ML12101A326: Difference between revisions
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| Line 85: | Line 85: | ||
~ | ~ | ||
1\ L ~ | 1\ L ~ | ||
." _ _ _ _ _ A3 | ." _ _ _ _ _ A3 | ||
~ ---_J--- A5 f:::s. - - - - - - - - ...... | ~ ---_J--- A5 f:::s. - - - - - - - - ...... | ||
, A7 ~ _ | , A7 ~ _ | ||
x | x | ||
| Line 94: | Line 92: | ||
. - - 50 ft. ----+ A8~ | . - - 50 ft. ----+ A8~ | ||
~----- 100ft. | ~----- 100ft. | ||
Form CS-01/2 RavO Page 50f6 | Form CS-01/2 RavO Page 50f6 | ||
| Line 211: | Line 208: | ||
* A55-1 A54-1 AS2-1 ASO-l A48-1 A46-1 A44-1 A42-1 A40-1 A39-1 A37-1 A35-1 A33-1 c | * A55-1 A54-1 AS2-1 ASO-l A48-1 A46-1 A44-1 A42-1 A40-1 A39-1 A37-1 A35-1 A33-1 c | ||
A31-1 o | A31-1 o | ||
Z | Z fa u | ||
fa u | |||
;: | ;: | ||
A30-1 C | A30-1 C | ||
GJ "0 | GJ "0 | ||
A28-1 ....C | A28-1 ....C | ||
*0 A27-1 a. | *0 A27-1 a. | ||
| Line 232: | Line 226: | ||
a. | a. | ||
20.0000 -! 11 10.0000 -1 ----I 1-1-------------~ | 20.0000 -! 11 10.0000 -1 ----I 1-1-------------~ | ||
0.0000 | 0.0000 N | ||
N | |||
~ | ~ | ||
0\ | 0\ | ||
ex> | ex> | ||
\-A | \-A | ||
>>t-L >> | >>t-L >> | ||
l-'" | l-'" | ||
>>l-'" | >>l-'" | ||
l-'" | l-'" | ||
N N | |||
N N | |||
N | N N | ||
W W | |||
N | W W | ||
W w ~ ~ ~ >> | |||
N | ..I:il ~ >>VI VI VI VI | ||
N | |||
N | |||
N | |||
W | |||
W | |||
W | |||
W | |||
W | |||
w ~ ~ ~ >> | |||
..I:il ~ >>VI | |||
VI | |||
VI | |||
VI | |||
>>VI N N I | >>VI N N I | ||
N I | N I | ||
| Line 291: | Line 252: | ||
~ 9!'oJ N ~ V1 i" | ~ 9!'oJ N ~ V1 i" | ||
N N N N ~ N N N N N N N N N N N N N N N N N N N N tv | N N N N ~ N N N N N N N N N N N N N N N N N N N N tv | ||
,0 ,0 ,0 2 | ,0 ,0 ,0 2 Sample Point Identification Note: No value for sample point indicates less than mlnimat detectable actiVity. The inability to obtain a sample at a ~!~:n depth at a given !ocation Is de~oted by the ~esig~~~!~n 1lN/A". .._ | ||
Sample Point Identification Note: No value for sample point indicates less than mlnimat detectable actiVity. The inability to obtain a sample at a ~!~:n depth at a given !ocation Is de~oted by the ~esig~~~!~n 1lN/A". .._ | |||
C. | C. | ||
| Line 311: | Line 268: | ||
"'an"" I | "'an"" I | ||
~ | ~ | ||
GJ I A40-3 | GJ I A40-3 ii: A39-3 1;; | ||
ii: A39-3 1;; | |||
GJ | GJ | ||
:s C A37-3 cr | :s C A37-3 cr | ||
~ A35-3 N/A | ~ A35-3 N/A GJ | ||
GJ | |||
>I A33-3 | >I A33-3 | ||
:s [ | :s [ | ||
| Line 348: | Line 301: | ||
N I | N I | ||
in b <0 ...- | in b <0 ...- | ||
1110 | 1110 CD | ||
CD | |||
-ii) 0 C. IdIZ*1 | -ii) 0 C. IdIZ*1 | ||
...--c: | ...--c: | ||
| Line 369: | Line 320: | ||
~ | ~ | ||
tn | tn | ||
....Z4*.. | ....Z4*.. | ||
AZS*i0 A2I*1 en | AZS*i0 A2I*1 en | ||
| Line 408: | Line 358: | ||
.,./ ~ | .,./ ~ | ||
:...,.Lt'.f | :...,.Lt'.f | ||
./11., | ./11., | ||
J /,5''1£ I/)1 c7'T/l I: L\ 5~/ ;/("./,/-- / ';/'~(~.;i /;~fi/ | J /,5''1£ I/)1 c7'T/l I: L\ 5~/ ;/("./,/-- / ';/'~(~.;i /;~fi/ | ||
| Line 453: | Line 402: | ||
".n*'~~~~~~~~~i~~~:f~:~" * ~.\_~#W~ | ".n*'~~~~~~~~~i~~~:f~:~" * ~.\_~#W~ | ||
Park vehicles offhighway. | Park vehicles offhighway. | ||
HIGHWAY HAZARD: Observe all highway signs and Access to sample locations Access to sample areas is adjacent to laws. Be vigilant f~r moving I High visibility vests highways. traffic while workntg near or when crossing roads. | HIGHWAY HAZARD: Observe all highway signs and Access to sample locations Access to sample areas is adjacent to laws. Be vigilant f~r moving I High visibility vests highways. traffic while workntg near or when crossing roads. | ||
SLIP, TRIP, FALL HAZARDS: | SLIP, TRIP, FALL HAZARDS: | ||
| Line 467: | Line 415: | ||
RECO~MENDE~CONTRO~S | RECO~MENDE~CONTRO~S | ||
.' *STEP$ . aA:zA;RD.S .. I | .' *STEP$ . aA:zA;RD.S .. I | ||
". . ?~P1?}}¢.~~';:.E:Q~~~.$Nt... ' : | ". . ?~P1?}}¢.~~';:.E:Q~~~.$Nt... ' : | ||
MSDSs will be obFed and kept on file at the proje<rt for any . . | MSDSs will be obFed and kept on file at the proje<rt for any . . | ||
| Line 539: | Line 486: | ||
/,'[ ":> .:: L | /,'[ ":> .:: L | ||
. 0 l ~..) ~ | . 0 l ~..) ~ | ||
f f. { | f f. { | ||
...1/' i ,P ~;21 lJ l?!> ,.U Relinq nished By (l)rintlSign) Received By (}li"intJSign) Date Time Location Transferred To (as applicable) | ...1/' i ,P ~;21 lJ l?!> ,.U Relinq nished By (l)rintlSign) Received By (}li"intJSign) Date Time Location Transferred To (as applicable) | ||
| Line 549: | Line 495: | ||
\ | \ | ||
-:... . . ,J.'" 5 '~/Ii._ | -:... . . ,J.'" 5 '~/Ii._ | ||
~. (... c~ | ~. (... c~ | ||
/1 | /1 | ||
| Line 556: | Line 500: | ||
. ~( A"'""t'" | . ~( A"'""t'" | ||
~~r | ~~r | ||
_ .. ,..~ | _ .. ,..~ | ||
.~,." | .~,." | ||
*..,......_"', ~"t.--~.1... | *..,......_"', ~"t.--~.1... | ||
"I | "I | ||
////:.1 ".;' 7 ,ill 1J./lJ If I A. tid / ., , ,/ | ////:.1 ".;' 7 ,ill 1J./lJ If I A. tid / ., , ,/ | ||
"u/ 1 | "u/ 1 | ||
'.:;.... ,(': ,d tll/.i' J"l;'1(,:~ II ~ ~:J-()' Ie VCJ 71 (}.OV!\.; R() () yV, J /J1Jc~ j/ ' | '.:;.... ,(': ,d tll/.i' J"l;'1(,:~ II ~ ~:J-()' Ie VCJ 71 (}.OV!\.; R() () yV, J /J1Jc~ j/ ' | ||
| Line 579: | Line 520: | ||
Li 0:5 () i i//t1n te**... | Li 0:5 () i i//t1n te**... | ||
'lJ'Jf.,p'\.J I! | 'lJ'Jf.,p'\.J I! | ||
1:)"~2¢' // | |||
SR~5' A ~ ., \? <{'5:;; | SR~5' A ~ ., \? <{'5:;; | ||
S({~5 A7*"~ | S({~5 A7*"~ | ||
| Line 597: | Line 538: | ||
t"," I~'llI>..I~ | t"," I~'llI>..I~ | ||
<t?t'lj"'- | <t?t'lj"'- | ||
po ? '~;j | po ? '~;j | ||
<;,.:,;.;!:Jff' S~*~:r- A'3* \ o-~ ,d t) 0;/J" 7J,; | <;,.:,;.;!:Jff' S~*~:r- A'3* \ o-~ ,d t) 0;/J" 7J,; | ||
/,,' .~ /1 t.? 'i2 :? | /,,' .~ /1 t.? 'i2 :? | ||
| Line 606: | Line 545: | ||
<..,; *. /<) | <..,; *. /<) | ||
/:F '! /I' 1 | /:F '! /I' 1 | ||
q'Zj | q'Zj 5 ((.w 1:) AJLI '. t o & II D'1:3() ~1115'~ .~ 5 5 12.-,(r_~_l] L~~*- c, -/ -~ ,( D'J 5 K":)~ I\I L( ~3 IS"" 2'! II (j 1'10 i | ||
5 ((.w 1:) AJLI '. t o & II D'1:3() ~1115'~ .~ 5 5 12.-,(r_~_l] L~~*- c, -/ -~ ,( D'J 5 K":)~ I\I L( ~3 IS"" 2'! II (j 1'10 i | |||
::;R.~:) /Q15*)' C1 ~,. G,."J .. f I c~-15-- | ::;R.~:) /Q15*)' C1 ~,. G,."J .. f I c~-15-- | ||
J IPbJS- :2. | J IPbJS- :2. | ||
| Line 642: | Line 579: | ||
SR Number ~5/~2 . | SR Number ~5/~2 . | ||
Sample Sample Sample Sample Sample Number I Sample Location/Description Volume Comments HpGe Number Matrix Date Time or Weight | Sample Sample Sample Sample Sample Number I Sample Location/Description Volume Comments HpGe Number Matrix Date Time or Weight | ||
, ( | , ( | ||
~ | ~ | ||
| Line 679: | Line 615: | ||
;',~ ,,' | ;',~ ,,' | ||
t' | t' | ||
\ J" | \ J" 2.. t f t-.32(] / i~ | ||
2.. t f t-.32(] / i~ | |||
.. ,....., ............ .' ;OJ. ~, .....' | .. ,....., ............ .' ;OJ. ~, .....' | ||
)f<'*:jA"I** ( ()-G | )f<'*:jA"I** ( ()-G | ||
| Line 692: | Line 626: | ||
LI 0_;( | LI 0_;( | ||
J V---,j." ,rJ C\ /1 _ 1 ) | J V---,j." ,rJ C\ /1 _ 1 ) | ||
I --7,,/11 | I --7,,/11 | ||
.,t;- { | .,t;- { | ||
| Line 711: | Line 644: | ||
..~:; {( 1/ ~,.-ii | ..~:; {( 1/ ~,.-ii | ||
')),~. "~' | ')),~. "~' | ||
I') ,- '. ': .-/j" . ) /. | I') ,- '. ': .-/j" . ) /. | ||
/( .I/Z ~ (1Ivl/f.~~" ~ //{.~::'1 II/-/c/- | /( .I/Z ~ (1Ivl/f.~~" ~ //{.~::'1 II/-/c/- | ||
| Line 741: | Line 673: | ||
I t(;.,.( .. ') l t" | I t(;.,.( .. ') l t" | ||
I~t Itt, ~~. I <:> .' 1/[4 . ~~'>> | I~t Itt, ~~. I <:> .' 1/[4 . ~~'>> | ||
r)~' | r)~' | ||
\.l l~. -- \5 1 | \.l l~. -- \5 1 | ||
| Line 794: | Line 725: | ||
~Jt<. | ~Jt<. | ||
() | () | ||
.-/ | .-/ | ||
\~ | \~ | ||
| Line 818: | Line 748: | ||
, \ ~ \'\ 'C',<....\v......... | , \ ~ \'\ 'C',<....\v......... | ||
( [) \I\!~ | ( [) \I\!~ | ||
\ '\. ~.. \! \ O'~**v'L | \ '\. ~.. \! \ O'~**v'L r2>,R~t1u'11 / tJ),~ I'I/,,,,lo~~ JtiZ:?: pru-o l/t}. | ||
r2>,R~t1u'11 / tJ),~ I'I/,,,,lo~~ JtiZ:?: pru-o l/t}. | |||
V-/""" | V-/""" | ||
p' -- /1 71 | p' -- /1 71 | ||
. . /) \ | . . /) \ | ||
f 1:Y~ / I J2 mmcl, / j)~ | f 1:Y~ / I J2 mmcl, / j)~ | ||
#1 1//-) y- 0 ) CJ710 ( /)c)/7 / | #1 1//-) y- 0 ) CJ710 ( /)c)/7 / | ||
/} | /} | ||
| Line 847: | Line 774: | ||
L,;,J...... '\ | L,;,J...... '\ | ||
/ "1- | / "1- | ||
, , -4,\ | , , -4,\ | ||
"'-1'",,,,") | "'-1'",,,,") | ||
Sample Sample Sample Sample HpGe Number Sample Number I Sample Location/Description Volume Comments Matrix Date Time or Weight | Sample Sample Sample Sample HpGe Number Sample Number I Sample Location/Description Volume Comments Matrix Date Time or Weight | ||
, ( /I I j | , ( /I I j | ||
| Line 861: | Line 784: | ||
/ ! | / ! | ||
,. /12. (~ .- 1 I I (~',~ (; ~"I}(J.O 1'2 X | ,. /12. (~ .- 1 I I (~',~ (; ~"I}(J.O 1'2 X | ||
/1 A-'! {.. . <<( I ... /) .jiO (J ')' | /1 A-'! {.. . <<( I ... /) .jiO (J ')' | ||
! l~:; 'j' I ".2(1'* C,-' ., ,~. ():S<1 J () | ! l~:; 'j' I ".2(1'* C,-' ., ,~. ():S<1 J () | ||
| Line 895: | Line 817: | ||
By .. s,Q G A . t-t~4' J / . 1 R* "N\~ ~l;J 5 R. - ~ | By .. s,Q G A . t-t~4' J / . 1 R* "N\~ ~l;J 5 R. - ~ | ||
. Sample Sample Sample Sample Sample Number Sample Location/Description Matrix Date Time Volume Commen~ HpGe Number or Weight 5><<-5 ~ ~- \~ O~Cs | . Sample Sample Sample Sample Sample Number Sample Location/Description Matrix Date Time Volume Commen~ HpGe Number or Weight 5><<-5 ~ ~- \~ O~Cs | ||
, i | , i S,6,' t I\ I, /.or h t31> | ||
S,6,' t I\ I, /.or h t31> | |||
.. L PRo)- o.J1ot/< | .. L PRo)- o.J1ot/< | ||
, .. I k/~3-1~ 6~C:e . \3;2~ -O:;~()S' | , .. I k/~3-1~ 6~C:e . \3;2~ -O:;~()S' | ||
| Line 930: | Line 850: | ||
By . '" / ,"-I . Lt ,-.. ( t' | By . '" / ,"-I . Lt ,-.. ( t' | ||
~'''. | ~'''. | ||
Sample Sample Sample Sample Sample Number I Sample Location/Description Matrix Date Time V,olume Comments HpGe Number or Weight | Sample Sample Sample Sample Sample Number I Sample Location/Description Matrix Date Time V,olume Comments HpGe Number or Weight | ||
~ .) . /L 27 . ! ..=t | ~ .) . /L 27 . ! ..=t | ||
| Line 974: | Line 893: | ||
) /4 ~<:1"3 l S .,. ,"-:;~L\ ~ C ,;l. oa tJ J~7)- | ) /4 ~<:1"3 l S .,. ,"-:;~L\ ~ C ,;l. oa tJ J~7)- | ||
,11 *~1** J [~,. () ~';' 1:- | ,11 *~1** J [~,. () ~';' 1:- | ||
1' 5" -O;Q') 73 | 1' 5" -O;Q') 73 i~ tJ. ,;?A (t',: I.~ 1,'*'/5 , ", 0 ;}(1 J Y | ||
i~ tJ. ,;?A (t',: I.~ 1,'*'/5 , ", 0 ;}(1 J Y | |||
/1- ~) - ,j~;\ 1 ~ .2 t .~ (J;:;<) 'j S | /1- ~) - ,j~;\ 1 ~ .2 t .~ (J;:;<) 'j S | ||
\ | \ | ||
| Line 982: | Line 899: | ||
(~~ Lf ~J l ( l. | (~~ Lf ~J l ( l. | ||
--oJ) 7~ | --oJ) 7~ | ||
It LI c." .' .J, (t:' l,5' (0_33 I 'O:J~7 JHJ I .~. I._Ie) ..:3 ,.5 ~:::L.\.\ | It LI c." .' .J, (t:' l,5' (0_33 I 'O:J~7 JHJ I .~. I._Ie) ..:3 ,.5 ~:::L.\.\ | ||
'1/ ~/ 1e' 3 '7 ~ lJiJ)' '70 Location Transferred To Relinquished By (Print/Sign) Received By (Print/Sign) Date Time (as applicable) | '1/ ~/ 1e' 3 '7 ~ lJiJ)' '70 Location Transferred To Relinquished By (Print/Sign) Received By (Print/Sign) Date Time (as applicable) | ||
| Line 1,005: | Line 921: | ||
'" \ I .,i | '" \ I .,i | ||
/ | / | ||
IJ Ii urt/ All tl-.2! ,/{, .. /' | IJ Ii urt/ All tl-.2! ,/{, .. /' | ||
//- }()- / () ,3 ?( '\LlL./\-1 | //- }()- / () ,3 ?( '\LlL./\-1 0 (Q (o'1,.'\"'(L ,y:: | ||
0 (Q | |||
(o'1,.'\"'(L ,y:: | |||
~;'~';~"\ (~':'~"A t | ~;'~';~"\ (~':'~"A t | ||
| Line 1,050: | Line 961: | ||
/ ( .r | / ( .r | ||
:1::LA Y\ Pl-f? ((tf\.~!"/ | :1::LA Y\ Pl-f? ((tf\.~!"/ | ||
A. /lu f-f / 1/- 56 "6,) / (J.3"*'7 I /t' I I / l | A. /lu f-f / 1/- 56 "6,) / (J.3"*'7 I /t' I I / l | ||
---------_iiI | ---------_iiI | ||
| Line 1,065: | Line 975: | ||
/-}'1 ~ "':7-> ¥4~ Ir-,)i( 'I J; JCJ:J-'l "-"1/ o ",,0// | /-}'1 ~ "':7-> ¥4~ Ir-,)i( 'I J; JCJ:J-'l "-"1/ o ",,0// | ||
Location Transferred To Relinquished By (Print/Sign) Received By (Print/Sign) Date Time (as applicable) | Location Transferred To Relinquished By (Print/Sign) Received By (Print/Sign) Date Time (as applicable) | ||
/Z\ ,\'V\.Q | /Z\ ,\'V\.Q rt I. i'\ 1'1 j', ' 11lk,,'1_;vvL AJ REIfEA~ / ~9f)A. .f) I, i7/&s- J/ I 'f f/<{f 'T~~ | ||
rt I. i'\ 1'1 j', ' 11lk,,'1_;vvL AJ REIfEA~ / ~9f)A. .f) I, i7/&s- J/ I 'f f/<{f 'T~~ | |||
)/ /~) /1/~" f t - ??~ /)ft1J /;2/.4 /J_. ~3b 05 093.5 (()ofll 12(7) M | )/ /~) /1/~" f t - ??~ /)ft1J /;2/.4 /J_. ~3b 05 093.5 (()ofll 12(7) M | ||
-~" | -~" | ||
| Line 1,126: | Line 1,034: | ||
,:~/< ~* S~~ | ,:~/< ~* S~~ | ||
Sample Sample Number Sample Location/Description Sample Sample I Sample Volume Comments HpGe Number Matrix Date Time or Weight 3,:~ -5** - /t~~ - ( 0 <~/~,,: | Sample Sample Number Sample Location/Description Sample Sample I Sample Volume Comments HpGe Number Matrix Date Time or Weight 3,:~ -5** - /t~~ - ( 0 <~/~,,: | ||
"",,.)(. ..Jl | "",,.)(. ..Jl I II ! | ||
I II ! | |||
/I 7//cj:.5.' I j;3 2 L::, | /I 7//cj:.5.' I j;3 2 L::, | ||
L ~tJo5~ - 0 J'OtS~"'7 I | L ~tJo5~ - 0 J'OtS~"'7 I | ||
| Line 1,161: | Line 1,067: | ||
\ ..... :;.;-)~';. ' | \ ..... :;.;-)~';. ' | ||
CS-01/5 .. ~ | CS-01/5 .. ~ | ||
Field Sample Collection & Chain of Custody Form Rev 0 Samples Collected 112~* SR Number I 51<. .'-' .S | Field Sample Collection & Chain of Custody Form Rev 0 Samples Collected 112~* SR Number I 51<. .'-' .S By Sample Sample Sample Sample Comments HpGe Number Sample Number I Sample Location/Description Volume Matrix Date Time or Weight | ||
By Sample Sample Sample Sample Comments HpGe Number Sample Number I Sample Location/Description Volume Matrix Date Time or Weight | |||
,i | ,i | ||
~R~'5- &150**1 O-G II | ~R~'5- &150**1 O-G II | ||
| Line 1,187: | Line 1,091: | ||
I) | I) | ||
~31<" ~ | ~31<" ~ | ||
11-''/ ,- I | 11-''/ ,- I | ||
. o '- & //' f) '1 ~3 rJ I .-- (] .'~ (] s-s | . o '- & //' f) '1 ~3 rJ I .-- (] .'~ (] s-s | ||
| Line 1,194: | Line 1,096: | ||
\ 0'73 () f QC 5/1;11/<-<: ,- a 3 Q 5-'~ | \ 0'73 () f QC 5/1;11/<-<: ,- a 3 Q 5-'~ | ||
f Relinquished By (Print/Sign) Location Transferred To Received By (Print/Sign) Date Time (as applicable) | f Relinquished By (Print/Sign) Location Transferred To Received By (Print/Sign) Date Time (as applicable) | ||
?7Jv6rJ/flZ-** T~ IRJ kEHEitU / ~)i>..IJ__ | ?7Jv6rJ/flZ-** T~ IRJ kEHEitU / ~)i>..IJ__ | ||
* tI!ll/i,r- i II~ P/L£jJ 7-~ L A~IlL) ~. /J1o:~! / ;;7-;;;; l) - /,- () ,-)" /,)0 ) ('r) (.)/t\. I P07')/~ | * tI!ll/i,r- i II~ P/L£jJ 7-~ L A~IlL) ~. /J1o:~! / ;;7-;;;; l) - /,- () ,-)" /,)0 ) ('r) (.)/t\. I P07')/~ | ||
.12 /J1t1t:1,T- -,--/----- | .12 /J1t1t:1,T- -,--/----- | ||
I. ;27 III jJ, II,) rr I:LJI7 | I. ;27 III jJ, II,) rr I:LJI7 | ||
/ ;)~;) ,"'()S /) 1J-7 /rv, () \v r' | / ;)~;) ,"'()S /) 1J-7 /rv, () \v r' | ||
| Line 1,214: | Line 1,114: | ||
Se,l.. j!-/"oO' C)-Oj 3~ jL ~, ()3tJ~~) | Se,l.. j!-/"oO' C)-Oj 3~ jL ~, ()3tJ~~) | ||
~ | ~ | ||
5 r& ~ 1t5~ .;t.(J C. (,-10 I C)95~ J (;)C :5 AJ11{Jl.-6 -!J (~(Jt, C, 7 f!--5 A5q- :3 /6""" -.2-1' /1' I o Cf'iQ I ',,;(}JOC- 7 SQ~,t)' It 5C\~, (), C /6 </ rr o Cf LfO QC- 5A-mP(~ ---- -()30c,,1' | 5 r& ~ 1t5~ .;t.(J C. (,-10 I C)95~ J (;)C :5 AJ11{Jl.-6 -!J (~(Jt, C, 7 f!--5 A5q- :3 /6""" -.2-1' /1' I o Cf'iQ I ',,;(}JOC- 7 SQ~,t)' It 5C\~, (), C /6 </ rr o Cf LfO QC- 5A-mP(~ ---- -()30c,,1' I | ||
5~~ A,5S- \" 0 t; II (9 '11~ ~ () .,311 t, <] | |||
5f2--b Pt55~2 ~ -IS /1 .0 9:;-0 "'-{)3trJ 70 Sf<-:; fh5'bw' ~ /:)-21. /( o 9fj/" '.- ((J.JO I I | 5f2--b Pt55~2 ~ -IS /1 .0 9:;-0 "'-{)3trJ 70 Sf<-:; fh5'bw' ~ /:)-21. /( o 9fj/" '.- ((J.JO I I | ||
~6 /+6& - ( o -c, If jt)C>O -0,10 71. | ~6 /+6& - ( o -c, If jt)C>O -0,10 71. | ||
| Line 1,226: | Line 1,125: | ||
,.,. ~ | ,.,. ~ | ||
-?(..;' 7 ~,;; t, ,uv- u ,. | -?(..;' 7 ~,;; t, ,uv- u ,. | ||
":J ~"'!'j teO | ":J ~"'!'j teO Received By (Print/Sign) Location Transferred To Relinquished By (Print/Sign) Date Time (as applicable) | ||
Received By (Print/Sign) Location Transferred To Relinquished By (Print/Sign) Date Time (as applicable) | |||
-TW~7iift~. ~ . . -o / ~j~ u/J,/or Y! aI6A171,le .t..IT&. ,.. .... | -TW~7iift~. ~ . . -o / ~j~ u/J,/or Y! aI6A171,le .t..IT&. ,.. .... | ||
III S' fA- ,£jJ IlL L AI/luff I /-AI!~ RL. j)£'J~" J/)~;o:/~ lJd- / - D5 | III S' fA- ,£jJ IlL L AI/luff I /-AI!~ RL. j)£'J~" J/)~;o:/~ lJd- / - D5 | ||
| Line 1,242: | Line 1,138: | ||
I 'j Ii~ /' | I 'j Ii~ /' | ||
I r | I r | ||
}~-,~-()t) | }~-,~-()t) i'dfl5 ,'V.LIVlJl!P r " | ||
i'dfl5 ,'V.LIVlJl!P | |||
r " | |||
Co11U'1}} | Co11U'1}} | ||
Revision as of 17:20, 6 February 2020
| ML12101A326 | |
| Person / Time | |
|---|---|
| Site: | Plum Brook |
| Issue date: | 11/10/2005 |
| From: | Stoner W, Marquette R US National Aeronautics & Space Admin (NASA) |
| To: | NRC/FSME |
| References | |
| SR-5 | |
| Download: ML12101A326 (43) | |
Text
{{#Wiki_filter:SURVEY REQUEST FORM SRNUMBER SR-5 I DATE ISSUED I /1 rl/j/tJb Ii TYPEOFSR o FSS ~ CHARACTERIZATION o OTHER: AREA I LOCATION Plum Brook Stream Bed from Pentolite Road to Clark Road (Section A Phase 1) Collect required sample data to characterize the Plum Brook stream bed and contiguous banks on both sides of the stream. For the purposes of this SR, the stream bed is PURPOSE considered to be sixteen (16) feet wide, measuring eight (8) feet in each direction from the stream centerline. This stream section is approximately 1800 linear feet in length and encompasses 28,800 square feet of the Plum Brook stream bed. SURVEY DESIGN NUMBER I N/A SURVEY UNIT NUMBERS I N/A I GRID NUMBERS I N/A SAMPLE TYPE 181 SURFACE SOIL SAMPLE: See Page 3 of this SR for specific instructions. ~ SUB-SURFACE SOIL SAMPLE: See Page 3 of this SR for specific instructions. o SMEAR SAMPLE: o SEDIMENT SAMPLE: D CORE SAMPLE: o WATER SAMPLE: D OTHER: SURVEY TYPE o BETA INST. TYPE SCAN RATE & DETECTOR SURFACE SCAN DGAMMA DISTANCE FROM DALPHA PROBE TYPE SURFACE o BETA INST. TYPE SCAN RATE & DETECTOR SURFACE SCAN DGAMMA DISTANCE FROM DALPHA PROBE TYPE SURFACE STATIC o BETA INST. TYPE COUNT TIME & MEASUREMENT o GAMMA DETECTOR DISTANCE FROM DALPHA PROBE TYPE SURFACE DBETA INST. TYPE COUNT TIME & STATIC DETECTOR MEASUREMENT DGAMMA DISTANCE FROM DALPHA PROBE TYPE SURFACE OTHER Form CS-01/1 Rev 0 Page 1 of6
SURVEY REQUEST FORM SR NUMBER I SR-5 I AREA I LOCATION I PB Stream Bed from Pentolite Road to Clark Road (Section A Phase 1) SPECIFIC SAMPLING & SURVEYING INSTRUCTIONS I COMMENTS Prerequisites and Special Instructions
- 1. An initial pre-job briefing is required with FSS/Characterization Technicians, D&D Technicians and FSS/Characterization Supervisor before the start of any sampling activities. SUbsequent briefings will be at the discretion of the FSS/Characterization Supervisor.
- 2. Review the JSA and adhere to all precautionary requirements.
- 3. Sample anomalies or discrepancies (Le., relocation of a sample point due to obstructions/rejection) shall be clearly documented on a Survey Request Continuation Sheet. As a minimum, include the sample point number, description of problem, FSS/Characterization Technician name, and date/time.
- 4. Additional sampling may be performed at the discretion of the FSS/Characterization Manager provided samples are collected in accordance with instructions provided by this Survey Request (SR).
Quality Control (QC) Samples A minimum of 5% of all samples collected shall be fully homogenized, split, and submitted for independent analyses. To obtain a QC sample, thoroughly mix the sample material obtained from the selected sample point and divide into two equal samples. Clearly label one of the samples as the QC sample. APPROVAL SIGNATURES FSS/CHARACTERIZATION SUPERVISOR R.Ma~uette/~~ DATE FSS/CHARACTERIZATION MANAGER w. Stoner I a-A DATE NASA PROJECT RSO W. Stoner I ~~/.A. DATE SRCLOSURE FSS/CHARACTERIZATION SUPERVISOR DATE FSS/CHARACTERIZATIOH MANAGER DATE NASA PROJECT RSO DATE
/
Form CS-01/1 Rev 0 Page 2 af6
SURVEY REQUEST CONTINUATION SHEET SR NUMBER I SR-5 I AREA I LOCATION I PB Stream Bed from Pentolite Road to Clark Road (Section A Phase 1) SPECIFIC SAMPLING & SURVEYING INSTRUCTIONS I COMMENTS Establishing the Triangular Grid Sample Pattern
- 1. Section uA" begins at the north side of the Pentolite Road overpass and runs to the north side of the Clark Road overpass.
- 2. Use the coordinate system (Page 4) and sample map example (Page 5) to establish the sample point locations.
- 3. Begin by marking the starting point (010) at the center line of the stream directly below the north side of the Pentolite Road overpass. This point is 10 feet north of the culvert array and at the centerline of the stream bed.
The first sample point (A-1) is located at the 0/0 coordinate.
- 4. Measure and mark the other sample points using the dimensions listed on Pages 4 and 5. The odd sample points shall be located at the centerline (X) of the stream bed and be spaced 50 feet apart. The even sample points (Y) shall be located directly between the centerline sample points and at :!:. 7 feet from the centerline (X).
- 5. If any of the.:!:. 7 feet (Y) sample points fall outside of the stream bed, move the sample point until the location is clearly within the boundary of the stream bed. Note the change in location on a Survey Request Continuation Sheet.
Surface/Subsurface Soil Sampling
- 1. Observe the "Prerequisites and Special Instructions" on Page 2 of this SR.
- 2. Locate the sample point identified on Page 4 of this SR.
- 3. Collect a surface sample in accordance with Section 4.2.2 of PBRF procedure CS-01, USurvey Methodology to Support PBRF License Termination".
- 4. After the surface sample has been obtained, collect subsurface samples at depths of 6 to 15 inches and 15 to 24 inches in accordance with Step 4.2.6.5 of procedure CS-01.
- 5. Label each sample in accordance with Step 4.2.1.3 of procedure CS-01 and include the sample point number (e.g., A-1, A-2, etc.) and sample depth (e.g., 0-6",6-15", or 15-24").
NOTE: If excessive rock or other obstructions are encountered prior to achieving a depth of 15 inches, the FSS/Characterization Technician may relocate the sample point up to 3 feet in any direction provided the point remains within the stream bed. Relocation of a sample point greater than 3 feet must be authorized by the FSS/Characterization Supervisor. I NOTE: If rejection occurs prior to reaching the 24 inch mark but after achieving a depth of 15 inches, the samples for that location will be accepted and documented. Form CS-D1/2 Rev 0 Page 3 at6
SURVEY REQUEST CONTINUATION SHEET SRNUMBER I SR-5 I AREA I LOCATION I PB Stream Bed from Pentolite Road to Clark Road (Section A Phase 1) SPECIFIC SAMPLING & SURVEYING INSTRUCTIONS I COMMENTS Sample Point X Coordinate (ft.) Y Coordinate (ft.) Sample Point X Coordinate (ft.) Y Coordinate (ft.) A1 0' 0' A40 975 (_7') A2 25' 7' A41 1000 0' A3 50' 0' A42 1025 7' A4 75' (-7') A43 1050 0' A5 100' 0' A44 1075 (-7') A6 125' 7' A45 1100 0' A7 150' 0' A46 1125 7' A8 175 (-7') A47 1150 0' A9 200' 0' M8 1175 (-7') A10 225' 7' A49 1200 0' A11 250' 0' A50 1225 7' A12 275' (-7') A51 1250 0' A13 300' 0' A52 1275 (-7') A14 325' 7' A53 1300 0' A15 350' 0' A54 1325 7' A16 375' (-7') A55 1350 0' A17 400' 0' A56 1375 (_7') A18 425' 7' A5? 1400 0' A19 450' 0' A58 1425 7' A20 475' (-7') A59 1450 0' A21 500' 0' A60 1475 (_7') A22 525' 7' A61 1500 0' A23 550' 0' A62 1525 7' A24 575' (-7') A63 1550 0' A25 600' 0' A64 1575 (-7') A26 625' 7' A65 1600 0' A27 650' 0' A66 1625 7' A28 675' (-7') A67 1650 0' A29 700' 0' A68 1675 (-7') A30 725' 12' A69 1700 0' A31 750' 0' A70 1725 7' A32 775' (-7') A71 1750 0' A33 800' 0' A72 1775 (-7') A34 825' 7' A73 1800 0' A35 850' 0' A36 875' (_7') A37 900' 0' A38 925' 7' A39 950' 0' Form CS-01/2 Rev 0 Page 4 at6
SURVEY REQUEST SAMPLE ANALYSIS SHEET SR NUMBER I SR-5 I AREA I LOCATION I PB Stream Bed from Pentolite Road to Clark Road (Section A Phase 1) REQUESTED SAMPLE ANALYSIS REQUIRED COUNTING SAMPLE TYPE RADIONUCLIDE COMMENTS I ADDITIONAL INSTRUCTIONS SYSTEMMDA ,1--_ _S_Oi_1_ _+--_ _C_S_-1_3_7_ _-t O_._2_P_C_i/9 ---t Other analyses (e.g., TRU or HTD) may be Soil Co-60 0.2 pCi/g performed as requested by the II-------+---------t------------t FSS/Characterization Manager. Form CS-01/3 Rev 0 Page 60f6
SURVEY REQUEST CONTINUATION SHEET SRNUMBER AREA I LOCATION PB Stream Bed from Pentolite Road to Clark Road (Section A Phase 1) SPECIFIC SAMPLING & SURVEYING INSTRUCTIONS I COMMENTS Example of Sample layout Culvert Array Centerline 010 Coordinate A6~~
~Y . ,. Al
~
1\ L ~
." _ _ _ _ _ A3
~ ---_J--- A5 f:::s. - - - - - - - - ......
, A7 ~ _
x _ _ _, - - - - - - A4
. - - 50 ft. ----+ A8~
~----- 100ft.
Form CS-01/2 RavO Page 50f6
Table 3-1 Job Safety Analysis Form WORK PLACE DESCRIPTION/LOCATION: Plum Brook Creek ACTIVITY: Survey and Sampling PREPAREDBY/DATE:<~'~,6~(" REVIEWEDBYillATE:j(J.P*' .... I CERTIFICATION OF HAZARD ASSESSMENT AND REQUIRED PERSONAL PROTECTIVE EOUIPMENT (NAMEillATE): ~ 4~ fl* 7 -Of I PRINCIPAL POTENTIAL REQUIRED PERSONAL RECOMMENDED CONTROLS STEPS HAZARDS PROTECTIVE EQUIPMENT Park vehicles offhighway. HIGHWAY HAZARD: Observe all highway signs and Access to sample locations Access to sample areas is adjacent to laws. Be vigilant for moving High visibility vests highways. traffic while working near or when crossing roads. SLIP, TRIP, FALL HAZARDS: Survey areas are located in the Plum Sturdy hiking boots should be Safety toe durable boots meeting All Brook Creek bed. Access is via steep sides worn. Waterproof footwear is that are overgrown and/or rock covered. recommended. ANSI Z41, wk"n foot- ha~",rd~
.eXI$t;
...,....o~ \\1 "/oS' EYE HAZARDS:
Proceed carefully through brush Thick undergrowth at access points and in ANSI Z87 safety glasses All areas. Some areas may require creek bed. brush clearing prior to entry. MATERIAL HANDLING AND HAND Exercise caution when moving Wear leather (or Kevlar) gloves Performing survey and sampling stones and performing digging HAZARDS: when digging and handling sharp activities Sharp objects and tools (sampling) operations. objects Use insecticide where appropriate. Appropriate light colored clothing i.e. Performing survey and sampling BIOLOGICAL HAZARDS: Avoid using perfumes, aftershave work gloves, long sleeved shirt and activities Bees, Wasps, Spiders, poison ivy, etc. lotions, scented soaps, etc. that pants. may attract insects.
PRINCIPAL POTENTIAL REQUIRED PERSONAL RECOMMENDED CONTROLS STEPS HAZARDS PROTECTIVE EQUIPMENT MSDSs will be obtained and kept on file at the project for any All CHEMICAL EXPOSURE HAZARDS chemical used. HMIS labels will Any recommended PPE from MSDSs. be on all chemical containers. Do not intentionally disturb any wildlife. Notify the Performing survey and sampling WILDLIFE HAZARDS: PSS/characterization supervisor if None activities Snakes, small animals, etc. work activities cannot be performed due to the presence of wildlife. A communication device, such as a All Communication Difficulties cell phone, shall be used. The None "Buddy System" is required. Ensure excavation permit is in place prior to sampling on Plum Brook Station property. Verify through excavation competent Breaking the soil surface during Underground utilities hazard person that proper notification has None sampling activities. been made and that utilities have been identified prior to performing sampling activities on non-Plum Brook Station properties. List of Equipment to be used: Trainine: Inspections: Survey instrumentation and equipment RCTs shall be qualified to use survey See CS-l necessary for soil sample collection. instruments required by the SR. RCTs shall be trained on sample collection techniques.
SURVEY REQUEST CONTINUATION SHEET SR NUMBER I SR-S I AREA I LOCATION I Plum Brook Stream Bed from Pentolite Road to Clark Road (Section A Phase 1) SPECIFIC SAMPLING AND SURVEYING INSTRUCTIONS I COMMENTS SURVEY REQUEST CLOSE-oUT
SUMMARY
Background:
Survey Request #5 is the first of eight (8) SRs generated to perform characterization of the Plum Brook stream bed from Pentolite Road to the overpass of Route 250 (Mitan Rd.) in order to determine the impact from PBRF licensed activities. The stream is divided into four sections designated as Sections A, B, C, and D to facilitate the survey process. This is the first part of a two phase survey. Phase 1 requires the collection of random (non-biased) samples. Phase 2 will incorporate scanning the banks of the stream in order to locate areas of elevated activity from which additional samples may be obtained. Prior surveys of the stream bed indicated the presence of residual activity at various locations. The first 4 SRs, (5,6, 7, and 8) address random sampling of the stream bed and adjoining banks based on a triangular grid pattern in each of the four sections. SRs 9,10, 11, and 12 allow for the collection of biased samples based on scanning activities along the banks of the stream. The purpose of this Survey Request was to collect random samples in the first section of the stream. Identified as Section "A", it is 1,425 in length and encompasses approximately 22,800 sq. feet. Number and types of surveys: SR-5 required a systematic random sampling of sediment in and around the stream bed. A triangular grid pattern was established to facilitate the collection of samples at 0 to 6, 6 to 15, and 15 to 24 inch increments at each of the identified locations. Sample points were distributed at 25 foot intervals along the stream, alternating between the centerline and the two side banks of the stream. Summary of Sample Results. A total of 180 samples were obtained under this SR. Of those samples, 142 indicated the presence of Cs-137 and 25 were identified as containing Co-60. The maximum concentration of Cs-137 was 38.3 pCi/g at sample point 46 in the 15" to 24" depth. Surface activity at that same sample point was 2.9 pCi/g, and the 6"-24" depth contained a concentration of 5.5 pCi/g. Sample point 46 also contained the highest Co-60 activity in the 15" - 24" segment at a concentration of .44 pCi/g. The average concentration of Cs-137 for Section A was 1.64 pCi/g, and the average concentration of Co-60 was 0.12 pCi/g. Four samples exceeded the DCGL of 11.71 pCi/g for Cs-137. They were sample points # 45 (6"-15"), # 46 (15"-24"),
- 49 (15"-24"), and # 50 (15"-24"). See Table 1 for a complete listing of all sample results.
Summary of Scan and/or Static Measurements: There was no scan or static measurement activities associated with this SR. Page 1 of 2
SURVEY REQUEST CONTINUATION SHEET SRNUMBER I SR-5 I AREA I LOCATION I Plum Brook Stream Bed from Pentolite Road to Clark Road (Section A Phase 1) SPECIFIC SAMPLING AND SURVEYING INSTRUCTIONS I COMMENTS SURVEY REQUEST CLOSE-OUT
SUMMARY
(continued) Problems encountered during surveying: There were two major problems encountered during the performance of this SR. The first concerned the type of material available for sampling in and around the stream bed. Within the stream bed itself, the vast majority of available material is rock. Penetration of the rock is extremely difficult, and in areas where the rock could be pulverized, more rock existed below the surface layer. This material does not meet the required sample matrix. As a result, it was frequently necessary to relocate a sample to a point along the stream bank in order to acquire the sample material. The second major problem encountered was the significant amount of debris and obstructions within and around the stream bed. Fallen trees, areas of dense undergrowth, and the build-up of natural and human debris made traversing the bed extremely difficult, and in some places, hazardous. The stream banks are extremely steep, are covered with underbrush and saplings, and as a result limit the access points available for entering the stream itself. Another problem centered on the sampling devices. Three new sediment samplers were purchased with a new type of core catcher made of extremely thin plastic which could not hold the sample material in the collection tube. As a result, the technicians were unable to collect sufficient sample material at the 6"-15" and 15"-24" depths with the devices and therefore used shovels instead. Summary of QC survey and sample results, including corrective actions taken when acceptance criteria are not met. A total of 18 QC samples were obtained under this SR representing 10 % of the total samples collected. All QC samples met the criteria of section 4.5.2.4 procedure CS-01 "Survey Methodology to Support PBRF License J Termination"
== Conclusion:==
This section of the Plum Brook stream bed does not meet the criteria for a non-impacted area and may require remediation prior to Final Status Survey. Based on activity levels, this segment of the Plum Brook should be classified as a Class 1 area. Additional sub-surface sampling to a depth of 36 inches should be performed at locations identified as having activity in the 15" to 24" layer in order to properly characterize the extent of radionuclide distribution in the stream bed. Phase 2 activities may identify additional areas where sub-surface sampling to the 36 " depth should be performed. FSS/Characterization Supervisor (print/sign) Date FSS/Characterization Manager (print/sign) Date Page 2 of2
SURVEY DATA VERIFICATION AND VALIDATION FORM Survey Unit Number or Plum Brook Stream Bed from Pentolite Road Survey Request Location Description I to Clark Road (Section A Phase 1) I Number I SR-5 Check the appropriate answer for each question below. Yes No N/A
- 1. Was each radiological instrument capable of detecting the radiation of interest at or below the X
investigation level? If not, acceptable compensatory measures have been taken.
- 2. Did each radiological instrument have a current calibration traceable to NIST standards? X
- 3. Were radiological instruments source checked daily (before and after use) and did the instruments X
successfully pass?
- 4. Were survey team personnel properly trained in the applicable survey techniques and was the X
training adequately documented?
- 5. Were the MDCs and the assumptions used to develop them appropriate for the instruments and X
survey methods used to collect the data?
- 6. Were the survey methods appropriate for the media and types of radiation being measured? X
- 7. Were the samples adequately tracked from their collection point and through the analysis process X
in accordance with the sample chain-of-custody requirements?
- 8. Were the samples/surveys collected in accordance with the Survey Request (SR) package? X
- 9. Were the samples/surveys representative of current site conditions? X
- 10. If SR investigation levels were exceeded, was appropriate action taken? X
- 11. Were at least 5% of all survey and/or sample points re-sampled and/or re-surveyed using identical methodology contained in the SR per Section 4.5.2? X
- 12. Were the samples analyzed in accordance with requirements contained in the SR Sample Analysis Sheet (Exhibit 3) and did the analyses meet the required MDAs (minimum 10% ofthe DCGL)? X
- 13. Were all static and scan measurement data and sample point locations properly documented? X
- 14. Has a summary of surveying/sampling results been developed per Step 4.6.4? X NOTE: If the question does not apply to the SR, check the N/A (not applicable) box. If a No" answer is obtained above, the FSS/Characterization Supervisor should initiate corrective action in accordance with site procedures. Document actions taken andlor justifications in the "Comments"" section below. Attach additional sheets as necessary.
Comments: No comments. Form CS-OI/7 Rev 0 FSS/Characterization Supervisor (print/sign) .f:;J;,
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Attachment 1 SR-5 Samole R Field Measurement Cs-137 Co-60 Sample Log Contact 1 Meter DCGL(eff) 11.71 DCGL 3.8
# Sample # Location (cpm) (cpm) Weight (g) pCi/g 20' pCi/g 20 % Unity Cs:Co PB05-02850 A1-1 0"-6" 405.6 <MDA <MDA N/A PB05-02851 A1-1Q 0"-6" 376.4 1.71 E-01 8.50E-02 <MDA N/A PB05-02852 A1-2 6"-15" 445.1 1.27E-01 5.61E-02 <MDA N/A PB05-02853 A1-2Q 6"-15" 394.7 1.12E-01 5.86E-02 <MDA N/A PB05-02854 A2-1 0"- 6" 362.7 <MDA <MDA N/A PB05-02855 A2-2 6"-15" 406.3 6.15E-02 4.26E-02 9.56E-02 5.31E-02 3% 0.64 PB05-02856 A2-3 15"-2411 388 1.05E-01 5.71E-02 <MDA N/A PB05-02857 A3-1 0"-6" 482.8 1.77E-01 6.59E-02 <MDA N/A PB05-02858 A3-2 6"-15" 440.8 2.30E-01 7.23E-02 <MDA N/A PB05-02859 A4-1 0"- 6" 365.7 2.45E-01 8.66E-02 <MDA N/A PB05-02860 A4-2 6 11-15" 388.1 1.38E+OO 1.95E-01 <MDA N/A PB05-02861 A4-3 15"-24" 368.9 2.69E+00 2.49E-01 <MDA N/A PB05-02862 A5-1 0".. 611 383.5 3.41 E-01 8.21E-02 <MDA N/A PB05-02863 A5-2 6"-15" 355.6 4.11 E-01 1.12E-01 <MDA N/A PB05-02864 A5-3 15"-24" 389.7 1.05E-01 5.75E-02 <MDA N/A PB05-02870 A6-1 Oll_ 611 341.6 2.30E+00 2.40E-01 <MDA N/A 11 PB05-02871 A6..2 6 -15" 345.9 6.33E-02 4.99E-02 <MDA N/A PB05-02872 A6-3 15"-24" 387.4 3.32E-01 9.89E-02 <MDA N/A PB05-02873 A7-1 0 11 _ 6" 426.2 2.16E-01 7.42E-02 <MDA N/A PB05-02874 A7-2 6"-15" 421.1 <MDA 6.42E-02 3.12E-02 PB05-02875 A7-3 1511..24'" 449.3 1.31 E-01 6.06E-02 <MDA N/A PB05-02917 A8-1 0"- 6" 487.6 5.88E-02 4.27E-02 <MDA N/A PB05..02918 A8-2 6 11.. 15" 444.7 <MDA <MDA N/A PB05-02919 A8-3 15"-24" 493.5 <MDA <MDA N/A PB05..02920 A9-1 0"-6" 558.3 1.86E-01 5.35E-02 <MDA N/A PB05-02921 A9-2 11 6 -15" 535.4 1.18E-02 5.21E-02 <MDA N/A PB05-02922 A10-1 0"-6" 390.2 1.72E-01 7.40E-02 7.02E-02 3.32E-02 3°A> 2.45 PB0502923 A10-2 6"-15" 525.20 5.34E-02 4.09E-02 9.23E-02 4.62E-02 3°A> 0.58 PB05-02924 A10-3 15"..24" 472.9 8.07E-02 3.81E-02 <MDA N/A PB05-02925 A11-1 0".. 6" 461.6 5.96E-01 1.07E-01 <MDA N/A PB05-02926 A11-2 6"-15" 449.1 1.40E-01 8.09E-02 <MDA N/A PB05-02927 A11-3 15"-24" 474.7 1.56E-01 7.79E-02 <MDA N/A PB05-02928 A12-1 0"- 6" 444.8 <MDA <MDA N/A PB05-02929 A12-2 6 11-15" 480.7 <MDA <MDA N/A PB05-02930 A12-3 15"-24" 512.4 <MDA 6.80E-02 3.31E-02 PB05-02876 A13-1 0"- 6" 470.7 2.67E-01 7.01E-02 <MDA N/A PB05-02877 A13-2 6"-15" 420.2 1.74E-01 6.66E-02 <MDA N/A PB05-02878 A13-3 15"-24" 353.3 <MDA <MDA N/A PB05-02879 A14-1 0"- 611 352.9 <MDA <MDA N/A PB05-02880 A14-2 6"-15' 486.4 3.49E-02 2.47E-02 <MDA N/A PB05..02881 A14-3 15"-24" 543.1 <MDA <MDA N/A PB05-02882 A15-1 011- 6' 450.1 1.99E-01 7.07E-02 <MDA N/A PB05-02883 A15-1Q 0"- 6' 403.9 1.19E-01 7.93E-02 <MDA N/A PB05-02889 A15-2 6"-15' 460.1 <MDA <MDA N/A PB05-02888 A15-2Q 6"-15' 456.4 <MDA <MDA N/A PB05-02890 A15-3 15"-24" 477.2 7.34E-02 4.47E-02 <MDA N/A
Attachment 1 PB05-02891 A15-3Q 15"-24" 481.8 1.16E-01 5.50E-02 <MDA N/A PB05-02892 A16-1 0"- 6" 466.5 2.18E-01 6.33E-02 <MDA N/A PB05-02893 A16-2 6"-15' 413.5 1.22E-01 4.81E-02 <MDA N/A PB05-02894 A16-3 15"-24" 418.2 <MDA <MDA N/A PB05-02937 A17-1 0"- 6" 384.9 1.94E+OO 2.08E-01 <MDA N/A PB05-02938 A17-2 6"-15' 406.7 5.40E+OO 3.81E-01 1.08E-01 4.04E-02 49% 50.00 PB05-02939 A17-3 15"-24" 409 2.26E+OO 2.22E-01 <MDA N/A PB05-02895 A18-1 0"- 6" 395.9 7.50E-02 4.79E-02 <MDA N/A PB05-02896 A18-2 6"-15' 404.3 <MDA <MDA N/A PB05-02897 A18-3 15"-24" 413.6 <MDA <MDA N/A PB05..02940 A19-1 0".. 6" 418.4 <MDA <MDA N/A PB05-02941 A19-2 6"-15' 426.3 <MDA <MDA N/A PB05..02942 A19-3 15"-24" 433.4 <MDA <MDA N/A PB05-02898 A20-1 0"- 6" 507.7 6.26E-02 3.83E-02 8.94E-02 4.14E-02 3% 0.70 PB05-02899 A20..2 6"..15' 532.3 <MDA <MDA N/A PB05-02943 A21-1 0"- 6" 487.5 1.38E-01 4.62E-02 <MDA N/A PB05-02944 A21 ..2 6"-15' 544.2 <MDA <MOA 'N/A PB05..Q2945 A21-3 15"...24" 501 <MDA <MDA N/A PB05-02900 A22..1 0"- 6" 418.6 4.30E-01 9.58E-02 <MOA N/A PB05-02904 A22-1Q 0"- 6" 371.1 4.25E-01 1.04E-01 <MDA N/A PB05..03027 A22..2 6"-15' 454.2 1.40E-01 7.94E-02 <MDA N/A PB05-03028 A22-2Q 6"-15' 442.8 1.80E-01 8.84E-02 <MDA N/A PB05-02913 A23-1 0"... 6" 341.9 S.31E-01 1.25E..01 <MDA N/A PB05-02905 A23-1Q 0"- 6" 294.7 5.13E-01 1.36E-01 <MDA N/A PB05-02906 A23..2 6"-15' 329.9 5.21E-01 1.27E-01 <MDA N/A PB05-02907 A23..2Q 6"-15' 315.7 5.21E-01 1.35E..01 <MDA N/A PB05-02946 A24-1 0"- 6" 470.7 1.40E-01 7.39E-02 <MDA N/A PB05-02947 A24-2 6"-15' 438.6 <MDA <MDA N/A PBOS-02948 A24-3 1511-24" 473 <MDA <MDA N/A PB05..02949 A25..1 0"... 6" 439,7 1.13E+00 1.57E-01 <MDA N/A PB05..02950 A25-2 6"..15' 400.8 3.54E-01 1.00E-01 <MOA N/A PB05-02911 A25-3 15"-24" 438.5 1.81E-01 7.08E-02 <MDA N/A PB05-02908 A26-1 0"_ 6" 414.4 1.74E-01 1.09E-01 <MDA N/A PB05..02909 A26-2 6"-15' 410.3 <MDA <MDA NlA PB05-02910 A26-3 15"-24" 371.5 9.98E-02 5.79E-02 <MDA N/A PB05-02912 A27-1 0"_ 6" 424.3 3.37E-01 1.05E-01 <MDA N/A PB05-02954 A27-1A 0"- 6" 428 1.64E-01 8.44E-02 <MDA N/A PB05-02955 A27..2A 6"..15' 467 9.99E-02 6.65E-02 <MDA N/A PB05..02956 A273A 15"-24" 413.3 1.81E-01 9.20E-02 <MDA N/A PB05-02957 A28-1 0"_6" 406.8 1.28E+00 1.87E-01 <MDA N/A PB05-02958 A28..2 6"-15' 345.7 1.19E+OO 1.70E-01 1.22E-01 5.14E-02 13% 9.75 PB05-03029 A29..1 0"- 6" 379.9 1.29E+OO 1.69E-01 <MDA N/A PB05..03030 A29-2 6"..15' 383.4 1.85E+00 2.20E..01 <MDA N/A PB05-03031 A29-3 15"-24" 389.4 1.95E+OO 2.09E-01 <MDA N/A PB05-03032 A30-1 ott.. 6" 458 <MDA <MDA N/A PB05-03033 A30-1Q 0"- 6" 421.1 1.13E...01 5.27E..02 <MDA N/A PBOS-03034 A30-2 6"-15' 421.3 6.28E-02 4.64E-02 <MDA N/A PB05-03035 A30-2Q 6"-15' 464.8 6.98E-02 4.62E-02 <MDA N/A PB05-03036 A30-3 15"-24" 416.9 4.07E-02 2.88E-02 <MDA N/A PB05-03037 A30-3Q 15"-24" 479.4 8.07E-02 4.58E-02 <MDA N/A
Attachment 1 PB05-03038 A31-1 0"- 6" 424.2 1.20E-01 6.01E-02 <MDA N/A PB05-03039 A31-2 6"-15' 457.6 <MDA <MDA N/A PB05-03040 A31-3 15"-24" S08.2 <MDA 7.13E-02 2.96E-02 BP05..02959 A32-1 0".. 6" 377.3 1.54E+OO 1.97E..01 <MDA N/A PB05-02960 A32-2 6"-1S' 495.2 2.89E-01 8.71E-02 <MDA N/A PB05-02961 A32-3 15"-24" 480.8 3.11E-01 9.95E-02 <MDA N/A PB05..02962 A33-1 0"-6" 506.5 6.28E-02 4.34E..02 <MDA N/A PB05-02963 A33-2 6"-15' 476.3 <MDA <MDA N/A PB05..02964 A33-3 15"-24" 484.9 <MDA <MDA N/A PB05-02979 A34-1 0".. 6" 420.3 4.58E-01 1.14E-01 <MDA N/A PB05-02980 A34-2 6"-15' 434 3.09E-01 9.07E-02 <MDA N/A PB05-02981 A35..1 0"-6" 324.8 9.25E-01 1.56E..01 <MDA N/A PB05-02982 A35-2 6"-15' 389.2 2.14E+OO 2.31 E-01 <MDA N/A PB05-02965 A36-1 0"-6" 492.9 2.45E..01 7.78E-02 <MDA N/A PB05-02966 A36-2 6"..15' 498.2 <MDA <MDA NlA PB05-02983 A37-1 0"-6" 401.1 3.06E+OO 2.S7E-01 <MDA NlA PB05-02984 A37..2 6n-15' 497 2.51E+OO 2.26E-01 1.17E-01 5.27E-02 25% 21.45 PB05-02985 A37-3 15"-24" 488.8 9.16E-01 1.36E-01 <MDA N/A PB05-02986 A38-1 0"-6" 443.1 1.82E..01 6.79E-02 <MDA N/A PB05-02987 A38-2 6"-15' 399.4 8.27E-Q2 4.73E-02 <MDA N/A PB05-02988 A38-3 15"-24" 529.4 <MDA <MDA N/A PB05-02967 A39-1 0"-6" 477.1 1.70E-01 7.17E-02 <MDA N/A PB05-02973 A39-1Q 0"-6" 513.9 2.64E-01 8.00E..02 <MDA N/A PB05-02971 A39-2 6"-15' 519.4 1.03E-01 6.95E-02 <MDA NlA PB05-02974 A39-2Q 6"-15' 446.3 1.14E-01 6.59E-02 <MOA N/A PB05-02972 A39..3 15"-24n 427.1 <MDA <MOA N/A PB05-02975 A39..3Q 15"-24" 430.3 1.07E-01 6.68E-02 <MDA N/A PB05..02976 A40..1 0"- 6" 360.3 9.12E-01 1.60E..01 <MDA N/A PB05-Q2977 A40-2 6"-15' 470.7 3.15E-01 7.5SE-02 <MDA NlA PB05-02978 A40-3 15"-24" 468.8 1.70E-01 8.63E-02 <MDA N/A PB05-02989 A41-1 0"-6" 387.4 9.30e-Q1 1.44E~01 <MDA N/A PB05-02990 A41-2 6"-15' 474 4.33E-01 9.48E-02 <MDA NlA PB05-02991 A4i ..3 15"-24" 467.4 i.60E-01 5.79E-02 <MDA N/A PB05-02992 A42-1 0".. 6" 412.2 7.20E-01 1.37E~Oi <MDA N/A PB05-03007 A42-2 6"..15 1 456.1 4.92E-01 1.08E-01 <MDA NJA PB05-03008 A42-3 1511-24" 468.9 8.14E-02 5.40E-02 <MDA N/A PB05-03009 A43-1 Ott_ 6" 411.8 2.63E-01 8.63E-02 7.93E-02 3.40E-02 4°,{, 3.32 PB05-03010 A43-2 6t1-15' 451.8 1.08E-01 4.51E-Q2 <MDA N/A PB05-030i1 A43-3 15"-24 1
' 441.2 <MDA 5.07E-02 2.78E-02 PB05-03013 A44-1 Otl.. 6" 412.9 2.22E+OO 2.15E~01 <MDA N/A PB05-03014 A44-2 6"~15' 377.7 1.58E+OO 2.12E-01 1.38E-01 6.01E-02 17% 11.45 PB05-03015 A44-3 15"-24 1l 404 4.62E-01 i.11E-01 <MDA N/A PB05-03016 A45-1 0"-6" 420.9 9.62E+OO 5.46E-Q1 <MDA N/A PB05-03017 A45-2 6"-15' 472.9 3.42E+01 1.16E+OO 3.24E-01 8.03E-02 105.56 PB05-03018 A45-3 15"-24" 434.9 4.23E+OO 3.23E-01 1.48E-01 4.98E-02 40°,{, 28.58 PB05-03019 A46-1 0"- 6'1 417.5 2.93E+OO 2.53E-01 <MDA N/A PB05-03020 A46-2 6"-15' 411.9 5.50E+OO 3.90E-Q1 <MDA N/A PB05-03021 A46-3 15"-24" 415.2 3.83E+01 1.30E+OO 4.35E-01 7.84E-02 88.05 PB05-03022 A47-1 0"- 6" 415.9 1.49E-01 6.47E-02 <MDA N/A PB05-03023 A47-2 6"-15' 387.7 <MDA <MDA N/A
Attachment 1 PB05-03024 A47-3 15"-24" 361.2 <MDA <MDA N/A PB05-03057 A48-1 Olt_ 6" 421.8 1.67E+OO 1.84E-01 1.18E-01 4.68E-02 17% 14.15 PB05-03058 A48-2 SIt-15' 446.8 3.06E+OO 2.65E-01 <MDA N/A PB05-03059 A48-3 15"-24" 456.6 2.41E+OO 2.16E-01 1.32E-01 4.89E-02 24°A>> 18.26 PB05-D3060 A49-1 0"- 6" 404.1 1.S8E+OO 1.89E-01 7.22E-02 3.36E-02 15% 21.88 PB05-03061 A49-2 6"_15' 411 2.S1E+OO 2.33E-01 <MDA N/A PB05-03062 A49-3 15"-24" 4S5.8 1.66E+01 7.69E-01 <MDA N/A PBOS-03043 A50-1 0"_ 6" 386 1.01E+OO 1.48E-01 6.27E-02 3.10E-02 10°A>> 16.11 PBOS-03044 A50-2 6"-15' 349.7 1.74E+OO 2.26E-01 6.92E-02 3.50E-02 17°A>> 25.14 PBOS-03045 A50-3 15"-24" 385.6 3.15E+01 1.14E+OO 2.83E-01 7.22E-02 111.31 PB05-03046 A51-1 0"- 6" 480.6 9.49E-01 1.41E-01 9.14E-02 4.07E-02 11% 10.38 PBOS-03047 A51-2 6tl*15' 497 7.60E-01 1.28E-01 <MDA N/A PB05-03048 A51-3 15"-24" 494 2.53E-01 7.67E-02 <MDA N/A PB05-03049 A52-1 0"-6" 353.8 9.19E-01 1.50E-01 <MDA N/A PB05-03050 A52-2 6"_15' 346.1 9.56E-01 1.62E-Q1 9.50E-02 4.36E-02 11% 10.06 PB05-03051 A52-3 15"-24" 477.9 <MDA <MDA N/A PB-0503052 A53-1 0"_6" 474.4 5.87E-01 1.28E-01 <MOA N/A PB05-03053 A53-2 6"-15' 488.3 1.53E-01 6.49E-02 <MDA N/A PB05-03054 A53-3 15"-24" 485.4 1.73E-01 8.16E-02 <MDA N/A PB05-0305S AS4-1 0".. 6" 371.6 1.78E-01 8.70E-02 <MDA NlA PB05-o3056 A54-1Q 0".. 6" 426.7 1.24E-01 4.96E-Q2 <MDA N/A PBOS-03065 A54-2 6"-1S' 444.8 <MDA <MDA N/A PBOS-03066 A54-2Q 6"..15' 392.7 8.64E-02 6.84E-02 <MDA N/A PBOS-03067 A54-3 15"-24" 444.9 1.64E-01 5.27E-02 <MDA N/A PBOS-03068 A54-3Q 15"-24" 450.3 7.06E-02 4.47E-02 <MDA N/A PB05-03069 A55-1 0"-6" 449.6 8.61E-01 1.28E-01 6.97E-02 3.03E-02 9% 12.35 PB05-03070 A55-2 6"-15' 432 2.75E-01 7.40E-Q2 <MDA N/A PBOS-D3071 A55-3 15"-24" 450.9 4.69E-01 8.90E-02 <MDA N/A PB05-03072 A56-1 0"-6" 370.3 7.ME-01 1.42E-01 <MDA N/A PB05-03073 A56-2 6"-15' 350 8.94E-01 1.66E-01 <MDA N/A PB05..03074 A56-3 15"-24" 447.3 9.86E-01 1.69E-01 <MDA N/A PB05-03075 A57-1 0"-6" 330.9 3.10E+OO 2.89E-01 <MDA NlA PB05-03076 A57-2 6"-15' 341 3.18E+00 3.03E-Q1 <MDA N/A PB05-03077 A57-3 15"-24" 436.6 1.91E+00 1.94E..01 MOA N/A Number 180 142 142 25 25 21 21 Max 558.3 3.83E+01 1.30E+00 4.35E-01 8.03E-02 3.4 111.3 Avg 431.1 1.64E+OO 1.46E-01 1.23E-01 4.50E-02 0.6 26.8 SO 51.47 5.22E+OO 1.84E-01 9.13E-02 1.49E-02 1.05 33.56 Conf int +/ 2.59 2.95E-01 1.04E-02 1.23E-02 2.02E-03 15°A>> 5 I I ==>50%) Unity
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Items to be considered .--Circle One Comments 1 Has a review of the entire job procedure by key parties been performed? CY N N/A Is a delineation of each individual's specific involvement and responsibility understood? @N N/A Do affected parties understand the expected results or performance; including limitations, hold points, emergency action(s) to be taken if contingencies arise?
&> N N/A 2 Has notification been made to other needed Support Departments (Le., Safety, @ N N/A Radwaste, Dosimetry, 0&0, etc)?
3 Does everyone understand the interface and communication required with each other? (fJ N N/A 4 Are there any Industrial Safety Hazards involved and have they been discussed (Le., Switching & Tagging, Confined Space, etc)? ~ N N/A 5 Have the work document requirements been discussed? (~ N N/A 6 Have the ALARA Review requirements been discussed? y N (~ 7 Have the RWP requirements been discussed? y N @2 8 Have the radiological conditions of the area(s) been discussed? 0f)N N/A 9 Are the necessary ALARA engineering controls in place (i.e., portable ventilation systems, containments, shielding, system flushes or draining, discrete particle controls, Y N C§J access controls, etc.)? 10 If needed, are special tools and/or equipment ready and available (Le., communication devices, audio visual aids, long handled tools, robotics, special instrumentation including radiological instrumentation, special dosimetry, lighting, breathing air, service G N N/A air, electric power, etc)? 11 Does decontamination need performed at any point? Y N/A 12 Does everyone understand their anticipated individual dose to complete the task? y N (W 13 Have STAR self check points been discussed? N N/A 14 Other items/issues: Briefing Conducted By: ~ve.~.
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Table 3-1 Job Safety Analysis Florm WORK PLACE DBSCRIPTIONILOCATION: Plum Brook Creek I ACTIVITY: Survey and Sampling PREPAREDBYIDATE:~,hAc REVIEWED BYIDATE: A' __ or I CERTIFICATION OF HAZARD ASSESSMENT AND REQUIRED PERSONAL PROTECTIVE EODmMENT (NAMElDATE): ~~.I:I II .. 7 -or I
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Park vehicles offhighway. HIGHWAY HAZARD: Observe all highway signs and Access to sample locations Access to sample areas is adjacent to laws. Be vigilant f~r moving I High visibility vests highways. traffic while workntg near or when crossing roads. SLIP, TRIP, FALL HAZARDS: Survey areas are located in the Plum Sturdy hiking boots should be Safety toe durable boots meeting All Brook Creek bed. P.~ccess is via steep sides worn. Waterproo~footwear is that are overgrown and/or rock covered. recommended. ANSI Z41) w"en .f"e>t hA"I:.~f"ds ex,s -r. 1'"J)(. I\J\...,/~s EYE HAZARDS: Tllick undergrowth at access points and in Proceed carefully jthrough bt;Jsh I ANSI Z87 safety glasses All areas. Some areaS may requIre creek bed. brush clearing pri@! to entry. MATERIAL HANDLING AND HAND Exercise caution when moving Wear leather (or Kevlar) gloves Performing survey and sampling stones and perfornjling digging HAZARDS: when digging and handling sharp activities Sharp objects and tools (sampling) operatibns. objects Use insecticide whete appropriate. Appropriate light colored* clothing i.e. Performing survey and sampling BIOLOGICAL HAZARDS: Avoid using perfumes, aftershave work gloves, long sleeved shirt and activities Bees*, Wasps, Spiders, poison ivy, etc. lotions, scented soaps, etc. that pants. may attract insects.
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