ML16293A677: Difference between revisions

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=Text=
=Text=
{{#Wiki_filter:. :' " * ** I App E-. Sub-Area 4.5 -COC Forms rr::1;e:
{{#Wiki_filter:. :' " * ** I App E-. Sub-Area 4.5 -COC Forms rr::1;e: __ ,
__ ,
of _______ ..,_ GEL Chain of Custody and Analytical Request GEL L*boralorics, l.LC Pnijccc #* 2040 Sa1*agc Road GEL Qua to fl: "'*See www.gcl.com for GEL's Sample ./\.cccptancc SOP 0 Charleslon, SC 29407 . **-***** "----*** ...... ..... COC Number t'l: " GEL Work Order Nnmbcr: Phone: (843) 556-8 I 71 PONumbor:
of _______ ..,_ GEL Chain of Custody and Analytical Request GEL L*boralorics, l.LC Pnijccc #* 2040 Sa1*agc Road GEL Qua to fl: "'*See www.gcl.com for GEL's Sample ./\.cccptancc SOP0 Charleslon, SC 29407 . **-*****  
"----***  
...... ..... COC Number t'l: " GEL Work Order Nnmbcr: Phone: (843) 556-8 I 71 PONumbor:
Fax* (8'1J) 178 Client Name: Phone II:
Fax* (8'1J) 178 Client Name: Phone II:
Analysis Rcql!esterl 1si (Fill in number of containers for each test) .. Should '
Analysis Rcql!esterl 1si (Fill in number of containers for each test) .. Should '
Name: Fa:i: #: !bi* *'** Prcscm1tivc Type (6) sampl.r:
Name: Fa:i: #: !bi* *'** Prcscm1tivc Type (6) sampl.r: l>c Address: cuh>ldcro!l  
l>c Address:
cuh>ldcro!l  
' Comments Collected by: Send Rcsuhs To: Note: extra sample is .. l)r,?.:
' Comments Collected by: Send Rcsuhs To: Note: extra sample is .. l)r,?.:
Fi.:.1d TSC required for smpple QC !ipecific QC Sample ID 1Mil!l*1y\
Fi.:.1 d TSC required for smpple QC !ipecific QC Sample ID 1Mil!l*1y\
Ca.Jc:; ID flltr:;t:d Y.u;tri:ic..
Ca.Jc:; ID flltr:;t:d Y.u;tri:ic..
Rodi A (nim*dd-yy}  
Rodi A (nim*dd-yy} (lih*1m) V! r*1 .QJldf  
(lih*1m)
V! r*1 .QJldf  
"' Fm cmm:o.vilr.\*
"' Fm cmm:o.vilr.\*
* imlir:u/r  
* imlir:u/r ,v,fo.1rt Rl!t/ ,,*/rJJJ d'1lc./limr:  
,v,fo.1rt Rl!t/ ,,*/rJJJ d'1lc./limr:  
.. l:ircd 1cro q, I  
.. l:ircd 1cro q, I  
\l.*+-\c;'
\l.*+-\c;'
Line 40: Line 32:
\'1...-'\  
\'1...-'\  
-1( '-{. 'S'" i.f ,L  
-1( '-{. 'S'" i.f ,L  
< Lj . S-1 \ 11.--\-\  
< Lj . S-1 \ 11.--\-\ ( 'i ,ff\ , i.. 11."\-\ ( lj. <Pr ( 12.... {Jr. l 1'2.:*1-'!{
( 'i ,ff\ , i.. 11."\-\ ( lj. <Pr ( 12.... {Jr. l 1'2.:*1-'!{
l4 I  
l4 I  
,\2... {.Q 'i. 11-1-'s 4 6}\ f v.... , . I /*l,-t-\\  
,\2... {.Q 'i. 11-1-'s 4 6}\ f v.... , . I /*l,-t-\\  
'1 \R, 11--\-'\.S TAT RcQucstcd:
'1 \R, 11--\-'\.S TAT RcQucstcd:
Nonna!: Rush: Spec1r1*  
Nonna!: Rush: Spec1r1* (Sl!b;'-"cr  
(Sl!b;'-"cr  
,.,
,.,
I Fox Res.ohs:
I Fox Res.ohs: Yes I No Circle Dclivcmblc:
Yes I No Circle Dclivcmblc:
C u1 A I QC Summary I Level I i Level i I Level 3 I Ar<' there <tny known hamrds appficabf,, to .rnmple.r?  
C u1 A I QC Summary I Level I i Level i I Level 3 I Ar<' there <tny known hamrds appficabf,,
to  
.rnmple.r?  
((so, pleas<: list the hazai*ds T11n*
((so, pleas<: list the hazai*ds T11n*
Eosleri1 Pocific*
Eosleri1 Pocific* Ccrl!ral Other Mountain Chah1 ofCust<!dy Signatures Sample Shipping :111d Delivery Details Rolinquiohcd By [Signed) Qnto Time R<<oivoJ by (01gnoJ'1 Dalo Trmc GEL PM: I I ' M e1hod of Sh1omo;:r Dnl* Shmncd: 2 4 A.trbill "' 3 3 Airb1ll I.) C'.ht!iii of N1.11nb=T  
Ccrl!ral Other Mountain Chah1 ofCust<!dy Signatures Sample Shipping  
:111d Delivery Details Rolinquiohcd By [Signed)
Qnto Time R<<oivoJ by (01gnoJ'1 Dalo Trmc GEL PM: I I ' M e1hod of Sh1omo;:r Dnl* Shmncd: 2 4 A.trbill  
"' 3 3 Airb1ll I.) C'.ht!iii of N1.11nb=T  
::.. Clic;PI Fo1* Loh Receiemg 011\r 2} QC Codes* N ... N(lH11:.il TU-Trip lllartk, FD ... fidc.l 011p1rcatrJ, EU"' Fqu;timcrit U:S-=
::.. Clic;PI Fo1* Loh Receiemg 011\r 2} QC Codes* N ... N(lH11:.il TU-Trip lllartk, FD ... fidc.l 011p1rcatrJ, EU"' Fqu;timcrit U:S-=
S.amp:c:-,
S.amp:c:-,
w M:itwr: s,ilc Dt.rhc:>J('
w M:itwr: s,ilc Dt.rhc:>J('
f.Jo .. lir:ib, C l) F1-eM r.'tbrcd  
f.Jo .. lir:ib, C l) F1-eM r.'tbrcd }-Qr !iqmd w;.lh ., Y t'ott lhCI  
}-Qr !iqmd w;.lh ., Y t'ott lhCI  
\Y:'I(. fc13)d -l'i -for scmpln .. ;ois nul lic;!d fi!l1:ac:i Cmwdy lrll<JCI?  
\Y:'I(. fc13)d -l'i -for scmpln .. ;ois nul lic;!d fi!l1:ac:i Cmwdy lrll<JCI?  
: 4)
: 4)
Line 71: Line 53:
W.u.cr. \\. .. ML=.Misi:
W.u.cr. \\. .. ML=.Misi:
Ltii:;:1*,
Ltii:;:1*,
SL**.'i.li::Jg'-',
SL**.'i.li::Jg'-', S$**,1it:Ji*.1 o.:011, F *fltt'-.'r.
S$**,1it:Ji*.1 o.:011, F *fltt'-.'r.
l ..
l ..
* Wij . ..:. l'ES NO l\n.al}"::ill mc:Utod  
* Wij . ..:. l'ES NO l\n.al}"::ill mc:Utod  
Line 82: Line 63:
ST,.,
ST,.,
Tb*;.udfra:c, lf oidibf , .. k.;n* t::M h!.ink c {; WHITE= LABO RA TORY YELJ.OW = FlLR PINK = CUENT   
Tb*;.udfra:c, lf oidibf , .. k.;n* t::M h!.ink c {; WHITE= LABO RA TORY YELJ.OW = FlLR PINK = CUENT   
, P*gc: ___ ----*-**
, P*gc: ___ ----*-** of ****-------**
of ****-------**
GEL Chain of Custody and Analytical Request GEL L>bcrMorios, LLC l'rojcct ii: 204(}
GEL Chain of Custody and Analytical Request GEL L>bcrMorios, LLC l'rojcct ii: 204(}
GEL Quote#: -***-"------
GEL Quote#: -***-"------
**-*** .... .. "*See www.gcl.com for GEL's Sample Acceptance SOP""' Charlesta11.
**-*** .... .. "*See www.gcl.com for GEL's Sample Acceptance SOP""' Charlesta11.
SC 29407 COC Number 111: .. . . .. GEL Work OJ'der Numb!!r:
SC 29407 COC Number 1 1 1: .. . . .. GEL Work OJ'der Numb!!r: Phone* (843) 556-8171 Fnx: (B43) 766-J l 7!l Client Pl:one #:
Phone* (843) 556-8171 Fnx: (B43) 766-J l 7!l Client Pl:one #:
Analysis Requested  
Analysis Requested  
<5l (Fill in the nmnberoiconlainers forend1  
<5 l (Fill in the nmnberoiconlainers forend1  
,_.,.:;;i  
,_.,.:;;i . Project/Site Na111c . Fax#: Sho"ld lhl* <::--Prcscrva1iw Type {6) .uunpte b.c: Address*.
. Project/Site Na111c . Fax#: Sho"ld lhl* <::--Prcscrva1iw Type {6) .uunpte b.c: Address*.
OJJl:!iiiden:d  
OJJl:!iiiden:d  
; Comments Col lcctcd by: Send To: Note: cxtrn sample is '1:i:H.:  
; Comments Col lcctcd by: Send To: Note: cxtrn sample is '1:i:H.:  
*Tim::: F1dd Si11tpic  
*Tim::: F1dd Si11tpic 'fSC required for sample Sample ID Q('
'fSC required for sample Sample ID Q('
M::.tr*x R*dl A specific QC (l\11111,.,n C"4.11:111 lhhmm) '" '4} t!Ntl[ R.igU 8 F11r t*r..mr.*011,/fts  
M::.tr*x R*dl A specific QC (l\11111,.,n C"4.11:111 lhhmm) '" '4} t!Ntl[ R.igU 8 F11r t*r..mr.*011,/fts  
-mJi<:afe  
-mJi<:afe ,*r.:.1rt iiml .rl1)JJ doteJlm:c , .* l:l.1.c!.d ber o !{5( ,"\t.3. l p_,1..-1( I.'\ ,'SC ' R.2>.1. 11-Hr' LL <SC' l) ' '2.,*, ':) ''L -']..-t 5 4, -Sc I jl.. 3.. L;> 1t..--H< I((.. R,..1..J, }. l'l -\ -'1'5 'i . SC. it. 4 ,(_, n ..
,*r.:.1rt iiml .rl1)JJ doteJlm:c  
Lf , ')C. :r.. . 6 . I n.-( -r S-q, :)G-I i I s. l. 11-1 -\') -*-L\, s-r. '\t.l.Q. \ 11 . .-1*\1 l..\' (' IL. w. 2. ri-1 ""s--TAT Roque.stcd; Normal: Rush; Specify, lr-a:x Rcsult5. Ye* I No Circl" Llclh*orabk.
, .* l:l.1.c!.d ber o !{5( ,"\t.3. l p_,1..-1(
I.'\ ,'SC ' R.2>.1. 11-Hr' LL <SC' l) ' '2.,*, ':) ''L -']..-t 5 4, -Sc I jl.. 3.. L;> 1t..--H< I((.. R,..1..J,  
}. l'l -\ -'1'5 'i . SC. it. 4 ,(_, n ..
Lf , ')C. :r.. . 6 . I n.-( -r S-q, :)G-I i I s. l. 11-1 -\') -*-L\, s-r. '\t.l.Q.  
\ 11 . .-1*\1 l..\' (' IL. w. 2. ri-1 ""s--TAT Roque.stcd; Normal: Rush; Specify, lr-a:x Rcsult5.
Ye* I No Circl" Llclh*orabk.
C of A I QC' S mmnarv I Level l ! l.cvc\ , Level 3 I Lc,*el 4 Re1mrr/ts:
C of A I QC' S mmnarv I Level l ! l.cvc\ , Level 3 I Lc,*el 4 Re1mrr/ts:
Are there a11y kno>>.n hazcmls applicahle to rhes.-samples?  
Are there a11y kno>>.n hazcmls applicahle to rhes.-samples? !f.wi, please rhe hazard>
!f.wi, please rhe hazard>
C!lllccti!ln Time Eas.tc.m Pacific Central Oiiier ..........  
C!lllccti!ln Time Eas.tc.m Pacific Central Oiiier ..........  
-.. ,. Mo1mt.1in Chai11 Signatures Sample Shi11ping and Delivery Pdnils Rolinquis\:c<l lly IS1goe<l)
-.. ,. Mo1mt.1in Chai11 Signatures Sample Shi11ping and Delivery Pdnils Rolinquis\:c<l lly IS1goe<l)
Date Tune Rccoiwd by (s1g11cJ)
Date Tune Rccoiwd by (s1g11cJ)
D*l* l'*IJ:C'l GELl'M: I l M<lhud uf Sh1nm.,I; Shipood:
D*l* l'*IJ:C'l GELl'M: I l M<lhud uf Sh1nm.,I; Shipood: 2 2 Airbil! ii* 3 3 Airb1!! ff: l .} ('h1?j;1 of Custody  
2 2 Airbil! ii* 3 3 Airb1!! ff: l .} ('h1?j;1 of Custody  
=-
=-
Dcitrrn!r."d tor L"" 1<ec*i"i1rg U.<<< 011(1 2 J QC iii.,...
Dcitrrn!r."d tor L"" 1<ec*i"i1rg U.<<< 011(1 2 J QC iii.,...
S'1mrlt, TH rTr1r f'O ...
S'1mrlt, TH rTr1r f'O ...
F.U = Erimprner11  
F.U = Erimprner11 Bt1111k, MS .. Ma1mc  
: Bt1111k, MS .. Ma1mc  
)1SD .. Ma;rLL Srikc TJ\..pHrntc G...:. Orab, C .. Cumptni:..c ) ) Fu:ld Fdti;:rn;f:
)1SD .. Ma;rLL Srikc TJ\..pHrntc G...:. Orab, C .. Cumptni:..c  
fer l;qu:-d rFalm:e,;, 1'!1dccs'c  
) ) Fu:ld Fdti;:rn;f:
fer l;qu:-d rFalm:e,;,
1'!1dccs'c  
\v.Jl1 .:l -V i_hc Ri!d eor .. N' .. for was ncl tkfd filtered C11srcd,1*
\v.Jl1 .:l -V i_hc Ri!d eor .. N' .. for was ncl tkfd filtered C11srcd,1*
Sl!a/ l11tact? M.:itru:  
Sl!a/ l11tact? M.:itru: ('c.1dc:,*
('c.1dc:,*
lJ\V=-=tlri:lkmg  
lJ\V=-=tlri:lkmg  
\"-"*llt.T.
\"-"*llt.T.
Line 131: Line 96:
S\V='.':t1rfi;c.c  
S\V='.':t1rfi;c.c  
"'\V**Wu:nC" W ... 1.1:r, \'f"* ',\' Jl<=1, ML*:M1!t.:  
"'\V**Wu:nC" W ... 1.1:r, \'f"* ',\' Jl<=1, ML*:M1!t.:  
** Li1 Sl ..
** Li 1 Sl ..
O***Otl.
O***Otl. F **F11tc1, U-L'rin*.:, l )'ES NO S.)
F **F11tc1, U-L'rin*.:, l )'ES NO S.)
Ar:olyC1..:al (i c. 31Ei.Gfl., 60HJDJ7.f70A) t:md af rar (1 r. Sit11)b * ,1, 61U'il1170rJA
Ar:olyC1..:al (i c. 31Ei.Gfl.,
60HJDJ7.f70A) t:md af rar (1 r. Sit11)b * ,1, 61U'il1170rJA
* l' Cno/cJ* T.:*r.p
* l' Cno/cJ* T.:*r.p
* 6.l HA .. H:ydro-:.Mcmc AcJct. Nl -1'.Jtr;:.c Acirf. SIJ .. Sc:d1:.r;"n l()'.Jro,xr:Jc.St\  
* 6.l HA .. H:ydro-:.Mcmc AcJct. Nl -1'.Jtr;:.c Acirf. SIJ .. Sc:d1:.r;"n l()'.Jro,xr:Jc.St\  
... S*Jffnr;c Aci'll'l, i\.1\ .... Atii.::mb1"1:"
... S*Jffnr;c Aci'll'l, i\.1\ .... Atii.::mb1"1:" A":(J. UX ..,
A":(J. UX ..,
ST ..  
ST ..  
...  
... -lc.1\.'i'?
-lc.1\.'i'?
ifali! bl.:i!,k c WHITE= LABORATORY.
ifali! bl.:i!,k c WHITE= LABORATORY.
FILE CLIENT   
FILE CLIENT   
------*---or PraJcct # GEL Quo10 I/; *-**-... -*** COC Numbor111: PO Number; GEL Chain of Custody and Analytical Request W'Ww.gcl.oom for Sample Acceptance SOP0 GEL Wm*k Order !\'umber:
------*---or PraJcct # GEL Quo10 I/; *-**-... -*** COC Numbor1 1 1: PO Number; GEL Chain of Custody and Analytical Request W'Ww.gcl.oom for Sample Acceptance SOP 0 GEL Wm*k Order !\'umber:
GEL L>b'1role>ric>,
GEL L>b'1role>ric>, ll.C 2040 SC.' 29407 Phone* (843)
ll.C 2040 SC.' 29407 Phone* (843)
F*x (S4,PM-l l78 Cl*.cnt Name* Phune II* Sample Analysis Requested 1'l (P1H in the number ,,f for cal'h tt-:;tJ Project/Site Name: Fnx ii Shvuld tl1h l--------------------------------------------1  
F*x (S4,PM-l l78 Cl*.cnt Name* Phune II* Sample Analysis Requested 1'l (P1H in the number ,,f for cal'h tt-:;tJ Project/Site Name: Fnx ii Shvuld tl1h l--------------------------------------------1  
... inpl< !J* Addre>s:
... inpl< !J* Addre>s: Collected hy: Scr.d To. Sample fD "'fi;1  
Collected hy: Scr.d To. Sample fD "'fi;1  
-'JrJ.'i'lrit'  
-'JrJ.'i'lrit'  
.\"/.IJ'I i.C!1Jh'top J,:fr{t.*r.1c I
.\"/.IJ'I i.C!1 Jh'top J,:fr{t.*r.1c I
* D;H": Cu!k::!..:G I
* D;H": Cu!k::!..:G I
O:.'*!u1;Li (hhmr*l) 1_.:-1,!c m fidd Hiorod ,,, co11sidc1*ed lSC 1x ttnib A t-c.;ci RCJ:,\J ol ! i I ***
O:.'*!u1;Li (hhmr*l) 1_.:-1,!c m fidd Hiorod ,,, co11sidc1*ed lSC 1x ttnib A t-c.;ci RCJ:,\J ol ! i I ***
l\&#xb5;o (6\ Cummcnts Note: extra san1ple h rcquirc,l fm specific QC s. IS.f?...
l\&#xb5;o (6\ Cummcnts Note: extra san1ple h rcquirc,l fm specific QC s. IS.f?... 3 ! i2..f! I .'S". 6 If.. 3 ;J 12 ( 1 /1-.; i..J.':::-.1s.1C3S rz./r/f'\  
3 ! i2..f! I .'S". 6 If.. 3 ;J 12 ( 1 /1-.; i..J.':::-.1s.1C3S rz./r/f'\  
-, I 1----1..j_: . S'
-, I 1----1..j_:  
. S'
* c __ G_**------------+-nlJ.LL-1-----1-----1-----1---4-....;..--+---+--i*-
* c __ G_**------------+-nlJ.LL-1-----1-----1-----1---4-....;..--+---+--i*-
.,..._ _ _,_ ____
.,..._ _ _,_ ____
_______ J I;,,-: 11 .5'. 6 1( . S". l i No Cir.:lc [ldww1blo C: 1*1" A I {)r:' Summary ' Lovci I 1 Lov*;l 2 I level J r l cwl 4 Remarfl,;:
_______ J I;,,-: 11 .5'. 6 1( . S". l i No Cir.:lc [ldww1blo C: 1*1" A I {)r:' Summary ' Lovci I 1 Lov*;l 2 I level J r l cwl 4 Remarfl,;:
Ar...-th.:re any lmrJWll Ju1zard1  
Ar...-th.:re any lmrJWll Ju1zard1 <lpplinrbf., ro these: .1*amplt:s?
<lpplinrbf.,
pleu.re list the hm:ards Time 71:nc Eastcn1 rcntrnl 01hc:* M<rnntJin Ch:iiu of Custody Shipping and Dclh*cry Dau:: Ti:nc GEL PM: Anl>ihll /\11bill #. l 1 {.'h,'li:t of Cl!Mod;*  
ro these: .1*amplt:s?
pleu.re list the hm:ards Time 71:nc Eastcn1 rcntrnl 01hc:* M<rnntJin Ch:iiu of Custody Shipping and Dclh*cry Dau:: Ti:nc GEL PM: Anl>ihll  
/\11bill  
#. l 1 {.'h,'li:t of Cl!Mod;*  
**
**
Dc1;:rm:*>:1;il Fm* Lall R{'ceivinf:
Dc1;:rm:*>:1;il Fm* Lall R{'ceivinf:
Line 174: Line 127:
*. n!:.1:lt.  
*. n!:.1:lt.  
\1fi ..
\1fi ..
S:;imr.le,  
S:;imr.le, \t.S() =-\!:urn..
\t.S() =-\!:urn..
G., Gn:b. C .. C.:rrnro:Jitc  
G., Gn:b. C .. C.:rrnro:Jitc  
: 3) Fmld Filli.:!ttd 1l*nlnr;1=r.,  
: 3) Fmld Filli.:!ttd 1l*nlnr;1=r.,  
Line 183: Line 135:
C11.r1od1.*
C11.r1od1.*
S<!al iJ;t,JL'f?  
S<!al iJ;t,JL'f?  
' l Mo*ll' <'.<"k>>*
' l Mo*ll' <'.<"k>>* DW**lJti,ki"i w,;.;r. GW **Gro;ua<h'""'"
DW**lJti,ki"i w,;.;r. GW **Gro;ua<h'""'"
11'>!.:r, \\ W w,,,,. IV,1!<r. w.,\\'a:*r, Mt Ml>< Li-r,:d, SO*-S,,.l . .SO"S"h""'*'*
11'>!.:r,  
SL '5'*,Jr**, iio So;;.r '''"''" (1-.,)p, f **f.liq, l'**Wrr<, l' *Hto"'* !'-fr,.,,.
\\ W w,,,,. IV,1!<r.
w.,\\'a:*r, Mt Ml>< Li-r,:d, SO*-S,,.l  
. .SO"S"h""'*'*
SL '5'*,Jr**,
iio So;;.r '''"''" (1-.,)p, f **f.liq, l'**Wrr<,
l' *Hto"'* !'-fr,.,,.
N** '1-----'-)..:::"&#xa3;:::.J
N** '1-----'-)..:::"&#xa3;:::.J
__ __c..'lc....;'O'------l  
__ __c..'lc....;'O'------l  
Line 202: Line 148:
{1  
{1  
-J, t:)/l:B.'74f0.-l  
-J, t:)/l:B.'74f0.-l  
-IJ Cooli.:r  
-IJ Cooli.:r "!'i!inp t*.J PI01<1Vd*"'
"!'i!inp t*.J PI01<1Vd*"'
Typo f!A "l\)-d,ocl1!,,(o Aci.1, N:im "'"'* Sii S,\ **  
Typo f!A "l\)-d,ocl1!,,(o Aci.1, N:im "'"'* Sii S,\ **  
,\.-\ A"ort;< ,\<Id, UX -Hcx>no. So.!t<m1 Hiu.1*.lf*"*  
,\.-\ A"ort;< ,\<Id, UX -Hcx>no. So.!t<m1 Hiu.1*.lf*"*  
:t'1ro *&deg;'""""""  
:t'1ro *&deg;'"""""" "-'<1.'.c*I-r,,,1.J bbr.l (
"-'<1.'.c*I-r,,,1.J bbr.l (
* WHITF. :*LABOR.\
* WHITF. :*LABOR.\
TORY vr..1,1,ow 1111.r. l'l;\IK CLmNT Poge: ***-*****-*
TORY vr..1,1,ow 1111.r. l'l;\IK CLmNT Poge: ***-*****-*
Line 214: Line 158:
:est) Pmjectl.Site Name.
:est) Pmjectl.Site Name.
lhl* 1---------------------------------------------l  
lhl* 1---------------------------------------------l  
;a1n11I" he Address:
;a1n11I" he Address: Collectcd by: Send Rcsu)ts To S:imple ID -Fm  
Collectcd by: Send Rcsu)ts To S:imple ID -Fm  
..
..
f I 1nun-dd*J.*)
f I 1nun-dd*J.*)
Line 222: Line 165:
R;uJi 1\ Cr.l\.'Ii  
R;uJi 1\ Cr.l\.'Ii  
'e lilfcd l.Jern I i C:-irclo Dcli'vcrablc:
'e lilfcd l.Jern I i C:-irclo Dcli'vcrablc:
C <'f A I QC Note: extrn i,11mpk 10 requ 1red for sample OC Lcvci J i I .<vol I Lcvd J i Lewi *I Pa(..:dk C:cmral ll:hcr Monn tail\ Chain of Custody  
C <'f A I QC Note: extrn i,11mpk 10 requ 1red for sample OC Lcvci J i I .<vol I Lcvd J i Lewi *I Pa(..:dk C:cmral ll:hcr Monn tail\ Chain of Custody .Su 1r1ple Shipping and Delivery t imc Tm.r. GEL PM:
.Su 1r1ple Shipping and Delivery t imc Tm.r. GEL PM:
t1! Shinmcn, 2 A:rbillll.
t1! Shinmcn, 2 A:rbillll.
3 1.} Om\*i :>fC'\l.!<ilody  
3 1.} Om\*i :>fC'\l.!<ilody (
(
For Lab Rec:elvurg l/9e Onh* :;:a; N ""'!"4.::1nr..11 TB.:..: Tr:p 0l;i.r.k, FO "' F'1c:d Drip:11.:flli:-, F.0:..
For Lab Rec:elvurg l/9e Onh* :;:a; N ""'!"4.::1nr..11 TB.:..: Tr:p 0l;i.r.k, FO "' F'1c:d Drip:11.:flli:-,
Jj!m:Jc. \.1S ... M:ilrix Di.:p:!c;i;ti G
F.0:..
Jj!m:Jc.  
\.1S ... M:ilrix Di.:p:!c;i;ti G
* Gnh, r ,,,_
* Gnh, r ,,,_
J}
J}
F'C\l'll111..1TJ  
F'C\l'll 1 11..1TJ  
:-; * , **  
:-; * , **  
"31':11-tC  
"31':11-tC  
\ioa1 r:.c:::J r:lli:r.::t C*r. !'\ .. ft:r lk;J.::i  
\ioa1 r:.c:::J r:lli:r.::t C*r. !'\ .. ft:r lk;J.::i ()Cl 1:.t.*f;:l fi:Li:,c:d Cn,*!OdJ*
()Cl 1:.t.*f;:l fi:Li:,c:d Cn,*!OdJ*
Seal  
Seal  
** 1 !\.lo!lrf(
** 1 !\.lo!lrf( Cr.ido.';,  
Cr.ido.';,  
\\.'.1!i.:r, GW  
\\.'.1!i.:r, GW  
'M.tt-.:r, WW W.isia:
'M.tt-.:r, WW W.isia:
Line 246: Line 183:
SL*-.Sii.ltl;;.:o, SS  
SL*-.Sii.ltl;;.:o, SS  
\1.*a .. r.*, O: (;d, i;-,,,r::lt..:r, U
\1.*a .. r.*, O: (;d, i;-,,,r::lt..:r, U
f*..-Fo:i.:.;i!,
f*..-Fo:i.:.;i!, 1"1***1-----"l'-"E"'S----'-l-'JO'------i  
1"1***1-----"l'-"E"'S----'-l-'JO'------i  
: 5) $;:nr.p!c Ar::;.iyltc.l. ll':iiiO,O, 6010ru'747U.'\}
: 5) $;:nr.p!c Ar::;.iyltc.l. ll':iiiO,O, 6010ru'747U.'\}
0!1*l it.L*::rtiir-C"111  
0!1*l it.L*::rtiir-C"111  
;,):!1Yi:lL!'J for t".:>d; (* e. Slt.OB-*'*
;,):!1Yi:lL!'J for t".:>d; (* e. Slt.OB-*'*
l} l.. iwler Tem&#xb5; ,; .. ) l'tc<c""""c T:1:<  
l} l.. iwler Tem&#xb5; ,; .. ) l'tc<c""""c T:1:<  
-liy<'rr<l1,orrc A<l1, NI" Ntu: AcrJ, SJI H)*lim<*rlo.  
-liy<'rr<l1,orrc A<l1, NI" Ntu: AcrJ, SJI H)*lim<*rlo. .i<1lf.u*:o  
.i<1lf.u*:o  
""'*AA* A.mil<!< A<>.!. llX *Hu''''
""'*AA* A.mil<!<
T!'1<><1;)f,,r:, tf 11u r.rtm>,,;**"  
A<>.!. llX *Hu''''
;.,, .* r.d,1 bl>:*l C WHITJJ:= LABORATORY Yin,LOW=FlLf:
T!'1<><1;)f,,r:,
tf 11u r.rtm>,,;**"  
;.,, .* r.d,1 bl>:*l C WHITJJ:=
LABORATORY Yin,LOW=FlLf:
PINK-Cl .. 11-;NT   
PINK-Cl .. 11-;NT   


Line 266: Line 198:
2040 Road GEL Quote#: **See www.gel.com for GEL's Sample Accep1ance SOP*" Charleston, SC *29407 --...... *-------**--
2040 Road GEL Quote#: **See www.gel.com for GEL's Sample Accep1ance SOP*" Charleston, SC *29407 --...... *-------**--
***-** COC N11111bcr en: ... .. .. ... .. .. GEL Worlt Order Number: Phone: (843) 556.8171 PONumbor:  
***-** COC N11111bcr en: ... .. .. ... .. .. GEL Worlt Order Number: Phone: (843) 556.8171 PONumbor:  
(843) 766-1178 Clicut Name: Phone#:.
(843) 766-1178 Clicut Name: Phone#:. Sample Analysis  
Sample Analysis  
<<J (Fill m the number oi,anlai11ers for endr ** 'Projec!iSite Name: Fax II: Should this <--
<<J (Fill m the number oi,anlai11ers for endr ** 'Projec!iSite Name: Fax II: Should this <--
Type (6) s:un11le he Address:
Type (6) s:un11le he Address: considered  
considered  
; Comments Collected by: Send Results To: Note: extra sample is *o:.H..:
; Comments Collected by: Send Results To: Note: extra sample is *o:.H..:
1T1mt.:
1 T1mt.:
Si1t'l!pt1!
Si1t'l!pt1!
TSC required for sample QC" specific QC Sample ID [Ml!ll;tr>)  
TSC required for sample QC" specific QC Sample ID [Ml!ll;tr>)  
Line 279: Line 209:
.* ir;Ju:vtc*  
.* ir;Ju:vtc*  
.,*larl and.\Ja&#xb5;  
.,*larl and.\Ja&#xb5;  
{hhunn) ve 101red Jl'r oh l-f I * \l_, \ YL-\""'\'5 Lj I s-c R..X .1-!1,,-\-\
{hhunn) ve 101red Jl'r oh l-f I * \l_, \ YL-\""'\'5 Lj I s-c R..X .1-!1,,-\-\ S' S-C.1l.. i .s-' ') -I -l( TAT Rcmics!cd:
S' S-C.1l..
i .s-' ') -I -l( TAT Rcmics!cd:
Nonna!: Ru*h: Specify:  
Nonna!: Ru*h: Specify:  
'"
'"
Line 288: Line 216:
Are a11y !mown hazards applicable ro these .rnmples?
Are a11y !mown hazards applicable ro these .rnmples?
p!mse Ii.rt the Tim* Z!!r.'1 En stem Poc11ic Central 01hcr ... ---*-*-** Mo1mtain Chai11 of Custody Signntures Smn1>le S!iipp!ng a11d Delivery Details Rolinquishod lly (S1gr.cJ)
p!mse Ii.rt the Tim* Z!!r.'1 En stem Poc11ic Central 01hcr ... ---*-*-** Mo1mtain Chai11 of Custody Signntures Smn1>le S!iipp!ng a11d Delivery Details Rolinquishod lly (S1gr.cJ)
Doto Time Rccowod by {sign,d)
Doto Time Rccowod by {sign,d) D"tc lime G8:LPM: l I of St.inmcn1
D"tc lime G8:LPM: l I of St.inmcn1
* Dale ShiJJPCd:
* Dale ShiJJPCd:
2 2 A;rbi!I#.
2 2 A;rbi!I#.
Line 300: Line 227:
Sil.mp-le:-,  
Sil.mp-le:-,  
-
-
S;;dco Sl1t1pk. G-Ori)li, C-C *.
S;;dco Sl 1 t1pk. G-Ori)li, C-C *.
3..)
3..)
F1i:crcd*
F1i:crcd*
Forl:quid indlrntcW!1b a.'\" .. fer Ilic fi:;:l.j m,cr;<l c;.r .... N' -for .:;:.::mr.lc !icl lidd C11swdy S<'ul  
Forl:quid indlrntcW!1b a.'\" .. fer Ilic fi:;:l.j m,cr;<l c;.r .... N' -for .:;:.::mr.lc !icl lidd C11swdy S<'ul . .1 Cct!es: [)\VnDrrnkR1g  
. .1 Cct!es: [)\VnDrrnkR1g  
<i\\':*Gmund\Vil1u.  
<i\\':*Gmund\Vil1u.  
:SW-S1Jrf.:<:c:  
:SW-S1Jrf.:<:c:  
Line 310: Line 236:
\\.';it.:r, l ... lljl!:U, SO**
\\.';it.:r, l ... lljl!:U, SO**
SD:-Si:d::lic:iV, SL; .. S!;JJge, SS *S::i1iJ Wt;s.w. O-:C:1I, r**W1po!'.
SD:-Si:d::lic:iV, SL; .. S!;JJge, SS *S::i1iJ Wt;s.w. O-:C:1I, r**W1po!'.
U l'r:nr.:,
U l'r:nr.:, 1 1 l'***I. :<**. }'ES NO 5.)
11 l'***I. :<**. }'ES NO 5.)
A113l)'jig Reqt:e:hcJ:
A113l)'jig Reqt:e:hcJ:
Ar..nly,itill IC{jliCs:!cJ  
Ar..nly,itill IC{jliCs:!cJ  
Line 322: Line 247:
Ac.frl, JlX. **
Ac.frl, JlX. **
ST*
ST*
Thiim:lro\:c.,
Thiim:lro\:c., l(11i..\prc1cn:a,1v:?  
l(11i..\prc1cn:a,1v:?  
.'ii :i ..  
.'ii :i ..  
.... :ca\*&#xa2; f'i-.:M ll!.i:i:1l..
.... :ca\*&#xa2; f'i-.:M ll!.i:i:1l..
Line 334: Line 258:
'and. Ana;Iytic_.
'and. Ana;Iytic_.
__ al 'Rei'!_-*
__ al 'Rei'!_-*
nest 'G!>l;4buralories, LLC _PJ:Ojcct  
nest 'G!>l;4 buralories, LLC _PJ:Ojcct  
#: -"'1 Rqad fl:
#: -"'1 Rqad fl:
www;gel._c_om._(or GEVs Sample.Ac.ceptanc<,i
www;gel._c_om._(or GEVs Sample.Ac.ceptanc<,i
_(:liurleston, SC Numberm:._  
_(:liurleston, SC Numberm:._  
--*-.. ...,_ .. ___ ,7_ *--**---' GEL'W<irkOrderNumber; P!10nc: (843)
--*-.. ...,_ .. ___ ,7_ *--**---' GEL'W<irkOrderNumber; P!10nc: (843)
Po' Number: fall: {843) 766-i 178 Fad-; '*Shtrnld*  
Po' Number: fall: {843) 766-i 178 Fad-; '*Shtrnld* -ihl*. h,.-..,------------------------""'"----:;-....--,---.....,-..,------1
-ihl*. h,.-..,------------------------""'"----:;-....--,---.....,-..,------1
* Address: .
* Address:  
by;. Send T 9: SampleJD "'F..fJr &111uJo.-,*ites jmfiCotR .1t1,1rt DIUi .1r:m1Jatdtime. , (m!'l-dil-yy)  
.
.*rnn1:. .* C"0Uoc1.:il
by;. Send T 9: SampleJD  
"'F..fJr  
&111uJo.-,*ites jmfiCotR  
.1t1,1rt DIUi .1r:m1Jatdtime.  
,  
(m!'l-dil-yy)  
.*rnn1:.  
.* C"0Uoc1.:il
_I .. (illlllt.1r>*J (tihl!im):
_I .. (illlllt.1r>*J (tihl!im):
i :Comments Note.:* cx,tra :sample ls requiredfor:sample specific QC s!\.)-, \'\ 77.'  
i :Comments Note.:* cx,tra :sample ls requiredfor:sample specific QC s!\.)-, \'\ 77.'  
Line 356: Line 272:
<.r\i 11!...,*17  
<.r\i 11!...,*17  
** i-'11 ... 1,4<' . -TATJicaucstcd:
** i-'11 ... 1,4<' . -TATJicaucstcd:
Normal: . Rush: --:gpccifv:  
Normal: . Rush: --:gpccifv: .  
.  
"' Siir<h**i:<)
"' Siir<h**i:<)
I Results:  
I Results: "Yes I No Circle 'Diiliwrnblc:  
"Yes I No Circle 'Diiliwrnblc:  
-C of-A I QC Summarv* I. Level '1 I Level 2 i Level 3* I Level 4 -* &iim11le Collection J'jm&#xb5; Zpn4  
-C of-A I QC Summarv*
-Pacific Cemrnl Qthcr ___ , Mountain *Chain of.Custody:
I. Level '1 I Level 2 i Level 3* I Level 4 -* &iim11le Collection J'jm&#xb5; Zpn4  
Signatures Sample Shipping .1111d Delivery Dc.11111s
-Pacific Cemrnl Qthcr ___ , Mountain  
*Chain of.Custody:
Signatures Sample Shipping  
.1111d Delivery Dc.11111s
* Rc_l]l)quishcd'.Uy_(SjgiJ<>tl)
* Rc_l]l)quishcd'.Uy_(SjgiJ<>tl)
TillJ< Rcccjv<d  
TillJ< Rcccjv<d .by (*igm:J). . GEL PM: i l Mc1Jiod*gfSllinm*n1:
.by (*igm:J).  
. GEL PM: i l Mc1Jiod*gfSllinm*n1:
2 2 : Airbill #: .. *3 -1,) 'CMi11 of.Cusludy Cli*nl 0.lcroiincd  
2 2 : Airbill #: .. *3 -1,) 'CMi11 of.Cusludy Cli*nl 0.lcroiincd  
* * * * " * -* .. * * * * * * , *
* * * * " * -* .. * * * * * * , *
Line 377: Line 286:
Tll lll*nk.-fli SpikcS_*mplii;:YtSIJ" Mil!rix:spj!<<
Tll lll*nk.-fli SpikcS_*mplii;:YtSIJ" Mil!rix:spj!<<
O,i1pll<a1e5amp1<:.,G Cot>lp1ui1c.  
O,i1pll<a1e5amp1<:.,G Cot>lp1ui1c.  
}.) l'icld Pihcred:_  
}.) l'icld Pihcred:_ .fo!'l!quid mnuloc*;indi<uto wilh ** Y .,for j!C>:ll>*
.fo!'l!quid mnuloc*;indi<uto wilh ** Y .,for j!C>:ll>*
oamplo w4>*flol<J fi!i<ml'or N. for *r.mplo'""'
oamplo w4>*flol<J fi!i<ml'or N. for *r.mplo'""'
nu1  
nu1 . . . -.C11swdy*SmJJn1aill 4.)  
. . . -.C11swdy*SmJJn1aill 4.)  
....
....
Waste, Oi-Oll;:ftl';fjl11a.,:r.-..wiv.c,
Waste, Oi-Oll;:ftl';fjl11a.,:r.-..wiv.c,
__ _,_*N'-'0'----,--1 SJ'. Sample (i.e:  
__ _,_*N'-'0'----,--1 SJ'. Sample (i.e:  
(,;,  
(,;, (i:< .. 826/JB-J, Ml.OIJIJ470A.**I). . . C<ioier Te>np:
(i:< .. 826/JB-J, Ml.OIJIJ470A.**I).  
. . C<ioier Te>np:
Typer. llA ...
Typer. llA ...
Actct>N1 su_'
Actct>N1 su_'
Line 397: Line 302:


-----****  
-----****  
-** .. ol' . -.. *--* GEL Chain of Custody and Analytical Request*
-** .. ol' . -.. *--* GEL Chain of Custody and Analytical Request* GEL Lnbcratonc<.
GEL Lnbcratonc<.
LL(' rriljcct II. 2040 Sava go Road GEL Quote#: *'*Sec *www.gcl.com for GEL's Sample Acceptance SOP*"' Charlcslou, SC 29407 -*-" ,,_. -**-*---*-*-**  
LL(' rriljcct II. 2040 Sava go Road GEL Quote#: *'*Sec *www.gcl.com for GEL's Sample Acceptance SOP*"' Charlcslou, SC 29407 -*-" ,,_. -**-*---*-*-**  
..... COC Number in: GEL Work Order Numberi Ph1mo:
..... COC Number in: GEL Work Order Numberi Ph1mo:
55<i*8l71 PO Number: Fax' (843176t;*
55<i*8l71 PO Number: Fax' (843176t;*
I I 78 Client Name; Phone#: S-ample Analysis Requested lSJ (Fill in the:
I I 78 Client Name; Phone#: S-ample Analysis Requested lSJ (Fill in the:
of tontuiners for each lest} ** *Project/Site Fax:#: Should lllis < .. -Prcscrvatiw Type (6) Address:  
of tontuiners for each lest} ** *Project/Site Fax:#: Should lllis < .. -Prcscrvatiw Type (6) Address: **mplo ho (Onsiderc:d  
**mplo ho (Onsiderc:d  
' Comzmmts Collected by: Send Rcwlls To: Note: exlrn sample is *O:lkCo1h::;1  
' Comzmmts Collected by: Send Rcwlls To: Note: exlrn sample is *O:lkCo1h::;1  
.. oJ S ..
.. oJ S ..
TSC required for sample QC specific QC Sample ID (Mlli1ary1 Cr..J;l*l Filtc:.-e:J  
TSC required for sample QC specific QC Sample ID (Mlli1ary1 Cr..J;l*l Filtc:.-e:J  
!lndi /\ (nrm-rld-yy)  
!lndi /\ (nrm-rld-yy) (ll **J Ol'!ll:::Ji "Fur  
(ll **J Ol'!ll:::Ji "Fur  
-
-
Mad mrd rfou (hhmm) .. l:iltd 1er o ll I :)C . )L . l ,3 y,.SC1 'il. \' 1.1 11*2 L.t. $"'(,. \t-.\ 1 t-z.* z.-1s L-\ -* (.. . << *1.. . I 11-* '2--!( l..\.S . L . ((. 'l* J,. \'2-* 2.* IS' -.S.C-t(_' J.: r2* 2-1r -----r (('.' ?,_.L[ ic...* Z: . 4.S".C..  
Mad mrd rfou (hhmm) .. l:iltd 1er o ll I :)C . )L . l ,3 y,.SC1 'il. \' 1.1 11*2 L.t. $"'(,. \t-.\ 1 t-z.* z.-1s L-\ -* (.. . << *1.. . I 11-* '2--!( l..\.S . L . ((. 'l* J,. \'2-* 2.* IS' -.S.C-t(_' J.: r2* 2-1r -----r (('.' ?,_.L[ ic...* Z: . 4.S".C.. !.\. S' . G . i<..  
!.\. S' . G . i<..  
!'2. -i.* TAT Nom1ul: Rush: Svcc1f}"
!'2. -i.* TAT Nom1ul: Rush: Svcc1f}"
10 l Fi\;\
10 l Fi\;\
Yes I No Circle Dchvortlblc.
Yes I No Circle Dchvortlblc.
C of A I QC J Leve! I I Lc*Jc] 2 ! Level 3 I I.cwl 4 Remarks:
C of A I QC J Leve! I I Lc*Jc] 2 ! Level 3 I I.cwl 4 Remarks: A1-I.! therf!' any known hazards applirnble tr> tl11:se .wmples? Ifw, pl1mse, list th<!
A1-I.! therf!' any known hazards applirnble tr> tl11:se .wmples?
Ifw, pl1mse, list th<!
Sillncltl'illk.;,ijrm Time lone Eastern Poc1tic Central Other ....... **-******-
Sillncltl'illk.;,ijrm Time lone Eastern Poc1tic Central Other ....... **-******-
Moun1ai11 Chain of Custody Sig11at11res Sample ShlpJ!lng iuul Details R*linqursl-"'il By ISisncd)
Moun1ai11 Chain of Custody Sig11at11res Sample ShlpJ!lng iuul Details R*linqursl-"'il By ISisncd) D.ire Time by D.llc "Tur.c GEL PM: I I Mclhud of Sln1>rncn1:
D.ire Time by D.llc "Tur.c GEL PM: I I Mclhud of Sln1>rncn1:
2 '2 Airbillll.
2 '2 Airbillll.
3 3 AlrbillU:
3 3 AlrbillU:
I.} (:h3111 or<..\:stcdy Ni.:1r:llcr-C.:Jfon1 Dc1crm11;i:d For Loi> Receivwg 011/J' 1} QC:
I.} (:h3111 or<..\:stcdy Ni.:1r:llcr-C.:Jfon1 Dc1crm11;i:d For Loi> Receivwg 011/J' 1} QC:
N ::i Nonn:,I Sirnftc, TB,,..TriJl Bli!nl<,
N ::i Nonn:,I Sirnftc, TB,,..TriJl Bli!nl<, FD-fMd )JS,..., M::i.m:tSJakc:  
FD-fMd  
)JS,...,
M::i.m:tSJakc:  
:VfSU.""'M.l:m:
:VfSU.""'M.l:m:
Cr '"'0r';l!:i, C ...  
Cr '"'0r';l!:i, C ...  
Line 437: Line 332:
{mac/? 4.J MatuX D\V***Drinkl:ig  
{mac/? 4.J MatuX D\V***Drinkl:ig  
\V11.ta, GW'**Gru;;,:,1h.i.111cr,S\Y*""Smf.m::
\V11.ta, GW'**Gru;;,:,1h.i.111cr,S\Y*""Smf.m::
WW...-\V;,o:itc Wi<ti.:1,  
WW...-\V;,o:itc Wi<ti.:1, \\'';"W;;1:cr,  
\\'';"W;;1:cr,  
... l.i'-111;.r..l, SO ..
... l.i'-111;.r..l, SO ..
SU .... Si;1l;:1;;r.1.  
SU .... Si;1l;:1;;r.1.  
Line 444: Line 338:
-I} Cuvier Temp; .(i)
-I} Cuvier Temp; .(i)
Typ:: Ur\ -
Typ:: Ur\ -
AcLd. NI c. Ni,ric Ac:.i, .SU .. Slldi:Jm So\'"'" S111!L:nc r\.\"'" Atco;b!c Aud, tlX:.. H-;x:v1o;,
AcLd. NI c. Ni,ric Ac:.i, .SU .. Slldi:Jm So\'"'" S111!L:nc r\.\"'" Atco;b!c Aud, tlX:.. H-;x:v1o;, ST= St'H!illrr.
ST= St'H!illrr.
Tl:v:::i.1.L.lfo:c h:v ..
Tl:v:::i.1.L.lfo:c h:v ..
ht;!rik c I WHITE= LADORA TORY YELLOW"'
ht;!rik c I WHITE= LADORA TORY YELLOW"' l'ILF.
l'ILF.
CLlENT l'agc* --***---***
CLlENT l'agc* --***---***
cf ... -. --GEL Chain of Custody and Analytical Request G BL Laborator;c*;,
cf ... -. --GEL Chain of Custody and Analytical Request G BL Laborator;c*;, LLC Project II; 2040 Road OEl.  
LLC Project II; 2040 Road OEl.  
#: *"Sec \'l''Ww.gcl.com.
#: *"Sec \'l''Ww.gcl.com.
for GEL's Sample Acceptance SOP*>!< Charleston.
for GEL's Sample Acceptance SOP*>!< Charleston.
SC 29407 .-*-*---... -. .-*-*** -*--.... .. COC Number (ll: " ... .. GEL Work Order Plm11c* (843) 556*8111 PO Number: Fax* (843'> 76<i-1 l ?8 Client Name: Phone# Sample Analysis Heqncncd 151 (Fill in rhe mur.ber of co111aincrs for euch lest) *'" -ProjecliSite Name: Fax II. Shoulcl I his "-**Preservative Type (6) **mpic l>c Address:  
SC 29407 .-*-*---... -. .-*-*** -*--.... .. COC Number (ll: " ... .. GEL Work Order Plm11c* (843) 556*8111 PO Number: Fax* (843'> 76<i-1 l ?8 Client Name: Phone# Sample Analysis Heqncncd 1 5 1 (Fill in rhe mur.ber of co111aincrs for euch lest) *'" -ProjecliSite Name: Fax II. Shoulcl I his "-**Preservative Type (6) **mpic l>c Address: (O!lfldcrotl  
(O!lfldcrotl  
: Comments Collected by: Send Rcsuhs To: Note: extra sample  
: Comments Collected by: Send Rcsuhs To: Note: extra sample  
"'Til!li:
"'Til!li:
rlt::J Sillrnp:I.'!
rlt::J Sillrnp:I.'!
TSC required for sarnple QC specific QC Sample ID (MUilm>)
TSC required for sarnple QC specific QC Sample ID (MUilm>) Lct.le**1 i* Filrcrcd M.u1r1x Rodi A r m "' oacU R1gu
Lct.le**1i* Filrcrcd M.u1r1x Rodi A r m "' oacU R1gu
* For
* For
* lmlic:ufe  
* lmlic:ufe  
Line 466: Line 355:
\hlm1m) VO liikd JOT c LI . 5fi\: Q . \ . \ 11-1 ... 1) n .. -115' ' L\ I I\) . \ 7 Y, 5' f.\ i2. \.'2, t1 tS" ---4, S" '(4. 'Q . " tj \1,-1-1')  
\hlm1m) VO liikd JOT c LI . 5fi\: Q . \ . \ 11-1 ... 1) n .. -115' ' L\ I I\) . \ 7 Y, 5' f.\ i2. \.'2, t1 tS" ---4, S" '(4. 'Q . " tj \1,-1-1')  
: 4. rR R.!1,.1 ,.-' 12-7-IS -; ? 11.-1-iS' S---R .i1.
: 4. rR R.!1,.1 ,.-' 12-7-IS -; ? 11.-1-iS' S---R .i1.
1*1-1-1<
1*1-1-1< I y,f:&deg;t, r7 1...'i 11J1..-1r  
I y,f:&deg;t, r7 1...'i 11J1..-1r  
'-11 .jLZ...*5 11 .. 1-1 $' Li * :)A . il. l 7. (o \1--1"'1S' TAT RcQUCS!cd:
'-11 .jLZ...*5 11 .. 1-1 $' Li * :)A . il. l 7. (o \1--1"'1S' TAT RcQUCS!cd:
Nonna!: Rush* S1icc1fy JS"c'<<''  
Nonna!: Rush* S1icc1fy JS"c'<<'' ,,,  
,,,  
/Fax Rc&ul1s* No Circle Dohvcrab!c:
/Fax Rc&ul1s* No Circle Dohvcrab!c:
C or A I QC Summ.ry level I ' Level=:!  
C or A I QC Summ.ry level I ' Level=:! / Level 3 I Lc,*ol .
/ Level 3 I Lc,*ol .
Arff rherr:. any knr1w11 liazards app/icablt!
Arff rherr:. any knr1w11 liazards app/icablt!
tu tlu:.v.'  
tu tlu:.v.' .wmpll's?
.wmpll's?
f(.w. please list the hazard1 Time lfastcni Pacific Ccurrol  
f(.w. please list the hazard1 Time lfastcni Pacific Ccurrol  
-... ---*
-... ---*
Line 483: Line 368:
D:\IC Time Rccc1"*cd b'.\'
D:\IC Time Rccc1"*cd b'.\'
0010 l"nnc GEL PM* I 1 Moihod of Slriumcnt*
0010 l"nnc GEL PM* I 1 Moihod of Slriumcnt*
Date Shinocd:
Date Shinocd: 2 2 Airbillll J 3 Airbill t )
2 2 Airbillll J 3 Airbill t )
of Nt .  
of Nt .  
** Ch:ml  
** Ch:ml  
/-'m' L<th Recem11g u.,.,, 011/)' 2) QC N ** "lonna1 S:mr.pl.:,  
/-'m' L<th Recem11g u.,.,, 011/)' 2) QC N ** "lonna1 S:mr.pl.:, "fB.,,, Trifl l"l),. F:tld D!.ip:kaic, Ell= f'jmpmc.r1t ..
"fB.,,, Trifl l"l),. F:tld D!.ip:kaic, Ell= f'jmpmc.r1t ..
S:pc1'-;.
S:pc1'-;.
Samp!.:1 '\tSn
Samp!.: 1 '\tSn
* Mit.lrr"  
* Mit.lrr" :SJl:ikc Ot1plica?Q:
:SJl:ikc Ot1plica?Q:
G Cr.
G Cr.
l) F1th.l f1',t:1cd fm*  
l) F1th.l f1',t:1cd fm*  
Line 512: Line 394:
"' frc;cl:cr'\>;;,1\.'C Typi:: H1\ -
"' frc;cl:cr'\>;;,1\.'C Typi:: H1\ -
Aclff, Nl 1\crct SIL ..
Aclff, Nl 1\crct SIL ..
tiy1fxxt<!c, S:\ = 'S11l11 n.; ..-,l;rl,  
tiy1fxxt<!c, S:\ = 'S11l11 n.; ..-,l;rl, ,\..\ ... * ..J. ti:\ ..
,\..\ ... * ..J. ti:\ ..
s*r.,
s*r.,
Thias1.lf.t?c.,
Thias1.lf.t?c., lh:c.*  
lh:c.*  
''I "(!r!,i;:,l.  
''I "(!r!,i;:,l.  
!ii:ii'YC fi::::H c WHYTE 7-LABORATORY FILE.
!ii:ii'YC fi::::H c WHYTE 7-LABORATORY FILE.
CLrnN'f I I *,  
CLrnN'f I I *,  
----*----
----*----_or_;..,.
_or_;..,.
___
___
l'f9jccl:11:,
l'f9jccl:11:, GELQuot'Cfl: .  
GELQuot'Cfl:  
.  
--. __ .
--. __ .
* __ , ' ' ' .. . -"  
* __ , ' ' ' .. . -"  
Line 531: Line 408:
GEL Chain of' Custody an.d *A.nalytlcalRequest  
GEL Chain of' Custody an.d *A.nalytlcalRequest  
*  
*  
* '. .QEL  
* '. .QEL . Phone: {843):556,81:7 l
. Phone: {843):556,81:7 l
* flix:(ll43):766-1  
* flix:(ll43):766-1  
!78 Anlilysls (Ellli11  
!78 Anlilysls (Ellli11 'lhe 11u1nber-0f con1riine111  
'lhe 11u1nber-0f con1riine111  
;for.
;for.
test} . *. . .. . . . . . :-* *:1'Sll*  
test} . *. . .. . . . . . :-* *:1'Sll* "'
"'
Name: **
Name: **
Sh9uld' . *ll1is . ** * .  
Sh9uld' . *ll1is . ** * .  
Line 558: Line 432:
'/ 1..Cvct l' I Level 2 I Level 3 :I 'Lc.vel4 Sample Col!eptilill  
'/ 1..Cvct l' I Level 2 I Level 3 :I 'Lc.vel4 Sample Col!eptilill  
*Eastem Pacific:  
*Eastem Pacific:  
*01her ___ ._ .. Mo)lnl<iin  
*01her ___ ._ .. Mo)lnl<iin . OELPM: i,,ic1h<id o(Sbivmtilt:
. OELPM: i,,ic1h<id o(Sbivmtilt:
D,11e Sbill!led; Aiibillll:
D,11e Sbill!led; Aiibillll:
3 Nim>li<r Clionr*D  
3 Nim>li<r Clionr*D .. ciniiti<d  
.. ciniiti<d  
* 'Fm: Lab Rccel.vi11,'$_
* 'Fm: Lab Rccel.vi11,'$_
Uxe Oill)' 2J<QC  
Uxe Oill)' 2J<QC .N**:N*rnmlS,lin)j>IC,i  
.N**:N*rnmlS,lin)j>IC,i  
'.I'!!" Trip Pln*k; l'IJ,= Field ED"\ P4tijpm<nr Mil a G
'.I'!!" Trip Pln*k; l'IJ,= Field ED"\ P4tijpm<nr Mil a G
* Corowsit*
* Corowsit*
Jlqu\d mo1ric .. ;';rn1;co1e 1Vith n rot "N :.fQr*pmjilo,....,.*noi.ficld  
Jlqu\d mo1ric .. ;';rn1;co1e 1Vith n rot "N :.fQr*pmjilo,....,.*noi.ficld . . . . * * .C11S,lnriyS1?.al111tt1cl,?-.,_ M111rix C(ld(::;:  
. . . . * * .C11S,lnriyS1?.al111tt1cl,?-.,_ M111rix C(ld(::;:  
*Wut<<;,GWWOt;,undW!ller,,  
*Wut<<;,GWWOt;,undW!ller,,  
*  
*  
Line 578: Line 448:
6):
6):
N) -. Nitric MW.
N) -. Nitric MW.
1:9'.<lmxld<;SA  
1:9'.<lmxld<;SA "  
"  
*\Ci<J.'AA  
*\Ci<J.'AA  
*  
* .HX ST "'-
.HX ST "'-
lfn* Pl*_ .. ,,,?liY* i>  
lfn* Pl*_ .. ,,,?liY*
i>  
'c YELLOW "''FILE .l!INK-CLlENl'*
'c YELLOW "''FILE .l!INK-CLlENl'*
App E-Sub-Area 4.5 -Instrument Field Sheets   
App E-Sub-Area 4.5 -Instrument Field Sheets   
Line 600: Line 467:
Serial No. i l..J SI Activity:<.:....C.
Serial No. i l..J SI Activity:<.:....C.
1 units:  
1 units:  
: uRem/hr -20% Cal. Due Date: t:'J-:!jt1f 6 Cl l'Jf:i''ff ") /*' a. Due Date: Source 2 Isotope; Cs 177 Serial No.: j (Clf;/7-1.2.
: uRem/hr -20% Cal. Due Date: t:'J-:!jt1f 6 Cl l'J f:i''ff ") /*' a. Due Date: Source 2 Isotope; Cs 177 Serial No.: j (Clf;/7-1.2.
Activity:
Activity:
o.c* ;-.
o.c* ;-.
Line 606: Line 473:
uRem/hr +20% __ uRem/hr -20% net cpm + 20%[3:;.z.
uRem/hr +20% __ uRem/hr -20% net cpm + 20%[3:;.z.
z 1 net cpm -20%  
z 1 net cpm -20%  
: 3. Technician/Worker Performing Checks: Name: I Title: ;['7c*/ Date:l&1k  
: 3. Technician/Worker Performing Checks: Name: I Title: ;['7c*/ Date:l&1k ( Time: (1 I I I -----4. Site or Location:
( Time: (1 I I I -----4. Site or Location:
Site/Job*__jt r,,,.. L/. 1:/ .'i, S Location
Site/Job*__jt r,,,.. L/. 1:/ .'i, S Location  


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


S: * /, j *
S: * /, j *
* C' I !':' ' -------------
* C' I !':' ' -------------
GPS(OOrdinat*5(When required):
GPS(OOrdinat*5(When required):
X-Coord:  
X-Coord: '/\ ,.:l.. ;Ii sue.-Y-Coord: Vv-. )$ t.f'( (;.:Y"J'&deg;"
'/\ ,.:l.. ;Ii sue.-Y-Coord:
1 nstru me nt Field Response 2 Use Acceptance Criteria Remarks i Meter l Bkg I Cnt Time Bkg Counts (cpm) or I uRem/hr) I ! Ratemeter lMif' {{&* ! Ratemeter Rate meter Bicron Bicron Blcron Source Cnt Time Source Response i/-20% (gross cpm or source uRem/hr) gross cpm or uRem/hr (Y/N) ( Inst. Battery Ca lib_ Check current (Y/N) (Y/N) Time Of check Ambient Temp. {oFj Initials and comments (add'l Info: inst. Condition, etc.) *-=; "'' ** *-1. z. Instrument designated check source Is listed o 'IOn sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. Source and Background count rate should be determined from the average of three static counts at the same location .. l"lepeat counts should be within :20%. If count rate diverges significantly, perform addittonat counts to evaluate Instrument stability  
Vv-. )$ t.f'( (;.:Y"J'&deg;"
1 nstru me nt Field Response2 Use Acceptance Criteria Remarks i Meter l Bkg I Cnt Time Bkg Counts (cpm) or I uRem/hr)
I ! Ratemeter lMif' {{&* ! Ratemeter Rate meter Bicron Bicron Blcron Source Cnt Time Source Response i/-20% (gross cpm or source uRem/hr) gross cpm or uRem/hr (Y/N) ( Inst. Battery Ca lib_ Check current (Y/N) (Y/N) Time Of check Ambient Temp. {oFj Initials and comments (add'l Info: inst. Condition, etc.) *-=; "'' ** *-1. z. Instrument designated check source Is listed o 'IOn sticker.
Record check source response (net cpm) prior to field deployment for all check sources being used. Source and Background count rate should be determined from the average of three static counts at the same location  
.. l"lepeat counts should be within :20%. If count rate diverges significantly, perform addittonat counts to evaluate Instrument stability  
' i .. '"l
' i .. '"l
* 1. Instrument lnformation 1 L ,.1 _ ., Ratemeter:
* 1. Instrument lnformation 1 L ,.1 _ ., Ratemeter:
Line 645: Line 505:
__
__
GPS Coordinates (when required):
GPS Coordinates (when required):
X-Coord:
X-Coord: N L/;t '\I $-=i. tn) Y-Coord: VI.I 'Cl {"}{ c,tq#6f'g' Instrument Field Response 2 Use Acceptance Criteria * .Remarks Rev 110/18/15 Meter 8kg Cnt Time Bkg Counts [cpm}or uRem/hr) Source Cnt Time Source Response (gross cpm or uRem/hr) +/-20% source gross cpm or uRem/hr (Y/N) Inst. Battery Time Calib. Check Of Ambient Temp. (oF) Initials and Comments [add'J Info: inst. Condition, etc.) current . (Y/N) check (Y/N) Ratemeter Ratemeter 1 Ratemeter l Ratemeter Rate meter Ratemeter r Bicron NA Bicron NA I Bicron NA 1. Instrument desi nated check source Is llsted on call ration s *
N L/;t '\I $-=i. tn) Y-Coord:
VI.I 'Cl {"}{ c,tq#6f'g' Instrument Field Response2 Use Acceptance Criteria  
* .Remarks Rev 110/18/15 Meter 8kg Cnt Time Bkg Counts [cpm}or uRem/hr)
Source Cnt Time Source Response (gross cpm or uRem/hr)  
+/-20% source gross cpm or uRem/hr (Y/N) Inst. Battery Time Calib. Check Of Ambient Temp. (oF) Initials and Comments  
[add'J Info: inst. Condition, etc.) current . (Y/N) check (Y/N) Ratemeter Ratemeter 1 Ratemeter l Ratemeter Rate meter Ratemeter r Bicron NA Bicron NA I Bicron NA 1. Instrument desi nated check source Is llsted on call ration s *
* r. Re. ord check sour response (n t cpm) prior to field deployment for all check sou *es being used. 2. Source and Background  
* r. Re. ord check sour response (n t cpm) prior to field deployment for all check sou *es being used. 2. Source and Background  
<:ount rate should be determined from the average of three static counts at the same location.
<:ount rate should be determined from the average of three static counts at the same location.
Line 663: Line 517:
Serial No. _EB....ll112L Bicron MicroRem Meter: Serial No . ..Al]4U __ Cal. Due Date: 8/4/16 2.
Serial No. _EB....ll112L Bicron MicroRem Meter: Serial No . ..Al]4U __ Cal. Due Date: 8/4/16 2.
source Information:
source Information:
source 1 Isotope:
source 1 Isotope: Ib-232 Serial No.: 116 Activity:  
Ib-232 Serial No.: 116 Activity:  
<OJ .... units: _&#xb5;_c.L_ Assay Date; .1213.o/10 Response Acceotance Range (+/-20%):
<OJ .... units: _&#xb5;_c.L_ Assay Date; .1213.o/10 Response Acceotance Range (+/-20%):
uRem/hr +20% *****-*--*-
uRem/hr +20% *****-*--*-
uRem/hr -20% __ . net cpm + 20%_&#xa3;2926 net cprn -20% 15284 5our.ce 2  
uRem/hr -20% __ . net cpm + 20%_&#xa3;2926 net cprn -20% 15284 5our.ce 2 .C.s.:13]._
.C.s.:13]._
__ Serial No.: -81.El.3.::4.8.._.
__ Serial No.: -81.El.3.::4.8.._.
Activity:
Activity:
Line 675: Line 527:
net cpm -20% _39iS. .... 3. Technician/Worki!!r Performing Checks: N ame:5-1&#xa3;\If[_
net cpm -20% _39iS. .... 3. Technician/Worki!!r Performing Checks: N ame:5-1&#xa3;\If[_
_K.tN Title: &deg; CT ......  
_K.tN Title: &deg; CT ......  
.. --*-4, S1te/Job:J_$  
.. --*-4, S1te/Job:J_$ . *---*--11
. *---*--11
_______ _ GPS Coordinates  
_______ _ GPS Coordinates  
[w11en required):
[w11en required):
X-Coord:  
X-Coord: .. A/_if uJ (&#xa3;"(.:_J, __ Y-Coord: W D11 Oo S"C. r --*-**--***----*-.-*---
.. A/_if uJ (&#xa3;"(.:_J,
Meter Bkg Bkg Counts : Source Source ResponsP +/-20% Inst. Battery Time Ambient Jnitials and Comments Cnt (cpm) or Cnt (gross cpm or source Calib. Check Of Temp. (add'l into: Inst. Conditi0:1.
__ Y-Coord:
etc.) Time uRem/hrJ Time uRem/hr) gross cpm current (Y/N) check f'F} !,fp,,,v) 1[ 0 1&#xb5;) oruRert!/hr (Y/N} V (Y/N)  
W D11 Oo S"C. r --*-**--***----*-.-*---
Meter Bkg Bkg Counts : Source Source ResponsP  
+/-20% Inst. Battery Time Ambient Jnitials and Comments Cnt (cpm) or Cnt (gross cpm or source Calib. Check Of Temp. (add'l into: Inst. Conditi0:1.
etc.) Time uRem/hrJ Time uRem/hr) gross cpm current (Y/N) check f'F} !,fp,,,v) 1[ 01&#xb5;) oruRert!/hr (Y/N} V (Y/N)  
.. """_ """if"==--y_:_""'
.. """_ """if"==--y_:_""'
___ ""'F.  
___ ""'F.  
..  
.. . *"*' .. ,.. Ratemeter  
. *"*' .. ,.. Ratemeter  
' I f., .'ff.].,.{'_.. . ........ Y *****-* Ratemeter I 11"5' I v 8' ' Bicron NA NA \. J. tnstrumilnt designated check source is Hsted-;n calibr;;ition Record check sourr.e response (net cprn) prier ta (ield deployment for all check souq::es being used. . .. 2. SotJrC!' and BackgrounrJ count rate should be determined frorn average of three i;ounts ar the same location.
' I f., .'ff.].,.{'_..  
. ........ Y *****-* Ratemeter I 11"5' I v 8' ' Bicron NA NA \. J. tnstrumilnt designated check source is Hsted-;n calibr;;ition Record check sourr.e response (net cprn) prier ta (ield deployment for all check souq::es being used. . .. 2. SotJrC!'
and BackgrounrJ count rate should be determined frorn average of three i;ounts ar the same location.
Repeat cour.ts should be within 20%. If c.oont rate significanlly, perform additional tOLrnt'.;
Repeat cour.ts should be within 20%. If c.oont rate significanlly, perform additional tOLrnt'.;
to evaluate imtrument   
to evaluate imtrument   
Line 700: Line 544:
Bicron MicroRem Meter: ln.strument Field Response Check Log Ca!. Due Date; C.'1141/ls.
Bicron MicroRem Meter: ln.strument Field Response Check Log Ca!. Due Date; C.'1141/ls.
Cal. DueDate:  
Cal. DueDate:  
: 2. check Source Information:  
: 2. check Source Information: . . . 1 . Source 1 Isotope; **T{.<)3)-.
. . . 1 . Source 1 Isotope;  
**T{.<)3)-.
Serial No.; { ( f Activity:  
Serial No.; { ( f Activity:  
-<c. units:;t.i:'.:
-<c. units:;t.i:'.:
Line 713: Line 555:
units1tL Assay Date: /IJA Response Acceptance Range (+/-20%}:
units1tL Assay Date: /IJA Response Acceptance Range (+/-20%}:
uRem/hr +20% __ uRem/hr-20%.__
uRem/hr +20% __ uRem/hr-20%.__
net cpm + 20% 13..27-$
net cpm + 20% 13..27-$ net cpm -20% SS'i/'7 3. Technician/Worker Performing Checks: Name: I E:Jw.;.d5  
net cpm -20% SS'i/'7 3. Technician/Worker Performing Checks: Name: I E:Jw.;.d5  
*o_.--r .. 1 Title:  
*o_.--r .. 1 Title:  
*'---4. Site or Location:
*'---4. Site or Location:
Site/Job:
Site/Job:
GPS Coordinates (when required};
GPS Coordinates (when required};
I Instrument Field Response2 Use Acceptance Crit-=ria Remarks Meter Bkg Bkg Counts Source Source Response  
I Instrument Field Response 2 Use Acceptance Crit-=ria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Anibie-nt Initials and Comments Cnt (cpm} or Cnt (gross cpm or source Calib. Check Of Temp. (add'.l Info: in!t. Condition, etc.) Time uRem/hr) Time uRem/hr) gross _cpm current (Y/N} check {&deg;F) or uRern/hr (Y/N} (Y/N) *-** ------! Ratemeter G'55brA." I ......::ii"..
+/-20% Inst. Battery Time Anibie-nt Initials and Comments Cnt (cpm} or Cnt (gross cpm or source Calib. Check Of Temp. (add'.l Info: in!t. Condition, etc.) Time uRem/hr)
Time uRem/hr) gross _cpm current (Y/N} check {&deg;F) or uRern/hr (Y/N} (Y/N) *-** ------! Ratemeter G'55brA."
I ......::ii"..
lf )_ i I < n-,.,.,,,.  
lf )_ i I < n-,.,.,,,.  
....; v y C)<t}O 'fpi, (.} ft...-.,;l. 3.2 R'i I Ratemeter I l UJt..rt'  
....; v y C)<t}O 'fpi, (.} ft...-.,;l. 3.2 R'i I Ratemeter I l UJt..rt' ["qq) / 17"" "-' J./ 1Hr I <f' v (s*-/$-7 16!"1 ! Ratemeter I 1<A1 ,: 6.5":\bcfii....  
["qq) / 17"" "-' J./ 1Hr I <f' v (s*-/$-7 16!"1 ! Ratemeter I 1<A1 ,: 6.5":\bcfii....  
{ lv' IV\ &#xa5;3 c'o1-. ,J -...'! v l///S-. lf.Z:. () 0 llL-.-9-*57 I Ratemeter I \ IMrV"-Sf<3"7< / *",,"" <.1 f \.I 1i120 i./( ;).. c r"?-7 v-..,..* Ratemeter fM:'h.
{ lv' IV\ &#xa5;3 c'o1-. ,J -...'! v l///S-. lf.Z:. () 0 llL-.-9-*57 I Ratemeter I \ IMrV"-Sf<3"7< / *",,"" <.1 f \.I 1i120 i./( ;).. c r"?-7 v-..,..* Ratemeter fM:'h.
I 1o-:).. t:flf :2 i 5  
I 1o-:).. t:flf :2 i 5  
,1; .. // J 5'"3;. i.fC.o 0 lTk-;).4#,? Ratemeter I \ (M...\'\r-..
,1; .. // J 5'"3;. i.fC.o 0 lTk-;).4#,? Ratemeter I \ (M...\'\r-..
q I 3 'l c;.p ... "" {1 .... 't '-..!' 1<r1 i.f),_"l"  
q I 3 'l c;.p ... "" {1 .... 't '-..!' 1<r1 i.f),_"l" .., L <...-t ,Pc..-* Bicron NA .'I Jlil' .... NA W2 I ,.-.\f I \ j {[ IL/DD l.f4,C -Tl\ .....
.., L <...-t ,Pc..-* Bicron NA .'I Jlil' .... NA W2 I ,.-.\f I \ j {[ IL/DD l.f4,C -Tl\ .....
Bicron NA I '/ ('.. [,..ii NA K?JA 'fl :..; (...,,;' lt /S,J/ 4t. ,, IL-') l >v Bicron NA I I NA I .:;i./r,::.  
Bicron NA I '/ ('.. [,..ii NA K?JA 'fl :..; (...,,;'
lt /S,J/ 4t. ,, IL-') l >v Bicron NA I I NA I .:;i./r,::.  
' v 1. Instrument desi nated check source is listed Record check source response (netcpm) rior to field deployment for all check sources bein g p g used. 2. Source and Background count rate should be determined from the average of three statlc counts at the .samri location.
' v 1. Instrument desi nated check source is listed Record check source response (netcpm) rior to field deployment for all check sources bein g p g used. 2. Source and Background count rate should be determined from the average of three statlc counts at the .samri location.
Repeat munts shou!d be within 20%, If count rate diverges signiffcantly, perform additional co1.mts to evaluate Instrument stability  
Repeat munts shou!d be within 20%, If count rate diverges signiffcantly, perform additional co1.mts to evaluate Instrument stability  
Line 740: Line 575:
lnfor.m<.!!J2!!.:
lnfor.m<.!!J2!!.:
Response Check Log LUDLUM Serlal No. Z6273L_ LUDLUM 44-lO-... -.........
Response Check Log LUDLUM Serlal No. Z6273L_ LUDLUM 44-lO-... -.........
Serial No. PR 111122. Serial Cal. Due Date: ..'3.L2.L1.6 Cal. Due Date: 8/4/16 Source 1 JIJ-2,32 Serial No.: _ _11(L----
Serial No. PR 111122. Serial Cal. Due Date: ..'3.L2.L1.6 Cal. Due Date: 8/4/16 Source 1 JIJ-2,32 Serial No.: _ _11(L----Actlvlty:  
Actlvlty:  
.5..0 .. ,J ... _ units: .).I.CL. As-:;ay Date; . .12./.3.0/10 Responr.e Acawtam::e Range l-1/.20%):
.5..0 .. ,J ... _ units: .).I.CL.
uRern/hr +20% ........ .:. ... _ uRP.m/hr *20% net cpm '1 20% 22926 nl':'t cpm -20% 15284 Source 2 l5olope:
As-:;ay Date; . .12./.3.0/10 Responr.e Acawtam::e Range l-1/.20%):
uRern/hr  
+20% ........  
.:. ... _ uRP.m/hr  
*20% net cpm '1 20% 22926 nl':'t cpm -20% 15284 Source 2 l5olope:
__ SE>rial No,'.
__ SE>rial No,'.
A.cthr1ty:
A.cthr1ty:
0 02 J.l..CL Daite: ..1.L2.QLJ.O Acceptance Ranae ( +/-20%):
0 02 J.l..CL Daite: ..1.L2.QLJ.O Acceptance Ranae ( +/-20%): uRern/hr +20% ____ uRcrn/hr -20% ***--ner cpm -t 20%....UJ_lS.....
uRern/hr  
+20% ____ uRcrn/hr  
-20% ***--ner cpm -t 20%....UJ_lS.....
net q:m -20% .8.9.J.;;i  
net q:m -20% .8.9.J.;;i  
..... 3. Technici;in/Worker Petforrning I J Tille: . .f:.l._["_______
..... 3. Technici;in/Worker Petforrning I J Tille: . .f:.l._["_______
Line 760: Line 587:
.9f.
.9f.
S,te/Job  
S,te/Job  
-*-*---*-
-*-*---*-_ .... -*--* ---Location Df1r,r.r ipti M
_ .... -*--* ---Location Df1r,r.r ipti M
* O/) r/..f.J Yflf_ ___ .. ____ .... __ ... GPS Coordinates required):
* O/) r/..f.J Yflf_ ___ .. ____ .... __ ... GPS Coordinates required):
Y-Coord:
Y-Coord: vJ en 'f'".('1 1
vJ en 'f'".('11
.. *-** ., ....,._......,.----*  
.. *-** ., ....,._......,.----*  
.. .,. ** .*... * ***  
.. .,. ** .*... * ***  
Line 770: Line 595:
.......  
.......  
-,..-... -':'r**:*-
-,..-... -':'r**:*-
.. 'l'""*" *.* * **.""lo**,,  
.. 'l'""*" *.* * **.""lo**,, ..  
..  
**** ** * * * ..... * * ** ..
**** ** * * * ..... * * ** ..
* r **.. .. Instrument.
* r **.. .. Instrument.
Line 779: Line 603:
+/-20% Inst.
+/-20% Inst.
l 1me Re\I 110/18/15 Cnt (cpm) or Cnt !eross cpm or source Callb. Check Of Ambient Temp. (oF) (add': Info'.
l 1me Re\I 110/18/15 Cnt (cpm) or Cnt !eross cpm or source Callb. Check Of Ambient Temp. (oF) (add': Info'.
ConditiOl1, nc.) Time uRem/hr)
ConditiOl1, nc.) Time uRem/hr) TlmP. uRem/11r}
TlmP. uRem/11r}
gross cpm current (Y/N) c:hecl-: {ffl1J.1)
gross cpm current (Y/N) c:hecl-:  
* or uRem/hr (Y/N) ( . -.:r-:  
{ffl1J.1)
* or uRem/hr (Y/N)  
( . -.:r-:  
'  
'  
... :_ ... -.J. _* I  
... :_ ... -.J. _* I  
'ZE.-=_=_ =_* "'_*'""""'_-*_,,.,..,,..._*  
'ZE.-=_=_ =_* "'_*'""""'_-*_,,.,..,,..._*  
.. _ .. ,,..,...._,
.. _ .. ,,..,...._, _""_*'"'_*  
_""_*'"'_*  
"_' *'_"'"_'"'_,"*:
"_' *'_"'"_'"'_,"*:
o ... 111.JL._  
o ... 111.JL._ ... Ratemeter I qg r t L Y Y ! Be Vft I -
... Ratemeter I qg r t L Y Y ! Be Vft I -
Y ___ __'( __ ...
Y ___ __'( __ ...
Cs 131 _St i
Cs 131 _St i
_
_
I _!!' .. --------3 '3icron NA NA Y _ .. _ ... -... X: ..... :JllQ...  
I _!!' .. --------3 '3icron NA NA Y _ .. _ ... -... X: ..... :JllQ... ...... Y-I ... { ___ _'f.J. ... ?J.:1..5 /C-_______ , _________
...... Y-I ... { ___ _'f.J. ... ?J.:1..5  
/C-_______ , _________
j  
j  
... -.
... -.
____ NA _ ___1_%__  
____ NA _ ___1_%__ ' ___L_ __ Y Y ,..Ci) l /.I (, _st-........ .. ---** ..J 1. lnstrum.:nt designated cher:k source is :isted on :*<JHbrJtion J\ecor'd check nHponse (net prior t.o fl<lld dep!oyinent fo1 all check :>ourcl!s bning usect. ?. .
' ___L_ __ Y Y ,..Ci) l /.I (, _st-........  
.. ---** ..J 1. lnstrum.:nt designated cher:k source is :isted on :*<JHbrJtion J\ecor'd check nHponse (net prior t.o fl<lld dep!oyinent fo1 all check :>ourcl!s bning usect. ?. .
and Background cmmt rn1 shouid b". der.@rrnlned frmn tht> average \'f three stC1tic count!i at th1H*.;ime loot1011.
and Background cmmt rn1 shouid b". der.@rrnlned frmn tht> average \'f three stC1tic count!i at th1H*.;ime loot1011.
Re cotir.ts bl? within ,0%. 1r count rJte cii\'erges perform additional courits to ewlu<ite st;:ibility  
Re cotir.ts bl? within ,0%. 1r count rJte cii\'erges perform additional courits to ewlu<ite st;:ibility .J . I AppE-Sub-Area 4.5-Sample Data Sheets Weather:  
.J . I AppE-Sub-Area 4.5-Sample Data Sheets Weather:  
..... -.i1.rr-1. Sample Area (SA): SAMPLE LOCATION DATA SHEET SA Designation:
..... -.i1.rr-1. Sample Area (SA): SAMPLE LOCATION DATA SHEET SA Designation:
t-/. SA -.... **--Description:
t-/. SA -.... **--Description:
Line 817: Line 631:
... ____ ***-**--Coard: 2. Sample Location Data: Sample Area Ill: ..  
... ____ ***-**--Coard: 2. Sample Location Data: Sample Area Ill: ..  
..
..
________
________ Matrix:  
Matrix:  
... Location Coord:
... Location Coord:
IL&>'_* __ Alternate Location Measurements (distance from SA orig111 and Local Coord.) X Dist. from Origin Y Dist. from Origin: rv/@:. Site Sketch Attach!::d (Yes) Sample Location  
IL&>'_* __ Alternate Location Measurements (distance from SA orig111 and Local Coord.) X Dist. from Origin Y Dist. from Origin: rv/@:. Site Sketch Attach!::d (Yes) Sample Location


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


__ _iN Canopy Type: __ OfJ0:1 ____ Land Use:
__ _iN Canopy Type: __ OfJ0:1 ____ Land Use:
Line 848: Line 660:
Sample Area ID: __
Sample Area ID: __
* R._,__L.L:..=1 Soil Sa;;,ple n)* **
* R._,__L.L:..=1 Soil Sa;;,ple n)* **
Samplilzg Description Color (Surface litter type/depth, sample depth retention,  
Samplilzg Description Color (Surface litter type/depth, sample depth retention, .
.
or rock, topography, erosion  
or rock, topography, erosion  
\ ?:i&deg;(CA."''"'
\ ?:i&deg;(CA."''"'
Line 861: Line 672:
.,:< . \ .r)J Pt"  
.,:< . \ .r)J Pt"  
..:::**i\.c;.\__
..:::**i\.c;.\__
i?....,,,,.,"'"  
i?....,,,,.,"'" .
.
* s.: (.y..!  
* s.: (.y..!  
---*--* ----------1 1--------1--
---*--* ----------1 1--------1--
*----+-
*----+-
.. _-*-_*-_**_***_**_-
.. _-*-_*-_**_***_**_-
_ _L__ __ _._* == ' .. *---t -----Sample Recorded on Laboratory COC form and Container Labeled:  
_ _L__ __ _._* == ' .. *---t -----Sample Recorded on Laboratory COC form and Container Labeled: * (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: /Z*7-1S: . Project: _f\J'i S"6E-.QS Name: -*  
* (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: /Z*7-1S:  
. Project:
_f\J'i S"6E-.QS Name: -*  
,..J1) W th n. '\ . ..,
,..J1) W th n. '\ . ..,
ea er: ""'" .,r..._1 cl1:!::'1\:'-f  
ea er: ""'" .,r..._1 cl1:!::'1\:'-f  
Line 887: Line 694:
____ 1...i ...,Cl. 1' 3 .... J. zrr' ..... :I.'L.LL.Q  
____ 1...i ...,Cl. 1' 3 .... J. zrr' ..... :I.'L.LL.Q  
-* -****-***------
-* -****-***------
***-Alternate Location Measurements (distance from SA origin and Local C'oord.)
***-Alternate Location Measurements (distance from SA origin and Local C'oord.) X Dist from Origin (0,0) l"Jf>r Y Dist. from Origin: N 1 ,.;\ " I Site Sketch Attached (Yes)@> Sample Location
X Dist from Origin (0,0) l"Jf>r Y Dist. from Origin: N 1 ,.;\ " I Site Sketch Attached (Yes)@> Sample Location  


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


Canopy Type:
Canopy Type:
Line 899: Line 704:
: 4. Sample Information:  
: 4. Sample Information:  
-*------**----.. *-* -*.-*--*---
-*------**----.. *-* -*.-*--*---
... Depth /ntel'Va/  
... Depth /ntel'Va/ (cm) So)l Type Soil Samp/11 JD Sampli1tg Description (Org; clay; Color {Su!'face litter type/depth, sample depth retention, sand, etc.) -*-----refusal, or topography, erosion \
(cm) So)l Type Soil Samp/11 JD Sampli1tg Description (Org; clay; Color {Su!'face litter type/depth, sample depth retention, sand, etc.) -*-----refusal, or topography, erosion \
S'f-\ ,K. ."2.. * \ u. cod-L-_ -* _ ------* So;\  
S'f-\ ,K. ."2.. * \ u. cod-L-_ -* _ ------* So;\  
.. ii ... _________  
.. ii ... _________  
Line 917: Line 721:
+'1< Project:  
+'1< Project:  
.... **-**--*-.
.... **-**--*-.
Name: __  
Name: __ . . . . r  
. . . . r  
: 1. Sample Area (SA): SA Designation:_!:/.,,__.
: 1. Sample Area (SA): SA Designation:_!:/.,,__.
5.:::.-L...A..__
5.:::.-L...A..__
______ **--Description:
______ **--Description:
_\J-=---o-""-u-'-d=.5
_\J-=---o-""-u-'-d=.5
________
________ _ SA Origin Location:  
_ SA Origin Location:  
--* ____ -*----*--Coord. System: __ _ SA Land i'vfark
--* ____ -*----*--
Coord. System: __ _ SA Land i'vfark


== Description:==
== Description:==
----***--*---*-
----***--*---*-
__ Coord: 2. Sample Location Data: Sample Area ID: -4IS-ffr1  
__ Coord: 2. Sample Location Data: Sample Area ID: -4IS-ffr1 .... _._ Matrix:  
.... _._ Matrix:  
.. J ____ _ ,, Location Coord: iJ I 1.p. _
.. J ____ _ ,, Location Coord: iJ I 1.p. _
__ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) r-J 1 e .. _ Y Dist. from Origin: ,.;i pr r r J Site Sketch Attached (Yes) @ Sample Location  
__ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) r-J 1 e .. _ Y Dist. from Origin: ,.;i pr r r J Site Sketch Attached (Yes) @ Sample Location


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


Canopy Type:
Canopy Type:
Line 948: Line 747:
..  
..  
--------------!
--------------!
1.6.0_L_  
1.6.0_L_ *f]""""'i"l>.'-"--.,.,_  
*f]""""'i"l>.'-"--.,.,_  
...... _...._. ............
...... _...._. ............
f?_,_3_;:_>:.,
f?_,_3_;:_>:., ___ */4-.._&"--.
___ */4-.._&"--.
__  
__  
--+------t-*  
--+------t-*  
Line 959: Line 756:
... ***-**-*--*--*  
... ***-**-*--*--*  
--------------<
--------------<
Sample Recorded on Laboratory COC form und Container Labeled:  
Sample Recorded on Laboratory COC form und Container Labeled: (N) 10/20/15 SAMPLE LOCATION DAT A SHEET Date: Jk_I -1 \ Project: f2..ffi___
(N) 10/20/15 SAMPLE LOCATION DAT A SHEET Date: Jk_I -1 \ Project: f2..ffi___
___ _ ,-Weather: Cc..ltA-1., 1 1 4U-su' r 1. Sample Area (SA): SA Designation:
___ _ ,-Weather:
Cc..ltA-1.,
1 1 4U-su' r 1. Sample Area (SA): SA Designation:
_j_'. )!i__ SA Origin Location:
_j_'. )!i__ SA Origin Location:
_
_
Line 975: Line 769:
......,..>  
......,..>  
*---*-----
*---*-----
Coord_ System: _ Coord: 2. Sample ;Location, Data: Sample Area ID: _ '-J 1 5]3_, ___ 'f ___ . Matrix: __ f5:G-_:j
Coord_ System: _ Coord: 2. Sample ;Location, Data: Sample Area ID: _ '-J 1 5]3_, ___ 'f ___ . Matrix: __ f5:G-_:j __ . Location Coord:  
__ . Location Coord:  
... \ \.\.. ___ k:-' 75 _P! __ 3i *'-:1_1 ____ _ Alternate Location Measurements  
... \ \.\.. ___ k:-' 75 _P! __ 3i *'-:1_1 ____ _ Alternate Location Measurements  
{distance from SA origin and Local Coord.) X Dist. from Origin (0,0) __ t'i IA Y Dist. from Origin: -----J)/E----
{distance from SA origin and Local Coord.) X Dist. from Origin (0,0) __ t'i IA Y Dist. from Origin: -----J)/E----
Site Sketch Attached Sample Location  
Site Sketch Attached Sample Location


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


..  
..  
Line 989: Line 781:
__ Land Use: ... __
__ Land Use: ... __
Soil Moisture (Wet, dry, etc.):__J-:::X--.,.,__--1-{--
Soil Moisture (Wet, dry, etc.):__J-:::X--.,.,__--1-{--
: 3. Location  
: 3. Location -Radiation 2x2 Nal ij Bicron ( cpm) (uRem/hr)
-Radiation 2x2 Nal ij Bicron ( cpm) (uRem/hr)
Notes , Count time l cm I Im _,.r __ Tc;;**-*r*--**,m  
Notes , Count time l cm I Im _,.r __ Tc;;**-*r*--**,m  
: ..... .. -
: ..... .. -
Line 1,010: Line 801:
.__ ___ -I----***-+----+--*  
.__ ___ -I----***-+----+--*  
.. ----=-
.. ----=-
--* -------i Sample Recorded on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15 SAMPLE LOCATION DATA SHEET Project:
--* -------i Sample Recorded on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15 SAMPLE LOCATION DATA SHEET Project: JV  
JV  
----, . *-;:) Name: 0 .-1 n re.. .... {\ I ' <rt,**\-\Veather:
----, . *-;:) Name: 0 .-1 n re.. .... {\ I ' <rt,**\-\Veather:
Cc.l.....,
Cc.l....., 1<\o.;o.71 y(r ..>v 1. Sample Area (SA): SA Designation:
1<\o.;o.71y(r ..>v 1. Sample Area (SA): SA Designation:
__
__
_(A-s-. ____
_(A-s-. ____
Line 1,028: Line 817:
l'vlatrix:
l'vlatrix:
Alternate Location Measurements  
Alternate Location Measurements  
{distance from SA origin and Local Coord.).
{distance from SA origin and Local Coord.). X'Dist from Origin (0,0) Jl)/li\-Y Dist. from Origin: ,.; / f!c . Site Sketch Attached {Yes) @ Sample Location
X'Dist from Origin (0,0) Jl)/li\-Y Dist. from Origin: ,.; / f!c . Site Sketch Attached  
{Yes) @ Sample Location  


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


...
...
Line 1,045: Line 831:
__ *-*-******--------1 1----1-----1--2'i.i
__ *-*-******--------1 1----1-----1--2'i.i
__ '-l_'7 __ *-__ :::Z . .8.. .. 0 __ .. ,,_ *--------+--------
__ '-l_'7 __ *-__ :::Z . .8.. .. 0 __ .. ,,_ *--------+--------
'UJJ_fi_
'UJJ_fi_ ____ *-------j  
____ *-------j  
------**-_J__ --'--*--******--
------**-_J__  
--'--*--******--
.. l-*--**--.J'-
.. l-*--**--.J'-
-------**  
-------**  
Line 1,055: Line 839:
Sample Area ID: _
Sample Area ID: _
S: DescnphonbyDepth
S: DescnphonbyDepth
_ --* ________
_ --* ________ _ Deptli Soil Type Soil Sample JD I Sampling Description Inte'rvai (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.)
_ Deptli Soil Type Soil Sample JD I Sampling Description Inte'rvai (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.)
ston_e or rock, topography, erosion features)
ston_e or rock, topography, erosion features)
D-1S-... S9L __
D-1S-... S9L __
Line 1,066: Line 849:
****--------------!  
****--------------!  
-I Sample Recorded ou Laboratory COC form and Container Labeled:  
-I Sample Recorded ou Laboratory COC form and Container Labeled:  
***-*-+I  
***-*-+I ----+-----* --****-+/------*  
----+----
*--*-----------,----_--j (N) 10/2d/15 SAMPLE LOCATION DA TA SHEET Date: J2. -J-Jr: Project: __ _JJ  
-* --****-+/------*  
*--*-----------,----_--j (N) 10/2d/15 SAMPLE LOCATION DA TA SHEET Date: J2. -J-Jr: Project:
__ _JJ  
***--*--1. Sample Area (SA): SA Designarion:
***--*--1. Sample Area (SA): SA Designarion:
Cf* 'f:r4
Cf* 'f:r4
Line 1,081: Line 861:
_ ..... Location Coord:
_ ..... Location Coord:
__ b:i._75*'
__ b:i._75*'
vi' J'-f.77 Alternate Location  
vi' J'-f.77 Alternate Location .Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (0,0) tV 1 A Y Dist. from Origin: tJ/ Site Sketch Attached (Yes) @) Sample Location
.Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (0,0) tV 1 A Y Dist. from Origin: tJ/ Site Sketch Attached (Yes) @) Sample Location  


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


___ \_,.J  
___ \_,.J  
Line 1,104: Line 882:
tL D ' f b D th escnp wn *Y ep *-*--*--**--Depth Soil Type Soil Sample ID *-T Sampling Descriptimt Interval (Org; clay; Color ! (Surface litter type/depth, sample depth retention, (cm) sand, etc.) .. _ !.E!fusal, stone or rock, topography, erosion features) 0 --1S-
tL D ' f b D th escnp wn *Y ep *-*--*--**--Depth Soil Type Soil Sample ID *-T Sampling Descriptimt Interval (Org; clay; Color ! (Surface litter type/depth, sample depth retention, (cm) sand, etc.) .. _ !.E!fusal, stone or rock, topography, erosion features) 0 --1S-
@.n:;u "-'-/, f'A, e.. L&#xa3;, ' l /1.)1 Pr JS--"3:a hr.* /_$'\d R11:.\. .. i.,. )R. (a..&, Z. ti)/ I+ l
@.n:;u "-'-/, f'A, e.. L&#xa3;, ' l /1.)1 Pr JS--"3:a hr.* /_$'\d R11:.\. .. i.,. )R. (a..&, Z. ti)/ I+ l
____ _. __ *--* -r----........  
____ _. __ *--* -r----........ -*****--**-
-*****--**-
.. --***  
.. --***  
... ---*-* --*---********-
... ---*-* --*---********-
----r--*-**-**  
----r--*-**-**  
*---* ------1-.. ----*-----Sample Recorded on Laboratory COC form and Container 10/20/15 SAMPLE LOCATION DATA SHEET Date: /1!-J -1 S-Project:
*---* ------1-.. ----*-----Sample Recorded on Laboratory COC form and Container 10/20/15 SAMPLE LOCATION DATA SHEET Date: /1!-J -1 S-Project: f'lY.S 61200' ... __ _ Name: -73,.,-*5rw;-v 1. Sample Area (SA): SA Designation: Lf, S-f\
f'lY.S 61200' ... __ _ Name: -73,.,-*5rw;-v 1. Sample Area (SA): SA Designation: Lf, S-f\


== Description:==
== Description:==
Line 1,122: Line 898:
Coord: 2. Sample Location Data: Sample Area ID: t:..f,
Coord: 2. Sample Location Data: Sample Area ID: t:..f,
__ l\1atrix.:
__ l\1atrix.:
So . \ Location Cqord: 6-J2'::.
So . \ Location Cqord: 6-J2'::. 3'2.."
3'2.."
_ v_ __ 7 .7_** 0 r
_ v_ __ 7 .7_** 0 r
* 3<-i --z:z. Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) t-1/'f!r Y Dist. from Origin;
* 3<-i --z:z. Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) t-1/'f!r Y Dist. from Origin;
__ Site Sketch Attached (Yes) @i Sample Location  
__ Site Sketch Attached (Yes) @i Sample Location


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


H v-'  
H v-'  
Line 1,141: Line 915:
stone or rock, topogra1:ihy, erosion features) 0--1< "So;\
stone or rock, topogra1:ihy, erosion features) 0--1< "So;\
l{. r'i4 :\'2.] I A-. -*-*-**---
l{. r'i4 :\'2.] I A-. -*-*-**---
l':!..LJ  
l':!..LJ .
.
S'o; I  
S'o; I  
'-f,m.R7.2.  
'-f,m.R7.2.  
Line 1,148: Line 921:
.. -----...----
.. -----...----
.. ! -*----
.. ! -*----
.... -. Sample Recorded on Laboratory COC form and Labeled:  
.... -. Sample Recorded on Laboratory COC form and Labeled: @(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 12-7-r 'l Project: f'J Y 5 l-f'?. .......
@(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 12-7-r 'l Project:
h *{A"F W eat er: _Cc:&\y:.., r I nv '7 v . I
f'J Y 5 l-f'?. .......
h *{A"F W eat er: _Cc:&\y:..,
r I nv '7 v . I
* 1. Sample Area (SA): SA Designation:
* 1. Sample Area (SA): SA Designation:
J:.j, 5B
J:.j, 5B
Line 1,165: Line 935:
---***---
---***---
Coard: Sample Location Data: Sample Area lD: &#xa3;1.
Coard: Sample Location Data: Sample Area lD: &#xa3;1.
I Matrix.:  
I Matrix.: ----'-'$fuL_
----'-'$fuL_
Alternate Location Measurements (distance from SA origin and Local C0ord.) X Dist. from Origin (0,0) 8 Y Dist. from Origin: fJ { A . Site Sketch Attached (Yes)@> Sample Location
Alternate Location Measurements (distance from SA origin and Local C0ord.) X Dist. from Origin (0,0) 8 Y Dist. from Origin: fJ { A . Site Sketch Attached (Yes)@> Sample Location  


==
== Description:==
Description:==
O::.:. d ) \i( "':::( l 1c.jn.i.*
O::.:. d ) \i( "':::( l 1c.jn.i.*
h 1 \_e,\.."""  
h 1 \_e,\..""" ":I , Canopy Type:
":I , Canopy Type:
Use:
Use:
Soil Moisture (Wet, dry, etc.):__i:yy  
Soil Moisture (Wet, dry, etc.):__i:yy . ) 3. Location Radiation Readings:  
. ) 3. Location Radiation Readings:  
...__ ___
...__ ___
I __ I !.03_ _____ ifr,---......
I __ I !.03_ _____ ifr,---......
Line 1,184: Line 950:
erosion features)  
erosion features)  
' t-----4-------+----'-*----**"-----+-
' t-----4-------+----'-*----**"-----+-
Sample Recorded on l,aboratory COC form and .Container Labeled:  
Sample Recorded on l,aboratory COC form and .Container Labeled: (N) 10/20/15   
(N) 10/20/15   


SAMPLE LOCATION DATA SHEET Date: I?. -1 ) Project:
SAMPLE LOCATION DATA SHEET Date: I?. -1 ) Project: _N'f*S<;,,_
_N'f*S<;,,_
R Qfr_ _,,_0 __ 1. Sample Area (SA): SA Designation:
R Qfr_ _,,_0 __ 1. Sample Area (SA): SA Designation:
___
___
Line 1,203: Line 967:
-----*---*-
-----*---*-
.. * .. -----*-.----
.. * .. -----*-.----
Coord: 2. Sample Location Data: Sample Area TD: _,_!J, S2. .. 2 ________
Coord: 2. Sample Location Data: Sample Area TD: _,_!J, S2. .. 2 ________ Matrix: __ .:$.Y_;._\
Matrix: __ .:$.Y_;._\
__ Location Coord: .t.-l '1Z-"**r2: 77 c O; 1 3._Z:_.2/'
__ Location Coord: .t.-l '1Z-"**r2: 77 c O; 1 3._Z:_.2/'
___ ._ Alternate Location Measurements  
___ ._ Alternate Location Measurements  
{distance from SA origin and Local Coord.) X Dist. from Origin (0,0) fV/ t'.}:...
{distance from SA origin and Local Coord.) X Dist. from Origin (0,0) fV/ t'.}:... Y Dist. from Origin: rJj ff Site Sketch A.ttad1e.d (Yes) &sect;> Sampie Location
Y Dist. from Origin: rJj ff Site Sketch A.ttad1e.d (Yes) &sect;> Sampie Location  


==
== Description:==
Description:==
-* ..  
-* ..  
'o-M\1 &deg;\'.V'll.!.:t.rs*  
'o-M\1 &deg;\'.V'll.!.:t.rs*  
Line 1,217: Line 978:
Canopr,Iype:
Canopr,Iype:
Use:. l-:\d<...iY\,___
Use:. l-:\d<...iY\,___
__ Soil Moisture  
__ Soil Moisture (\Vet, dry, etc.): __ DJ::::/----
(\Vet, dry, etc.): __ DJ::::/----
.* 4. Sample Information:
.* 4. Sample Information:
Sample ..lrea ID: 1 ..
Sample ..lrea ID: 1 ..
Line 1,224: Line 984:
.. ___ _
.. ___ _
Soil Sample ID Sampliug Description.
Soil Sample ID Sampliug Description.
Color J (Surtace litter type/depth, sample depth retention,  
Color J (Surtace litter type/depth, sample depth retention, .
.
erosion features row.-..
erosion features row.-..
__ +-I ,__tv._,__7  
__ +-I ,__tv._,__7  
Line 1,238: Line 997:
(;r, -13,.p...,"'  
(;r, -13,.p...,"'  
'-!. ,z.. "Z u:"-a h:u.,. roo.! YV
'-!. ,z.. "Z u:"-a h:u.,. roo.! YV
___ __.. . ***-*--*  
___ __.. . ***-*--* *------...........  
*------...........  
*---*-+------
*---*-+------
'  
'  
... -*--------+-*-*-**--*-*---------
... -*--------+-*-*-**--*-*---------
Sample Recorded on Laboratory COC (N) 10/20/15 SAMPLE LOCATION DATA SHEET . Date: n. I 1 / 1<:;-Weather:
Sample Recorded on Laboratory COC (N) 10/20/15 SAMPLE LOCATION DATA SHEET . Date: n. I 1 / 1<:;-Weather: dr,.,s\4 1\J'f'i>* t/o':::, ._/a;,.. :1<>'j L Sample Area (SA): SA Designation:
dr,.,s\41\J'f'i>*
t/o':::,  
._/a;,..  
:1<>'j L Sample Area (SA): SA Designation:
L/ . S .. &#xa3;>----******-
L/ . S .. &#xa3;>----******-


Line 1,253: Line 1,007:
Description:==
Description:==


SA Origin Location:  
SA Origin Location: . _. --*.,******----***---
. _. --*.,******----***---
SA Land  
SA Land  


Line 1,260: Line 1,013:
Description:==
Description:==


__ ----**--****  
__ ----**--**** . **--2. Sample Location Data: Sample Area ID; .. J> R.. _3__ Matrix: _ i I Name: -:f.
. **--2. Sample Location Data: Sample Area ID; .. J> R.. _3__ Matrix: _ i I Name: -:f.
____ . *----
____ . *----
__ .l_M-____ -****--coor<l. System:
__ .l_M-____ -****--coor<l. System:
Line 1,267: Line 1,019:
rJ_. __ ::tL.'.'.  
rJ_. __ ::tL.'.'.  
...... L..1.3-0.'.  
...... L..1.3-0.'.  
... ti1_'1 hl___ Alternate Location Measurements (dista11ce from SA origin and Local Coor<!.)
... ti1_'1 hl___ Alternate Location Measurements (dista11ce from SA origin and Local Coor<!.) X Dist. from Origin (0,0)_____
X Dist. from Origin (0,0)_____
Y Disi. from Origin: __ _ Site Sketch Altached (Yes) * *. ___ _/ Sample Location
Y Disi. from Origin: __ _ Site Sketch Altached (Yes) * *. ___ _/ Sample Location  


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


+n/LI:::.
+n/LI:::.
Line 1,278: Line 1,028:
* OJJc.{ "&frck) (c.ll>a..r<tA\_
* OJJc.{ "&frck) (c.ll>a..r<tA\_
Canopy Type: 0&#xa3;L) Land Use: .. 1.l .. , __ Soil Moisture (Wet, dry, ) etc.): .. W1 y Location Radiation  
Canopy Type: 0&#xa3;L) Land Use: .. 1.l .. , __ Soil Moisture (Wet, dry, ) etc.): .. W1 y Location Radiation  
.. ,. --* *****---********-
.. ,. --* *****---********-2x2 Nal Bicron Notes (cpm) (uRern/hr) l cm lm r: 1 . (mm) : I *  
2x2 Nal Bicron Notes (cpm) (uRern/hr) l cm lm r: 1  
. (mm) : I *  
..  
..  
---
---
Line 1,287: Line 1,035:
.. *  
.. *  
* * --T-*9 c  
* * --T-*9 c  
--*---*-1 **__2_.,............. ... --i-XB1-.  
--*---*-1 **__2_.,............. ... --i-XB1-. .-----. ____ ______, [ __ . *--*-*****  
.-----. ____ ______, [ __ . *--*-*****  
--. I *'***--. --*-**-*--*-**--
--. I *'***--. --*-**-*--*-**--
: 4. Sample Information:
: 4. Sample Information:
Sample Area ID: .:L?.B .{(
Sample Area ID: .:L?.B .{(
L<J Soil Sampie JD -*T-. .. *-_--* :*-*sa;npli11g Description  
L<J Soil Sampie JD -*T-. .. *-_--* :*-*sa;npli11g Description . Color l (Surface htter type/depth, sample depth retention, 5tone or rock. topography, erosion features)
. Color l (Surface htter type/depth, sample depth retention, 5tone or rock. topography, erosion features)
__
__
I_-,  
I_-,  
.... i'.:;-:;,  
.... i'.:;-:;, 4. S".B .e..
: 4. S".B .e..
_1 ..f-o.,; Gri5 _ ****-************-*-**---**
_1 ..f-o.,;
Gri5 _ ****-************-*-**---**
____ _ ! .ht,.,.r..\.  
____ _ ! .ht,.,.r..\.  
: 4. B  
: 4. B  
<-:_l ri-5 . . -------1  
<-:_l ri-5 . . -------1 .bou.,
.bou.,
___ yr._m ______ ...... *-***-----1  
___ yr._m ______ ...... *-***-----1  
--------_-
--------_-
*-*-. Sample Recorded on Laboratory COC form and Container Labeled: (N) 10/20/15 Date: _,-"I...{
*-*-. Sample Recorded on Laboratory COC form and Container Labeled: (N) 10/20/15 Date: _,-"I...{
1 ( ! 5" Project:
1 ( ! 5" Project: _f.J 'cj
_f.J 'cj
__ . ___ _ Weather: c kd1..1 ,  
__ . ___ _ Weather:
c kd1..1,  
:Jo'..-)  
:Jo'..-)  
')o';, 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: SA Designation:
')o';, 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: SA Designation:
Line 1,319: Line 1,060:


__1t)tocl&#xa2;JJ9.f
__1t)tocl&#xa2;JJ9.f
________
________ _ SA Origin Location:
_ SA Origin Location:
Coord.
Coord.
Coord: SA Land Mark
Coord: SA Land Mark
Line 1,326: Line 1,066:
== Description:==
== Description:==


-*** **--**-2. Sample Location Data: Sample Area ID: 5.  
-*** **--**-2. Sample Location Data: Sample Area ID: 5. . L\  
. L\  
...
...
__ Location Coord: L/ d." 'Yd-,' I ft, .G]" tJ ... .7 '1 t-.__j' ] /.
__ Location Coord: L/ d." 'Yd-,' I ft, .G]" tJ ... .7 '1 t-.__j' ] /.
Line 1,335: Line 1,074:
hr,,:J,  
hr,,:J,  
("J*.JD Canopy Type:
("J*.JD Canopy Type:
__ Land Use: 111k1n*)
__ Land Use: 111k1n*) 1 ?.fc.. _Soil Moisture (Wet, dry, etc.): t\Q..M" \ 3. Location Radiation Readings:
1 ?.fc.. _Soil Moisture (Wet, dry, etc.): t\Q..M" \ 3. Location Radiation Readings:
2x2 NaI (cpm) Bicro11 (uRem/llr)
2x2 NaI (cpm) Bicro11 (uRem/llr)
Notes _c_o __
Notes _c_o __
1=c':_[
1=c':_[
* _ --* .. ..  
* _ --* .. .. -L *  
-L *  
.... :--------**-----.**-==---_::_  
.... :--------**-----.**-==---_::_  
-**L__, ___ I ****---*----------'
-**L__, ___ I ****---*----------'
Line 1,348: Line 1,085:
j.'5.B.r<.. D b D th escnptio11  
j.'5.B.r<.. D b D th escnptio11  
>Y ep Depth . Soil Type Interval (Org; clay; (cm) sand, etc.) 1)-1<; -----Thi:.:,c.i l
>Y ep Depth . Soil Type Interval (Org; clay; (cm) sand, etc.) 1)-1<; -----Thi:.:,c.i l
I l ..... -*----* Soil Color b,t,,.,..-,
I l ..... -*----* Soil Color b,t,,.,..-, bsi'''""'  
bsi'''""'  
---* Sampl -e-1n-**r---
---* Sampl -e-1n-**r---
---
---
Line 1,369: Line 1,105:
-----*---*-
-----*---*-
-----. 2. Sample Location Data: Location Coard: 79 . I . 3ei3<.1 ,, I J ---., .,1-....____11:_  
-----. 2. Sample Location Data: Location Coard: 79 . I . 3ei3<.1 ,, I J ---., .,1-....____11:_  
.........  
......... , ..... .,._ ... Alternate Location Measurements ldistance from SA origin and Local Coord_) X Dist_ from Origin (0,0) Y Dist. from Origin: ----Site Sketch Attached  
, ..... .,._ ... Alternate Location Measurements ldistance from SA origin and Local Coord_) X Dist_ from Origin (0,0) Y Dist. from Origin: ----Site Sketch Attached  
\ Sample Location
\ Sample Location  


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


+lei.+
+lei.+
hn.i)h_,J11>oct Qvid :rfi cb (cl.-3-""d)
hn.i)h_,J11>oct Qvid :rfi cb (cl.-3-""d)
Canopy Type:
Canopy Type:
lti.i t.f'&deg;ll Land Use: h1b,::j:
lti.i t.f'&deg;ll Land Use: h1b,::j: efr . etc.): dru1'\f . Soil Moisture {Wet, dry, 3. Location Radiation Readings; 2x2 Nal (cpm) lcm 1 tn Hicron-----**
efr . etc.): dru1'\f . Soil Moisture  
{Wet, dry, 3. Location Radiation Readings; 2x2 Nal (cpm) lcm 1 tn Hicron-----**
c--* (uRemihr) l cm lm Noces Count time (min)  
c--* (uRemihr) l cm lm Noces Count time (min)  
.. *:=
.. *:=
Line 1,393: Line 1,125:
: 4. Sample Information:
: 4. Sample Information:
l D  
l D  
'i Samp e Area I. : '-' . *-' . i::i -ti... * ...; ,_! :_12!,_ D b D b escnption ept Depth Soil Type Interval.  
'i Samp e Area I. : '-' . *-' . i::i -ti... * ...; ,_! :_12!,_ D b D b escnption ept Depth Soil Type Interval. (Org; clay; (cm) sand, etc.) -h,.,.,<.<,:
(Org; clay; (cm) sand, etc.)  
-h,.,.,<.<,:
l 1<;* 30 -fk':'.c:
l 1<;* 30 -fk':'.c:
I I -. Soil Color  
I I -. Soil Color  
... b,i..,,_  
... b,i..,,_ -. *-*-*-le ID
-. *-*-*-le ID
_ *sampling Descriptio11  
_ *sampling Descriptio11  
----*1 Samp I (Surface litter type/depth, sample depth retention, I ___
----*1 Samp I (Surface litter type/depth, sample depth retention, I ___
stone or rock, topography, erosion YS.t:,.r<:
stone or rock, topography, erosion YS.t:,.r<:
Ll.':.i:::  
Ll.':.i::: . \_J 'I .\=Q.&#xb5; r cr+s-.. *--------------1  
. \_J 'I .\=Q.&#xb5; r cr+s-.. *--------------1  
({_ :, ;i . :SVn-ll!. . ---+---------*----**-----*----------'--I . -
({_ :, ;i . :SVn-ll!.  
. ---+---------*----**-----*----------'--I  
. -
---= Santple Recorded on Laboratory COC and Labeled: (N) ___ .. _ 10/20/15 Date: _r:}_!l.L SAMPLE LOCATION DATA SHEET Name: :f.  
---= Santple Recorded on Laboratory COC and Labeled: (N) ___ .. _ 10/20/15 Date: _r:}_!l.L SAMPLE LOCATION DATA SHEET Name: :f.  
: 1. Sample Area (SA): SA Designalion:
: 1. Sample Area (SA): SA Designalion:
Line 1,419: Line 1,145:
== Description:==
== Description:==


________  
________ -**-* __ Coard: 2. Sample Locatjon Data: Sample Area fD: Y . S". (5 .!( ..
-**-* __ Coard: 2. Sample Locatjon Data: Sample Area fD: Y . S". (5 .!( ..
Matrix: '.'.:.c:_:
Matrix: '.'.:.c:_:
J __ _ Location Coord: 79 '3D ,(.o .. LJ -. _L_L,, ___ -. --*-* .... *-*----... --Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin;---*  
J __ _ Location Coord: 79 '3D ,(.o .. LJ -. _L_L,, ___ -. --*-* .... *-*----... --Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin;---*  
... Site Sketch Attached (Yes) ({No)** .. Sample Location  
... Site Sketch Attached (Yes) ({No)** .. Sample Location


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


Dr1.1:J\,  
Dr1.1:J\,  
.. v!.S {ckuJ) . J CanopY,*Type:  
.. v!.S {ckuJ) . J CanopY,*Type:  
".t'..1-.. Land Use: hihl"'*'1
".t'..1-.. Land Use: hihl"'*'1
_Soil Moisture (Wet, dry, etc.): ai:i t'\11\' I 3 Location Radiation Readino-s*  
_Soil Moisture (Wet, dry, etc.): ai:i t'\11\' I 3 Location Radiation Readino-s* . ..,, .. *-*---** -*--** 2x2 NaI Bicron Notes (cpm} (uRem/hr)
. ..,, .. *-*---**  
-*--** 2x2 NaI Bicron Notes (cpm} (uRem/hr)
Count time 1 cm Im 1 cm I lm (min) :* ='" =*** " I '1330 (.,-'=' (,, (\) 1"A  
Count time 1 cm Im 1 cm I lm (min) :* ='" =*** " I '1330 (.,-'=' (,, (\) 1"A  
.. ,___ '  
.. ,___ '  
Line 1,449: Line 1,171:
LI. S" .13
LI. S" .13
* t? . .k:_!l.__
* t? . .k:_!l.__
ro :i::l.. **-*--*--
ro :i::l.. **-*--*-----**-*--***----
---**-*--***----
*-*-------
*-*-------
------**--**  
------**--**  
Line 1,459: Line 1,180:
S e_ GA ------/-)L.l;_.__  
S e_ GA ------/-)L.l;_.__  
-.. **-----*-*-* Name:
-.. **-----*-*-* Name:
_____ _ Weather:
_____ _ Weather: dc..J...,
dc..J...,
__ , .. , 1. Sample Area (SA}: SA Designalian: 5. & .. _. __ ...
__ , .. , 1. Sample Area (SA}: SA Designalian: 5. & .. _. __ ...


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


l.t.Jed. let SA Ongin Localio.n:  
l.t.Jed. let SA Ongin Localio.n: , ----* ---* _ -*. Coord. S}stem: -*--**---***
, ----* ---* _ -*. Coord. S}stem: -*--**---***
SA Land A1ark
SA Land A1ark


Line 1,479: Line 1,198:
.........  
.........  
*--Alternate Location Mea.c;uremcnt5  
*--Alternate Location Mea.c;uremcnt5  
{<lisrarn::e from SA \rrigin and Local Cootd.) X Dist. from Origln (0,0) _____ ., Y Dist. from Origirr:  
{<lisrarn::e from SA \rrigin and Local Cootd.) X Dist. from Origln (0,0) _____ ., Y Dist. from Origirr: .. ___ _ Site Sketch t Sample Location
.. ___ _ Site Sketch t Sample Location  


==
== Description:==
Description:==
_ ( , .. bf'{b!!tJ.iU Land Use:  
_  
...... Soi1 Moisture (Wet, dry. etc.}: . . 3. LtJc:atron Radiation Rf1adings:
(  
___ . *-----*-_ ,-.....--____ *---____ _ 2X2 Nal Bicron Notes (cpm) (uRemJhr)
, .. bf'{b!!tJ.iU Land Use:  
Counttirne I cm ** Im l cm 1 **-Im...... .-.. l . J . -. w,,_, *. ...........
...... Soi1 Moisture (Wet, dry. etc.}: .  
. 3. LtJc:atron Radiation Rf1adings:
___ . *-----*-_ ,-.....--
____ *---____ _ 2X2 Nal Bicron Notes (cpm) (uRemJhr)
Counttirne I cm ** Im l cm 1 **-Im......  
.-.. l . J . -
. w,,_, *. ...........
_f __ ""..,_. 1 .  
_f __ ""..,_. 1 .  
!-----'--
!-----'-----,__ * 'l.[ ... -. . ..... -----1*** ----*--* -ll-----'-'"->-'-'-------------
---,__ * 'l.[ ... -. . ..... -----1*** ----*--* -ll-----'-'"->-'-'-------------
L-. ,_,
L-. ,_,
____  
____  
.. ---' 4. Sample Information:
.. ---' 4. Sample Information:
Si1mplo?  
Si1mplo? .4rea ID .... 4 S. @i. R.. -=t. I Descri  
.4rea ID .... 4 S. @i. R.. -=t. I Descri  
------*--*-*****-
------*--*-*****-
... *-----.... ____________
... *-----.... ____________
___, Depth Soil Type I
___, Depth Soil Type I
* Soil I Swrrple ID 1 Sampling Description Jntt!n>al  
* Soil I Swrrple ID 1 Sampling Description Jntt!n>al  
{Org; clay; CollJr I j (Surface titter typt:/depth, sample depth retention.  
{Org; clay; CollJr I j (Surface titter typt:/depth, sample depth retention. (cm sand, etc.J ...... ., ....
(cm sand, etc.J ...... ., ....
or rock. toP?&,:aphy 1
or rock. toP?&,:aphy 1
o-. -+ 4.S.fS.tl._l.l  
o-. -+ 4.S.fS.tl._l.l -j--jh,,;
-j--jh,,;
r'..irb , ... ____ _ *r.,l brt.'n. .*
r'..irb , ... ____ _ *r.,l brt.'n. .*
_________
_________
Line 1,527: Line 1,234:
== Description:==
== Description:==
_  
_  
.. ___ _ 2. Sample Location Data: SAMPLE LOCATION DATA SHEET Name: -J.8ni1.  
.. ___ _ 2. Sample Location Data: SAMPLE LOCATION DATA SHEET Name: -J.8ni1. ....... .n_ ____ _
....... .n_ ____ _


== Description:==
== Description:==
Line 1,536: Line 1,242:
Location Coord:  
Location Coord:  
.);:J' 38'1 /J _  
.);:J' 38'1 /J _  
.. '.11,.) _______ _ Alternate Location Measurements (distance from SA origin and Local Coord.} X Dist. from Origin (0,0)_. Y Dist. from Origin: __ _ Site Sketch Attached  
.. '.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 {Yes) (NO} Sample Location
{Yes) (NO} Sample Location  


==
== Description:==
Description:==
.C\cd-1 .. 1
 
.C\cd-1 .. 1
* d.!2.i_ f r.Y.11U (( li';l
* d.!2.i_ f r.Y.11U (( li';l
_Land Use:
_Land Use:
Line 1,551: Line 1,254:
*----*-*
*----*-*
Soil Color Sample ID I Sampling Description  
Soil Color Sample ID I Sampling Description  
* (Surl'ace litter type/depth, sample depth retention,  
* (Surl'ace litter type/depth, sample depth retention, refusal, or rock, topography, erosion features)  
: refusal, or rock, topography, erosion features)  
(**iS' i.IS  
(**iS' i.IS  
---
---
Line 1,558: Line 1,260:
__ C_O_C  
__ C_O_C  
*-(N) ___
*-(N) ___
10/20/15 Project:  
10/20/15 Project: ...  
...  
..... Weather: .**  
..... Weather: .**  
.... 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET -.-' 12 Name: . 1 C>r*i  
.... 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET -.-' 12 Name: . 1 C>r*i  
*---SA
*---SA
__ DesL'ription:  
__ DesL'ription: .SA Origin Location:  
.SA Origin Location:  
--**---***---
--**---***---
---*-*--------
---*-*--------
Line 1,573: Line 1,273:
_________________  
_________________  
----* Coord: 2. Sample Location Data: Sample Area ID:  
----* Coord: 2. Sample Location Data: Sample Area ID:  
...... __ ..... Matrix: __ ;?_p_* __ l_ __ . Location C.oord: N, I L* si__ ___ Alternate Location Measurement:.  
...... __ ..... Matrix: __ ;?_p_* __ l_ __ . Location C.oord: N, I L* si__ ___ Alternate Location Measurement:. (distamx' from SA nngin and Local Coord.) X Dist. from Origin (0,0) __ rJ/ f\--.... Y Dist. from Origin: fJ/ f\ Site Sketch Auached (Yes) @ Sample Location
(distamx' from SA nngin and Local Coord.) X Dist. from Origin (0,0) __ rJ/ f\--.... Y Dist. from Origin: fJ/ f\ Site Sketch Auached (Yes) @ Sample Location  


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


_
_
Line 1,588: Line 1,286:
*--*-*-,,---------N-ot_e_s  
*--*-*-,,---------N-ot_e_s  
-------4. Sample Information:  
-------4. Sample Information:  
.\'ample  
.\'ample *1n:a ID: .. '!:L.f"..C..
*1n:a ID: .. '!:L.f"..C..
i;L_.__\ , I -1.f _ SampT;ii>*  
i;L_.__\  
, I -1.f _ SampT;ii>*  
..  
..  
*.  
*.  
Line 1,601: Line 1,297:
.. tl1Es__ --,-----------------\
.. tl1Es__ --,-----------------\
8.-u. .. .,..
8.-u. .. .,..
* __ C..) JSC,,._.  
* __ C..) JSC,,._. -*
-*
__  
__  
.. -*. --*---****-*-*--*-*----
.. -*. --*---****-*-*--*-*----.  
.  
..
..
_____ , ____ ... ****--*----**-**--*-*-----!  
_____ , ____ ... ****--*----**-**--*-*-----!  
:-::_ __ -
:-::_ __ -
Sample Recorded on LaboratOI")'
Sample Recorded on LaboratOI")'
COC form and Containe-r Labeled:  
COC form and Containe-r Labeled: { (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1i.(-i../1<
{ (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1i.(-i../1<
Project fJ'1
Project fJ'1
__ **--*---**--
__ **--*---**--
Line 1,620: Line 1,313:
== Description:==
== Description:==


*-_\il2o:1  
*-_\il2o:1 ;i _i
;i _i
______ __:_ .. ___ _ SA Origin Location:  
______ __:_ .. ___ _ SA Origin Location:  
**--**-**-*-
**--**-**-*-
Line 1,633: Line 1,325:
____ :tl.larrix:
____ :tl.larrix:
_)(':_ J .. __ Location Coord: 1_:>.* *' ti. ___ _ I 11 J . )._ 1 11 w .. :r. **---...  
_)(':_ J .. __ Location Coord: 1_:>.* *' ti. ___ _ I 11 J . )._ 1 11 w .. :r. **---...  
*----*-** Alternate Location Measurements (distance from SA origin and Loca[ Coord.) X Dist from Origin (0,0)_ ______ Y Di::.-t.
*----*-** Alternate Location Measurements (distance from SA origin and Loca[ Coord.) X Dist from Origin (0,0)_ ______ Y Di::.-t. froni Origin: *-**--*-**.
froni Origin: *-**--*-**.
Site Sketch Attached Sample Location
Site Sketch Attached Sample Location  


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


__ J. ! oJ  
__ J. ! oJ  
{_br.-1*,h_  
{_br.-1*,h_  
-".vd _ _nw ftlr *. L. ,J ,......J,. ! ---CanopJ: Type:  
-".vd _ _nw ftlr *. L. ,J ,......J,. ! ---CanopJ: Type: ,t, \ \,_J t>",, ... 1 Land Use: k Soil Moisture (Wet, dry_ etc.): __  
,t, \ \,_J t>",, ... 1 Land Use: k Soil Moisture (Wet, dry_ etc.): __  
: 3. Location Radiation  
: 3. Location Radiation  
**---*-h-*---*---*
**---*-h-*---*---*
2x2 Nal B icron Notes (cpm)  
2x2 Nal B icron Notes (cpm)  
: 4. Sample Inform:ttiox:i:
: 4. Sample Inform:ttiox:i:
10/20/15 SAMPLE LOCATION DATA SHEET Date: _L z_-L:lC_
10/20/15 SAMPLE LOCATION DATA SHEET Date: _L z_-L:lC_ Weather: (c. \ 1t-1.., t lo .. '10--S'C' i 1. Sample Area (SA): SA Designation:
Weather:  
L-/,5_(,
(c. \ 1t-1.., t lo .. '10--S'C' i 1. Sample Area (SA): SA Designation:
L-/,5_(,  


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


_ _,,\N'-'1  
_ _,,\N'-'1  
Line 1,668: Line 1,354:
.11r32 J&#xa3;,cf;'' __ ]_j___2__J_
.11r32 J&#xa3;,cf;'' __ ]_j___2__J_
___ l]*S?> _____ _ Alternate Location Measurements  
___ l]*S?> _____ _ Alternate Location Measurements  
{distance from SA origin and Local Coord. J X Dist. from Origin (0,0) f'Ji t.:lr _ _____ Y Dist. from Origin: tJj 8r . Site Sketch Attached (Yes) @ Sample Location  
{distance from SA origin and Local Coord. J X Dist. from Origin (0,0) f'Ji t.:lr _ _____ Y Dist. from Origin: tJj 8r . Site Sketch Attached (Yes) @ Sample Location


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


1 k:nf Canopy Type:  
1 k:nf Canopy Type: .Land Use: _J::\1).,lnj Soil Moisture (Wet, di}'. etc_): ------* 3. Location Radiation Readinv;s:  
.Land Use: _J::\1).,lnj Soil Moisture (Wet, di}'. etc_): ------* 3. Location Radiation Readinv;s:  
------2x2 Nal Bicron Notes (cpm) (uRern/hr)  
------2x2 Nal Bicron Notes (cpm) (uRern/hr)  
-***** --Count time I cm Im ; (min) -****-*:,:  
-***** --Count time I cm Im ; (min) -****-*:,:  
Line 1,688: Line 1,372:
-
-
10/20/15 SAMPLE LOCATION DATA SHEET Date: _l_Z-1-1 S"-' Name: _ -W o 'Drt\id!L_
10/20/15 SAMPLE LOCATION DATA SHEET Date: _l_Z-1-1 S"-' Name: _ -W o 'Drt\id!L_
___ ._ Ll ** r Weather:
___ ._ Ll ** r Weather: _LC. ...
_LC. ...
___ _ 1. Sample Area (SA): SA Designation:
___ _ 1. Sample Area (SA): SA Designation:
l.f. S-C
l.f. S-C
Line 1,703: Line 1,386:
--*-*-----***-*-*--*
--*-*-----***-*-*--*
Coord: 2. Sample Locafam Data: Sample Area ID: _l::/_!QC.,R.!__:/.  
Coord: 2. Sample Locafam Data: Sample Area ID: _l::/_!QC.,R.!__:/.  
.. ________
.. ________ Matrix: ___ 5.<:-:'d_  
Matrix: ___ 5.<:-:'d_  
.. Location Coord: N 4 2., *37' 1s-,10" ' J.. __ 'b)
.. Location Coord: N 4 2., *37' 1s-,10" ' J.. __ 'b)
__ l i..*  
__ l i..*  
-A[ternate Location l\.foasurements (distance from SA origin and Local Coard.) X Dlst. from Origin (0,0) rJ/'k Y Dist. from Site Sketch Attached  
-A[ternate Location l\.foasurements (distance from SA origin and Local Coard.) X Dlst. from Origin (0,0) rJ/'k Y Dist. from Site Sketch Attached . (Yes) Sample Location
. (Yes) Sample Location  


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


\JJcW") *-\-rets; fi'J *::. /
\JJcW") *-\-rets; fi'J *::. /
Line 1,717: Line 1,397:
Type: _C.tpc2r'  
Type: _C.tpc2r'  
--*** ....... Land Use:
--*** ....... Land Use:
Soil Moisture (Wei, dry, etc.). 'DI'-'"/
Soil Moisture (Wei, dry, etc.). 'DI'-'"/ J . 3.
J . 3.
Radiation
Radiation
_ _.,.,...
_ _.,.,... __ 2x2 NaI
__ 2x2 NaI
* Bicron--**--
* Bicron--**--
c--Notes (cpm) (uRem/hr)  
c--Notes (cpm) (uRem/hr) . Count time 1 cm Im I cm l m : (mir:i) . f ! . *-
. Count time 1 cm Im I cm l m : (mir:i) . f ! . *-
.. . ....  
.. . ....  
..
..
I
I
__ 7_131.p_  
__ 7_131.p_ *--__ f> ___ l _s: __ . J ....  
*--__ f> ___ l _s: __  
. J ....  
-_ -__:__*-:_--
-_ -__:__*-:_--
: 4. Sample Information:
: 4. Sample Information:
Line 1,739: Line 1,414:
__
__
l--'--1 Y:.::....--'5"'-'o=*  
l--'--1 Y:.::....--'5"'-'o=*  
........  
........ ..::;o:;l...;;C.,J g_.. L4
..::;o:;l...;;C.,J g_.. L4
* i.. _ &#xa5;'r:-&#xa3;..,\.., ;'\::>(">  
* i.. _ &#xa5;'r:-&#xa3;..,\..,  
;'\::>(">  
\')  
\')  
--+---__ ... , .. ----1--------------------l
--+---__ ... , .. ----1--------------------l
_____,_,,  
_____,_,, ..... ----*  
..... ----*  
....  
....  
*---*-.... --*-r*--*--
*---*-.... --*-r*--*--
Sample Recorded ou Laboratory CO(' form and (N)-10/20/15 SAMPLE LOCATION DATA SHEET Project:  
Sample Recorded ou Laboratory CO(' form and (N)-10/20/15 SAMPLE LOCATION DATA SHEET Project: -***-.J::rj_
-***-.J::rj_
__ . o( Weather: ...  
__ . o( Weather:  
...  
..  
..  
.. LQ.._ 1. Sample Area (SA}:* SA Designation:
.. LQ.._ 1. Sample Area (SA}:* SA Designation:
Line 1,759: Line 1,429:
== c. Description:==
== c. Description:==


________
________ _ SA Origin Location:  
_ SA Origin Location:  
-**-. _ .---.. **---Coord. System: ____ _ SA Land fyfark
-**-. _ .---.. **---Coord. System: ____ _ SA Land fyfark


Line 1,768: Line 1,437:
.. 5..__,, ___ Matrix:
.. 5..__,, ___ Matrix:
__ Location Coord: J  
__ Location Coord: J  
*-Alternate Location Measurements (distance from 'SA origin and Local Coard.) X Dist. from Origin (0,0) rJJ It.\' Y Dist. from Origin: ,...J/ Site Sketch Attached (Yes) &sect; Sample Location  
*-Alternate Location Measurements (distance from 'SA origin and Local Coard.) X Dist. from Origin (0,0) rJJ It.\' Y Dist. from Origin: ,...J/ Site Sketch Attached (Yes) &sect; Sample Location


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


1 l\1h\-...
1 l\1h\-...
Line 1,782: Line 1,450:
Sample Area JD:  
Sample Area JD:  
& 5. I -Z D b D fl escrmt1on J'V ept *----[ Deptlt Soil Type Soil Sample JD Sampli11g Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or features) i2--.n-.... ,1.
& 5. I -Z D b D fl escrmt1on J'V ept *----[ Deptlt Soil Type Soil Sample JD Sampli11g Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or features) i2--.n-.... ,1.
___ ,'i"LS. l _ -j p. *-* I u Su."\. __ I Rn-, ,r-:l*S'".l  
___ ,'i"LS. l _ -j p. *-* I u Su."\. __ I Rn-, ,r-:l*S'".l .. -IA *-***--*--* ----=t-**----*--****-
.. -IA *-***--*-
-* ----=t-**----*--****-
.. *-L----***-**  
.. *-L----***-**  
--* *----*--- -Sample Recorded oo Laboratory COC foTm and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: _[1:1 5' Project:
--* *----*--- -Sample Recorded oo Laboratory COC foTm and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: _[1:1 5' Project: t-l"'f S
t-l"'f S
_______ _ l. Sample Area (SA): SA Designation:
_______ _ l. Sample Area (SA): SA Designation:
_ ___!j__,
_ ___!j__, S:G  
S:G  
\Jocc\--.------>&#xa3;--------
\Jocc\--.------>&#xa3;--------
SA Origin Location:
SA Origin Location:
Line 1,802: Line 1,466:
__ _ Location Coard: N :f2. .:o  
__ _ Location Coard: N :f2. .:o  
/'-/, 'i {
/'-/, 'i {
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) J-'/ P------Y Dist. from Orig.in:  
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) J-'/ P------Y Dist. from Orig.in: ,., / A Site Sketch Attached (Yes) &#xa9; Sam_ple Location
,., / A Site Sketch Attached (Yes) &#xa9; Sam_ple Location  


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


__ VJ __ J-_
__ VJ __ J-_
Line 1,812: Line 1,474:
____ _
____ _
Type: ____ Land Use: _ru: __
Type: ____ Land Use: _ru: __
____ Soil Moisture (Wet, dry, etc.) . .J::2c_'i----
____ Soil Moisture (Wet, dry, etc.) . .J::2c_'i----. 3. -Location Radiation Readings:
. 3. -Location Radiation Readings:
2x2 Nal (cpm) 4. Sample Information:  
2x2 Nal (cpm) 4. Sample Information:  
*-_..._ ..... ---*------
*-_..._ ..... ---*------
Bicron *Notes {uRern/hr)
Bicron *Notes {uRern/hr)
Sample Area JD: Lf, 5G. __ J,P._J.:.:L Sample ID-. -Samplif;g-
Sample Area JD: Lf, 5G. __ J,P._J.:.:L Sample ID-. -Samplif;g-
_, l (Surface litter type/depth, sample depth retention,  
_, l (Surface litter type/depth, sample depth retention, . __ refusal, features)
. __ refusal, features)
Soil Color 1____.""-----_,_,._--+____,<:;:.=o::...:._._
Soil Color 1____.""-----_,_,._--+____,<:;:.=o::...:._._
__
__
__ i---<--=---==--i---''$:...:'
__ i---<--=---==--i---''$:...:'
O'-*---\ __  
O'-*---\ __ . I ----1-----+--
. I ----1-----+--
....... _. _____ , --
....... _. _____ , --
_..___ _____ , ___ ._. __ 1-----------------------1  
_..___ _____ , ___ ._. __ 1-----------------------1  
*-*+/-  
*-*+/-  
,__Sa-,
,__Sa-,
Labeled:
Labeled: 00)'-(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1z.f 1 Weather:
00)'-(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1z.f 1 Weather:
____ _ 1. Sample Arca (SA): SA Designation:
____ _ 1. Sample Arca (SA): SA Designation:
4 . 'S'. (__ *--Description:
4 . 'S'. (__ *--Description:
Line 1,841: Line 1,499:
_.. Coord: 2 .. Sample Location Data: Sample Area ID: L\. s-.(.. {(. L. -Matrix:
_.. Coord: 2 .. Sample Location Data: Sample Area ID: L\. s-.(.. {(. L. -Matrix:
Location Coord: 4d.0  
Location Coord: 4d.0  
/tf, 1411 tJ __ :1.J.:.J.'?,)  
/tf, 14 11 tJ __ :1.J.:.J.'?,)  
!./ 9 11 (J Alternate Location Measurements (distance from SA origin and Local X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached (Yes) @) Sample Location  
!./ 9 11 (J Alternate Location Measurements (distance from SA origin and Local X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached (Yes) @) Sample Location


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


+1 a..+ (U\.,>J A '42(*; Lk*..rS g r{'1vn bn '.,) b .  
+1 a..+ (U\.,>J A '42(*; Lk*..rS g r{'1vn bn '.,) b .  
.. *i')
.. *i')
f'Mlo ll1..1 vT'v.!::'\Land Use: hi k1f!0j 1  
f'Mlo ll1..1 vT'v.!::'\Land Use: hi k1f!0 j 1 . Soil Moisture {Wet, dry, etc.): l]..UM*j?  
. Soil Moisture  
{Wet, dry, etc.): l]..UM*j?  
**-* I 3 L f R d' ti R d" oca 100 a Ia on ea mgs: --2x2 Nal Bicron Notes (cpm) (uRem/hi)
**-* I 3 L f R d' ti R d" oca 100 a Ia on ea mgs: --2x2 Nal Bicron Notes (cpm) (uRem/hi)
Count time --1 cm l hn_ [ l cm _ l . __ Im (min) -* .. I 9' $ o?.' 5 JJi4 *-**
Count time --1 cm l hn_ [ l cm _ l . __ Im (min) -* .. I 9' $ o?.' 5 JJi4 *-**
Line 1,860: Line 1,515:
{'l -'*;-{:t.?.St.;  
{'l -'*;-{:t.?.St.;  
\ h..,.*"""'  
\ h..,.*"""'  
'f ,'.'.:.<..{(  
'f ,'.'.:.<..{( r. I 1'5 .  
: r. I 1'5 .  
*I bn I.I . *:; . c. R. Jn.,..-iy r* ,-r-**-"" **-t-----*  
*I bn I.I . *:; . c. R. Jn.,..-iy r* ,-r-**-"" **-t-----*  
---.. ____ .. -**-* *----*-* ...... ----,, _____
---.. ____ .. -**-* *----*-* ...... ----,, _____
Sample Recorded on Laboratory COC form and Container Labeled((Y))  
Sample Recorded on Laboratory COC form and Container Labeled((Y)) (N) **-****' 10/20/15 SAMPLE LOCATION DAT A SHEET Date: f2.-1__:!I__
(N) **-****'
10/20/15 SAMPLE LOCATION DAT A SHEET Date: f2.-1__:!I__
Project:
Project:
w th \ rl* '10....c'l'>.<>{'."
w th \ rl* '1 0....c'l'>.<>{'." ea *er: Cc.  
ea *er: Cc.  
.._
.._
I -r * -::>'-' L Sample Area (SA): SA Designation:
I -r * -::>'-' L Sample Area (SA): SA Designation:
Line 1,889: Line 1,540:
\N 7*f'_QIL z.:s.
\N 7*f'_QIL z.:s.
Alternate Location Measurements (di:;tance from SA origin and Local Coord.) X Dist. from Origin (0,0) ... ....r>--JJL  
Alternate Location Measurements (di:;tance from SA origin and Local Coord.) X Dist. from Origin (0,0) ... ....r>--JJL  
.. __ Y Dist. from Origin: ,J/ A-Site Sketch Attached (Yes) Sample Location  
.. __ Y Dist. from Origin: ,J/ A-Site Sketch Attached (Yes) Sample Location


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


ltJood.sJ
ltJood.sJ
Line 1,901: Line 1,551:
_ _J'-1__8?
_ _J'-1__8?
_,,_
_,,_
__ *FL-.NJ F\ __ *--* _ .. , .. " ---------!  
__ *FL-.NJ F\ __ *--* _ .. , .. " ---------! -s-.. ___ ...:TI' _10 ___ . .... .. ---+-.. _____ *-__  
-s-.. ___ ...:TI' _10 ___ . .... .. ---+-.. _____ *-__  
*-------------1  
*-------------1  
-._____. --____ ,l__ ______ ... --... L_.._  
-._____. --____ ,l__ ______ ... --... L_.._  
Line 1,909: Line 1,558:
... --wtt'\ **-*-
... --wtt'\ **-*-
'OOt \ 'Gro ..... "-i./' S"'C *'Q...., z. tJ sP\----*---*
'OOt \ 'Gro ..... "-i./' S"'C *'Q...., z. tJ sP\----*---*
_ .. ---*---***-----* -l. .. _ -* Sam le Recorded on Laborato CCC form and Contaiuer p ry 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1 /1-r Project:
_ .. ---*---***-----* -l. .. _ -* Sam le Recorded on Laborato CCC form and Contaiuer p ry 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1 /1-r Project: nl 'I ::,l R 0 tt ... ------..
nl 'I ::,l R 0 tt ... ------..
tS1tiL..:  
tS1tiL..:  
:i .. ____ _ Weather:.
:i .. ____ _ Weather:.
Line 1,927: Line 1,575:
: 2. Sample Location Data: Sample Area
: 2. Sample Location Data: Sample Area
__ . __ l\'Jatrix:
__ . __ l\'Jatrix:
___ _ Coord. Systt:m:
___ _ Coord. Systt:m: _ ***-___ _ Coord: Location Coord: 4 :i." :S). ' J (p. 5  
_ ***-___ _ Coord: Location Coord: 4 :i." :S). ' J (p. 5  
..  
..  
*----_ Alternate Location Measurement's (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Orig.in:  
*----_ Alternate Location Measurement's (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Orig.in: ----Site Sketch Attached (Yes) Sample Location
----Site Sketch Attached (Yes) Sample Location  


==
== Description:==
Description:==
.
 
.
Canopy Type: Land Use:.
Canopy Type: Land Use:.
Soil Moisture (Wet. dry, etc.): (\QM? I 2x2 Nal (cpm) 3. Location Radiation Readings; Bicron (uRem/hr)
Soil Moisture (Wet. dry, etc.): (\QM? I 2x2 Nal (cpm) 3. Location Radiation Readings; Bicron (uRem/hr)

Revision as of 04:03, 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 11 of 24
ML16293A677
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: ML16293A677 (41)


Text

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      • -** COC N11111bcr en: ... .. .. ... .. .. GEL Worlt Order Number: Phone: (843) 556.8171 PONumbor:

(843) 766-1178 Clicut Name: Phone#:. Sample Analysis <<J (Fill m the number oi,anlai11ers for endr ** 'Projec!iSite Name: Fax II: Should this <-- Type (6) s:un11le he Address: considered

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Send Results To: Note: extra sample is *o:.H..:

1 T1mt.: Si1t'l!pt1! TSC required for sample QC" specific QC Sample ID [Ml!ll;tr>) £ll f M-;.1rne. (inm-<1'1-Y)') "i 1l:1Ctl

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_____ GE_JL -ain of Cust_od_y 'and. Ana;Iytic_. __ al 'Rei'!_-* nest 'G!>l;4 buralories, LLC _PJ:Ojcct

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by;. Send T 9: SampleJD "'F..fJr &111uJo.-,*ites jmfiCotR .1t1,1rt DIUi .1r:m1Jatdtime. , (m!'l-dil-yy) .*rnn1:. .* C"0Uoc1.:il _I .. (illlllt.1r>*J (tihl!im): i :Comments Note.:* cx,tra :sample ls requiredfor:sample specific QC s!\.)-, \'\ 77.' .......... <.r\i 11!...,*17

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Normal: . Rush: --:gpccifv: . "' Siir<h**i:<) I Results: "Yes I No Circle 'Diiliwrnblc: -C of-A I QC Summarv* I. Level '1 I Level 2 i Level 3* I Level 4 -* &iim11le Collection J'jmµ Zpn4 -Pacific Cemrnl Qthcr ___ , Mountain *Chain of.Custody: Signatures Sample Shipping .1111d Delivery Dc.11111s

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-** .. ol' . -.. *--* GEL Chain of Custody and Analytical Request* GEL Lnbcratonc<. LL(' rriljcct II. 2040 Sava go Road GEL Quote#: *'*Sec *www.gcl.com for GEL's Sample Acceptance SOP*"' Charlcslou, SC 29407 -*-" ,,_. -**-*---*-*-** ..... COC Number in: GEL Work Order Numberi Ph1mo: 55<i*8l71 PO Number: Fax' (843176t;* I I 78 Client Name; Phone#: S-ample Analysis Requested lSJ (Fill in the: of tontuiners for each lest} ** *Project/Site Fax:#: Should lllis < .. -Prcscrvatiw Type (6) Address: **mplo ho (Onsiderc:d ' Comzmmts Collected by: Send Rcwlls To: Note: exlrn sample is *O:lkCo1h::;1 .. oJ S .. TSC required for sample QC specific QC Sample ID (Mlli1ary1 Cr..J;l*l Filtc:.-e:J !lndi /\ (nrm-rld-yy) (ll **J Ol'!ll:::Ji "Fur - Mad mrd rfou (hhmm) .. l:iltd 1er o ll I :)C . )L . l ,3 y,.SC1 'il. \' 1.1 11*2 L.t. $"'(,. \t-.\ 1 t-z.* z.-1s L-\ -* (.. . << *1.. . I 11-* '2--!( l..\.S . L . ((. 'l* J,. \'2-* 2.* IS' -.S.C-t(_' J.: r2* 2-1r -----r (('.' ?,_.L[ ic...* Z: . 4.S".C.. !.\. S' . G . i<.. !'2. -i.* TAT Nom1ul: Rush: Svcc1f}" 10 l Fi\;\ Yes I No Circle Dchvortlblc. C of A I QC J Leve! I I Lc*Jc] 2 ! Level 3 I I.cwl 4 Remarks: A1-I.! therf!' any known hazards applirnble tr> tl11:se .wmples? Ifw, pl1mse, list th<! Sillncltl'illk.;,ijrm Time lone Eastern Poc1tic Central Other ....... **-******- Moun1ai11 Chain of Custody Sig11at11res Sample ShlpJ!lng iuul Details R*linqursl-"'il By ISisncd) D.ire Time by D.llc "Tur.c GEL PM: I I Mclhud of Sln1>rncn1: 2 '2 Airbillll. 3 3 AlrbillU: I.} (:h3111 or<..\:stcdy Ni.:1r:llcr-C.:Jfon1 Dc1crm11;i:d For Loi> Receivwg 011/J' 1} QC: N ::i Nonn:,I Sirnftc, TB,,..TriJl Bli!nl<, FD-fMd )JS,..., M::i.m:tSJakc:

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for GEL's Sample Acceptance SOP*>!< Charleston. SC 29407 .-*-*---... -. .-*-*** -*--.... .. COC Number (ll: " ... .. GEL Work Order Plm11c* (843) 556*8111 PO Number: Fax* (843'> 76<i-1 l ?8 Client Name: Phone# Sample Analysis Heqncncd 1 5 1 (Fill in rhe mur.ber of co111aincrs for euch lest) *'" -ProjecliSite Name: Fax II. Shoulcl I his "-**Preservative Type (6) **mpic l>c Address: (O!lfldcrotl

Comments Collected by: Send Rcsuhs To: Note: extra sample

"'Til!li: rlt::J Sillrnp:I.'! TSC required for sarnple QC specific QC Sample ID (MUilm>) Lct.le**1 i* Filrcrcd M.u1r1x Rodi A r m "' oacU R1gu

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1. Instrument lnformation 1 Ratemeter:

Make/Model: Detector 1: Make/Model: Bkron MlcroRem Meter: 2. Check Source Information: Source 1 lsotope:Ti- ... :t. >J*seria! No.: Response Acceptance Range (+/-20%): uRem/hr +20% Instrument Field Response Check Log Serial No. ;Jc*<. t:*"( Serial No. Ft:' f I .).c,c.;.) Serial No. i l..J SI Activity:<.:....C. 1 units:

uRem/hr -20% Cal. Due Date: t:'J-:!jt1f 6 Cl l'J f:iff ") /*' a. Due Date: Source 2 Isotope; Cs 177 Serial No.: j (Clf;/7-1.2.

Activity: o.c* ;-. Date: NA Response Acceptance Range (+/-20%}: uRem/hr +20% __ uRem/hr -20% net cpm + 20%[3:;.z. z 1 net cpm -20%

3. Technician/Worker Performing Checks: Name: I Title: ;['7c*/ Date:l&1k ( Time: (1 I I I -----4. Site or Location:

Site/Job*__jt r,,,.. L/. 1:/ .'i, S Location

Description:

S: * /, j *

  • C' I !':' ' -------------

GPS(OOrdinat*5(When required): X-Coord: '/\ ,.:l.. ;Ii sue.-Y-Coord: Vv-. )$ t.f'( (;.:Y"J'°" 1 nstru me nt Field Response 2 Use Acceptance Criteria Remarks i Meter l Bkg I Cnt Time Bkg Counts (cpm) or I uRem/hr) I ! Ratemeter lMif' {{&* ! Ratemeter Rate meter Bicron Bicron Blcron Source Cnt Time Source Response i/-20% (gross cpm or source uRem/hr) gross cpm or uRem/hr (Y/N) ( Inst. Battery Ca lib_ Check current (Y/N) (Y/N) Time Of check Ambient Temp. {oFj Initials and comments (add'l Info: inst. Condition, etc.) *-=; " ** *-1. z. Instrument designated check source Is listed o 'IOn sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. Source and Background count rate should be determined from the average of three static counts at the same location .. l"lepeat counts should be within :20%. If count rate diverges significantly, perform addittonat counts to evaluate Instrument stability ' i .. '"l

  • 1. Instrument lnformation 1 L ,.1 _ ., Ratemeter:

Make/Model: i.,..dw11 ./ .. )i/;..-..-'-Detector!: Make/Model: L,,/(rr-.,,... 'If-ft! Bicron MicroRem Meter: 2. Check Source Information: Instrument Field Response Check Log Serial *No. ,a6£f-cJt 5> Serial No. Serial No. //..ff? Cal. Due Date: 6 Cal. Due Date: o t}l/'b source 1 J-32 Serial No.: / I/ Activity: 4'.)_ 1 units: .. µ .. L.; Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% Assay Date: lJk/; e: net cpm + netcpm -20%3.f')'.(;C.

3. Source 2 lsotope:(s-!'57.

Serial No.: J 2 Activity: O.OJ-Assay Date: N../' Response Acceptance Range (+/-20%): uRem/hr +20%___ uRem/hr net cpm + 20% rs.)7"? net cpm -20% 1/<f'j Checks: R.c r Title:------- Date:/.J (y/r {" Time: , I 4. Site or Location: Site/Job: <! '-(_ < , , __ GPS Coordinates (when required): X-Coord: N L/;t '\I $-=i. tn) Y-Coord: VI.I 'Cl {"}{ c,tq#6f'g' Instrument Field Response 2 Use Acceptance Criteria * .Remarks Rev 110/18/15 Meter 8kg Cnt Time Bkg Counts [cpm}or uRem/hr) Source Cnt Time Source Response (gross cpm or uRem/hr) +/-20% source gross cpm or uRem/hr (Y/N) Inst. Battery Time Calib. Check Of Ambient Temp. (oF) Initials and Comments [add'J Info: inst. Condition, etc.) current . (Y/N) check (Y/N) Ratemeter Ratemeter 1 Ratemeter l Ratemeter Rate meter Ratemeter r Bicron NA Bicron NA I Bicron NA 1. Instrument desi nated check source Is llsted on call ration s *

  • r. Re. ord check sour response (n t cpm) prior to field deployment for all check sou *es being used. 2. Source and Background

<:ount rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rnte diverges significantly, perform additional counts to evaluate Instrument stability

  • iifP""°""'-
  • MJ-....fo-*

!JCEff'V/JCeS Rev 110/18/15 Instrument Field Response Check Log 1. Instrument lnformation 1 Ratemeter: Make/Model: LUDLUM 2241-2 Serlal No. i,62737 CaL Due Date: 9/2/16 Detector 1: _L_l).DLJ.!.M.M:1.Q______ Serial No. _EB....ll112L Bicron MicroRem Meter: Serial No . ..Al]4U __ Cal. Due Date: 8/4/16 2. source Information: source 1 Isotope: Ib-232 Serial No.: 116 Activity: <OJ .... units: _µ_c.L_ Assay Date; .1213.o/10 Response Acceotance Range (+/-20%): uRem/hr +20% *****-*--*- uRem/hr -20% __ . net cpm + 20%_£2926 net cprn -20% 15284 5our.ce 2 .C.s.:13]._ __ Serial No.: -81.El.3.::4.8.._. Activity: O 02 units: _!J.c.L Assay Date: ..1.L2JUlO Resporise Acceptance Range (-+/-20%). uRem/hr +20% _ ugem/hr -20% ___ net cpm + 20%-1..3.iZ5_ net cpm -20% _39iS. .... 3. Technician/Worki!!r Performing Checks: N ame:5-1£\If[_ _K.tN Title: ° CT ...... .. --*-4, S1te/Job:J_$ . *---*--11 _______ _ GPS Coordinates [w11en required): X-Coord: .. A/_if uJ (£"(.:_J, __ Y-Coord: W D11 Oo S"C. r --*-**--***----*-.-*--- Meter Bkg Bkg Counts : Source Source ResponsP +/-20% Inst. Battery Time Ambient Jnitials and Comments Cnt (cpm) or Cnt (gross cpm or source Calib. Check Of Temp. (add'l into: Inst. Conditi0:1. etc.) Time uRem/hrJ Time uRem/hr) gross cpm current (Y/N) check f'F} !,fp,,,v) 1[ 0 1µ) oruRert!/hr (Y/N} V (Y/N) .. """_ """if"==--y_:_""' ___ ""'F. .. . *"*' .. ,.. Ratemeter ' I f., .'ff.].,.{'_.. . ........ Y *****-* Ratemeter I 11"5' I v 8' ' Bicron NA NA \. J. tnstrumilnt designated check source is Hsted-;n calibr;;ition Record check sourr.e response (net cprn) prier ta (ield deployment for all check souq::es being used. . .. 2. SotJrC!' and BackgrounrJ count rate should be determined frorn average of three i;ounts ar the same location. Repeat cour.ts should be within 20%. If c.oont rate significanlly, perform additional tOLrnt'.; to evaluate imtrument .. Rev 110/18/15 l I I ! i ! I I 1. Instrument lnformatfon 1 Ratemeter: Make/Model: Detector 1: Make/Model: Bicron MicroRem Meter: ln.strument Field Response Check Log Ca!. Due Date; C.'1141/ls. Cal. DueDate:

2. check Source Information: . . . 1 . Source 1 Isotope; **T{.<)3)-.

Serial No.; { ( f Activity: -<c. units:;t.i:'.: Assay ResponseAccepta*nce Range (+/-20%): uRem/hr+20%__ uRem/hr-20%__ net cpm +20% !?.'. netcpm-20% Source 2 Isotope: Serial No.: I cc.,£;2.3-t.2 Activity: units1tL Assay Date: /IJA Response Acceptance Range (+/-20%}: uRem/hr +20% __ uRem/hr-20%.__ net cpm + 20% 13..27-$ net cpm -20% SS'i/'7 3. Technician/Worker Performing Checks: Name: I E:Jw.;.d5

  • o_.--r .. 1 Title:
  • '---4. Site or Location:

Site/Job: GPS Coordinates (when required}; I Instrument Field Response 2 Use Acceptance Crit-=ria Remarks Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Time Anibie-nt Initials and Comments Cnt (cpm} or Cnt (gross cpm or source Calib. Check Of Temp. (add'.l Info: in!t. Condition, etc.) Time uRem/hr) Time uRem/hr) gross _cpm current (Y/N} check {°F) or uRern/hr (Y/N} (Y/N) *-** ------! Ratemeter G'55brA." I ......::ii".. lf )_ i I < n-,.,.,,,. ....; v y C)<t}O 'fpi, (.} ft...-.,;l. 3.2 R'i I Ratemeter I l UJt..rt' ["qq) / 17"" "-' J./ 1Hr I <f' v (s*-/$-7 16!"1 ! Ratemeter I 1<A1 ,: 6.5":\bcfii.... { lv' IV\ ¥3 c'o1-. ,J -...'! v l///S-. lf.Z:. () 0 llL-.-9-*57 I Ratemeter I \ IMrV"-Sf<3"7< / *",,"" <.1 f \.I 1i120 i./( ;).. c r"?-7 v-..,..* Ratemeter fM:'h. I 1o-:).. t:flf :2 i 5 ,1; .. // J 5'"3;. i.fC.o 0 lTk-;).4#,? Ratemeter I \ (M...\'\r-.. q I 3 'l c;.p ... "" {1 .... 't '-..!' 1<r1 i.f),_"l" .., L <...-t ,Pc..-* Bicron NA .'I Jlil' .... NA W2 I ,.-.\f I \ j {[ IL/DD l.f4,C -Tl\ ..... Bicron NA I '/ ('.. [,..ii NA K?JA 'fl :..; (...,,;' lt /S,J/ 4t. ,, IL-') l >v Bicron NA I I NA I .:;i./r,::. ' v 1. Instrument desi nated check source is listed Record check source response (netcpm) rior to field deployment for all check sources bein g p g used. 2. Source and Background count rate should be determined from the average of three statlc counts at the .samri location. Repeat munts shou!d be within 20%, If count rate diverges signiffcantly, perform additional co1.mts to evaluate Instrument stability -I I i i i I I I I ! i I I

1. tnst:ry..£!)£nt ln.formationi Rate met-er: Make/Mode!:

Detector 1: Make/Model; Bicron Mii::roRem Meter: :z. Ched: SolJif.§1. lnfor.m<.!!J2!!.: Response Check Log LUDLUM Serlal No. Z6273L_ LUDLUM 44-lO-... -......... Serial No. PR 111122. Serial Cal. Due Date: ..'3.L2.L1.6 Cal. Due Date: 8/4/16 Source 1 JIJ-2,32 Serial No.: _ _11(L----Actlvlty: .5..0 .. ,J ... _ units: .).I.CL. As-:;ay Date; . .12./.3.0/10 Responr.e Acawtam::e Range l-1/.20%): uRern/hr +20% ........ .:. ... _ uRP.m/hr *20% net cpm '1 20% 22926 nl':'t cpm -20% 15284 Source 2 l5olope: __ SE>rial No,'. A.cthr1ty: 0 02 J.l..CL Daite: ..1.L2.QLJ.O Acceptance Ranae ( +/-20%): uRern/hr +20% ____ uRcrn/hr -20% ***--ner cpm -t 20%....UJ_lS..... net q:m -20% .8.9.J.;;i ..... 3. Technici;in/Worker Petforrning I J Tille: . .f:.l._["_______ D;ite: /.l.. .lff.°}.T1rne: .. Q_q_oo .. 4. .9f. S,te/Job -*-*---*-_ .... -*--* ---Location Df1r,r.r ipti M

  • O/) r/..f.J Yflf_ ___ .. ____ .... __ ... GPS Coordinates required):

Y-Coord: vJ en 'f'".('1 1 .. *-** ., ....,._......,.----* .. .,. ** .*... * *** .... , . .,.,., *..* ....... -,..-... -':'r**:*- .. 'l'""*" *.* * **.""lo**,, ..

        • ** * * * ..... * * ** ..
  • r **.. .. Instrument.

f.ield Response': Use Acceptance Criteria Remarks -*Bkg r-&g source +/-20% Inst. l 1me Re\I 110/18/15 Cnt (cpm) or Cnt !eross cpm or source Callb. Check Of Ambient Temp. (oF) (add': Info'. ConditiOl1, nc.) Time uRem/hr) TlmP. uRem/11r} gross cpm current (Y/N) c:hecl-: {ffl1J.1)

  • or uRem/hr (Y/N) ( . -.:r-:

' ... :_ ... -.J. _* I 'ZE.-=_=_ =_* "'_*'""""'_-*_,,.,..,,..._* .. _ .. ,,..,...._, _""_*'"'_* "_' *'_"'"_'"'_,"*: o ... 111.JL._ ... Ratemeter I qg r t L Y Y ! Be Vft I - Y ___ __'( __ ... Cs 131 _St i _ I _!!' .. --------3 '3icron NA NA Y _ .. _ ... -... X: ..... :JllQ... ...... Y-I ... { ___ _'f.J. ... ?J.:1..5 /C-_______ , _________ j ... -. ____ NA _ ___1_%__ ' ___L_ __ Y Y ,..Ci) l /.I (, _st-........ .. ---** ..J 1. lnstrum.:nt designated cher:k source is :isted on :*<JHbrJtion J\ecor'd check nHponse (net prior t.o fl<lld dep!oyinent fo1 all check :>ourcl!s bning usect. ?. . and Background cmmt rn1 shouid b". der.@rrnlned frmn tht> average \'f three stC1tic count!i at th1H*.;ime loot1011. Re cotir.ts bl? within ,0%. 1r count rJte cii\'erges perform additional courits to ewlu<ite st;:ibility .J . I AppE-Sub-Area 4.5-Sample Data Sheets Weather: ..... -.i1.rr-1. Sample Area (SA): SAMPLE LOCATION DATA SHEET SA Designation: t-/. SA -.... **--Description: SA. Origin Location: __ --**-*-*-* ..... ----***--- Coord. System: _____ _ SA Land Mark

Description:

  • ----*-*--*-

... ____ ***-**--Coard: 2. Sample Location Data: Sample Area Ill: .. .. ________ Matrix: ... Location Coord: IL&>'_* __ Alternate Location Measurements (distance from SA orig111 and Local Coord.) X Dist. from Origin Y Dist. from Origin: rv/@:. Site Sketch Attach!::d (Yes) Sample Location

Description:

__ _iN Canopy Type: __ OfJ0:1 ____ Land Use: Soil Moisture (Wet, dry, etc.): D __ _ 3.

  • Radiation _ --*--* *-**

2x2 NaI

  • Bicron -----N-o-te_s

____ _ (cpm) (uRem/hr) J 1m _J 1cm l_ ... ..___1 .... _. .!}t..J'ifZ. _____ .. c1/'2/lt.> f---------- - .'? S:. ____ .. *--_......

    • ' .,,_ \\\\ t. 7 *-l cL-.=

L-----

__ __.,__ .... ___ i_ __ . -*-* ..... L __ ..... .... ____ __, 4_ Sample Information: Sample Area ID: __

  • R._,__L.L:..=1 Soil Sa;;,ple n)* **

Samplilzg Description Color (Surface litter type/depth, sample depth retention, . or rock, topography, erosion \ ?:i°(CA.""' __ __ _ __ c..i. 1\'LI. L..s:rop,_\J.. c:,.,,,,.,,""\.. .,.{' +/-:@"-'*......,._ _____ ___, .!> '\ -s.p ... J g,, '-I .,:< . \ .r)J Pt" ..:::**i\.c;.\__ i?....,,,,.,"'" .

  • s.: (.y..!

---*--* ----------1 1--------1--

  • ----+-

.. _-*-_*-_**_***_**_- _ _L__ __ _._* == ' .. *---t -----Sample Recorded on Laboratory COC form and Container Labeled: * (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: /Z*7-1S: . Project: _f\J'i S"6E-.QS Name: -* ,..J1) W th n. '\ . .., ea er: ""'" .,r..._1 cl1:!::'1\:'-f / ;i_.) .. 1. Sample Area (SA): SA Designation: ___ *-*--Description: Wood.:> ____________ _ SA Origin Location: _____ **--*****----** ***---Coord. Syslem: ____ _ S.--1Lund1Hark

== Description:==

.... ********---------**-**---- Coord: 2. Sample Location Data: Sample Area ID: l.J, Matrix: __ Location Coard: _.flJ -t *z. ... ;; z' a..n:..__. ____ 1...i ...,Cl. 1' 3 .... J. zrr' ..... :I.'L.LL.Q -* -****-***------

      • -Alternate Location Measurements (distance from SA origin and Local C'oord.) X Dist from Origin (0,0) l"Jf>r Y Dist. from Origin: N 1 ,.;\ " I Site Sketch Attached (Yes)@> Sample Location

Description:

Canopy Type:

  • Op-e: \'\. Land Use:

l \ Soil Moisture (Wet, d1y, etc.): --1:':1.r-'-1-'J---

3. LocatiOn Radiation Readin s: 2x2 NaI .Bicron Notes (cpm) (uRem/hr)
4. Sample Information:

-*------**----.. *-* -*.-*--*--- ... Depth /ntel'Va/ (cm) So)l Type Soil Samp/11 JD Sampli1tg Description (Org; clay; Color {Su!'face litter type/depth, sample depth retention, sand, etc.) -*-----refusal, or topography, erosion \ S'f-\ ,K. ."2.. * \ u. cod-L-_ -* _ ------* So;\ .. ii ... _________

  • ---S<:i, I 'B Lj.<"r" .R. 2.. ****-**-----

.--*-**-****


*****---*---

o'* \koc.--.0

  • g

*-*-----i

_ ___.,_ ...... *..;; *. ..:.\___ .£. -1!)-t-!3--


. I . ,

0*-\ < IS-' 3-0 3u-* Q lv<..}""l cu Sample Recorded mi Laboratory COC form and Container Labekd: e (N) 10/20/15

SAMPLE LOCATION DATA SHEET Date: .Jd*--JQ_]l +'1< Project: .... **-**--*-. Name: __ . . . . r

1. Sample Area (SA): SA Designation:_!:/.,,__.

5.:::.-L...A..__ ______ **--Description: _\J-=---o-""-u-'-d=.5 ________ _ SA Origin Location: --* ____ -*----*--Coord. System: __ _ SA Land i'vfark

Description:


***--*---*-

__ Coord: 2. Sample Location Data: Sample Area ID: -4IS-ffr1 .... _._ Matrix: .. J ____ _ ,, Location Coord: iJ I 1.p. _ __ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) r-J 1 e .. _ Y Dist. from Origin: ,.;i pr r r J Site Sketch Attached (Yes) @ Sample Location

Description:

Canopy Type:

  • Dpen . ***-__ Land Use: _.HdGhl--_

Soil Moisture (Wet, dry, etc.): '"Dr-v 2:. Location Radiation .....

          • -..

2x2 NaJ : Bicron ll Notes (cpm) '. (uRem/hr) 4. Sample Information: Sample Area ID: 'ft> '5 A-. R.. . /-2 Depth Soil Type Soil Sample JD Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) -* __ refusal, rock, topogra h ',erosion features) 1 l" 0' ' ?.> (1) .... .., I ..


!

1.6.0_L_ *f]""""'i"l>.'-"--.,.,_ ...... _...._. ............ f?_,_3_;:_>:., ___ */4-.._&"--. __ --+------t-*

    • -i

., ..... ... ***-**-*--*--*


<

Sample Recorded on Laboratory COC form und Container Labeled: (N) 10/20/15 SAMPLE LOCATION DAT A SHEET Date: Jk_I -1 \ Project: f2..ffi___ ___ _ ,-Weather: Cc..ltA-1., 1 1 4U-su' r 1. Sample Area (SA): SA Designation: _j_'. )!i__ SA Origin Location: _ SA Land i\:fark

Description:

== Description:==

......,..>

  • ---*-----

Coord_ System: _ Coord: 2. Sample ;Location, Data: Sample Area ID: _ '-J 1 5]3_, ___ 'f ___ . Matrix: __ f5:G-_:j __ . Location Coord: ... \ \.\.. ___ k:-' 75 _P! __ 3i *'-:1_1 ____ _ Alternate Location Measurements {distance from SA origin and Local Coord.) X Dist. from Origin (0,0) __ t'i IA Y Dist. from Origin: -----J)/E---- Site Sketch Attached Sample Location

Description:

.. ......... ______ _ Canopy Type: __ Land Use: ... __ Soil Moisture (Wet, dry, etc.):__J-:::X--.,.,__--1-{--

3. Location -Radiation 2x2 Nal ij Bicron ( cpm) (uRem/hr)

Notes , Count time l cm I Im _,.r __ Tc;;**-*r*--**,m

..... .. -

___ J'!_ -1 '--*-*-r*--** 7fJO/ _______ __ . ** l **----**-+-. --** .. : N/--IP! . ---**--------+ '--------'------'--*----***l- ......... -.l ______ --**-.l __ ...... *----* .... '

4. Sample Information:

Deptlt Soil Type Soil Interval (Org; clay; Color {cm sand, etc.) Sample ID Sampling Description (Surface litter type/depth, sample depth retention, __ or rock, topography, erosion r-.J' ---+---***- -*--*** ---+---------------------! ---***--**--****----!

  • ---r----*-*******
    • -*--*-1-----*---------------1

.__ ___ -I----***-+----+--* .. ----=- --* -------i Sample Recorded on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15 SAMPLE LOCATION DATA SHEET Project: JV


, . *-;:) Name: 0 .-1 n re.. .... {\ I ' <rt,**\-\Veather:

Cc.l....., 1<\o.;o.71 y(r ..>v 1. Sample Area (SA): SA Designation: __ _(A-s-. ____

Description:

SA Origin Location: __ _ __ . ---*---Coord: System: __ _ SA Land Mark

Description:

___ Coard: 2. Sample Location Data: Sample Area ID: l'vlatrix: Alternate Location Measurements {distance from SA origin and Local Coord.). X'Dist from Origin (0,0) Jl)/li\-Y Dist. from Origin: ,.; / f!c . Site Sketch Attached {Yes) @ Sample Location

Description:

... Le_c..\JC-5' Canopy Type: . Open ... -.-... -... -Land Use: ... 117 Soil Moisture (Wet. dry. etc.): Uc 't _ 3. Location Radiation

  • 2x2 NaI *r*---B-1-.c-ro-n (cpm) (uRein/hr)

Notes 1 cm 1 m & 1 -**1 m . _ **** &-11-;s1 15.5'11..?....... ... t P L .. __ *-*-******--------1 1----1-----1--2'i.i __ '-l_'7 __ *-__ :::Z . .8.. .. 0 __ .. ,,_ *--------+-------- 'UJJ_fi_ ____ *-------j


**-_J__ --'--*--******--

.. l-*--**--.J'-


**

.. **---*---------'

4. Sample Information:

Sample Area ID: _ S: DescnphonbyDepth _ --* ________ _ Deptli Soil Type Soil Sample JD I Sampling Description Inte'rvai (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) ston_e or rock, topography, erosion features) D-1S-... S9L __ Soi\ __ @:\: <fl 201..v--_________ __, --*-* ---****---+--- I-----------.. ----i----+---****-**-*- .... ---+---*--------*-**---

        • --------------!

-I Sample Recorded ou Laboratory COC form and Container Labeled:

      • -*-+I ----+-----* --****-+/------*
  • --*-----------,----_--j (N) 10/2d/15 SAMPLE LOCATION DA TA SHEET Date: J2. -J-Jr: Project: __ _JJ
      • --*--1. Sample Area (SA): SA Designarion:

Cf* 'f:r4

Description:

SA Origin Location: -*---__ ----*-Coord. System: __ _ SA Land 1'vfark Descriplion: _____ _ Coo rd: 2. Sample LocatiOn Data: Sample Area ID:-*-Lj, K.. (p Matrix: _ ..... Location Coord: __ b:i._75*' vi' J'-f.77 Alternate Location .Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (0,0) tV 1 A Y Dist. from Origin: tJ/ Site Sketch Attached (Yes) @) Sample Location

Description:

___ \_,.J +R-C"S \/1. ____ .... _. ..... Canopy Type:_ _ .... Land Use:_ Soil Moisture (Wet, dry. etc.):

5. Location Radiation Readings:

2x2 Naf I Bicron Notes (cpm) (uRem/hr) Count time I 1 cm ------... 1' cm" I lm --* ----* ----t----'r-----t---'-'----+-_,_ ___ D_ ____ --£____ .. .. --*--*-7µ_ --(_p -***' .. 1-----'-***---21_¥!._ ___ .. ?ff.:Z:L_

  • ---. -*
4. Sample Information:

Sample Area ID: 't. tL D ' f b D th escnp wn *Y ep *-*--*--**--Depth Soil Type Soil Sample ID *-T Sampling Descriptimt Interval (Org; clay; Color ! (Surface litter type/depth, sample depth retention, (cm) sand, etc.) .. _ !.E!fusal, stone or rock, topography, erosion features) 0 --1S- @.n:;u "-'-/, f'A, e.. L£, ' l /1.)1 Pr JS--"3:a hr.* /_$'\d R11:.\. .. i.,. )R. (a..&, Z. ti)/ I+ l ____ _. __ *--* -r----........ -*****--**- .. --*** ... ---*-* --*---********-


r--*-**-**

  • ---* ------1-.. ----*-----Sample Recorded on Laboratory COC form and Container 10/20/15 SAMPLE LOCATION DATA SHEET Date: /1!-J -1 S-Project: f'lY.S 61200' ... __ _ Name: -73,.,-*5rw;-v 1. Sample Area (SA): SA Designation: Lf, S-f\

Description:

SA Origin Location: -*---*--**-*** ____ Coard. System: __ _ SA Land Mark

Description:

_ **--*----******--**-*-- Coord: 2. Sample Location Data: Sample Area ID: t:..f, __ l\1atrix.: So . \ Location Cqord: 6-J2'::. 3'2.." _ v_ __ 7 .7_** 0 r

  • 3<-i --z:z. Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) t-1/'f!r Y Dist. from Origin;

__ Site Sketch Attached (Yes) @i Sample Location

Description:

H v-' - r-..*--*----- Canopy Type: ()-pe11 etc.): ..J':::),__,_fI,_ __ Land Use: _1iL __ Soil Moisture (Wet, dry, 3. Location.Radiation 2x2 Nal Bicron Notes (cpm) (uRem/hr)

4. Sample Information:

Sample ,1rea ID: Lf, S-A. e.. 7. t -2. D b D h escnntmn IY ept --** Deptlz Soil Type Soil Sample ID Sampling Descriptio11 11ztervai (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) ... stone or rock, topogra1:ihy, erosion features) 0--1< "So;\ l{. r'i4 :\'2.] I A-. -*-*-**--- l':!..LJ . S'o; I '-f,m.R7.2. /J ltE"r .. -----...---- .. ! -*---- .... -. Sample Recorded on Laboratory COC form and Labeled: @(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 12-7-r 'l Project: f'J Y 5 l-f'?. ....... h *{A"F W eat er: _Cc:&\y:.., r I nv '7 v . I

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

J:.j, 5B

Description:

SA Origin Location:


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

SA Land lvfark

Description:

---***--- Coard: Sample Location Data: Sample Area lD: £1. I Matrix.: ----'-'$fuL_ Alternate Location Measurements (distance from SA origin and Local C0ord.) X Dist. from Origin (0,0) 8 Y Dist. from Origin: fJ { A . Site Sketch Attached (Yes)@> Sample Location

Description:

O::.:. d ) \i( "':::( l 1c.jn.i.* h 1 \_e,\..""" ":I , Canopy Type: Use: Soil Moisture (Wet, dry, etc.):__i:yy . ) 3. Location Radiation Readings: ...__ ___ I __ I !.03_ _____ ifr,---...... _,_7 1 d.ue. I}\... 4. Sample Information: Soil Color Sample Area JD: 4. S 6. \ . \ -Lo/ Sample ID *1-SampUng Description (Surface litter type/depth, samp1e depth retention, or rock, topography. erosion features) ' t-----4-------+----'-*----**"-----+- Sample Recorded on l,aboratory COC form and .Container Labeled: (N) 10/20/15

SAMPLE LOCATION DATA SHEET Date: I?. -1 ) Project: _N'f*S<;,,_ R Qfr_ _,,_0 __ 1. Sample Area (SA): SA Designation: ___ ___

Description:

\;,,\ccd.\ SA Origin Location: ___ .......... .. Coord. System: _____ _ SA Land Mark

Description:


*---*-

.. * .. -----*-.---- Coord: 2. Sample Location Data: Sample Area TD: _,_!J, S2. .. 2 ________ Matrix: __ .:$.Y_;._\ __ Location Coord: .t.-l '1Z-"**r2: 77 c O; 1 3._Z:_.2/' ___ ._ Alternate Location Measurements {distance from SA origin and Local Coord.) X Dist. from Origin (0,0) fV/ t'.}:... Y Dist. from Origin: rJj ff Site Sketch A.ttad1e.d (Yes) §> Sampie Location

Description:

-* .. 'o-M\1 °\'.V'll.!.:t.rs* / /eul.(,J..,.._q.bi-;-JC cl;\-c,.11\,. Canopr,Iype: Use:. l-:\d<...iY\,___ __ Soil Moisture (\Vet, dry, etc.): __ DJ::::/---- .* 4. Sample Information: Sample ..lrea ID: 1 .. R.l.l-_1t_ .. ___ _ Soil Sample ID Sampliug Description. Color J (Surtace litter type/depth, sample depth retention, . erosion features row.-.. __ +-I ,__tv._,__7 ,_A-,____ ______________ -..j '516=.=..;Jl: _ _? ... "2. _ _______ ........... ---*-*------< l.. .3 (;r, -13,.p...,"' '-!. ,z.. "Z u:"-a h:u.,. roo.! YV ___ __.. . ***-*--* *------...........

  • ---*-+------

' ... -*--------+-*-*-**--*-*--------- Sample Recorded on Laboratory COC (N) 10/20/15 SAMPLE LOCATION DATA SHEET . Date: n. I 1 / 1<:;-Weather: dr,.,s\4 1\J'f'i>* t/o':::, ._/a;,.. :1<>'j L Sample Area (SA): SA Designation: L/ . S .. £>----******-

== Description:==

SA Origin Location: . _. --*.,******----***--- SA Land

== Description:==

__ ----**--**** . **--2. Sample Location Data: Sample Area ID; .. J> R.. _3__ Matrix: _ i I Name: -:f. ____ . *---- __ .l_M-____ -****--coor<l. System: Coord: Location Coord: L/ rJ_. __ ::tL.'.'. ...... L..1.3-0.'. ... ti1_'1 hl___ Alternate Location Measurements (dista11ce from SA origin and Local Coor<!.) X Dist. from Origin (0,0)_____ Y Disi. from Origin: __ _ Site Sketch Altached (Yes) * *. ___ _/ Sample Location

Description:

+n/LI:::. 6r-u1h L *

  • OJJc.{ "&frck) (c.ll>a..r<tA\_

Canopy Type: 0£L) Land Use: .. 1.l .. , __ Soil Moisture (Wet, dry, ) etc.): .. W1 y Location Radiation .. ,. --* *****---********-2x2 Nal Bicron Notes (cpm) (uRern/hr) l cm lm r: 1 . (mm) : I * .. --- .* ** ..... *****- .. *

  • * --T-*9 c

--*---*-1 **__2_.,............. ... --i-XB1-. .-----. ____ ______, [ __ . *--*-***** --. I *'***--. --*-**-*--*-**--

4. Sample Information:

Sample Area ID: .:L?.B .{( L<J Soil Sampie JD -*T-. .. *-_--* :*-*sa;npli11g Description . Color l (Surface htter type/depth, sample depth retention, 5tone or rock. topography, erosion features) __ I_-, .... i'.:;-:;, 4. S".B .e.. _1 ..f-o.,; Gri5 _ ****-************-*-**---** ____ _ ! .ht,.,.r..\.

4. B

<-:_l ri-5 . . -------1 .bou., ___ yr._m ______ ...... *-***-----1


_-

  • -*-. Sample Recorded on Laboratory COC form and Container Labeled: (N) 10/20/15 Date: _,-"I...{

1 ( ! 5" Project: _f.J 'cj __ . ___ _ Weather: c kd1..1 ,

Jo'..-)

')o';, 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET Name: SA Designation: L\ _

== Description:==

__1t)tocl¢JJ9.f ________ _ SA Origin Location: Coord. Coord: SA Land Mark

Description:

-*** **--**-2. Sample Location Data: Sample Area ID: 5. . L\ ... __ Location Coord: L/ d." 'Yd-,' I ft, .G]" tJ ... .7 '1 t-.__j' ] /. __ _ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ----Site Sketch Attached (Yes) fNC:l_D SampleLocationDescription: f\o:;t ___ J,oJ."'**-\ hr,,:J, ("J*.JD Canopy Type: __ Land Use: 111k1n*) 1 ?.fc.. _Soil Moisture (Wet, dry, etc.): t\Q..M" \ 3. Location Radiation Readings: 2x2 NaI (cpm) Bicro11 (uRem/llr) Notes _c_o __ 1=c':_[

  • _ --* .. .. -L *

.... :--------**-----.**-==---_::_ -**L__, ___ I ****---*----------' 4 .. Sample Information: SampleArea!D: j.'5.B.r<.. D b D th escnptio11 >Y ep Depth . Soil Type Interval (Org; clay; (cm) sand, etc.) 1)-1<; -----Thi:.:,c.i l I l ..... -*----* Soil Color b,t,,.,..-, bsi""' ---* Sampl -e-1n-**r--- --- -**-******

  • litter type/depth, sample depth retention, or rock, topography, erosion features)

'-\S.13 r2__ L\ .'r.'3. *-** --*---------**** ---+--* -Sample Recorded on Laboratory COC und @ (N) 10/20/15 Weather: tiD"' -fr,tu s-o's 1. Sample Area (SA): SA Designation: Ll . .:;-.13 SA Origin Location: SAMPLE LOCATION DATA SHEET

Description:

J... \ crt -----*****--*---*-*-*----- Coord_ System: ____ _ Coo rd: SA Land Mark

Description:


*---*-


. 2. Sample Location Data: Location Coard: 79 . I . 3ei3<.1 ,, I J ---., .,1-....____11:_

......... , ..... .,._ ... Alternate Location Measurements ldistance from SA origin and Local Coord_) X Dist_ from Origin (0,0) Y Dist. from Origin: ----Site Sketch Attached \ Sample Location

Description:

+lei.+ hn.i)h_,J11>oct Qvid :rfi cb (cl.-3-""d) Canopy Type: lti.i t.f'°ll Land Use: h1b,::j: efr . etc.): dru1'\f . Soil Moisture {Wet, dry, 3. Location Radiation Readings; 2x2 Nal (cpm) lcm 1 tn Hicron-----** c--* (uRemihr) l cm lm Noces Count time (min) .. *:= ___ -** J. ____ ,__S___ NIA .... *--*---*-**--- ... .. ___ _ . f------.1 )'._'i;_l3 ___ . >--*--f----*- ... -....

  • ----------------"---------'-
4. Sample Information:

l D 'i Samp e Area I. : '-' . *-' . i::i -ti... * ...; ,_! :_12!,_ D b D b escnption ept Depth Soil Type Interval. (Org; clay; (cm) sand, etc.) -h,.,.,<.<,: l 1<;* 30 -fk':'.c: I I -. Soil Color ... b,i..,,_ -. *-*-*-le ID _ *sampling Descriptio11


*1 Samp I (Surface litter type/depth, sample depth retention, I ___

stone or rock, topography, erosion YS.t:,.r<: Ll.':.i::: . \_J 'I .\=Q.µ r cr+s-.. *--------------1 ({_ :, ;i . :SVn-ll!. . ---+---------*----**-----*----------'--I . - ---= Santple Recorded on Laboratory COC and Labeled: (N) ___ .. _ 10/20/15 Date: _r:}_!l.L SAMPLE LOCATION DATA SHEET Name: :f.

1. Sample Area (SA): SA Designalion:

L{ . S", G.--.........

Description:

/of.. ... _, _______ _ SA Origin Location: ---* *-__ ... _ ... Coord. System: __ _ SA Land Mark

Description:

________ -**-* __ Coard: 2. Sample Locatjon Data: Sample Area fD: Y . S". (5 .!( .. Matrix: '.'.:.c:_: J __ _ Location Coord: 79 '3D ,(.o .. LJ -. _L_L,, ___ -. --*-* .... *-*----... --Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin;---* ... Site Sketch Attached (Yes) ({No)** .. Sample Location

Description:

Dr1.1:J\, .. v!.S {ckuJ) . J CanopY,*Type: ".t'..1-.. Land Use: hihl"'*'1 _Soil Moisture (Wet, dry, etc.): ai:i t'\11\' I 3 Location Radiation Readino-s* . ..,, .. *-*---** -*--** 2x2 NaI Bicron Notes (cpm} (uRem/hr) Count time 1 cm Im 1 cm I lm (min) :* ='" =*** " I '1330 (.,-'=' (,, (\) 1"A .. ,___ ' .. ----l J.6 joS') " .. --*1;--* tJ(4 -*


***---*

  • -*-_ .. __ ._ ---*-4. Sample Information:

Sample Area S'. r<:. L .r -?...._._ D b D h cscrtption 'Y ept : -*--1---**** Depth *Soil Type Soil Sample JD Samplilfg Description Inten*al (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, et(;.) ,,__ refusal, sl_o_i!la_ or topography, erosion features) \ 4.!S.i3.r"<.l,. ! I . ..N .. w 1S*:,O I LI. S" .13

  • t? . .k:_!l.__

ro :i::l.. **-*--*-----**-*--***----

  • -*-------

**--**

-* *-----t -*** -*--***-* .. ---*---* -***-----**---.. .... Sample Recorded on LaboratOl}' COC form and Container Labeled: {N) 10/20/15 SAMPLE LOCATION DATA SHEET Date:

    • -

S e_ GA ------/-)L.l;_.__ -.. **-----*-*-* Name: _____ _ Weather: dc..J..., __ , .. , 1. Sample Area (SA}: SA Designalian: 5. & .. _. __ ...

Description:

l.t.Jed. let SA Ongin Localio.n: , ----* ---* _ -*. Coord. S}stem: -*--**---*** SA Land A1ark

Description:


.*-****

.... -*-Coon:!: 2. Sample Location Data: Sample Area (D: _i: S .f?._..rh?. ____ l'vla.trfa.: __ ;}ci l__ . LocationCoord: _y1* 3:>1 /C.._,13 IJ___ .. .. .........

  • --Alternate Location Mea.c;uremcnt5

{<lisrarn::e from SA \rrigin and Local Cootd.) X Dist. from Origln (0,0) _____ ., Y Dist. from Origirr: .. ___ _ Site Sketch t Sample Location

Description:

_ ( , .. bf'{b!!tJ.iU Land Use: ...... Soi1 Moisture (Wet, dry. etc.}: . . 3. LtJc:atron Radiation Rf1adings: ___ . *-----*-_ ,-.....--____ *---____ _ 2X2 Nal Bicron Notes (cpm) (uRemJhr) Counttirne I cm ** Im l cm 1 **-Im...... .-.. l . J . -. w,,_, *. ........... _f __ ""..,_. 1 . !-----'-----,__ * 'l.[ ... -. . ..... -----1*** ----*--* -ll-----'-'"->-'-'------------- L-. ,_, ____ .. ---' 4. Sample Information: Si1mplo? .4rea ID .... 4 S. @i. R.. -=t. I Descri


*--*-*****-

... *-----.... ____________ ___, Depth Soil Type I

  • Soil I Swrrple ID 1 Sampling Description Jntt!n>al

{Org; clay; CollJr I j (Surface titter typt:/depth, sample depth retention. (cm sand, etc.J ...... ., .... or rock. toP?&,:aphy 1 o-. -+ 4.S.fS.tl._l.l -j--jh,,; r'..irb , ... ____ _ *r.,l brt.'n. .* _________ _ f---. .. -____ ,_ ,--+----+---.

    • --.. --!=----*-

-*-*---*-----*-**--- -* ---*---1 ** .. . . s;;ple on Laboratory coc form an.d Container 10/20/15

Date: 12..{ i ! r 5" Weather: ____ _ 1. Sample Area (SA): SA Designation: l\ .sG ____________ _ SA Origin Location: __ *----SA Land J\rfark

Description:

_ .. ___ _ 2. Sample Location Data: SAMPLE LOCATION DATA SHEET Name: -J.8ni1. ....... .n_ ____ _

Description:

__1;,i_c=.;:_,,___d-";.J=-----'-'I Coord. System: -----Coord: Sample Area ID: L\.'S" .... _____ Matrix: Location Coord: .);:J' 38'1 /J _ .. '.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 {Yes) (NO} Sample Location

Description:

.C\cd-1 .. 1
  • d.!2.i_ f r.Y.11U (( li';l

_Land Use: __ Soil Moisture (Wet, dry. 3. Location Radiation Readings: --r--**-*-----"**-------- 2x2. Nal Bicron Notes (cpm) (uRern/hr) Count.time l cm ! m *-1 cm !, (min) Im 4. Sample Information:

  • ----*-*

Soil Color Sample ID I Sampling Description

  • (Surl'ace litter type/depth, sample depth retention, refusal, or rock, topography, erosion features)

(**iS' i.IS --- __ e .-s :: -hc... ! 1.;-----------------1 I __ C_O_C

  • -(N) ___

10/20/15 Project: ... ..... Weather: .** .... 1. Sample Area (SA): SAMPLE LOCATION DATA SHEET -.-' 12 Name: . 1 C>r*i

  • ---SA

__ DesL'ription: .SA Origin Location: --**---***--- ---*-*-------- .. Coord. System: ____ _ SA Land Mark

Description:

_________________


* Coord: 2. Sample Location Data: Sample Area ID:

...... __ ..... Matrix: __ ;?_p_* __ l_ __ . Location C.oord: N, I L* si__ ___ Alternate Location Measurement:. (distamx' from SA nngin and Local Coord.) X Dist. from Origin (0,0) __ rJ/ f\--.... Y Dist. from Origin: fJ/ f\ Site Sketch Auached (Yes) @ Sample Location

Description:

_ Canopy Type: Ope0 _____ Land Use: Soil Moisture (Wet, dry, etc.): Df'._Y+---- I 3.

  • Location Radiation Readings:

,.,-----***---- ___ ..

  • --*-*-,,---------N-ot_e_s

4. Sample Information:

.\'ample *1n:a ID: .. '!:L.f"..C.. i;L_.__\ , I -1.f _ SampT;ii>* ..

  • .

.. erosion features) Soil Color '..:..;il..,_

  • .;;_;1.....;.1__

.. tl1Es__ --,-----------------\ 8.-u. .. .,..

  • __ C..) JSC,,._. -*

__ .. -*. --*---****-*-*--*-*----. .. _____ , ____ ... ****--*----**-**--*-*-----!

-::_ __ -

Sample Recorded on LaboratOI")' COC form and Containe-r Labeled: { (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1i.(-i../1< Project fJ'1 __ **--*---**-- Name: .. ___ _ 1. Sample Area (SA): SA Designation: LI -S"" -L . *-___ . ___

Description:

  • -_\il2o:1 ;i _i

______ __:_ .. ___ _ SA Origin Location:

    • --**-**-*-

-*---** __ . -*----Coord. System:--*--***-- SA Land ]vfark

Description:

.... _ ****---Coord: 2. Sample Location Data: Sample Area CD:_ '-1 -") * ( ____ :tl.larrix: _)(':_ J .. __ Location Coord: 1_:>.* *' ti. ___ _ I 11 J . )._ 1 11 w .. :r. **---...

  • ----*-** Alternate Location Measurements (distance from SA origin and Loca[ Coord.) X Dist from Origin (0,0)_ ______ Y Di::.-t. froni Origin: *-**--*-**.

Site Sketch Attached Sample Location

Description:

__ J. ! oJ {_br.-1*,h_ -".vd _ _nw ftlr *. L. ,J ,......J,. ! ---CanopJ: Type: ,t, \ \,_J t>",, ... 1 Land Use: k Soil Moisture (Wet, dry_ etc.): __

3. Location Radiation
    • ---*-h-*---*---*

2x2 Nal B icron Notes (cpm)

4. Sample Inform:ttiox:i:

10/20/15 SAMPLE LOCATION DATA SHEET Date: _L z_-L:lC_ Weather: (c. \ 1t-1.., t lo .. '10--S'C' i 1. Sample Area (SA): SA Designation: L-/,5_(,

Description:

_ _,,\N'-'1

  • -------SA Origin Location:

_____ _____ Coord. System: __ _ SA Land Mark

Description:


Coard: 2. Sample Location Data: Sample Area ID: Lj .SG :J.:.\?::__ Matrix: /;,/ .. ' r_, * * ... ......... LocationCoord: .11r32 J£,cf; __ ]_j___2__J_ ___ l]*S?> _____ _ Alternate Location Measurements {distance from SA origin and Local Coord. J X Dist. from Origin (0,0) f'Ji t.:lr _ _____ Y Dist. from Origin: tJj 8r . Site Sketch Attached (Yes) @ Sample Location

Description:

1 k:nf Canopy Type: .Land Use: _J::\1).,lnj Soil Moisture (Wet, di}'. etc_): ------* 3. Location Radiation Readinv;s:


2x2 Nal Bicron Notes (cpm) (uRern/hr)

-***** --Count time I cm Im ; (min) -****-*:,:

  • .--*--:-.....

..... --I &'2-40 "4vkb 5 £/ I _is_$_J ____ . -**--*--- -! I J__ _______ , --------**-*****------ -***---* --4. Sample Information: Sample Area ID:

  • R_. 3. I -*2, 5-{.J.J Depth Soil Type Soil Sample ID Sampling Descriplion Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm sand, etc.) refusal, or rock, topogra hy, erosion features)

Q - 10/20/15 SAMPLE LOCATION DATA SHEET Date: _l_Z-1-1 S"-' Name: _ -W o 'Drt\id!L_ ___ ._ Ll ** r Weather: _LC. ... ___ _ 1. Sample Area (SA): SA Designation: l.f. S-C

Description:

Jvond""--"S.___ _______ _ SA Origin Location: --** Coord. System: ____ _ SA Land Mark

Description:

--*-*-----***-*-*--* Coord: 2. Sample Locafam Data: Sample Area ID: _l::/_!QC.,R.!__:/. .. ________ Matrix: ___ 5.<:-:'d_ .. Location Coord: N 4 2., *37' 1s-,10" ' J.. __ 'b) __ l i..* -A[ternate Location l\.foasurements (distance from SA origin and Local Coard.) X Dlst. from Origin (0,0) rJ/'k Y Dist. from Site Sketch Attached . (Yes) Sample Location

Description:

\JJcW") *-\-rets; fi'J *::. / ____ _ Type: _C.tpc2r' --*** ....... Land Use: Soil Moisture (Wei, dry, etc.). 'DI'-'"/ J . 3. Radiation _ _.,.,... __ 2x2 NaI

  • Bicron--**--

c--Notes (cpm) (uRem/hr) . Count time 1 cm Im I cm l m : (mir:i) . f ! . *- .. . .... .. I __ 7_131.p_ *--__ f> ___ l _s: __ . J .... -_ -__:__*-:_--

4. Sample Information:

Sample Area !D: .!l "S"°(,. *,'2. ..:. .. '-i..: i:-:3:.._ ""*-*-*------*-"*--- Deptlz Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color {Surface litter type/depth, sample depth retention, (cm) sand, etc.) or rock, topography, ero.sion features) __ l--'--1 Y:.::....--'5"'-'o=* ........ ..::;o:;l...;;C.,J g_.. L4

  • i.. _ ¥'r:-£..,\.., ;'\::>(">

\') --+---__ ... , .. ----1--------------------l _____,_,, ..... ----* ....

  • ---*-.... --*-r*--*--

Sample Recorded ou Laboratory CO(' form and (N)-10/20/15 SAMPLE LOCATION DATA SHEET Project: -***-.J::rj_ __ . o( Weather: ... .. .. LQ.._ 1. Sample Area (SA}:* SA Designation: ___ -'-f, <..

c. Description:

________ _ SA Origin Location: -**-. _ .---.. **---Coord. System: ____ _ SA Land fyfark

Description:

_________ _ Coo rd: 2. Sample Location Data: Sample Area ID: .. lf. 'SC,,_i2. .. 5..__,, ___ Matrix: __ Location Coord: J

  • -Alternate Location Measurements (distance from 'SA origin and Local Coard.) X Dist. from Origin (0,0) rJJ It.\' Y Dist. from Origin: ,...J/ Site Sketch Attached (Yes) § Sample Location

Description:

1 l\1h\-... Canopy Type: Open etc.): _ .. ___ Land Use: Soil Moisture (Wet, dry, 3. Loc?_rj_!)_n Radiation ______ 2x2 Nal Bicron Notes (cpm) (uRem/hr)

  • 4. Sample Information:

Sample Area JD: & 5. I -Z D b D fl escrmt1on J'V ept *----[ Deptlt Soil Type Soil Sample JD Sampli11g Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or features) i2--.n-.... ,1. ___ ,'i"LS. l _ -j p. *-* I u Su."\. __ I Rn-, ,r-:l*S'".l .. -IA *-***--*--* ----=t-**----*--****- .. *-L----***-** --* *----*--- -Sample Recorded oo Laboratory COC foTm and Container (N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: _[1:1 5' Project: t-l"'f S _______ _ l. Sample Area (SA): SA Designation: _ ___!j__, S:G \Jocc\--.------>£-------- SA Origin Location: Coord. System: ____ _ SA Land Aiark

Description:

________________ _ Coord: Sample Location Data: Sample Area lD: ____ ___ Matrix.: __ _ Location Coard: N :f2. .:o /'-/, 'i { Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) J-'/ P------Y Dist. from Orig.in: ,., / A Site Sketch Attached (Yes) © Sam_ple Location

Description:

__ VJ __ J-_ Cxush._d..e..c:.d._ ____ _ Type: ____ Land Use: _ru: __ ____ Soil Moisture (Wet, dry, etc.) . .J::2c_'i----. 3. -Location Radiation Readings: 2x2 Nal (cpm) 4. Sample Information:

  • -_..._ ..... ---*------

Bicron *Notes {uRern/hr) Sample Area JD: Lf, 5G. __ J,P._J.:.:L Sample ID-. -Samplif;g- _, l (Surface litter type/depth, sample depth retention, . __ refusal, features) Soil Color 1____.""-----_,_,._--+____,<:;:.=o::...:._._ __ __ i---<--=---==--i---$:...:' O'-*---\ __ . I ----1-----+-- ....... _. _____ , -- _..___ _____ , ___ ._. __ 1-----------------------1

  • -*+/-

,__Sa-, Labeled: 00)'-(N) 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1z.f 1 Weather: ____ _ 1. Sample Arca (SA): SA Designation: 4 . 'S'. (__ *--Description: _____L0.-;;o d I trl SA Origin Location: _ *------* Coord. System: ------SA Land Mark

Description:

_.. Coord: 2 .. Sample Location Data: Sample Area ID: L\. s-.(.. {(. L. -Matrix: Location Coord: 4d.0 /tf, 14 11 tJ __ :1.J.:.J.'?,) !./ 9 11 (J Alternate Location Measurements (distance from SA origin and Local X Dist. from Origin (0,0) Y Dist. from Origin: ___ _ Site Sketch Attached (Yes) @) Sample Location

Description:

+1 a..+ (U\.,>J A '42(*; Lk*..rS g r{'1vn bn '.,) b . .. *i') f'Mlo ll1..1 vT'v.!::'\Land Use: hi k1f!0 j 1 . Soil Moisture {Wet, dry, etc.): l]..UM*j?

    • -* I 3 L f R d' ti R d" oca 100 a Ia on ea mgs: --2x2 Nal Bicron Notes (cpm) (uRem/hi)

Count time --1 cm l hn_ [ l cm _ l . __ Im (min) -* .. I 9' $ o?.' 5 JJi4 *-** I .. rJ l1i-4. Sample Information: Sample Area ID: l\. S

  • c.J<.. lJ -D b D h escripti<>n 1y ept -Depth . Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) --__!.E[usal, or rock, ero,sion features)

{'l -'*;-{:t.?.St.; \ h..,.*"""' 'f ,'.'.:.<..{( r. I 1'5 .

  • I bn I.I . *:; . c. R. Jn.,..-iy r* ,-r-**-"" **-t-----*

---.. ____ .. -**-* *----*-* ...... ----,, _____ Sample Recorded on Laboratory COC form and Container Labeled((Y)) (N) **-****' 10/20/15 SAMPLE LOCATION DAT A SHEET Date: f2.-1__:!I__ Project: w th \ rl* '1 0....c'l'>.<>{'." ea *er: Cc. .._ I -r * -::>'-' L Sample Area (SA): SA Designation: 4, SC

Description:

SA Origin Location:


*----**-

co1;1rd. SA Land Mark

Description:

_ **---**--*----... Coard: 2. Sample Location Data: Sample Area ID: 4, S-C .. __ . I\.1atrix: .... Location Coord: \N 7*f'_QIL z.:s. Alternate Location Measurements (di:;tance from SA origin and Local Coord.) X Dist. from Origin (0,0) ... ....r>--JJL .. __ Y Dist. from Origin: ,J/ A-Site Sketch Attached (Yes) Sample Location

Description:

ltJood.sJ _ )!.. l'\f\0'5:) Canopy Type: D[f n etc.); pr"'( Land Use: H; Soil Moisture (Wet, dry. 3. Location Radiatfon Readings: 2x2 Nal Bicron Notes (cpm) (uRern/hr) 1 cm __ Im --1 __ .. .... _, .. __ _ _J'-1__8? _,,_ __ *FL-.NJ F\ __ *--* _ .. , .. " ---------! -s-.. ___ ...:TI' _10 ___ . .... .. ---+-.. _____ *-__

  • -------------1

-._____. --____ ,l__ ______ ... --... L_.._

4. Sample Information; Sample Area SC.*. t2.. D b D h escnptron y ept ...... Depth Soil Type Soil Sample ID *r Sampling Descriptkm Interval (Org; clay; Color I (Surface litter type/depth, sample depth retention, (cm) sand, etc.) .. refusal, stol_'.e or erosion

___ .1-f £..._ 'R-:--.Ll ... --wtt'\ **-*- 'OOt \ 'Gro ..... "-i./' S"'C *'Q...., z. tJ sP\----*---* _ .. ---*---***-----* -l. .. _ -* Sam le Recorded on Laborato CCC form and Contaiuer p ry 10/20/15 SAMPLE LOCATION DATA SHEET Date: 1 /1-r Project: nl 'I ::,l R 0 tt ... ------.. tS1tiL..:

i .. ____ _ Weather:.

1 s-*o'.s ... ___ _ 1. Sample Area (SA): SA Designation:

== Description:==

\,.J<l<',tl

d. k+ SA Origin Location:

-*****--- _ SA Land Mark

Description:

---**---

2. Sample Location Data: Sample Area

__ . __ l\'Jatrix: ___ _ Coord. Systt:m: _ ***-___ _ Coord: Location Coord: 4 :i." :S). ' J (p. 5 ..

  • ----_ Alternate Location Measurement's (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Orig.in: ----Site Sketch Attached (Yes) Sample Location

Description:

.

Canopy Type: Land Use:. Soil Moisture (Wet. dry, etc.): (\QM? I 2x2 Nal (cpm) 3. Location Radiation Readings; Bicron (uRem/hr) Notes Counttime 1 cm lm 1 cm I Im*+-, * (min) I =-=-:+ .. 1 ---- 11 ---*---------l ____ .l ___ ._.... ----4. Sample D escnntion b D b IV eot Depth Soil Type Soil Interval (Org; clay; Color (cm) sand, etc.) t) ( <._,- I .bttl:..1i""I 1':*30 +<:<:-... ,.,1 .. -k---,****- I Sample ID *---* 4.$"C.R."l.I ( R. .'l-.l. Sample Area JD: , 5 *_C

  • Sampling Description (Surface lilt refusal, stone er type/depth, sample depth retention, or topography, erosion features) l ;: ....

u, n. . .+\_ i ***-**--*- I '----*---+-* .. *-*---J__** I ---==-t--_ .. Sample Recorded on Laboratory COC foi-m and (N) 10/20/15}}