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{{#Wiki_filter:Appendix E -. Confirmatory Appendix Confirmatory-COC Field Copies c, elrl Co\0Ul.-!'age: .......... | {{#Wiki_filter:Appendix E -. Confirmatory Appendix Confirmatory-COC Field Copies c, elrl Co\0Ul.-!'age: .......... | ||
...... of . ... ****------* | ...... of . ... ****------* | ||
GEL Chain of Custody and Analytical Request GrlL Lnborntonos, J.,L(' I (rJ Projcc1 II: **Sec \V\\'W.gel_com for GEL'S Sample Accepiance SOP** 2040 Savage Roud GEL Quote#: ........ | GEL Chain of Custody and Analytical Request GrlL Lnborntonos, J.,L(' I (rJ Projcc1 II: **Sec \V\\'W.gel_com for GEL'S Sample Accepiance SOP** 2040 Savage Roud GEL Quote#: ........ ... ... .. ... ..... .. ... .. ***-Charleslon, SC 2!1407 COC Number 1 1 l: GEL Work Order Number: Phone: (843) SSu-8171 PO Number: Fax. (843l 766-1178 Client Name: Phone#: Sainple Allalysls Rcq11estcd (Fill in the mtmller of for each tcsl) Project/Site Name: Fnx #* Should 11ils <--Prcscr1*a1ivc Type (6) | ||
... ... .. ... ..... .. ... .. ***-Charleslon, SC 2!1407 COC Number | |||
Address: | Address: | ||
; Comments Collected by: Send To: Note: extra sample is "Tune l'idd Sarujllc 1SC required for sample QI:" specific QC Sample ID Co,P1: *21 Matrhc Rot!! A !n11n*d1l*l')") | ; Comments Collected by: Send To: Note: extra sample is "Tune l'idd Sarujllc 1SC required for sample QI:" specific QC Sample ID Co,P1: *21 Matrhc Rot!! A !n11n*d1l*l')") | ||
l>i '" C.:\dt R'l!U .. Fa1* CfJitmnsiw.'i | l>i '" C.:\dt R'l!U .. Fa1* CfJitmnsiw.'i | ||
-/1rd1cQI(' | -/1rd1cQI(' .fTafl m:J *""'11 (hhnun) Vo l*lrcl 0 C.'J.'-\ / l 0 /c..-1 (, )' 10:..?t:; | ||
.fTafl m:J *""'11 (hhnun) Vo l*lrcl 0 C.'J.'-\ | v "1 101-.i.. 7 f is- | ||
/ l 0 /c..-1 (, )' 10:..?t:; | |||
v "1 101-.i.. | |||
7 f is- | |||
' c..?, .c J, \! N C.. 'd-.Cj / IL 7.."( {I) | ' c..?, .c J, \! N C.. 'd-.Cj / IL 7.."( {I) | ||
N c J IC nf 1') lb'.i+: l"-i ( .;l. C:) *v to/21(1') | N c J IC nf 1') lb'.i+: l"-i ( .;l. C:) *v to/21(1') | ||
l\'.O() Cf) (_' i .C.\ .../ | l\'.O() Cf) (_' i .C.\ .../ | ||
f'..\ (. \ .(..9. ../ l6 IS:CD "\ l. I .c 3 -../ / IO .Z7 f1r; /5:ii; N (. I IC{L7/t; | f'..\ (. \ .(..9. ../ l6 IS:CD "\ l. I .c 3 -../ / IO .Z7 f1r; /5:ii; N (. I IC{L7/t; ... 1fo: ol r;:0 TAT Rcqucs1cd: | ||
... 1fo: ol r;:0 TAT Rcqucs1cd: | Nonnaf: llush: Snccifv: (Sub:'""""""'"'*'*) | ||
Nonnaf: llush: Snccifv: | Ro1mlls: Yes i No C1<dc Dclivcmb!c: | ||
(Sub:'""""""'"'*'*) | |||
Ro1mlls: | |||
Yes i No C1<dc Dclivcmb!c: | |||
C of A j QC Summary I Level I i Level 2 ( Level 3 I Lcvcl 4 Remal'ks: | C of A j QC Summary I Level I i Level 2 ( Level 3 I Lcvcl 4 Remal'ks: | ||
Are there any /mown ha::arcls applicable to these smnples? | Are there any /mown ha::arcls applicable to these smnples? lf.rn. please list rhr: | ||
lf.rn. please list rhr: | |||
lime ZQa!: Eosrcm Other *------*-. | lime ZQa!: Eosrcm Other *------*-. | ||
Chain of Custody Signatures Snmplc SJ1ipplng nnd Details Rolm*1nish*<I By (Stgno<l) | Chain of Custody Signatures Snmplc SJ1ipplng nnd Details Rolm*1nish*<I By (Stgno<l) | ||
D::itc Tune Rccoivc.J by (llBn<d} | D::itc Tune Rccoivc.J by (llBn<d} D:11c Tilr.c GEL PM: ) I M<lhod of Sluninent. | ||
D:11c Tilr.c GEL PM: ) I M<lhod of Sluninent. | Date Shipped* 2 2 A'irbiil N* 3 J t.irbill #: I ) ('h::it!l Nurr.ber -('hcn1 f'm* l.;h R<'l'l'Jcmg U.<e OniJ 1.) QC N ... | ||
Date Shipped* | Tn = Tdf O!;>;nlc, *Field Oup]:c;tf\':, F.ll o::. | ||
2 2 A'irbiil N* 3 J t.irbill | B!0'11k. 'CS* Mrurit Sp,Lt: | ||
#: I ) ('h::it!l Nurr.ber | |||
-('hcn1 f'm* l.;h R<'l'l'Jcmg U.<e OniJ 1.) QC N ... | |||
Tn = Tdf O!;>;nlc, *Field Oup]:c;tf\':, | |||
F.ll o::. | |||
B!0'11k. | |||
'CS* Mrurit Sp,Lt: | |||
MSD ... | MSD ... | ||
S'rikc G = nra'J, C ... | S'rikc G = nra'J, C ... .l } t1ald F;:n r::l!-lttCC$, 111rl1rnlc 4 * '\'-fct)"C:I 11le :Ji:ITT'j:IC fidd 1iJrrre.i or -N-fDr Wt!.'\ nee f!eld mtt:'c:d C11.,*r1xJ.v ln1a**1 r M<1.:ri:< | ||
.l } t1ald F;:n r::l!-lttCC$, | |||
111rl1rnlc 4 * '\'-fct)"C:I 11le :Ji:ITT'j:IC fidd 1iJrrre.i or -N-fDr Wt!.'\ nee f!eld mtt:'c:d C11.,*r1xJ.v ln1a**1 r M<1.:ri:< | |||
Cn1k;; | Cn1k;; | ||
\Y",ltcr, Grm:1i.d\".-.1!i:r, fi\\'=Swfa;;c | \Y",ltcr, Grm:1i.d\".-.1!i:r, fi\\'=Swfa;;c | ||
Line 61: | Line 45: | ||
ML *M1:il.:'. | ML *M1:il.:'. | ||
U41.!.J, SO* Sc,: I. | U41.!.J, SO* Sc,: I. | ||
SL**StosJgi::, | SL**StosJgi::, BS .. S*.1htl \V.1..<;.tl!, O:.:Q1f, Ji **f.'s!tct, Jfr\\.':pl.'I, L' -l.1 r111'>', | ||
BS .. S*.1htl \V.1..<;.tl!, | |||
O:.:Q1f, Ji **f.'s!tct, Jfr\\.':pl.'I, L' -l. | |||
'N YES NO 5) | 'N YES NO 5) | ||
A:ioil;,1,:1:;!; | A:ioil;,1,:1:;!; | ||
Rcq;:f':i.lcJ: | Rcq;:f':i.lcJ: | ||
{1 l' 82(,0b., | {1 l' 82(,0b., 60laB/74?UAl | ||
60laB/74?UAl | |||
!l:tl l,)r 1m1v1.t:J f..;r c | !l:tl l,)r 1m1v1.t:J f..;r c | ||
* J, tJOJ(J8!147lU | * J, tJOJ(J8!147lU | ||
Line 74: | Line 55: | ||
TfJl:!: | TfJl:!: | ||
Acirt, NI* N1tr:c Ac:iil. SU"' | Acirt, NI* N1tr:c Ac:iil. SU"' | ||
Hydro>ii.tc:, | Hydro>ii.tc:, S.\ u A.:ld, ;'\,<\ 'T Ac1d. lL'(...: H::'t-:mc, S] .L Scdili!ll r.r:sc::rvaH"*c added-= :ca''" fi:'.::d f.l:ank c | ||
S.\ u A.:ld, ;'\,<\ 'T Ac1d. lL'(...: | |||
H::'t-:mc, S] .L Scdili!ll r.r:sc::rvaH"*c added-= :ca''" fi:'.::d f.l:ank c | |||
[,ABORATORY ygt,LOW = FILF. PINK= CUE.NT V\tl of GEL Chain of Custody and Analytical Request GEL l.<lburalorics, LLC \ 0 .. | [,ABORATORY ygt,LOW = FILF. PINK= CUE.NT V\tl of GEL Chain of Custody and Analytical Request GEL l.<lburalorics, LLC \ 0 .. | ||
.. ..... -. Pro.icct II: 2040 Savage Road GEL Quolc __ ... __ . -* ... _. *"Sec www.gel.com for GEL's Sample Acceptance SOP** | .. ..... -. Pro.icct II: 2040 Savage Road GEL Quolc __ ... __ . -* ... _. *"Sec www.gel.com for GEL's Sample Acceptance SOP** | ||
Line 84: | Line 63: | ||
*Tune TSC required for sample Culkcr<J CC' specific QC Sample ID (Mlllt><y) | *Tune TSC required for sample Culkcr<J CC' specific QC Sample ID (Mlllt><y) | ||
F1:rm:J MaLrj>. Jl*di A Ll: "' oacU R*&U *For | F1:rm:J MaLrj>. Jl*di A Ll: "' oacU R*&U *For | ||
- | -.tJarl u1!d s/m) dfJ(t:/lmH! (htlnut*) | ||
.tJarl u1!d s/m) dfJ(t:/lmH! | |||
(htlnut*) | |||
** | ** | ||
JCr o v( CI If 2. 1<;; | JCr o v( CI If 2. 1<;; | ||
1'1 -Jc. 3 .c :l -q'. *3c; N If I 1. (':J :/c_.J.L-3 | 1'1 -Jc. 3 .c :l -q'. *3c; N If I 1. (':J :/c_.J.L-3 | ||
(( -z..(t) q:i.f o !'1 c. L\., cl 1tl2 1-::; I l "fO N c . L\ . c:d. I ( ( 2, ('S !!S5 11'1 C.Y.C3 II 'Z 1e; l'zU'-1.J (.. y .C I/ 2 f) iHS F-0 c. Lj. JI I 2. 1< (2JDD e8 *, *r A 'f Rush: Specif':,; | (( -z..(t) q:i.f o !'1 c. L\., cl 1tl2 1-::; I l "fO N c . L\ . c:d. I ( ( 2, ('S !!S5 11'1 C.Y.C3 II 'Z 1e; l'zU'-1.J (.. y .C I/ 2 f) iHS F-0 c. Lj. JI I 2. 1< (2JDD e8 *, *r A 'f Rush: Specif':,; | ||
{Scbi<d <> Sur<:l:.tg<J J Results: | {Scbi<d <> Sur<:l:.tg<J J Results: Yes I No Circle !Jdivcrnblc: | ||
Yes I No Circle !Jdivcrnblc: | |||
C of A I QCSummory I Level I I Level 2 .' Level 3 I Lcvol 4 Remarll!i: | C of A I QCSummory I Level I I Level 2 .' Level 3 I Lcvol 4 Remarll!i: | ||
Arit rhere any known hazards appli""b/1< | Arit rhere any known hazards appli""b/1< | ||
lo tlies;; | lo tlies;; | ||
ffsv, please list the Easrern Paci tic Other ***--** M01mtmn Chain of Custody Signatures Shipping nnd Delivery Dctoils Rclmqu.,!1cd By (S1gncu) | ffsv, please list the Easrern Paci tic Other ***--** M01mtmn Chain of Custody Signatures Shipping nnd Delivery Dctoils Rclmqu.,!1cd By (S1gncu) O:'lrc Tln1e Roe<..:c1v.-::d b}' | ||
O:'lrc Tln1e Roe<..:c1v.-::d b}' | |||
Dau.: Time GEL PM: 1 I Mclh{'hi o! Shirzrncut: | Dau.: Time GEL PM: 1 I Mclh{'hi o! Shirzrncut: | ||
Date Shrnoed* | Date Shrnoed* 2 2 Airbi!I 3 ) Airbill fl* I.) C !tat:1of(.'ui.:t<iCly Cl:cr.l For Lr1/J Rei:eil'l/1f: | ||
2 2 Airbi!I 3 ) Airbill fl* I.) C !tat:1of(.'ui.:t<iCly Cl:cr.l For Lr1/J Rei:eil'l/1f: | Use 011(1* 7. J QC N-NQil):al Satriplc:, TB=-Tr1JT Dijr.J.i, FD"" | ||
Use 011(1* 7. J QC N-NQil):al Satriplc:, | EB 1 f31a:d;, '1S -Ma.:ru, Sµ1ko. | ||
TB=-Tr1JT Dijr.J.i, FD"" | |||
EB 1 f31a:d;, | |||
'1S -Ma.:ru, Sµ1ko. | |||
'\1SU ... | '\1SU ... | ||
Sr.ikc: | Sr.ikc: | ||
Sa:..-:pl:, | Sa:..-:pl:, G .. <1r;,;!i. | ||
G .. <1r;,;!i. | |||
C ** | C ** | ||
J. 'f*rdd F1l!i:rcd. | J. 'f*rdd F1l!i:rcd. | ||
Line 115: | Line 86: | ||
(.'.r-!\' | (.'.r-!\' | ||
* for wa.o; f"'1l 11dd fihi;ft::J. | * for wa.o; f"'1l 11dd fihi;ft::J. | ||
lnf(lcl? | lnf(lcl? *U D\Vr | ||
*U D\Vr | |||
\"'ffi<tr.GW-,Clrm.>111Jwa1,r. | \"'ffi<tr.GW-,Clrm.>111Jwa1,r. | ||
:;w | :;w | ||
Line 123: | Line 93: | ||
L,\'.,it1.1, SS *Sl!!i.J 0 0;.J, [;. f"l!r . .::1, l!: t*Tmi=, | L,\'.,it1.1, SS *Sl!!i.J 0 0;.J, [;. f"l!r . .::1, l!: t*Tmi=, | ||
.. *JJ, :"<J .] l"ES NO 5} S:ir.ip:C' Ar.alyns: | .. *JJ, :"<J .] l"ES NO 5} S:ir.ip:C' Ar.alyns: | ||
:ni:i!i.:::-!.f ll liOJDU..'747llA).ctJ cf u: ... ,1z:1,.,er) fi:.r<C";:sc;h He | :ni:i!i.:::-!.f ll liOJDU..'747llA).ctJ cf u: ... ,1z:1,.,er) fi:.r<C";:sc;h He -J,r;.r:Jfl)8.'7./7QA. | ||
-J,r;.r:Jfl)8.'7./7QA. | |||
I). \tJofa Temp: Ct) Prc!>crvrm"c Typ::* UA ,,. | I). \tJofa Temp: Ct) Prc!>crvrm"c Typ::* UA ,,. | ||
At1.d, Nl !°" | At1.d, Nl !°" Na 1 1[;; /\eiJ, SU ... Sr:-dh:;n Hydt>:io'lidc, .... <tcUu:c | ||
/\,'\ -' | /\,'\ -' | ||
Ai;rd, HX | Ai;rd, HX | ||
* ST .. Sc;Jiu1r1 fl'' i:re;,-;::1,.;:itp,,*c | * ST .. Sc;Jiu1r1 fl'' i:re;,-;::1,.;:itp,,*c | ||
=- | =- | ||
(11'.::J lifa*1k. | (11'.::J lifa*1k. c LABOHATOHY YELLOW = FILE PINK CU ENT Appendix E-Confirmatory-Instrument Field Response Rev 1 10/18/15 1. Instrument Ratemeter: | ||
c LABOHATOHY YELLOW = FILE PINK CU ENT Appendix E-Confirmatory-Instrument Field Response Rev 1 10/18/15 | |||
Make/Model: | Make/Model: | ||
Detector 1: Make/Model: | Detector 1: Make/Model: | ||
Bicron MlcroRem Meter: 2. Check Sourc_i! | Bicron MlcroRem Meter: 2. Check Sourc_i! Information: | ||
Information: | |||
Instrument Field Response Check Log LUDLUM 2241-2 Serial No. 222737 _JjJJ)LUM 44-10 __ . Serial No . ...J:R.111.UL_ | Instrument Field Response Check Log LUDLUM 2241-2 Serial No. 222737 _JjJJ)LUM 44-10 __ . Serial No . ...J:R.111.UL_ | ||
Serial No. A224U Cat. Due Date: 9/2/16 Cal. Olje Date; 8/4/16 Source 1 Isotope: | Serial No. A224U Cat. Due Date: 9/2/16 Cal. Olje Date; 8/4/16 Source 1 Isotope: Ih-232 Serial No.; 116 Activity: | ||
Ih-232 Serial No.; 116 Activity: | |||
.:s.9..:L. | .:s.9..:L. | ||
units: | units: | ||
Line 154: | Line 119: | ||
___________ | ___________ | ||
_ GPS coordinates (wl1en H:oord: | _ GPS coordinates (wl1en H:oord: | ||
W 7 u Meter Bkg Bkg Counts Source Source Response | W 7 u Meter Bkg Bkg Counts Source Source Response +-/-20% Cnt (c:pm) or Cnt (gross cpm or Time uRem/hr) Time uRem/hr) Ratemeter Inst. I Battery Cafib. Check current (Y/N) (Y/N) 'llrrie Ambient Of Temp. check ("F} Initials and Comments (add'! Info: inst. Condition, etc.) .* <l\t ** 1.t*t< .. -*--.. --.-..... *-*-----***-- | ||
+-/-20% Cnt (c:pm) or Cnt (gross cpm or Time uRem/hr) | |||
Time uRem/hr) | |||
Ratemeter Inst. I Battery Cafib. Check current (Y/N) (Y/N) 'llrrie Ambient Of Temp. check ("F} Initials and Comments (add'! Info: inst. Condition, etc.) .* <l\t ** 1.t*t< .. -*--.. --.-..... *-*-----***-- | |||
i Ratemeter I -*-------i-- | i Ratemeter I -*-------i-- | ||
Ratemeter i ***-**-----*----i Ratemeter Bicron Bicron Bicron 1. -:!. i NA /v NA A/ ----*--* | Ratemeter i ***-**-----*----i Ratemeter Bicron Bicron Bicron 1. -:!. i NA /v NA A/ ----*--* | ||
check source is listed on calibration stider. Record cl1eck source response (net cpm) prior to field deploymerrl for all check sources Sou and sackgrow1d count r;,ite should be determined from tfl<' aver.age of th,.ee static counts at the same location. | check source is listed on calibration stider. Record cl1eck source response (net cpm) prior to field deploymerrl for all check sources Sou and sackgrow1d count r;,ite should be determined from tfl<' aver.age of th,.ee static counts at the same location. | ||
Repeat 5not1td be witnin 20%. If wunt rate diverges s*{lnificantJ11, perform additional to evoluate instrument 5tability Appendix Confirmatory-Sample Data Sheets Project: | Repeat 5not1td be witnin 20%. If wunt rate diverges s*{lnificantJ11, perform additional to evoluate instrument 5tability Appendix Confirmatory-Sample Data Sheets Project: _ t\J SAMPLE LOCATION DA TA SHEET Name: ::f_ b.._t:._ ... | ||
_ t\J SAMPLE LOCATION DA TA SHEET Name: ::f_ b.._t:._ | |||
... | |||
: l. Sample Area (SA): <u.___ e; n* yr y-1,? u 2. Sample Location Data: Sample Area ID: C. . | : l. Sample Area (SA): <u.___ e; n* yr y-1,? u 2. Sample Location Data: Sample Area ID: C. . | ||
.. -Matrix: J.?.1J_._. | .. -Matrix: J.?.1J_._. | ||
Line 169: | Line 129: | ||
{U.. | {U.. | ||
\.A)_ __ Alternate Location Measurements (distance from SA origin and Local Coard.) | \.A)_ __ Alternate Location Measurements (distance from SA origin and Local Coard.) | ||
fZJcaJ,i1 is | fZJcaJ,i1 is -fl-. X Dist. from Origin (0,0) Y Dist. from Origin:---*** | ||
-fl-. X Dist. from Origin (0,0) Y Dist. from Origin:---*** | |||
.. __ E. d ciu, dt.:..._:; | .. __ E. d ciu, dt.:..._:; | ||
sfcr'ii. | sfcr'ii. i.{: ro1.d, | ||
i.{: ro1.d, | ,.---,.---, I ' Site Sketch Attached (Yes) l (NO) ,,' --Tuf' o( re ._.,*YlL '* / Sample Location | ||
,.---,.---, | |||
I ' Site Sketch Attached (Yes) l (NO) ,,' --Tuf' o( re ._.,*YlL | |||
'* / Sample Location | |||
== | == Description:== | ||
Description:== | |||
_ | _ | ||
______ _ Canopx Type: f..0*+* a.(\.,* u_.r_;;.. | ______ _ Canopx Type: f..0*+* a.(\.,* u_.r_;;.. | ||
*L-Land Use: hi h ;.,, Soil Moisture (Wet, drv, ek): clet,ty/&r.i | *L-Land Use: hi h ;.,, Soil Moisture (Wet, drv, ek): clet,ty/&r.i | ||
*-l-'-4-- | *-l-'-4---------*-r----3. L. Rd' . R d" ocation a iatrnn ea mgs: ***--* | ||
-------*-r----3. L. Rd' . R d" ocation a iatrnn ea mgs: ***--* | |||
.. , ..... -.--- | .. , ..... -.--- | ||
2x2 Nal : Bicron Notes (cpm) (uRern/hr} | 2x2 Nal : Bicron Notes (cpm) (uRern/hr} | ||
Line 194: | Line 148: | ||
.. ,,, _______ JL . 4. Sample Information: | .. ,,, _______ JL . 4. Sample Information: | ||
Descri J.ion | Descri J.ion | ||
__ _ Deptfl Soil Type Soil | __ _ Deptfl Soil Type Soil lnten 1 al (Org; clay; Color (cm) sand, etc.) Sample Area ID: ! . C ( C 3 . . . &mpling | ||
. . . &mpling | -{Surface litter type/depth, sample depth retention, .. Tefusal, stone or topo!!ra h ', erosion features) | ||
-{Surface litter type/depth, sample depth retention, | (_. j .c \ --*-------*-*-.. ------------1 | ||
.. Tefusal, stone or topo!!ra h ', erosion features) | |||
(_. j .c \ --*-------*-*- | |||
.. ------------1 | |||
' | ' | ||
----*---.. | ----*---.. | ||
Line 212: | Line 163: | ||
-.. ---*----*-*-*- | -.. ---*----*-*-*- | ||
......... | ......... | ||
-.. --Sample Recorded on Laboratory COC form and Container I,abcled: | -.. --Sample Recorded on Laboratory COC form and Container I,abcled: (Y) (N) 10/20/15 SAMPLE LOCATION DATA SHEET Project: JJ"l 'Stf'. o-A ---Weather: __ :5unrH1 1 yv;1d .So_:i 1. Sample Arca (SA): SA Designation: | ||
(Y) (N) 10/20/15 SAMPLE LOCATION DATA SHEET Project: | |||
JJ"l 'Stf'. o-A ---Weather: | |||
__ : | |||
l . .A ----'---'-------- | l . .A ----'---'-------- | ||
.... _,_ D . . . I J. I . escnplton: | .... _,_ D . . . I J. I . escnplton: | ||
Line 228: | Line 176: | ||
__ . | __ . | ||
.:i..L..Wrr"--T | .:i..L..Wrr"--T | ||
... _/ Coord. System: _qlJ-fJYJ"' | ... _/ Coord. System: _qlJ-fJYJ"' )e c. Coord: t..1:*;_7_*11.1*1 tJ | ||
)e c. Coord: t..1:*;_7_*11.1*1 tJ | |||
: 2. Sample Location Data: Sample Area | : 2. Sample Location Data: Sample Area | ||
'l . (_.. --.. -Matrix: | 'l . (_.. --.. -Matrix: _Jo:,,:J..._ | ||
_Jo:,,:J..._ | |||
ll ?: --r I ..:--1 <:, ';" rV --19, u t:'.*7 I* L* .. J Location Coord: '-\ J r ..) : __ ,.,... __ , ___ f v ,..! .L ____ . ______ l-r ____________ | ll ?: --r I ..:--1 <:, ';" rV --19, u t:'.*7 I* L* .. J Location Coord: '-\ J r ..) : __ ,.,... __ , ___ f v ,..! .L ____ . ______ l-r ____________ | ||
.... Alternate Location Measurements (distance from SA origin and Local Coord.) J { 4 cl-. c\ 11-1 *I'{, /V J: r v..r X Dist. from Origin (0,0)_ | .... Alternate Location Measurements (distance from SA origin and Local Coord.) J { 4 cl-. c\ 11-1 *I'{, /V J: r v..r X Dist. from Origin (0,0)_ | ||
* Y from Origin: + ! c :<.Qmr e. | * Y from Origin: + ! c :<.Qmr e. | ||
Site Sketch Attached (Yes) | Site Sketch Attached (Yes) | ||
Sample Location | Sample Location | ||
== | == Description:== | ||
Description:== | |||
... | ... | ||
Line 264: | Line 209: | ||
___ : .... .. *** ****** | ___ : .... .. *** ****** | ||
---jf---*- | ---jf---*- | ||
...... -* .. ..--... Sample Recorded on Laboratory COC and Container _(N_) __________ | ...... -* .. ..--... Sample Recorded on Laboratory COC and Container _(N_) __________ , ..... 10/20/15 | ||
, ..... 10/20/15 | .. " SAMPLE LOCATION DAT A SHEET <( l \ -r Weather: ,)JO D1\.r':,,1_f ') 0 j L Sample Arca (SA): SA Designation: i-:' \J ( .1 | ||
.. " SAMPLE LOCATION DAT A SHEET <( l \ -r Weather: | |||
,)JO D1\.r':,,1_f ') 0 j L Sample Arca (SA): SA Designation: i-:' \J ( .1 | |||
== Description:== | == Description:== | ||
Line 283: | Line 226: | ||
'_' -*-'"'\ __ Alternate Location Measurements (distance from SA origin and Local Coord.) IO,+. X Dist. from Origin (0,0) __ | '_' -*-'"'\ __ Alternate Location Measurements (distance from SA origin and Local Coord.) IO,+. X Dist. from Origin (0,0) __ | ||
Y Dist. from Origin:______ | Y Dist. from Origin:______ | ||
_ * | _ * ( (lf 1 ct1 rttf-f,, ,----. __ Site $ketch Attached (Yes) | ||
( ( | |||
,----. __ Site $ketch Attached (Yes) | |||
.. ../ Sample | .. ../ Sample | ||
Line 303: | Line 244: | ||
Sampliug | Sampliug | ||
------(Surface litter type/depth, sample depth retention, | ------(Surface litter type/depth, sample depth retention, | ||
_ _ _ refusal. | _ _ _ refusal. stone or rock, ti;>pography. | ||
stone or rock, ti;>pography. | |||
erosion features) | erosion features) | ||
C, __ :_}, U _____ o. \ l +/-er :Jd . . -------1 | C, __ :_}, U _____ o. \ l +/-er :Jd . . -------1 {_,_j __ .12.____ _ _ _h.;. -fu.: ( *: 3. C.3... ----N.'. ,,sh . .i.I-='-'"'-"d'-=-<J | ||
{_,_j __ .12.____ _ _ _h.;. | |||
-fu.: | |||
( *: 3. C.3... ----N.'. ,,sh . .i.I-='-'"'-"d'-=-<J | |||
_______ **-* 1--------- | _______ **-* 1--------- | ||
___ ,L-... --**-*---*-*** *-*--*--**------------------! | ___ ,L-... --**-*---*-*** *-*--*--**------------------! | ||
Line 318: | Line 255: | ||
'-----'-_____ __..... __ _J ____ . ____ .L_ ______ _,_,....,,.. | '-----'-_____ __..... __ _J ____ . ____ .L_ ______ _,_,....,,.. | ||
__________ | __________ | ||
___, Sample Recorded on Laboratory COC form and Container Labeled: | ___, Sample Recorded on Laboratory COC form and Container Labeled: (Y}) (N) .... __ _ 10/20/15 I . SAMPLE LOCATION DATA SHEET Date: H { *z...f r) Project. | ||
(Y}) (N) .... __ _ 10/20/15 I . SAMPLE LOCATION DATA SHEET Date: H { *z...f r) Project. | |||
St (Qfl __ _ Name: S. @if,, | St (Qfl __ _ Name: S. @if,, | ||
____ _ Weather: | ____ _ Weather: 1.lr.7ll.,,.- | ||
1.lr.7ll.,,.- | |||
: 1. Sample Area (SA): SA C, LI . . | : 1. Sample Area (SA): SA C, LI . . | ||
Line 335: | Line 270: | ||
== Description:== | == Description:== | ||
_i,.*v c.' .. r*,.:J-t | _i,.*v c.' .. r*,.:J-t *-----Coord: | ||
*-----Coord: | |||
*ie:q''.v | *ie:q''.v | ||
* 'l<J .ul *' \i...l 2. Sample Location Data: Sample Area ID: .. C .Li.(. __ . ___ , l\fatrix: _l *--Alternate Location Measure171enls (distance from SA origin and Local Coord.) -z_,:, C+ _ f,.!fl"V.\ | * 'l<J .ul *' \i...l 2. Sample Location Data: Sample Area ID: .. C .Li.(. __ . ___ , l\fatrix: _l *--Alternate Location Measure171enls (distance from SA origin and Local Coord.) -z_,:, C+ _ f,.!fl"V.\ | ||
X Dist. from Origin (0,0)_,_____ | X Dist. from Origin (0,0)_,_____ | ||
Y Dist. from Origin: ..... _ ..... __ ( | Y Dist. from Origin: ..... _ ..... __ ( | ||
.. "' '" . | .. "' '" .1 cr+{,\. Site Sketch Attached (Yes) §) . Sample Location | ||
== | == Description:== | ||
Description:== | |||
_ | _ | ||
+ ! cr.+1 Of'U.., ..:_-ft< | + ! cr.+1 Of'U.., ..:_-ft< u N'; | ||
u N'; | |||
',, Canopy Type: | ',, Canopy Type: | ||
__ . etc.): do. 1l1 "*, 110 1..:.'"' | __ . etc.): do. 1l1 "*, 110 1..:.'"' "h.,..-r | ||
"h.,..-r | |||
* Land Use: | * Land Use: | ||
L._ .. Soil Moisture (Wet, dry, 3. Location Radiation 2x2 Nal Bicron (uRem/llr) | L._ .. Soil Moisture (Wet, dry, 3. Location Radiation 2x2 Nal Bicron (uRem/llr) | ||
Line 356: | Line 287: | ||
o ---L*.. Ii | o ---L*.. Ii | ||
*--..... *-----4. Sample Information: | *--..... *-----4. Sample Information: | ||
Sui/ Color lm I cm lm ---*--*-- | Sui/ Color lm I cm lm ---*--*--.. -.. **-... ------*-*-- | ||
.. -.. **-... ------*-*-- | r-.. ------*--. ..._ .. __ _ (Surface litter type/depth, sample depth retention. | ||
r-.. ------*-- | refusal, stone or rock, topography. | ||
. ..._ .. __ _ (Surface litter type/depth, sample depth retention. | |||
erosion features) | erosion features) | ||
Sample ID f Sampling Descriptio11 l----""--..;___._,._ | Sample ID f Sampling Descriptio11 l----""--..;___._,._ | ||
_ | _ . 4 . c. | ||
. 4 . c. | |||
... "; ..r*; ,;J: s .. . _ ... _* ___ .. ---C ,.:L_(_J. | ... "; ..r*; ,;J: s .. . _ ... _* ___ .. ---C ,.:L_(_J. | ||
.... *-*. *-r. | .... *-*. *-r. | ||
Line 371: | Line 299: | ||
:==-- | :==-- | ||
-"*"--------.**i= | -"*"--------.**i= | ||
.. -------*--.. | .. -------*--.. . .. -Sample Recorded on Laboratory Container Labclcd:(oonNf----*---*--------' . *' 10/20/15 Appendix Confirmatory-Static Survey Table Table 3 WNY Confirmatory Static Survey and Sample Collection Specifications Location Sample Depth Depth Depth Depth Number Number (cm) (.cm} (cm) -*-***------ | ||
. .. -Sample Recorded on Laboratory Container Labclcd:(oonNf----*---*--------' | 0-5 5-15 15-30 30-100 Latitude ... | ||
. *' 10/20/15 Appendix Confirmatory-Static Survey Table Table 3 WNY Confirmatory Static Survey and Sample Collection Specifications Location Sample Depth Depth Depth Depth Number Number (cm) (.cm} (cm) -*-***------ | .. I .. 1 -*--*** -*---*-*'!*{) I.is-1 C.1.C1 )( 42°27 1 30.28" N 78°39'50.05" W n" r ( (:r-*dt<: 1 ... *--*--*-* *-* | ||
0-5 5-15 15-30 30-100 Latitude | |||
... | |||
.. I .. 1 -*--*** -*---*-*'!*{) I.is-1 C.1.C1 )( 42° | |||
---*---*---*--.-- | ---*---*---*--.-- | ||
li-'r C.1.C2 x -----*-Lw | li-'r C.1.C2 x -----*-Lw | ||
$Lr ... S""'t7k_ | $Lr ... S""'t7k_ 1) J/i-; 1 *-----**--.. C.l.C3 ){ 11\2 -*--*-**-- | ||
-*---10; C.2.Cl >c 42°27'51.92" N 78°39'14.97" w -dr; 2 ***---*****-- | -*---10; C.2.Cl >c 42°27'51.92" N 78°39'14.97" w -dr; 2 ***---*****-- | ||
---*-**--*** | ---*-**--*** | ||
_,,,, ____ | _,,,, ____ | ||
!Ll C.2.C2 ){ I ___ ,,,,, ---***-{Ii ?111)2 Cl'C! 3 | !Ll C.2.C2 ){ I ___ ,,,,, ---***-{Ii ?111)2 Cl'C! 3 | ||
$'' .. C.2.C3 x ------** | $'' .. C.2.C3 x ------** *---*----***-- | ||
*---*----***-- | |||
x | x | ||
-*--** -**--** **--*** C.3.Cl x 42° | -*--** -**--** **--*** C.3.Cl x 42°27 1 05.46" N 73" w .... *-**--*. ---*-*--** | ||
-* *-***-"' | -* *-***-"' ***---**--* | ||
***---**--* | |||
C.3.C2 x -* ....... ,_ ........... | C.3.C2 x -* ....... ,_ ........... | ||
***--*****-Moo* | ***--*****-Moo* |
Revision as of 05:03, 8 July 2018
Text
{{#Wiki_filter:Appendix E -. Confirmatory Appendix Confirmatory-COC Field Copies c, elrl Co\0Ul.-!'age: .......... ...... of . ... ****------* GEL Chain of Custody and Analytical Request GrlL Lnborntonos, J.,L(' I (rJ Projcc1 II: **Sec \V\\'W.gel_com for GEL'S Sample Accepiance SOP** 2040 Savage Roud GEL Quote#: ........ ... ... .. ... ..... .. ... .. ***-Charleslon, SC 2!1407 COC Number 1 1 l: GEL Work Order Number: Phone: (843) SSu-8171 PO Number: Fax. (843l 766-1178 Client Name: Phone#: Sainple Allalysls Rcq11estcd (Fill in the mtmller of for each tcsl) Project/Site Name: Fnx #* Should 11ils <--Prcscr1*a1ivc Type (6) Address:
- Comments Collected by
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l>i '" C.:\dt R'l!U .. Fa1* CfJitmnsiw.'i -/1rd1cQI(' .fTafl m:J *""'11 (hhnun) Vo l*lrcl 0 C.'J.'-\ / l 0 /c..-1 (, )' 10:..?t:; v "1 101-.i.. 7 f is- ' c..?, .c J, \! N C.. 'd-.Cj / IL 7.."( {I) N c J IC nf 1') lb'.i+: l"-i ( .;l. C:) *v to/21(1') l\'.O() Cf) (_' i .C.\ .../ f'..\ (. \ .(..9. ../ l6 IS:CD "\ l. I .c 3 -../ / IO .Z7 f1r; /5:ii; N (. I IC{L7/t; ... 1fo: ol r;:0 TAT Rcqucs1cd: Nonnaf: llush: Snccifv: (Sub:'""""""'"'*'*) Ro1mlls: Yes i No C1<dc Dclivcmb!c: C of A j QC Summary I Level I i Level 2 ( Level 3 I Lcvcl 4 Remal'ks: Are there any /mown ha::arcls applicable to these smnples? lf.rn. please list rhr: lime ZQa!: Eosrcm Other *------*-. Chain of Custody Signatures Snmplc SJ1ipplng nnd Details Rolm*1nish*<I By (Stgno<l) D::itc Tune Rccoivc.J by (llBn<d} D:11c Tilr.c GEL PM: ) I M<lhod of Sluninent. Date Shipped* 2 2 A'irbiil N* 3 J t.irbill #: I ) ('h::it!l Nurr.ber -('hcn1 f'm* l.;h R<'l'l'Jcmg U.<e OniJ 1.) QC N ... Tn = Tdf O!;>;nlc, *Field Oup]:c;tf\':, F.ll o::. B!0'11k. 'CS* Mrurit Sp,Lt: MSD ... S'rikc G = nra'J, C ... .l } t1ald F;:n r::l!-lttCC$, 111rl1rnlc 4 * '\'-fct)"C:I 11le :Ji:ITT'j:IC fidd 1iJrrre.i or -N-fDr Wt!.'\ nee f!eld mtt:'c:d C11.,*r1xJ.v ln1a**1 r M<1.:ri:< Cn1k;; \Y",ltcr, Grm:1i.d\".-.1!i:r, fi\\'=Swfa;;c \VW .. -Wi1:-t1t" WOlm. ML *M1:il.:'. U41.!.J, SO* Sc,: I. SL**StosJgi::, BS .. S*.1htl \V.1..<;.tl!, O:.:Q1f, Ji **f.'s!tct, Jfr\\.':pl.'I, L' -l.1 r111'>', 'N YES NO 5) A:ioil;,1,:1:;!; Rcq;:f':i.lcJ: {1 l' 82(,0b., 60laB/74?UAl !l:tl l,)r 1m1v1.t:J f..;r c
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-l} CmJler '/'r:mp Ci) P1.c*.c1,*11l;Vl! TfJl:!: Acirt, NI* N1tr:c Ac:iil. SU"' Hydro>ii.tc:, S.\ u A.:ld, ;'\,<\ 'T Ac1d. lL'(...: H::'t-:mc, S] .L Scdili!ll r.r:sc::rvaH"*c added-= :ca" fi:'.::d f.l:ank c [,ABORATORY ygt,LOW = FILF. PINK= CUE.NT V\tl of GEL Chain of Custody and Analytical Request GEL l.<lburalorics, LLC \ 0 .. .. ..... -. Pro.icct II: 2040 Savage Road GEL Quolc __ ... __ . -* ... _. *"Sec www.gel.com for GEL's Sample Acceptance SOP** SC 29*l07 --. --.. *-COC GEL Wol'k. Order Number: Phone* [843) 556*817i PO Number Fax: (843} 766-1J78 Client Name: Phone#: S:unple Analysis Reqt1cslcd csi (Fill in lhe number of confijiners for each tesl) Project/Site Name: Pa-.:#: Should *: *. iypc (61 lhl* Janiplo be Address: ' Cummcuts Collected by: Send To: Note: extra sample IS *o,Ltt:.C,,1:1;-;d;;ol
- Tune TSC required for sample Culkcr<J CC' specific QC Sample ID (Mlllt><y)
F1:rm:J MaLrj>. Jl*di A Ll: "' oacU R*&U *For -.tJarl u1!d s/m) dfJ(t:/lmH! (htlnut*)
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- ni:i!i.:::-!.f ll liOJDU..'747llA).ctJ cf u: ... ,1z:1,.,er) fi:.r<C";:sc;h He -J,r;.r:Jfl)8.'7./7QA.
I). \tJofa Temp: Ct) Prc!>crvrm"c Typ::* UA ,,. At1.d, Nl !°" Na 1 1[;; /\eiJ, SU ... Sr:-dh:;n Hydt>:io'lidc, .... <tcUu:c /\,'\ -' Ai;rd, HX
- ST .. Sc;Jiu1r1 fl i:re;,-;::1,.;:itp,,*c
=- (11'.::J lifa*1k. c LABOHATOHY YELLOW = FILE PINK CU ENT Appendix E-Confirmatory-Instrument Field Response Rev 1 10/18/15 1. Instrument Ratemeter: Make/Model: Detector 1: Make/Model: Bicron MlcroRem Meter: 2. Check Sourc_i! Information: Instrument Field Response Check Log LUDLUM 2241-2 Serial No. 222737 _JjJJ)LUM 44-10 __ . Serial No . ...J:R.111.UL_ Serial No. A224U Cat. Due Date: 9/2/16 Cal. Olje Date; 8/4/16 Source 1 Isotope: Ih-232 Serial No.; 116 Activity: .:s.9..:L. units: .. Assay Date: .12L3D/10 Response Acceptance Rtmge (t/.20%): uRem/hr +20% ____ uRem/hr *20% net cpm + 20% 22926 net cprn -20% 15284 Source 2 Isotope: ..... No.: -81.E13=&B.-.... Activity: Q 02 .units: _).ici.:_ Assay D<Jte: J.l2..QL;l.O Response Acceptance Range (+/-20%}: uRem/hr +20% uRern/hr 20% net cpm + 20%.13..315-net cpm -20% --89-19 ... 3. rn1e ..... EG-l'° ______ _ 4.
- .I M location Desr.ripticn:
___________ _ GPS coordinates (wl1en H:oord: W 7 u Meter Bkg Bkg Counts Source Source Response +-/-20% Cnt (c:pm) or Cnt (gross cpm or Time uRem/hr) Time uRem/hr) Ratemeter Inst. I Battery Cafib. Check current (Y/N) (Y/N) 'llrrie Ambient Of Temp. check ("F} Initials and Comments (add'! Info: inst. Condition, etc.) .* <l\t ** 1.t*t< .. -*--.. --.-..... *-*-----***-- i Ratemeter I -*-------i-- Ratemeter i ***-**-----*----i Ratemeter Bicron Bicron Bicron 1. -:!. i NA /v NA A/ ----*--* check source is listed on calibration stider. Record cl1eck source response (net cpm) prior to field deploymerrl for all check sources Sou and sackgrow1d count r;,ite should be determined from tfl<' aver.age of th,.ee static counts at the same location. Repeat 5not1td be witnin 20%. If wunt rate diverges s*{lnificantJ11, perform additional to evoluate instrument 5tability Appendix Confirmatory-Sample Data Sheets Project: _ t\J SAMPLE LOCATION DA TA SHEET Name: ::f_ b.._t:._ ...
- l. Sample Area (SA): <u.___ e; n* yr y-1,? u 2. Sample Location Data: Sample Area ID: C. .
.. -Matrix: J.?.1J_._. __ LocationCoord: {U.. \.A)_ __ Alternate Location Measurements (distance from SA origin and Local Coard.) fZJcaJ,i1 is -fl-. X Dist. from Origin (0,0) Y Dist. from Origin:---*** .. __ E. d ciu, dt.:..._:; sfcr'ii. i.{: ro1.d, ,.---,.---, I ' Site Sketch Attached (Yes) l (NO) ,,' --Tuf' o( re ._.,*YlL '* / Sample Location
Description:
_ ______ _ Canopx Type: f..0*+* a.(\.,* u_.r_;;..
- L-Land Use: hi h ;.,, Soil Moisture (Wet, drv, ek): clet,ty/&r.i
- -l-'-4---------*-r----3. L. Rd' . R d" ocation a iatrnn ea mgs: ***--*
.. , ..... -.--- 2x2 Nal : Bicron Notes (cpm) (uRern/hr} Count time 1 cm
- lm I cm lm * (min} t " *--I!\. § i 1b, S'3 I i---
- --_J1 _____ /0 :..ii **-. -.--******-**-**-*----**-******-
... f IU -p11 '7 (., 9"! -**--' ----*--.
- --. ...----*****-**-*--
.. ,,, _______ JL . 4. Sample Information: Descri J.ion __ _ Deptfl Soil Type Soil lnten 1 al (Org; clay; Color (cm) sand, etc.) Sample Area ID: ! . C ( C 3 . . . &mpling -{Surface litter type/depth, sample depth retention, .. Tefusal, stone or topo!!ra h ', erosion features) (_. j .c \ --*-------*-*-.. ------------1 '
*---..
C. J
***-***-----
i,---------ef--. .. ---------+----**-*-- ... *----********
- ----c____*---___,_--
.. -_ .. -_-:___-___L_- .... -.. ---*----*-*-*- ......... -.. --Sample Recorded on Laboratory COC form and Container I,abcled: (Y) (N) 10/20/15 SAMPLE LOCATION DATA SHEET Project: JJ"l 'Stf'. o-A ---Weather: __ :5unrH1 1 yv;1d .So_:i 1. Sample Arca (SA): SA Designation: l . .A ----'---'-------- .... _,_ D . . . I J. I . escnplton:
- \
- SA Origin Location:
_,, ___ SA Land lvfark
Description:
... __ . .:i..L..Wrr"--T ... _/ Coord. System: _qlJ-fJYJ"' )e c. Coord: t..1:*;_7_*11.1*1 tJ
- 2. Sample Location Data: Sample Area
'l . (_.. --.. -Matrix: _Jo:,,:J..._ ll ?: --r I ..:--1 <:, ';" rV --19, u t:'.*7 I* L* .. J Location Coord: '-\ J r ..) : __ ,.,... __ , ___ f v ,..! .L ____ . ______ l-r ____________ .... Alternate Location Measurements (distance from SA origin and Local Coord.) J { 4 cl-. c\ 11-1 *I'{, /V J: r v..r X Dist. from Origin (0,0)_
- Y from Origin: + ! c :<.Qmr e.
Site Sketch Attached (Yes) Sample Location
Description:
... b** j 1*1 :,c, . .;.b { > i Type: poA-i 'L Land Use:
- 'j __ Soil Moisture (Wet, dry. etc.). t!tl<'-1?
i no ;,'J'-* 3. Location Radiation .. -.. ---.. *-*--**---,,------- __ ,,_ .. ___ _ Count time (min) 2x.2 Na! Bicron Notes (cpm) (uRem/hr) I cm Im 1 cm lm 4.. Sample Information: Sample Area JD: C .'J. .(I* Soil Color Sample ID Sampling Description
- (Surface litter type/depth.
sample depth retention, refu.sal, st°;ne or rock. erosion
- c. ;).,J_ ! !1, :1. ,5(l
__ j, ___ _ --*----1 --i-<-=-* d,
- C.. 3 h<
.. **-------- (__ i c. *I -* ... +i.,.! t('?+ :i /"' i:'.-'i ---*- .. ___ : .... .. *** ****** ---jf---*- ...... -* .. ..--... Sample Recorded on Laboratory COC and Container _(N_) __________ , ..... 10/20/15 .. " SAMPLE LOCATION DAT A SHEET <( l \ -r Weather: ,)JO D1\.r':,,1_f ') 0 j L Sample Arca (SA): SA Designation: i-:' \J ( .1
Description:
r? ....;.l J'-'-. ------..-J-.-----1--- SA Origin Location: .. ' _ *--*---Coord. System: p*'1,.-SA Land Mark
Description:
-* c \tr -Coard: 1{ c J. 7 Io:'.:: J..' }j_'"-'-'--"----
- 2. Sample Location Data: Sample Area ID: C . 3-(-: ___ Matrix:
Location Coord: __ Ti:'* ' :;D_.,. _7 '_' -*-'"'\ __ Alternate Location Measurements (distance from SA origin and Local Coord.) IO,+. X Dist. from Origin (0,0) __ Y Dist. from Origin:______ _ * ( (lf 1 ct1 rttf-f,, ,----. __ Site $ketch Attached (Yes) .. ../ Sample
== Description:==
j y _ _:_.crre. C1
- -:M(k. tr\ t> .* S Q !r.:.1-*j "J1 d.u.__
(;QUI .... _.Land Use: __\:1 rk: ; ... ;r; __ Soil Moisture (Wet, dry, etc.): t _ 3. Location Radiation 2x2 NaI Bicron (_uRem/hr) -...---------*---Notes Count time (min (c m) !cm 4. Sample Information: Descri >tion b
- De th: Depth Interval (cm C' ,,.-. ---*..:>,......_
s-* -I "'.) Svil Color I 1m lcm lm Sample Area JD: C.. 3. C f - Sampliug
(Surface litter type/depth, sample depth retention,
_ _ _ refusal. stone or rock, ti;>pography. erosion features) C, __ :_}, U _____ o. \ l +/-er :Jd . . -------1 {_,_j __ .12.____ _ _ _h.;. -fu.: ( *: 3. C.3... ----N.'. ,,sh . .i.I-='-'"'-"d'-=-<J _______ **-* 1--------- ___ ,L-... --**-*---*-*** *-*--*--**------------------!
1------1----**--*
... -*--*-*-**-*-*----*----------- .-
- --------<
'-----'-_____ __..... __ _J ____ . ____ .L_ ______ _,_,....,,.. __________ ___, Sample Recorded on Laboratory COC form and Container Labeled: (Y}) (N) .... __ _ 10/20/15 I . SAMPLE LOCATION DATA SHEET Date: H { *z...f r) Project. St (Qfl __ _ Name: S. @if,, ____ _ Weather: 1.lr.7ll.,,.-
- 1. Sample Area (SA): SA C, LI . .
Description:
.-11:.+-fl:i .. L{L{ ___ _ SA Orzgm Local ton: ---*--.. .. -_ Coord. System: SA Land Afark
Description:
_i,.*v c.' .. r*,.:J-t *-----Coord:
- ie:q.v
- 'l<J .ul *' \i...l 2. Sample Location Data: Sample Area ID: .. C .Li.(. __ . ___ , l\fatrix: _l *--Alternate Location Measure171enls (distance from SA origin and Local Coord.) -z_,:, C+ _ f,.!fl"V.\
X Dist. from Origin (0,0)_,_____ Y Dist. from Origin: ..... _ ..... __ ( .. "' '" .1 cr+{,\. Site Sketch Attached (Yes) §) . Sample Location
Description:
_ + ! cr.+1 Of'U.., ..:_-ft< u N'; ',, Canopy Type: __ . etc.): do. 1l1 "*, 110 1..:.'"' "h.,..-r
- Land Use:
L._ .. Soil Moisture (Wet, dry, 3. Location Radiation 2x2 Nal Bicron (uRem/llr) Notes {cpm) lcm Count time (min) r , .. ""'. =, o ---L*.. Ii
- --..... *-----4. Sample Information:
Sui/ Color lm I cm lm ---*--*--.. -.. **-... ------*-*-- r-.. ------*--. ..._ .. __ _ (Surface litter type/depth, sample depth retention. refusal, stone or rock, topography. erosion features) Sample ID f Sampling Descriptio11 l----""--..;___._,._ _ . 4 . c. ... "; ..r*; ,;J: s .. . _ ... _* ___ .. ---C ,.:L_(_J. .... *-*. *-r. _____ ---*--.... - -
- ==--
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