
_3_.
_3_.
SA Origin Location:
SA Origin Location:
Line 1,738: Line 1,354:
== Description:==
== Description:==


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


==
== Description:==
Description:==
. LC'lnfi , skJ k'.s Canopy Type:
 
. LC'lnfi  
, skJ k'.s Canopy Type:
* 0 Land Use: fo..<f'Y)
* 0 Land Use: fo..<f'Y)
Soil Moisture (Wet, dry, etc): QQl/Y'\T  
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)  
: 3. d R d" Loeation Ra iation ea 2x2 Nal B cron ii Notes (cpm) (uRem/hr)  
!1 Count time lcm lm ! Jcm lm (min) ! l er t::il.1-!:J "5' i 1J I-A -l  
!1 Count time lcm lm ! Jcm lm (min) ! l er t::il.1-!:J "5' i 1J I-A -l  
: 4. Sample Information:
: 4. Sample Information:
Sample Area ID: 3. \. IZ Kl* R 2. D . ti b D h escnp <>n 1y ept : Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) stone or rock, topography, ero*sion features) do.LI 1-:=;;-:sc.
Sample Area ID: 3. \. IZ Kl* R 2. D . ti b D h escnp <>n 1y ept : Depth Soil Type Soil Sample ID Sampling Descriptio11 Illterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc) stone or rock, topography, ero*sion features) do.LI 1-:=;;-:sc.
I c..ln,' b-t*_._,,,  
I c..ln,' b-t*_._,,, <-.\ .1t.((. L , Sample Recorded on Laboratory COC form and Container Labeled: (N)
<-.\ .1t.((. L , Sample Recorded on Laboratory COC form and Container Labeled:  
Date: !U [ d-O / l) Project: f'll'l :St. ((DA-Weather: 'Svnriy ,  
(N)
(06 1 5 1. Sample Area (SA): SA Designation: SAMPLE LOCATION DATA SHEET Name: -:f.  
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'-"-
---"C""-u_r_4_i_t-"-l'-"-
___
___
SA Origin Location:  
SA Origin Location:  
-----------<;;oord.
-----------<;;oord. System: &#xa2;n SA Land Mark
System: &#xa2;n SA Land Mark


== Description:==
== Description:==
Line 1,771: Line 1,376:
=Wc=(;\:..+l/----
=Wc=(;\:..+l/----
Coord: n;.
Coord: n;.
lfl-. l/'i'DG3  
lfl-. l/'i'DG3 2. Sample Location Data: Sample Area ID: 3
: 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
* 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:==
Description:==


Or.rr-!=1Jd in Canopy
Or.rr-!=1 Jd in Canopy
__ Land Use:  
__ Land Use:  
\ 3. L R d" . R d. ocation a 1ation ea mgs: 2x2 Na! (cpm) B:cron (uRem/hr)
\ 3. L R d" . R d. ocation a 1ation ea mgs: 2x2 Na! (cpm) B:cron (uRem/hr)
Soil Moisture  
Soil Moisture {Wet, dry, etc): dll.-YVl'i)
{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:
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"  
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._,,
/cla._,, hrt,t;..>r) 3 .J _1"1 .R.. / 1S-3o Set l r lbrvwn 3 .1.1CJ _r:.__-;;.  
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)   
-Sample Recorded on Laboratory COC form Container Labeled:  
(N)   


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


Line 1,802: Line 1,400:


__
__
Coord. System: {rd-I C?inj Coard: li. l<i14:;p,  
Coord. System: {rd-I C?inj Coard: li. l<i14:;p, \...l'J...Yib{.;3.
\...l'J...Yib{.;3.
Sample Area ID: 3 .\
Sample Area ID: 3 .\
* d-0 Matrix:
* d-0 Matrix:
Location Coord: I "D * \,, 1-'6 I ?J L\-_;)._;_,
Location Coord: I "D * \,, 1-'6 I ?J L\-_;)._;_, _._4 '8"-'-l '6_13o.,._
_._4 '8"-'-l '6_13o.,._
___ _ ( .3 n.-t\..))
___ _ ( .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  
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  
Line 1,828: Line 1,424:
3.1. ?.1i. tC?...
3.1. ?.1i. tC?...
nc...k. s " Sample Recorded on Laboratory COC fQrm and Container (N)
nc...k. s " Sample Recorded on Laboratory COC fQrm and Container (N)
Weather:  
Weather: , c...\.zs:iy 1 Lo5 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: -::S-. CSrtw 'Q SA Designation:
, 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:  
A-\"...o,  
: 3. I SA Origin Location:  


==
==
Line 1,843: Line 1,437:


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 ?-. __!:!_?.  
* 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) &sect;) Sample Location
. 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) &sect;) Sample Location  


==
== Description:==
Description:==


C-Vr,---f.i  
C-Vr,---f.i  
..._J._J  
..._J._J > s-kA \:::..S Canopy  
> s-kA \:::..S Canopy  
..... ?_Q_,v'"\
..... ?_Q_,v'"\
____ Land Use: Soil Moisture (Wet. dry, etc): dfl...VYlf  
____ Land Use: Soil Moisture (Wet. dry, etc): dfl...VYlf  
: 3. L Rd" . R d' ocation a iat10n ea mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr)
: 3. L Rd" . R d' ocation a iat10n ea mgs; 2x2 NaI B'cron Notes (cpm) (uRem/hr)
Count time !cm Im lcm lm (min) *-* I 9 f 0 !"Jffi I 93-tj 'Z"l-C(O  
Count time !cm Im lcm lm (min) *-* I 9 f 0 !"Jffi I 93-tj 'Z"l-C(O . -4. Sample Information:
. -4. Sample Information:
Sample Area ID: S. I . d-I Kl -f<. d.., D . t* b D h cscnp1 ion 'Y ept : Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, {cm) sand, etc) refusal, stone or rock, topmrraphy, erosion features) so:\ bv.rV"l "3-1. l . ((_ (-r--\'5 *30 bl'llwn 3. J. (2-J, I -Sample Recorded on Laboratory COC form and Container Labeled: J (N)
Sample Area ID: S. I . d-I Kl -f<. d.., D . t* b D h cscnp1 ion 'Y ept : Depth Soil Type Soll Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention,  
Project: fJLJ SE R D-4 l. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: --:(.
{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:  
SA Designation:  
: 3. ( SA Origin Location:  
: 3. ( SA Origin Location:  
Line 1,876: Line 1,462:
Coard: TL!. 1 L/ ;A?., . J. l/ (0 2. Sample Location Data: SampleAreaID:  
Coard: TL!. 1 L/ ;A?., . J. l/ (0 2. Sample Location Data: SampleAreaID:  
?,.l.?;J_
?,.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  
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:==
Description:==


ct:-;'fl{;
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)
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
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  
* 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*\
)y ep Depth Soil Type Soil Sample ID Samplbzg Description lllterval (Org; clay; Color (Surface  
!itler type/depth, sample depth retention, (cm) sand, etc) refusal, stone or rock, topo!!raphy, erosion features) o-iS 0o*\
3.f. J,,::A .IZ l Sc  
3.f. J,,::A .IZ l Sc  
: 3. I.  
: 3. I.  
{!.,,;;>._  
{!.,,;;>._  
-Sample Recorded on Laboratory COC form and Container Labeled:
-Sample Recorded on Laboratory COC form and Container Labeled:
Date: Io( 2c{ IS" Project:
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:
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..
ftc"'.lo..
3 . I SA Origin Location:  
3 . I SA Origin Location:  
Line 1,899: Line 1,480:
==
==
Description:==
Description:==
 
(o,..-,-,.{,*dd.
(o,..-,-,.{,*dd.
_C_o_o_rd
_C_o_o_rd
__
__
Coord: "1'i{.Ip7L/
Coord: "1'i{.Ip7L/
J.d.. =ti;.;(.
J.d.. =ti;.;(. t.J rD l0 SA Land Mark
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  
: 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
.N Site Sketch Attached (Yes) (.Ol'Yr(:j Q,td : ." ll/ _ _s Sample Location  


==
== Description:==
Description:==


Canopy Type:_O ___ \;'_Q.111
Canopy Type:_O ___ \;'_Q.111
____ Land Use: -hv1-v-.,
____ 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)  
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  
! 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:
'1 S-"f Cf i .. I I I 1]1 4. Sample Information:
Line 1,924: Line 1,500:
: 3. '*
: 3. '*
Sample Recorded on Laboratory COC form and Container Labeled: (N)
Sample Recorded on Laboratory COC form and Container Labeled: (N)
Date: io( 2o{r:5" Project Dtt Weather:
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:
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:  
A-n ..... * ! SA Origin location:  


==
==
Description:==
Description:==
 
(o.,-nt i
(o.,-nt i
_C_o_o-rd-.-S-y-st-em-:  
_C_o_o-rd-.-S-y-st-em-:  
-/-v.:t-1-(......-I i_IJ_:3-__ _ SA Land Mark
-/-v.:t-1-(......-I i_IJ_:3-__ _ SA Land Mark
Line 1,939: Line 1,513:
dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J.  
dri1.1twi:i..'i Coore!: r'0,(,7Y:1.J.  
: 2. Sample Location Data: Sample Area ID: _?.:>_._l  
: 2. Sample Location Data: Sample Area ID: _?.:>_._l  
:Jo; L_ Location Coord: Alternate Location Measurements (distance from SA c*rigin and Local Coord.) 10 l...t tJ +11T'IV\
: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
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_*
Line 1,949: Line 1,521:
r_1 _sh __
r_1 _sh __
_____________  
_____________  
---, Site Sketch Attached (Yes) Canopy Land Use: {o_.,.n.,
---, Site Sketch Attached (Yes) Canopy Land Use: {o_.,.n., Soil Moisture (Wet, dry, etc:): d(J.,yj/\pF---
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)
: 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:
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:

Revision as of 05:04, 8 July 2018

Radiological Survey and Dose Assessment Report for the Western New York Nuclear Service Center and Off-Site Areas in Follow Up to Aerial Gamma Radiation Survey Conducted in 2014, Rev. 0, Appendix E, Part 5 of 24
ML16293A392
Person / Time
Site: West Valley Demonstration Project, P00M-032
Issue date: 08/22/2016
From:
MJW Technical Services
To:
Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation
Shared Package
ML16293A155 List: ... further results
References
Download: ML16293A392 (52)


Text

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

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

Description:

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

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

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

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

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

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

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

Description:

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

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

S'.c>. q '6TZ, .25 ,J... .,. £.!£. I r 1. 1 nstrument designated check source Is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. ;' 2. Source and Background count rate should be determined from the average of three static at the same location. Repeat counts should be w)thin 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability I I j* I i ! I I I I I I -MJW SER'VIC"oE'!S Rev 110/18/15

1. Instrument lnformation 1 Ratemeter:

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

  • uRem/hr-20%

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

Description:

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

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

Description:

__ Y-Coord: WO ?'ii-0 vo °J'f. 7 Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'I Info: inst. Condition, etc.) current (Y/N) check (°Ft (Y/N) -Rate meter 1 '11?£ { '"'"' lf 5"'!'10 y \/ v fl..-..,23.2. j:X Rate meter I ,..,it... 'I fl.ft; \/ \.f \1 151 J S--1. 0 I"' _,,.__r37 -Os; Rate meter I I I -Rate meter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source is listed on calibration sticker. Record check source response {net cpm) prlorto field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform ;iddltional counts to evaluate instrument stability I l I I I I I ' i i j I I I ' .*

1. Instrument lnformatlon 1 Ratemeter:

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

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

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

Description:

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

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

//1f7 .... \j J1f \; J(J' 7 /".:;,f.]'7 C/cx Rate meter , I I I P"' 1 Ratemeter Bicron NA NA Bicron NA NA Bicron NA NA Bicron NA NA 1. Instrument designated check source ls listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges signlficantly, perform additional counts to evaluate instrument stability

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

Make/Model:

  • l_w)fvvi....
Vt.I(,,,..)-

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

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

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

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

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

4. Site or Location:

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

__

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

Description:

C .,,-f';.e.f.R V-Coord: IN 6 715° 'fD . Use Acceptance Criteria Remarks Inst. Battery Time Ambient Initials and Comments Ca lib. Check Of Temp. (add'l Info; inst. Condition, etc.) current {Y/N) check (oF) (Y/N} " v 113..2... l/-t.s-j)£ \/ I I 3 'l £/2r v;J.£_ I/ 1. Instrument designated check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform a dcHtlonal counts to evaluate instrument stability i I I i I I I I I Rev 110/18/15 rnstrument Field Response Check Log 1. Instrument lnformation 1 Ratemeter: Make/Model: f.,,J/()Jl.. j;l{/ ... ,2.. Detector l: Make/Model

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

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

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

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

1. Instrument Ratemeter; Make/Model:

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

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

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

Description:

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

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

'f M(/11 q1JO/ I /11 r ;V v y /boD &b.1-"ti.. 2 57 Ratemeter J f!trt/ q O"') 'f P11v. 1(_!.('{ y v /br>o (,, &,. l.. /. J J"/ Bicron . 'NA I NA 11 v y *fl 9o 0 c;CI Sieren NA 7 NA I "'I 'I y 1lso ts. r ! Bicron NA -') NA I K y y I I. ot:i ?nt,, ?_ 1. Instrument desi nated check source is listed on callbration sticker. Record check source res onse net c m rior to fleld de lo ment for a II check sources bein used. g p { p )p p y g 2. Source and Background rate should be determined from the average of three static: counts at the same location. Repeat counts should be within 20%. If count rate diverges I I I I I ' i l i I significantly, perform additional counts to evaluate instrument stability 1 ______ J Rev 110/18/15 i I ! : 1. Instrument Jnformation 1 Ratemeter: Make/Model: LiJdl(/ffl 2-Detector 1: Make/Model:LU'/Jc.-v/V\- t./i-1 o Bicron MicroRem Meter; 2. Check Source Information: Instrument Field Response Check Log Serial 1 J.7 Serial No. fl/ I l 11 lJ Serlal No. fl:V Y V< Cal. Due Date: q( Vi Cal. Due Date: l. Source 1 lsotope:"/1i

  • z..1-z.__

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

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

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

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

/"2., -fl, Z3L . . . 1. Instrument designated check source 1s fisted on cal1brat1on sticker. Record check source response (net cpm) prior to field deployment for all check sources being used . --2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform a'dditional counts to evaluate instrument stability -* i i j I I I TS*

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

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

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

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

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

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

1. Instrument lnformatlon 1 Ratemeter:

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

  • Serial No.t6>'6/lf.2.

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

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

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

  • Location

Description:

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

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

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

Description:

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

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

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

Description:

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

Description:

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

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

Description:

(om 8DtJ, no '\:i+o..I Canopy Type:

__ Land Use: Soil Moisture (Wet, dry, 3. L R. d" ' R d" ocat1on a 1at10n ea mgs: 2x2 NaI i Bicron Notes (cpm) (uRem/hr) . ; Count time 1 cm Im i lcm lm (min) ! I I 1.'.)5i tO"l'i \ g I iJIA I !f';,1, 0 lf'. f./ 1 g --4. Sample Information: Sample Area ID: 3 * \ * \ . 6 , /-;{ Soil Color Sample ID Samplitig De[)'cription (Surface litter type/depth, sample depth retention, refusal, stone or rock, to po ra h , erosion features) Sample Recorded on Laboratory COC form and Container Labeled (N) (to -100 I &vii-'-:s. \.I.LS' NJA 10/20/15 SAMPLE LOCATION DATA SHEET Date:1t/o*-20-1-r-Proj_ecr: tJ 'yg;JZ.DA Weather: J?crfly Clo vd1.;. 1 ..va.rm -r.,.,..,e. 5;-c;A--:10:: 1. Sample Area (SA): SA Designation: __ 3_._\ ___ _

Description:

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

Description:

__]2,ivtw{!J

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

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

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

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

Description:

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

4. Sample Information:

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

Description:

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

Description:

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

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

  • 4 'l 13 '-18' S\crt

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

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

__ , *

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

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

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

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

  • V[)'...tJ;it.

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

== Description:==

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

Description:

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

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

Description:

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

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

_____ _

Description:

  • CoYt'i Htf d SA Origin Location:

SA Land Mark

Description:

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

Description:

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

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

== Description:==

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

Description:

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

Description:

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

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

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

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

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

== Description:==

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

Description:

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

  • 6i1>:d.;...

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

1. Sample Area (SA): SA Designation:

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

Description:

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

Description:

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


*--

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

Description:

(pl(\ el d.

SA Origin Location: Coor d. System: -----SA Land Mark

Description:

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

Description:

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

== Description:==

(Di--n t 1 d SA Land Mark

Description:

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

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

Description:

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

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

___ _ SA Origin Location:

== Description:==

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

Description:

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

Description:

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

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

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

  • 7 lD

{ JD_"f:(.P./ Ill d.9D 4. Sample Information: Sample Area ID: 3.1. II El -E D b D h escnption 1y ept : Deptlz Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) D-i "(" do,1..1 . !-,..,.,,., ... "J... I. I I E I I '.S *30 Jei.J 6-u .... <..I. rf .EZ.. ! Sample Recorded on Laboratory COC form and Container Labeled: rf!J. (N) 10/2.0/15 Date: \ o l -z. d 1 '5 Project: fU '-i SE f4 SAlVIPLE LOCATION DATA SHEET Name: S gl'Dwn , -I Weather: (_ \ 1 S 0.) 1. Sample Area (SA): SA Designation:

3:,. j SA. Origin Location:

== Description:==

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

Description:

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

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

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

'itcd 1:5 Sample Location

Description:

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

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

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

== Description:==


'G_o_r SA Land Mark

Description:

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

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

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

Description:

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

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

Description:

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

Description:

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

Description:

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

Description:

Corrif ,JJ. SA Origin Location: SA Land Mark

Description:

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

== Description:==

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

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

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

Description:

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

Description:

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

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

Description:

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

== Description:==

C.ornfi d SA Land Mark

Description:

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

2. Sample Location Data: Sample Area ID:

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

Description:

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

  • '\.l.11.

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

Description:

d-ri

2. Sample Location Data:

Description:

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

Description:

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

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

4. Sample Information:

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


<;;oord. System: ¢n SA Land Mark

Description:

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

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

Description:

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

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

Description:

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

== Description:==

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

  • d-0 Matrix:

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

== Description:==

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

  • 1 'S

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

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

D-tS frt;0NV s .1

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

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

== Description:==

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

  • SA Land Mm-'k

Description:

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

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

Description:

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

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

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

3. ( SA Origin Location:

== Description:==

  • _C_o_o_rd

__ __ _ SA Land Mark

Description:

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

Description:

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

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

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

3. I.

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

== Description:==

(o,..-,-,.{,*dd.

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

Description:

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

Description:

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

  • .. 1$*30 Sc-1 I b,-ii.,..r.
3. '*

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

== Description:==

(o.,-nt i

_C_o_o-rd-.-S-y-st-em-: -/-v.:t-1-(......-I i_IJ_:3-__ _ SA Land Mark

Description:

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

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

Description:

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

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

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

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

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