ML16293A675
Text
{{#Wiki_filter:App E-Sub-Area 4.3 - COC Forms
or --*--*---** --**- **- GEL r.abor~torics. UC Page: *****- .. ---*** -**- 1'11.l)CC\" ii: GEIJ Chain of Custody and Analytical Request 2040 Savage Raad GEL Quote#: ...
**See www.ge!.com for GEL's Sample Acceptance SOP~~ Cliarlcston, SC 2 ?407 COC Number: l'hono:; (843) 556-8171 GEL Wol'k 0J"der N11111be1*:
PO N11111be<' rax.: (8431766-l l 7~ Client Name: Phone#: Sam11le Analysis Requested 151 !Fill in lhc number of contninen; for co ch tcs!") Shuulll Pmj~ct/Silc Name: l'ax#: lhi! <-- Prcscr\'atiw Type (6) snumlc bo CO l~Sfd t rf 1) Addre88:
' Com1mmts Collected by: Send RcsulL'l T(I: Note: extra sa111plc is
..,,T\~n~ required for sample
*naic l"iJ~k<:r.. ll falJ 5~mp:i.: T~C C'1.,~k .. t"t.l Ql specific QC Sample ID (mrn-d~-J"Yl
(~lititory) (ht1111t.1t) C.\.'ifr=-*t* F1lccrrd M:i.c1ix llodi tl';.tl>ti Rog*"
"'For c.cnmnule'i. Jnd1caff! "1i1rl ,i1~d.,100 Jar~/fm1e l*l<<l ~er ol
- 11. ~~ Q. .5 .I l l-1~-1(
I..},,[) I2. 15 L I [\--! ~"'!<" l./ ,~ i . £.. ' \\ .1 11_,101,r L/ ~2,.' f2. 11, l. I /l..,fK1( Y. .')~
.'.) ' \L. 1'l(
'l fl~ ~11'
~*
Lj ~\l.i J i2.. 1'1< ?~j 11-..,1 ~/J?' t.f r ..')(1 ., ,i?,.,12.,.! \\J\ ~ ...\\ Lj ., '1 r(., ,ll.. 1 ll*l~,..,,<
* ':>O' (...
t.J .33' i2. II, I n-i ~-;s .. y ~3 *il.
- n.t.
I {I_,\ f-i ( TAT Requested: Normal: Rush: Soccifv: (Suh~r;~r rt1 S1rrd:;)rgl;'I IFax Rcsu,ts: Yes Ne Circle Ddivcrnbfo: C of,\ I QC Sumrnarv .. Level I i Level 2 .. Level 3 I LcvcH Remcirlcs: Are /here any known harnrds applicahle ro lht:'.w! sump/es? ~lso, pfeu.w: list the hazard.> S**m>lc CQIJcctmn Iiw~ 2J..'1ll: East cm l'aotli~ C'~1llr*I Other ... ...... Mountain Chain of Cti~tod~* Sigu:ilures Sample Shipping 31ld Delivery lkt:1ils Rcllr.*!""~"l By lS1g~cUJ Dale Time R<<:<i"'<l by (~cgm'd I Da1i.: lnne GEL PM: I 1 Mc1l1f,.'!J t)f~lm,m\!nt: D.11~ Shipp~<! 1 2 ,\11h11l ~ 3 - AfrbilllJ. lj O~ar11 of Cu~rudy Nt<~bcr - Oknl Dc1.;rmim:ii For L<1/> ll<c:errmg u,~ On~r ] J Q( 0.'.:!Lfo~ X-: 'rt-rm.-il S-amp-lo. TB-:::- Tn\l Rlllr.k, Fi).=- l'icl-d Dl.."'J)l~ille, f.U
- Pq11~p!nt:'[\C Rh111k:,. \TS -\h1nx Sp1!...c S:wr:ple, ,,SD - \1:c11x Spike Dt:p1:i::::u~ SJ.n'pl>!, G **Grab. ( . *C:C~'J10S>lC
~ l Field F1t1~r~d. for hq:ml r.t;.Ur:..:i:-~. 1rJ:..:~'.-::: . .._iti1 ..i ... Y .. for y01= lhie s.an~pk '-"'~~ field !i.~~cr.;J c;r ~ ~ .. frf :i; r*ri~f~c v.;i:11: 1iol 1ic.l1t fill1;:ri;d Cmtmi" s~lll Ima,*1~
..J.J ).far1ix C1*.!i..!s: ElW Dh.~k1r:y V;.skr, GW Cir~111:.*.h-1,;.:t..:r. SW .Suti'.:<.c \\'.i!t..:f, WW* WJsl.: \\.'a!o.:1. \\ W:u..:r, >1L ~11~ 1.1.irt!J, !\O.*~ud S1) **s~.lrn1..*r.1, .St Sb.ls ..*- ~S *.'Jd~.1\V;i~~.:. o .n1. I** f;i:t ... L. P* *\Vlt'l! t. **tr!r.i:. F *Fu:.:i.i.~ ~ !'ES NO ~ J Sarup.1 ~ A1~11l)"m~ R~i.-=:.m?-i.I: ,,r.atyl:l.!il! n~~1hUoJ t~te~~ti..I ti~. IU.608., 60 UHJ.'7..i7Ui\pr.d r.\lir.1..:t"roru~(!.t4tr:cr.s pt1l\.*1di:J tCJt i:.r.r.:h (I 1: .'Ut,'J~ - J ()J)Jt~8!7.*ai~..f - Cool.er Temp. fl~ Prti.::tv:it1Yc: TyJ1e*. U.\ ,. ll>-<lrtld.t!!.)ric Acal. M ., Nilric- Acid. SU ... Sci.tLi..<01 H>~~(o'l:.l~~. S,.\ .. Sulktn:* ,'\i.:~1!. A<\ - A1~~1htl' Ac1.:I. llX. ,_ H.;xm:.::. ST ~ ~i::J:um Tlur:s;11lfo11::. Jf r*~, prcscr\ll;hh:: ;.r, .ul;k\l ., r.:::lVC fLcld b:ank. (' WHITE~ LABORATORY YF..LLOW =FILE
Pag~: .... .. *****- of --*-**** .. .... ............... GEL Laborat<Jrics, LLC i'roJCCI IJ;
-~*
GEL Chain of Custody and Analytical Request 2040 Sav*gc Road GEL Quote tr: .. ******-*-****-**** **See www.gcl.com for GEL's Sample Acceptance SOP*"' Cbarle<to11, SC 29407 COC N1m1bcr 111 : Phone: (S4J) 555-8171 GEL Work Order Nnmher: PO :>lumber: r-o,: (R-i:i) 766-! in Client Name: Phone#: Sample Analysis Requested 1'1 lf"ilt in the number of coc1tuiner~ for each test) Should Project/Site Name: Fax It: this <:-- Prcs*miotiw Typi:: (6) umpfo be considered ,. Address:
' Comments Collected by: Send Rcsuhs To: Note: extra smnplc is
.. 1*ur.c required for sample
*D<1Cr.: f,11~~...-El!~t cvir~lil~J Q{ f1-eld ~<l:i:ph: TSC R~d! specific QC Sample TD (~11111ury) Code a, ,.,
F1lrt:ret.1 M .. mx ;\ R~gu
*Fm* t..t1m1.1 a.'filc.r
- imlu:Etlr? Mart w:d .'>lim .luliNtlm¢!
(niin-dd..)'}'] (hhn.m1) '" Uld.C:U lol*d ~er QI 4/)6 f2 * /l..JJ ii t1-1'1 . .IS° 41')6 -~ u,, ,1... \\11-1<
'i, :i ~( (L ,10. l l\-"\'1/1 ~'
4.)(j 12.. ii!); I. tHc\ . .(< TAT Requested: ;>;omml* Rush: S1>~cify: (Si..:b~!.!CC. ru S~T<:hiUg~} lFax Resuhs.* Ye> No Cirdc Dchvornhk CofA I QC St1mmary Level I I l.c,cl :>. Level 3 ! Lcl'd<I Remarks: Are there any known haz11rdr applicahle 10 t/te.1*** samplt!s? if.w. please li~t the haznrd1* S?_iupk.Collcction T11no 7.im~
~*stem Pacilio Crntrnl Other ...
Mountain Chain ofCust.:uly Signature~ Smnple Shipµing l!ntl Delivery Details Rclm<111i5]!cJ lly l SiHn<J) D.arc: TmlC.! Rci,:c1v.;:d by (st~11c1~) Dill< rime GEL PM: 1 1 Mcthcd ofSlu(lan::nt Pal* Shcp1>od. 2 2 Atrbill *<* 3 3 Aub1H # I) Ch.i~PJ 'ilf C1Jiiit<'dy Nun~bi;:r - (11-cr.* Dctcmu~.c~ For Lr>h R~cm*111g !.,:,-~ 011ly 2.) QC l'OO~io* 'S "'?\'t1m1al ~un*pl~. TR..,. Tnp fi!Ark FB*"'""- "F"1cld 0\1phate, Ell .. r..q1nzm~~r.t 0:;1mk, '1S - M;.m1't !lt"!l<.:- Si::ur.Jl~~. :\1SD - Matn~ Spike U~.,,tiC!.M~ ~~mp~~.~.- {ir::ih. C
- 1 {',,m.,[)01a~
J) r*<IJ ~1ltmd rc*rlrquid fll;tUINb~ indicate \'i1JD :i .. \' - Ccr y~ lhc ~.;:ur.pfo: \\l:!.i f*a::ld fi11cr¢d 1.:r - ~ - for <;;.i!Jr.p1c \.,.::.:;:iii;'[ llc~d fil!tr~J CmtodyS!!al lmac1!
- l l !\fott*"X C-11,fo~. DW *Dnukw~ ~V.itc1. G\\ *(it1*u1:Ji1-~kf, s,\\* "'i1~,fa~ \V.:i.1.cr, \\\\ **Whl.: W.11~r. W \\'J.t.:-r. \U.. ~fo,t! f.11.:p;J, SO***'Sail.SD**~~Jm:~r..I, SL *S1'1d~..:. SS *S.-.1-:.1 \\'.l).t.:. n .. Qil. ft. F1:r.:r, !'*. W1ri.*- l' l:Jll~L. F* hL.:11. ~ . . ~ J'ES so
!'i.) 5Jmp~.: ,'\na1}41ti Rcqla:*s.l~d* 1\r.a.l~1k.'.'.1l n1~1l:tJd req1..:.cs:eLI 11 t 826lJB. (IUIODl7~7fJ;\I a~ll r.u*111.!-c-r rJt 1.:-1.mloui:<-rs ~ro't:ck~ li:or e..-: ... h {1 C!- R~r:.OR - -~. r.*JllllJ. *74:"tM*. J) C:oo{er Temp: r1.) P'll?!ini\"lt\C: [yp.oc IL*\ .. lt>chllthtet:~ .\1'.:td. ':i-.1 *.. ~uric ,-\.ctJ. SH.:... S~fam1 H::,..:!m.-<idr:. SA..:. S:..ilfimc Arid. ,\A** A~.::crl-i:~ Ac::tJ. 11X :: Hcl"xtmi:. ST- ~c.d:u111 Tll1C.~1Jlfa~.:. Jt"r.o 1?rcscr1i.~i".: ;J:. 3~bit"d ** !c!lvi:: fl;::l:.l blat.k c WHITE-~ LABO RATOUY YELL.0\V ~FILE PINK=CLm~T
l 1 ng~: __ * - - * -**-** ..* of . . .... ******** ........ . GEL Laboratories. LLC' Pro.1cc1#:
~
GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: **See www.gcl.com for GEL's Sampk Acceptmce SOP"*
. ....... **-......... ........ ...... C.lmlcslon, SC 29407 COC Number; Phon~: (843) 556-8171 GEL Work Order Number:
l'ONumber: fax: (843)766-!J?ll Client Name: Phone If: Sau1pl!! Analysis Requested <~ (Fill in the number of containers for each lest)
!lhnutd*
Project/Site Name: FRI> II-: l!iis ., __ Preservative Typ<l (6) sam11k be Addres~: can!lildetcd Comments Collected by: Scad Results To: Nall:: extra sample is "Time required for sample
~ Da?c (\1~J..:l.!t.:d C11l:i:c:t!!d QC' F:*IJ S<11tp!.IJ TSC F1l~ucJ :'-fialTlX Rm di A sp~cific QC Sumplc ID (mm-dd*)')')
l~U!K"t)*) Code m ,j)J
-~J 0.1.C:li: Reog" (hhmm)
*For t:mm.*mrTe!i
- mJ1tYlfe.tlurl mrcl 1'11"1 d:ifl:."1fi11u: lol<d >er<1 4 I,)'lA 'JS, ... 1-i '! jl-{.0*1i;-'
4' 3A Ir-. Li,~ \1-1~*-\< I{, ~A 'Q_- Y. ..1-) \\.:.(,(:) --\(
- 4. ~.'.\ -17
- 11 ,(y \\*ilJ)*v<
[.\.*~Di. lGt 1i \ I\\ -1iJ -\~ l.j .?iPl-. \L. ~. 1, \\-1.u*1c) 4.?>-0.il.111 11-20-1'5'
~. ~(J. IL, 1.1- jl- ?0 ~1 S"
~I 36. e... 7.< if- zo*-1(
TAT Rcquostod: i':ornial; Rush* Spccifv*: ($-.:.bj:!4.1 ru S!.in:h1.r~i:} !Fax Rcsu1ts: Yes No Circle Dd1"1ocrablc: C of A I ()C' Summary level 1 i Level 2 Level 3 I Le,cl 4 Remarks: Are there any known hazard1,- applicable'" 1/1ese .rnmples? If so, plt'ase list the hazards Smnnle Cg\1~c1i2u Iim~ ZQ111; Eastern l'~cihc Central Other .... ........ Mountain Chnin of Custody Signatur~s Snmplc ShipJting nnd D~livcry Details Rclm11111>l:cd lly (Signed) Dale Tur:c Rci;"ivctl l*y (~tgnc~) D.1tc rune GEL PM: I l Mc1hm..I ot* Shipm~n\. Date Shipped* 2 2 l\1rb1ll II J 3 Airb1ll "* 1.) ('ha~1 'lf('.us1r..d.) Nmr.bcr -l 11cr.t [)c!c.rmmcJ for L.tfi i(er.:ei1 iug lJ*;e 011/y 1
- 1) QC (;i;::J~,,,* ~ "Nann<l1 ~amF!c. *ra. ,_ Tnr Rlo.r.k. FfJ ""Field DvrhoLc, F.n - F.oq~1pme1H Rh1~1k, '\lS ~ M:::itri!': Sr1kc S3m11!~. '-t..'iD - \.!.i.lf1"'i Sp1ko [11,:J'l;~l~ ~J,"Y.p!~. C *.* C'1r1!-i, C* C..l-inpo~H.!!
3 l l-ii:.!J F1h~ud Fur l1qu1cl ll~i!.:t1.:"C~. mi.l:l'.1!~ w111'* .:i ... y .. for~('!- lhc sarq11c \\1,~ f1elll (j~~<:"rcd "r. ~ for ~;imp.!c ...... ;:) .. r.o~ Cid;.! 1iltc1cd r C7t.1"t<ll!>' Seal Jma1:1.' .; l ~fotu~ Cohl..~* l>i-'* Drn1k:ns 'V;l!..:T, fiW
- Gr,*u\:th'r;.~k,. S\\-" *.S~ti~t.c °W"1ti:1. \\'W**W..~u \\.",1!.*c, \\" \\:,u...:r. ;\11. ~~'""' l.1*1*dd.. S0**'5ld, SD*:!':d.:ni:r.1, SL* S.ll!J~.;. SS *"iul:\l \\.';i .. t..*, o .. 01t 1:
- F1!E~z. P .\Vil'..:, l" I 'rn:-1:, 1- Fi:i.al. ~ :. l"ES .\'O
~) S.oln-.p:.:: 1'\milyS15 Rcqt:rsli:;J* Ar:oty1a:.Jr n;~ll;;,ill n::(t:.l:C.!i~nl (l.C' 8261JB. 60HJIJf7470A) .ar.d tl.l.i~nh~I' (lft.N'.t:11r.ers P\!Jtll ti.::*f,;!.1,.h [l ..:= .~.?~1lE . J. r; 1/f1Bll.f7'1..i. l) 1 Cnuh:r Tr:.*mµ* ,, ) l'rc.~t:L"\'a!1\'C' fyrc: 1J,\ .. H:uhnch.kr..: z\6ti, ~I *~tine Ai.':t1l SH .. Sc1ht.1n H,"tdr~~"ie, SA ~ S.~11imc A~Hi. A..\*. A...-corh!C' Acid. HX *.* H~x:ar..:, .S'f "' .SoJ1u1t1 Tlttos.ull:Ur. lt t"O prc"cr.~111i.*r:. i~ \ldd~t! 'h::n~ ndlt b-IMIJ.. c WHITE~ l,ABORATORY YEl,LOW ~FILE Pl!llK = CUl~NT
Page: ...... .. oJ' - - **----**--- GEL LaborJ!ones.. LLC Project II:
-~-* -***~
GEL Chain of Custody and Analytical Request 2040 S*vagc Road GELQuo1~n.
*"'See www.gcl.com for GEL's Sample Acceptance SOP*'" Charlesron, SC 29407 COC Number Ill: Phone; {843) 556*8171 GEL Wnrk Order Number:
PO :.lttmbcr: Fnx: (843} 7M-1I78 Clicnl Name: Phoue#; Sample Analysis Requ~stcd <>l {Fil\ in the numhcr of conlainer.~ for each test) Should Proje~tiSitc Name: Fux 11: this -:-- Prcsorvalivc Typo (61 so1nplcl1c Address: ..:uu:sidtrl!tf Comments Collcc1ccl by: Send R~sults To: Note: extra sample is
*7if~c required for sample "D.:31.,; Ct."11.:L"l!o'.J.
Co~~..:.c!.:d (.l(' fal;J 'S.m~1... :i: "T!;C specific QC Sample lD Lriim-[hl-~y} (~lilil*r)") l'oJc=: 121 ,,, F1~:i:ml '"'"1rix. ('.4j Rcdi 001cH. R*git A
*Fur c..:fJm,~osileo; .. indicdlt' l'ltu*1 a11tl stop ilm~ilm:e Chhn\Jn) l:l'f£<l ier a
. .,~ TL.., '"
'-j. "::>l * ' ... o, \ i1-101S"
/
Lj.~iJ. fL 2.()-1. ;v*(u I\ Li ., ., ,, --io *1 S'
'.i? 11..
- 7,IJ. ":>
I;, ~ 13 ' l.1.u r/.1 \\~°'Zu "'IS ti. ;e,, r._ .1'6. l IVUHS' 4 -~B. r1..., \'.J I 'I,_ I \ \ ~1,0*'\ s-q, )~'ii. '1, I \\"1Cl-'\~
~,>B. jt, ti/ z._ i\ *1,u-'\ S L\, S3 .IL g,1 h--1.Ci -tr::,
~' 317,, 1i, :1. l.. \\-1\J-\ l.,
TAT Requested: Nonna!: Rush: Spccifv: (S.1,;.bj..:t:r 10 Sl1rd~;ir~t:) IF.3.X Result$.. Ye~ "No Circle Dclivcrabl~. c ()f,\ I QCSummarv { Level I i Level 2 / Lcw\3 I *I.eve! *I Remark.~: Are there any known hazurd~ applicable to lhl!,'ii! swnpfrs? lf.w, pleas'! list the hazards :iample ~ollccuon Timo Zlo.lll< cast cm l'ac11ic Ccntml Other ... ._ Ma11n1ai11 Chain of Custody Signatures Sample Shipping and Delivery llct:iils Rchr.<1111~1:<<1 13y (S1gr.c<l) 0.J[C Tmic R~,c~<<l br (<ignod) Date Time GELL'M: I I MC!ho.l of Sln11mont Date Shinned 2 2 A11bill ~ 3 3 ,\1rhiH ~ I ) O~*m1 ot"C:JJ.~:c.dy Numb'r - C!~~r.t Dcl~m11r.aJ F,,, L1.1h Rt:!l*r!i,*mg /.,;\*!! 011~~* l.J QC Cod" S .:. 'Normd Sttt1\plc, *tlJ...: Tnp llfark, P'O =Field D11pht~tc, KU::. ~A.\IU('l!l1~l R!:nik, \IS .,.*M#oldic: l:;p1!.e: S;cmp~~. '!SD ";' M::i.Lm; SprkL!: D1..:rliL.1tc Samp!.::. G
- Urih, C *** ('~~1~1lc
- 3) Jl1~ld Filt-0roo.* F~r ~iqu:d mur!~LS.. i1:dic,nc w11h J ~ Y. fer ,-*c.<; th~ sM*rilc \h~S field O:L,..r..:d i.;r. :"\.for fi.~mplc \!;illlii: HCl rlclil fi:!.::rcJ C11.v1od1* Seal Imaa' t} ~la1n'<: C'm.lci;: l>W 'Dn:ik~r.~ \\.'~kr, G\\ -ttmur.J'k.u~r. S\'t Siat..:ce \\':1.!..:T, "\\' Wd~t..: W~kt, \\'.*Wai...t. ~IL, Mht. i.:i~1:1 ...:l, SO io;,,.i:I, SU .~1~*hm..-1;1. SL *-S~~d~... SS *S,~L.J \VJ ... ~..:. {) .. rn[. I;* f~~t...:r, r \\'1~~. L. Frwi.:, F* Fi..:.:il. X"~ !'ES XO
~.} S:1mr-h~ ;\r1Jlys:s Ri:qt.t'!itl:::J* An:ilyt1 ... .:il rm::Jl:m.I (C4,Lj.o.;t('\] l1 ~ 82600., 60IODl7"7ctA} .!:-:d ll!dill!tr LI[ ..:r.*r:.l.i.1r.t'1) p1t1\:J..?-a.1 fc,t ~~\.h h I?. ~* ..~f,f)H -J, (,'}/118 7.,':'IM
- l) Cuo(e,- T(!mp.
f* ~ i1'rctc:1'\'.nti ... ~ 'frrc: H.\ ** H:rc!~~b!.eru: 1\i::1d. !'ill - 'l'-inrii: Ac1J. Sii ... ScLltl.lm H).dr.)'11'.itl~. SA~ S*JJH~rtc A<:uJ, ,\A,... A~C"('tb~: .1'\..::rd UX .. H~*~;m.:. s1* - Scdam1 Tlim~~;lfa~c. Jf r:ll pu:i,;cn:im.. 11 L~J. *.!l!c..i
- Jca\.*a 1:i.::h1 t'-!J1;k c WHITE~ LABORATORY YELLOW~ FILE PINK= CLIE~T
of._.*------* GEL Lal:-or~torfos. LLC Page:-**-****---** Project II:' GEL Chain of Custody and Analytical Request 2040 Savage Road GEL Quote#: ...
""'Sec www.gcl.com for GEL's Sample Acceptanc~ SQPH Charlcolon, SC 29407 COC Nmnbcr r11 : Phone: (843) $56-8171 GEL Work Order Number:
PO Number: Fax: (843) 1M-l 178 Client Name: Phone#: Sample Analysis Requested (Sl (Fill in tlie number of containers for each test) Should l'rojcct/Site Name: Fax.#: tllis _, __ I'rcscrw!ivc Type [6) ~-------------------------------------------! s~mplcllc eun1il1l'red Comments O:>l!cct~tl by: Send Results To: Not1:: extra sample is
*Tirr.c: required for sample fM~ "'*11r.ri:..: TSC C'ul!i:c:ktl QC' specific QC f1:i~tl"rd \faln.li. R:u.11 A Saniple ID (~!illt.uy) Cude m
*~~ o~c:ti Rt*u (hhmm) "' l:d;d pcro' U:.3 r,
'..) i(. 13_
(:, K.. 13. J.. r*{i..:.;1< 11/20/1S-No Circk Dclw~rahk: C' of A I QC Smmmrv Lc,*cl I i Level 2 ! L~vcl J I Lc\'cl 4 R11mm*h: Arr! therr! wry kn(Jwn liazards applicable to the.ii! sc1mplr!s? f(su. plem;e list the hazards S~mplo Colleciion Time Zone Eastern Pac1tic C'~*1trnl Other Mountain Chain nf C11stody Siguatnrcs Sample Shipping and Delivl'ry Det~ils Rclinquishcd !ly (Sign,J) Dale Time Da1c Time-GEL PM: Mothctl ol Shir.111,nl' Date Shinnc*l* 2 2 Alrlnllu. t) ('h.:m1 crCu:-wdy >J;1mbto~ * <U1;nl Dcc~rrr.1r:~d 2.) Q("{'od.;:"; ~ '~cmu~I Sa~.p!:!'. TB= Trrp. IU:tnk, Ftl -Field ni:plu:::a!c. EB ** E'iD~r-n~c:r.1 m:rnk. \rs*.. \l:;mx si-:-1in:. Sa1r-p'c. \1Sn ... M~ltnc S.p:kc ncpl!::ak S;o.rr.pli.=. C ... r;r.1n, <: *** C:v11~p"s~~""' Fur lab Rec:eivrng*U."itf On/_1 ~.) F1,ld ftl~.cf...:d* Pur l~-]1.11d 111~rir;c,, md.*.c.:i.;i.:. w1tll .:t* Y - for ~*c!.1l:c s:J.n:p~c \\~'l ~.;Id fllrcr;d er-~* for :-:nr.p:e w&1s 11.111!1.!~ f:lltrt:...l Cll.ilodi.* Sf!af /mac. r? -l) M11Tri'I( l'1t1k!. [)\\.' Drm~mt W..L:;:r, GW* Gn:.t;o.d\\*.:kr,SW *'.)1:if:.; ..:c \\',1t.;r, \'\ \\'* \\';:;~1..: W.ih-1. w**W.af....*r.:\11. :\t1~u.:l.11in*il,SO-SL1.I SD* '.;1:drn!~IJt. .SL* ~l;;J~.c. SS* !fol!,! \VJ:i.1.:-. o. (hl.1: F1:1t.t, r .\\ 11~- t: l'rml.., F *f~L..11. '.\C *?1----"-YE_,__s_*~---*~_*o___--t S,) .).Jn.~pl.i: .\nnl))i:s R-c-ci:.C"StcJ. ,\11.nl:r!i,;.:if 111.tt)i>JJ rei.11.1.1:.slcLI (1 c ~U601l. 60101l.i1'47t1Al a-~J mJft.l..rC'r ~fl;~,l::!a.~t'r~qihJ~it.Ji:-~ for i::::i.:h {1 C' 8.'108
- J. f,O/ti8.:7*1"i*t.f. U. Crmlrr Tt*mp
~-) l'rc.<<noll\'C f)pc. U.\ ** Hyrlr<cluo"< Acid.Mr tii1nc .\cici, Sil* Scd:om l!y~roxiJ<, SA - S0>lf1m< ,hi<!,,\;\ .. 1\<<orhl' A'1d. ILX - H<xon<, ST'" SMmlll Tliio<Ulfotc. JI"" P"""'"' ,,!d,,1
- Ir""' Hc!J b!>n~
1< C WHITE= LABORATORY Y!;l,LO\V ~FILE PINK~ CLIE'.'>T
Page:-*--,,__ ,, *- of ... . . ... . . .... . ~., GEL Chain of Custody and Analytical Request GEL l~IJomloncs. LLC Project II: 2040 Sa*ag~ Road
"*S~e www.gcl.com for GEL's Sample Acceptance SOP"*
GEL Quote#. .. ... . ...... -*. Cl1arl<*lm1. SC 29407 COC Number Cll: Phone: (843) 556-8171 GEL Work Order Numbc1*: PO ;-lumber: Fax: (lt43) 766-1178 Client Name: Phone#-: Sample Analysis Requested lSI (Fill in lhc number of contnincrs for each test) Slrnuhl Projecc/Sitc Name: Fax#: lhis <--- l'rcocrvullvc Type (6) s~m11Jc br Addrei;s: cUU:!iiidered
' Comments Collected by: Send Results To: Note: extra sample is
..T(rr,..:- required for sample
*o;:m; c~1Jlr.:L"h:d f;e~d ~a..T.pl~ TSC C'olkt;kJ QC specific QC filr~tcd ~l;tlu' R3dt ,\
Sample ID [mm*d~*)'Y) (,\HHrar}l CcJci1l llJ <4i Di\CU R~gu
+ F11r .c:1111mo.'flte( - md!r;r:J!(' -.run UINl.-.rm> dtrre/rimc lhhmml lolul ~erol
~ _J,(:i \L l, I 11/n/1*;
l.J. ~b. \7-. \. l. 1 l (-)."] f I(,
- y. ~o ;i,. l. 3 .1 r ;.1r,<;" J
.j,
+. ?J.~ R,. \, '1 2 d1-::
LL). BR 4 .( II Li-~ If'{ y .3.J. (Z. . 'i . ~ ;th.di~
\t.3 3.K. Y.3 ;/ 23 /,<;
LJ.3 e R.'-1."{ ;/ (7.:, ,,..,. Y.3.'3. 1<.._ 4. '.)" :( 1) 1') f i.J. 3 .3 1<.. '-1. (._. , 11 Iv f1)- TAT llcqucsled: Nom1~I: Rush: Sllccify: ISubo<<t lu Sur<~..,'~" I Ir-ax Rcsull*: Yc.1 : No Circle D~livcrnblc: CofA I QC Summary Level I / l.evcl :Z
, Level 3 { Lcwl 4 Rc111111"kJ: Are there any known fw;;,cird.r applicable ru t!ii:.l"e samples? [(.m. pleasr! li.1r rhe hazard~ .S.;1rncl~C2ll£cli1m Tune Zone
!'astem Pac1lk Ccnlrol Other ........
Mm1ruai11 Chain of Custody Sig1mtu res S:.1111plc Shipping ~ml Defowy Details Rcliri~ui>ocd By tS1gr.cdJ o.,,c. Tin;c Rci:ci,.*~.il by {61~r.C'd) Da1c- Tune GEL PM: I I M'thcd ofShipmonl Dute Shinned: 2 2 Airbill /!: 3 J. Airb11I #* I ) C.h1111 l)J°CLi~tm.3y !\l..,~11bti:r - Cl:c.11 D~;.:nni:~c-J Fvr Leth Recec.i11g r.,:,.r 011(1* .3 1 QC {~c1.fos.* '.\i' ** ~<mr-al Samp:c. TB* Tnp Rl.:1nk, :Ei'n"" F1t:ld D11p:u:2.tc.1-~ll :. Etiu:p11~1:t11 Rl.:mk. 'fS-= \fa!ri~ Sr-1>.c Sl!llr*:i:e, :\fSD .. M<1ll""!'.'ll Sp11:e ni:rl!.:;'.\I~ Y:uJ;plo C '"Gr:it'i. C ""Can1pc~Jt..i l .) "Fii:;ld Fihcr-cd. ~*.:or l~lj~Hl nt.mic:c:-.. n1Jt~olll; wiLh >I - ..,** for ye~ Ill~ s;;m~J11C \\.C..~ r:dfl fi~Lt'r.;-d Of.~ ~ fl)T \.1rnp;c "-:J~ lhJl r:c:~d li!!i;f<!tl Crwml.v Sea[ /mtJct?
- I ., ~futmo. ('o1>tk~ DW D11:1kmi \V.:at~r. G\\ **GrillJl~iJ*"".:\tt. S\\'* Surfac.< Water, \\*W***Wu.:;t.:: \\'.i~r1. \\ * \V;1!\.*r. ML*Mt~1.* l.!~u*J. S:O.:t.:;c.~I. ~ll S.::ti1:~1.:.1,T, ."tL*.Sh...J~ll. S.S *~*hit:J \\'a.,r..!, o.*O.;J. :r.* **f-1~1.:1.11'* \\:!p.:, l".* l "*r.1:.:, l.-f..:.. .1il, ~ *. l'ES so
~ ) S:Jrr~!to /\J1.aly=i1.s Rcqu~!ll..r;J An>il)li\.ilt **~crhud req1...:cs:ei.I. (1.e- l't!6011. 6f)11)1l!7~?U;\.} ;:;:d numl:et u{lli\'t"o:amc:n r11n.:t!r:1I r~Tir;;u;h (1 t: ,'{JWB. J. t(J/rJB'747rJA - I}. Ctwl11r 7'<!11111: (!.j Pt~.~t:p,;Ul\oc Tyri;* tJ.\ * [{)dmchknr; Acul, ~I ... 1'1t111: AcJtJ, SH...,, Scdii.ml tty,!rnx1.d~. SA.... s~Jfl!rc..:. AwJ, A,\ - .6i.~l'.'.ci11-i1;:- A'!d. HX - Hll:'l::u:."', ST - Sc!1.b::1l\ Th1csulhtc, If 1:1l r.r1:10i:r'i1afr~*.: l'> -ld.~crl *. ~~w~ fo:ht l'il~;;I.. c WHITE~ l,A'ROHATORY VF.I.LOW~ FILE PINK= Cl.IENT
l'age: ___ .. of ....... .... GEL Laboratoric~. LLC' Project#:
***-- ~-
,. *~-
GEL Chain of Custody and Analytical Request :l040 Savage Road GEL Quote/!; ...... ... ******* ..... ..... .. .. ... ""See www.gcl.com for GEL'S Sample Acceptance SOP*" Charleoton, SC 2Y407 COC :-lumber 111 : l'hon¢: (8"43) 556-S 111 GEL Work Order N11mbcr: PO Numb~r; fax* (843\ 766-1178 Client Name: Phone#: Sample An:ilysis Requute<l (iJ (Fill in the number of containers for each test) Sltotdd Project/Sile Name: Fax#: !Iii*
., __ Prcscr~ativc Type [6)
Silln(ll!.'.!bC Cllrr..idered Address: '
' Comments Collected by: Send Rcsulls To: Note: exlra sample is
'Tm:~
required for sample
.. D:1 c~ (1'tll;,!"l1~rl C'u~k*i.:t~J Q!" r~dJ ~arr.p.lt: TSC F1~1r:ri:d ~l..itn~ Rout A specific QC Sample ID {;\llllh")') .f..~~ii;HI (nun-dd*)J') J.ll l*i OilCfi R*gu (bhmm)
- Ftl1' c.:-0m1-*o,~*rrcs- ;itchcuft' .~'f(1r/ 111:d .,,,o~i ,fotr:~f1mt' l.*t*d lCr 01 4, .~&, e. z...l H*l.'7-\)
lJ. oi?>. i2-* z. z \l*l3"'1{
/
i_/, 32'. il-* 2. .3 \\ -1.1>--1.'ii 41 3o.R.." .'1 \\.*1.7:1-'\ < LI ,j_ "2.. K.. 3 , I 11--n-1")
/
'i ,2 '~. (2.. :I:, ;'2.., \-1..?r\"
lf I 3 & I j2_, ; .) 1
\\-l.3" {
1-j .~~.it .s t'-f \\-1,)J..')
'-\ ."'Sl\ tl:l.., ! "*1_,7'\ <
11' ~f.\ ' ii..';l, i. \\ -"\.)-1 ~ TAT Rcouested: Normal* Rush* S11ccit}*: (Sllb:)t!ct ltJ Stirc:l:.n1td I Fax Result~: Yes No C.r~lc Dd1Vcrable: C or A ! QC Summary Le>*cl I Level 2 Level 3 I Lcrnl 4 Remarks: Arf! tlierf! any known hazards applirnhlr:: ro 1/iese samples? ((.1v, plea.s:e fisr rhe haz(.frd1 S"mnrc CollcctiQn Iimc Zo11c Ea>tem rac11ic Ccmral Other **- ....... Mouotain Chain of Custody Signatures Sample Shipph1g :111d D~livcty l>~l:iils lkbm11*i>hcd Uy ( S1~11cd) Date Tim~ Rcec1vc~ J1y (Slt~ncdJ Dat.; Tnnr: GEL.PM: I l Molhod <>I Shi~monl. Dntc Shi~ocd: l 2 A1rbH1#* 3 3 A1<b1ll#: l.) {' h;;i:i <1i CU:'!-tOd}' N~~~btt
- c:ii("t""J Dt!lmm!':cJ Fur l1Ih Re:{*c:fr;ng r.. ..~w:! 011(\
!J Q('{:cd" ~ - ~c.t?!!JI San*.r~;::. TB-. Tnp Bfat.k. ff)= F;~M D:!p]:catc. Im *- rquir*ll~tml Tl11*~1c., \lS-: '-fa~rrc Spih S.21T!Jl~e. 'ISn-= \.{.11m: Spike n1.pltc.J.~~ S:ei*'?".pl..-:. G :. (",r..;if;-.. C **" Ccrr.po'3-~~ J.) P1t!!d l;;ltcn:41 Fer fl'li.Jitl m"!lm:i::~. i::!!d~c;uc WUh II* Y
- l°iJT')'~.;; m~ ~.,rn1r?c V.'iJ!i fidd n~cr.:d .;:- ~ - for i;:ir!'.p~t;i *,i,.as 1~1;-t fkM mtc:rcll Cu.1*1miy Sra/ !111<1<* r?
-l.) \faln-:o.: Cn1k~ UW *Dna~111£ \Vi.11~r. <;\~
- f:nfurnl*.\*a~..:c. S\l S:;;r(;.il.-C Wa~..:r. "W .w;i..,1i!' WJ.!.:r. \\' \\'itt;;:r_ \.1L ':\1~ L~.p:.J,.SO *S(1,I. SD ~:i:icd11l~t;i:. SL *S::.=J~c. S.'i St1l:J \.V.J.\l(!,O. 01t F * !'Jl!cr, p. \\.-'1p..:. l'. [*nr.t':.F*ft:L.:il.~ ** l'ES so S. ) SJl'l~p~e A11aly!!l1!! Req~:~:i.tcJ* 1\ft.:iJ;r;t:i.11 mc:thi.M: rc4-1.1c~~d {1.e: .:12r1on. 60J11n;7.iiOt\J <.l:nl 1:u1PberuJ 1.'llMa.nc1*) p1"""d:d f1:reci.:r1 {L <:. ,'i.lr;(}B - J, t,t'll{JB;l.f"J()A - t). C11v/cr Tt*mp
(~' J'rc;t.ic1v~~i"c ~jopc: HA., Hy<lr~ch~GIIC :\c1[{, NI .. ~11t1oi: Actd, SU -:: ~d:~m Jly,~ru~lJi:, S.\ "'Su:im...:: .'\c~d. AA* A'f.;:c.rh:* J\o;;t1.t HX .. Hc~:!11c, ST.., S~1.h..::n1 Tf4m~111fo!t:::, If 11..., p1c..:rv.ltl'*..:r"- a~kl:=-d " lt'.:uefic::,l ~!.:i:oJ.. c WHITE-. Li\llORA'fOtn' YELLOW~ FILE PINK~ CLl ENT
Page=---*----*- of -*-***-*-*-**-*-*** " .... , .. _.. GEL Chain of Custody and Analytical Request GEL Laboratories.. LlC Project#: 2040 Sav*gc Rmd GELQue>te#: **-- ...... ... ..... .... ~*Sec www.gel.com for GEL's Sample Acceptance SOP"* CJ1arlc~ton, SC 29407 COC Number">: l'hanc: (S4J) 556-8 l71 GEL Worlc. Order Number: PO Nmnber: Fa~: (R43l 766-1178 C!icll! Name: Phone#: Sample Analysis Requested IS) {Fill in lhe number of contniners for each te6t) ShcmW Project/Site Name: Fax#: Ihis --'-- Prcscrvat)vc Type (6) sample be Address: tuhsld*rcd Conuuenls Collc,tcd by: Send Results To: Note: extra sample is
'Tim~ rcqllircd for sample
"'D<tri: (\1l~i.:..:t~*I Co!!~i;h:d QC' l'"IJ "iiHTifl!C TilC:
1'1!~~r~ M~1r>x Ram A specific QC Sample ID 1nm1-dd*)1') (Mill1"rt) C.:oJe- (U :~1 R*~u
*Fm* c*QmJ'df/fe."i
- iwlu:.ale.? ~tr.Jrl und :rlfJf' il.:.itt*:'rit11<' (hhmmJ ** O&Cli
*C I~lcd >er o Y. ~ t'\ .\2...1, 1 l\ -l1:r"\')° y '1 A ll*'L !.{ I \\-7.,y\)
1-j ..,, 2:i. Q.. IL-!.! n--1:,~1< Lf' ~.,r.i ' iL ll.\ ,?.. )\ ...?_,"\'\< l/, ~A. /Z. I, I l\-1..~4~ L/,~Pn Q., \. l. \1 -z;1 \
'i. 3!1-t \(',. \') 11-25..11)
.\~-u-t (
'i' ~11. rz.' \ *~
L/ . 3 ft dZ. . I. 5' \\-1315-
'-/ . :-5a. i2-. i L\. -r l\-W <
T1~T Requested: N'onnal: Rnsb: Sµecit'y: CSul'it!d h.1 Sllrt*t'.arJi4:') IFax Rcsult5: Yes No Circle Ddi\'CrJbl~: *('of A I QC Summary : Levell ! Lcvd 2 fu*.l!!Jili;...~*lloo!jon Lovd 3 I lc,*d<l Re.111t1rks: Aro- rhere m1y known lrazanlr applicable- ro these samples? {(so, pleu.w: !isr the hazanl.~ Tjm!i.Z.Qru; Eastern Pact tic Ccntr:il Other ...... ... Monn Cain Ch~ill 01* Custody Signatures Sample Shl1111ing :md Dcllv~ry O~tnils Rolinq111;hoJ !ly (S1gocJ) Onh:: Thnc Rc-.:cp;.:;J by l,..1,gr.(;'<l) Dalo Tiinc GEL PM: 1 1 MothoJ ot'Sl*pmrn!: Dulu Shipped* 2 2 1\l!blll ~. 3 3 1\1rb11l ~
*l ch~*rn of c:u"-tc.dy Ni;.:11ber
- Clt~r.t Dc.t.:mii:-.c:d For Lah Rt'cen*mg li\*i: 011~r
- ! J Ql' Cc.di:<;* t\'.:. "'l'nrtn:!I Sam11h:. TB'=' Trip B!.trk. r*o
- Fce!i.JD1:;plit:a!r=, ER"* f11*i1pmcnt rna11~. 'IS ** \.fatr1:c Sp:\;:~ Sarcp!c;, \rSU ... \fa:m. Spike Ot.pl1t31~ S;111:pl.:!. G ,. Cira~. C - Ccmf11..">:'u!
3.1 Fh:M 1-*11~~ti.:!d* fo(:r bq0.J1tl rn111rrc:c~. ir-di~11!;: WLlh a- v - ft** y~ lbt: l.~mrlc w,,~ n(:d rtlrct~J c.r - s - for ~::m:p'~ Woll' llCL nctd fihcr..::.J. C11swdy Seal 1111ad'
- 4) :i.1:ltnli: Cu.I..:!\ 1nv. Dri!1k.l.1g Wab:r. G;, Grna~;J,,,;Jti:t, S\'t .c:;*:rf~".c \V:t~d, \l W Wu~!.! \VJti!T, " WJt.:r, ~lL **Mr~L ll(~~o:J. SO :l11:l, SO ~.:dun.cm, ~l. *Sh;,J;;i:. SS* ';1!hl W.:.MI.':. 0 *01L r *f*1t(.:r. P .\\'11h;, l' C.'rn;c..F*f..:.L.J].~ ,* l'ES .VO 5.) s~n1p~c Arrnl)'SIS Re.ql.e:Jt~: ,\11:!...lj-UL..::il n1dha<l rci;;i<C'4IC'J (It' li:MGU. {.OJDDi7471.M.} ur-d m,111l>er<>f o:r.1r.1a:ncrs ).'1'-'vh!eJ*fot ec:di (1 c. .~2h!)/J - -'* t.ltif'R/7-171),.f, - l) Cooler Tr:mp.
r~ 1 Prc"\tJV.'.l.U"c. T)*pc: fl~\.*- Hyt.!r~chlcr:.: .\c:rd, M ., Silrlc: Ac:1d, Sll"" Sodi~nn H}dn~ttk. S,\ = S=.:ilfor.c: A-c~. A:\. ~ ,\.<.:11rlHr Arnl UX ** Hex:ir.t:. ~T.., ~odiHn Thm.~~)iatc, !tJl\1 pr~~crv3t:\..::: *~ 3J;l:1t *- !i:a"'i: lieM b/.:?.:ik c
\\.'HITE~ LABORATORY Yl':LLO\V = Fil,F. rlNK~ CLIE:'ltT
App E-Sub-Area 4.3 - Instrument Field Sheets
Rev 110/18/lS Instrument Field Response Check Log
- 1. ln$trtirofn! lnf-qrmatiQ!ll Rate>meter: Ma!;e/Mode!: LUDLUM 2241-2. Serial No. -262237 c~t Due Date: 9/2/16 Detector l: Make/Model: LUDLUM~t_O__, Serial No, PR 111127 Bicron MlcroRem Meter: Serial No. A2Z4U Cal. Due Date: 8/4/16
- z. C:h-eck Source lnformat,l2ri:
Source l Isotope:: Jb-232 Serial No.: 1J.6 Activity: _<O ..L._ units: _J.1.Cj_ Assay D<ite: ..12L1Q/10 Hespons.e Acceptance Rtmge (-i/-20%): uflern/hr -~20% *---~ uRem/hr -20% _ _ llfo!t cpm + 20% 22926 net i;;pm -20% 15284 Saurc:e 2 Isotope: _<:;,~m_ __serial No.: ...B.ZE1 3-48 -* ActiVlty: Q,Q2 .unil'i: ..!Jd__ Assay Date~ JJ.1.SU"J.O Response Acceptance Range (+/.*20%): uRem/hr 20% _ _ uRem/hr -20% ___ ._ net cpm + 20%.J.a.3.Zs___ net cpm -zmv,, ...filt19. __ __ Technician/Worker P~rfornilng Chec;k.S;: 3. Name:..5:::Qry'C ~/0 e. Tit!~: .. c.. ( Date: !.!1.ths. nme:_}__D Do
~!lte qr_J.g_i;pt19JF Site/Job: :£ ] --...-... Location Desr.riptlcn:_,f__,_ll<:~r*L._{)
4. GPS Coordinates (when required): X*Coord:_L!{ 't' Z...; ) Z-V ?.:( Y-Coord: w 1q :P ?,,. '1"? v ~~""Elm,.,~r.r"-*,*=-~2i>!l~T_,,t I
;c1 iri *1;4; ** 11~/fl'llJ"'"~n~ci\rt.Jltl'tt""l*~~T."ltC~~~~--~*.,_,.,-~-~*---~-----------~*
Instrument Field Response~ Use Acceptance Criteria Remarks
~-> ---.. ~-~
Meter B!<g Bkg Counts : Source Source Respon~e Jnrtlals <ind Comments Cnt (cpm) or : Cnt (gross cpm or
.Time uRem/hr) ' Time uRem/hr)
lnstrument.Fie!<fResponse Che~k log
. l
- 1. lnstrumenHnformatlon
- _ ~ _ .
Raterrieter: - Make/Model: LvclWMiJlf~'...2 Serial*No . ...;J() C()~ff Detector>l: Make/Model: { ..J/J{i_t.-.. ~tJ-:Q
- SerJal No~:fJZ /(2 f;'f2 Detector2: Make/Model: * * * -.
- Ser.ial.No. _ _ _ __
- 2. Check Source Information: _
Source.1.1sotope::1h-* .:trl- SeriaJN,b;: 11 l.. Act:fvity; *<::::.OJ . unit!i: :fkC Asswoate: ~(_71io
.Instrument Response Acceptance Range (.!;qurce* cpm
- bl<g +/*40%); net cprn-+ 2Q 0o5,;;Jl?S
. *' d Source.:21sotope:($~.t=;-75erial*No;: ll1til5:J)- Activity: t);o2 uiiltsf-::4~ Assay Date: [\(fl
.ln.?trµr:nen~ *~espon?e Accep~~nceRange (~9urpe, cpm*-;~k_g.+{020%)i netcpm + 2or<t"'.5,2? >
- 3. ~checks: r/ *
Title:
~-~-L--'.<T_**__ - _ oate:/00$' Tlm_e: /(/lf/r5 SJte/Job:_ _fli---'-f;._'R._~.__.4__...:$'----_-- - - - .l:oca'tion D('!;cription: F L~'> cJ< GPS Coor,qinates {When required): x:-toord:_~N-**_9..,.',2_..:_*".,,..,;;""-;z._W._,_.r.2_-_7_ _ V"Coord~ w ?t I) '-'d; f?6:? -
--**-~--~1n;ti-u;;,~*~-rf;i-ti~R~~p-t;~;~'2-**~ . --**** . ..
*-~~~-.,.-~.~-~ ~.~~~~~~erit~ri~--~-**r---- *---*~R;m:~*;k~--*~--~--"**~*1 .
De.t. 8Kg 13kg .So.u.rc.e So11rce +/* 20% of. Inst.
- Battery Time Ambient Initials and Comments.
No. Cot .(avg of;3) Gnt' .Response- sour.Ce Net Calio. Check Of Temp. {add'l Info: temperature, inst:. Condition, j (l / 2) Time. * {cpm} Time (fPm - bl<&l cpm current (Y/N) check (F) , etc.) l
~~Pm Y/Nl f ~-t-L~ ~
1--~~-t-'-..~~~""'-"'"---+,_,..~~~~~~~-:Jib~~-~--+---'V--~+--1-~-rf-=-=-~-t=:....t..--'----:,-111*.;..--:-.>"-~- ~* l
- 1. :instrumei:it.designatedcheclq;9urceis:1!sted oncal\~ratioirsti er.. ~eco,rd ch ck*sou_rce;resp"onse.(netcpm} prior to*fie!d deplpyment for all .c eek sources. being used ..
- 2. Source and*~ackgrou.nd countcrate.sh()µkl be*determinedfrom the average of t~rees_tatlc*counts*<it'the sameJocation. Repeat counts.should *be within 20% ..Jf count rate. div<irges !!ignificantly, perform addi~iona Ico1.1nts to. e~alu_ate; instrum1m~ sfabliity * - * * -
- Rev 110/18/15 Instrument Field Response Check log 1
- 1. _Instrument Information Ratemeter: Makl"/Model: LUDLUM 2241-2 Serial No. 2.62,737 Car. Due Date: . 9/2/16 Detector 1: Make/Mode!: LUDLUM 44-10 Serial No. _ea 1lJ12Z .
Blcron M!croRem Meter: Serial No. _8_224.U___ CaL Due Date: 8/4/16
- 2. Check Souri;~. Information:
- Source l Isotope: Th-232 Ser!al No.: 116 Activity: .sQ.J__ un'1ts: JKL.: Assay Date: ..lU3Q/10 Re5ponse Acceptance Range (t/-20%): uReri1/hr +20% ___ _ _ uRern/hr *20% net cpm + 20% 22926 net cpm -20% 152 84 Source 2 Isotope: _C_;;_:l3Z ....Sena! No.: -81.E.13=.4.8.__ Activity: Jl..QL__unit.s: .w;L Assay Date: j.J]J)JJ.O Response Acceptance R<inge (+/.20%): uRem/hr -i-20% _ _ ~1Rem/hr -20% - -
- _ net cpm -1* 20%....ull5._ net cpm -20%. 8.9:!.Q. ..
- 3. Technician/Worker Performing Checks:
Name: _.$::ITY"£. _\{1. ~Y.I_JJ Title **. £~ L._____ _ Qate: J \~~~Jr { rime: ...9..25.:P_
- 4. ~i.~~-pr!.o.~~i9.f!: Site/Job*~-------~*-*- lnc.<itkm 0f.~r,cription* fA~E:'.",,..IE t.:.>1 GPS Coordirwtes (when required): X*Coord:_d !t..L:J.]A_. :> _____ Y-Coord:~r -!"i 5 r. "Z.
-r'**~-*-; .... cir=-~.,......,., ......~:*::Z.*\,** *. ** *.* .. =~~ ...,.__,,,....~...-:.*... J .....,...::; -:-~.~* ,,.... ',-,-*-:;* .... .,,.:.,7-**~** ~*.- **~*:*.~**l"'l"'*~~~*~*~~~--~----=--~*~=-~'?.'""'-----~-~=~--~~*-~*-*
! Instrument !=ie!d Response" Use Acceptance Criteria Remarks Meter Bkg Cnt
*1 BkgCou;-t~~*So~I<.e (cpm) or . Cnt So-;;ce Response
{gross cpm or
+/- 20%
source Inst". Ca lib.
' Battery Check l Time or Ambient Teinp.
Initials and Comments (add' I Info: Inst. Conditron, ere.) Time uRem/hr) Time uRem/hr} gross cpm current (Y/N) . check (oF) L 1
-
- O J.__. ' -~
- n * - OC ~~;:i'"' (Y/N) *
. ~:~:~:::H+~~ . -~~i***~.~~- .~%.~~-- *-*
Ratemeter / [ ('111;.J Jo
-~~1~: ..._. t ___ * * - - - - - * * - * * ...... 1
_Lv*11iJ . ~lLl~. 5' ____ _ I
. -1..<):J ..J ~--** --
l ., u t)
~~ron_ __ .~A ..... . . .. il,__
Bicron NA NA -,
~Bier~-- --~~- _fz_ ~__L_.._ l ""\ . --* .. - . . . ..... ___ ......
- 1. lMtrun~ent desJgn:it~d check sour.w i~ listed on calibriltion ~f1cker. Record check source response (n t cpm) prior lo field d1:p~ovmi::nt for all c.hec!\ sources being used.
- 2. source and aackgrom1d count rate should be determinP.d from the average of thrP.e static; counts at rhe same loc:it!or. Repeat cour*.ts ~hould be within 2U%. If toun*. rati: cli~eri:;c-s signiflt:;mtly, perform additional wunb to evaiuat!.! mstnrment ~t<Jb11ity
l 1*. lnstrument*informatiori1 Ratemeter: Make/IVio~el:, Lv//(.){;tJ ,/.Y,'(f-j_ * 'Serlal.f\Jodo.GDJ?i . Detec:tor:l: *-Make/Mo:del: l-vibut* i(l(~/IP . * :$eriali'\jp; ft(.f26f;? Detector'.2: *Make/Model: Serial-No. _ _ _ __
. z. Check Source* Information:
Sourc~llsotoPe,: @~P:32 Ser_ialNo.: 1\( .Activity; :~,_! unlts:pC~ Assaypate: iJ{s.e,/ro
*instrument Resp1:ms.e Acceptance.Bange{~ource cpm -.Qkg +/~2Q%): n_et cpm +*20o/o5'.3' 71$ net.cpm -20% 5:~J?,i;;'
So.urce 2 Isotope:{)-~/ ~lSerialNo.:* f h?e-=jti?/;l. Activity: ();'();2_ *units:f6. Assay Date:N/>r . . . lhstrurn,ent Response *Acce_ptance Ran~e (s9_urce* cpm -'bkg +/~20%): net *cpm .+ 20%r~2 7YJ net cpm ~20% ~<6.:..; '7 Checks:.
Title:
'@:lf . 4'. Site.or Location:.
- Site/Job;._._ __,A'-.'-'v:-"e; .;.;~1. , _ *'1_.**'* ---*....,,3;._____
GPS Coordinate*s {when required): X-Cpord: 'N q2 e,:7 2 !{r?t7 --~*----~---*-*---~--~~- Instrument Field Response~ Use*Atteptance Criteria Remarks J *oet.. BKg Bkg $_ource* +/-'20%of inst. Battery
- time Ambient 1hltla15 and comments*
I Np; .cnt (av1rof3) l,\esponse source Net Ca lib. Check Of Temp. (add' I Info: temperature, Jost. Condition, ! (1 /-2) Time (cptn) Time (cpm "bkg) cpm (Y/N). check {fl etc.) Netcpm (Y/N.) I
~* *Instrument 9esjgnated check source is llste.d. on calibration:sti)er. Rec9rd *cfle k;source r spoi:ise.(net cpm) prjo~'to fi~ld deplqyrnentfor all eek sources.being used .
.2. S9un:e:and Ba9kgrqu11d count rate shoukl be de~ermJnei;I from.the*a11e~ag~1oofthr1?e static.: co4,ntsaU~e*same locatlon .. Repe~tcount~*.should.be with!n.20%. If count rate diverges slgnificantlY; perform a<lditional coun.tsto evaluate instrument stability . .
Rev 110/18/15 Instrument Field Response Check log 1
- l. Instrument Information Ratemeter: Make/Model: LUDLUM 2241-2 Serial No _2,52737 CaL Due Date: 9/2/16 Detector l: Make/Model: ~ U)DLUM 44-1Q ___ Serial No. __ EJU.lll2..L Bicron MicroRem Meter: Serial No. >>J.~4""'"U_ _ Cal. Due Date: 8L4/16
- 2. Cha:k Source Information:
Source ! Isotope: .Ib.:.232_Seriaf ~Io.: _1_1_(i___ Activity: .s..O. l __ units: .1.u;;.i .. _ Assay Dilte: 12.L.3.0/10 Response Acceptance Range (+(-20%): uRern/hr +20% *"-**---. u~em/hr -20% net q:irn + 20%_V,~ net cpm *20% 15284 Source 2 l!>Otope: ..c.s~llZ___Serial ~Jo.: * .B.IE.13::..48___. _
- Activity: _Q..Q2____ units: ...uci_ Assay Date; JLZQ.LlO Response Acceptance Range (+/-20%): uRem;hr +20% _ _ uRern/hr -2.0,.~ --*- net cpm *1-20%..13315... net cpm -20% .Jl.~U~ ......
- 3. Tei:hnkian/Worlrnr Performing Checks:
Name._~(_J(1.L~~~ rv'
- 4. ?At~_e>.r.lO.qltip.IJ: Srte/Job:___.t*. 3 ----*--*-- _ lnc<itlon nP<.criptior.; lJ;;~_a_5.______~-~
GPS Coord'1nates (when required): X-Coord:. f]~ J. l.2.f_..._1_**----***-* Y-Coord:...1.::'...c.:JLl"._~~.J. _ _ Remarks -~* ***-*-*~---~:i-----:--~**...,..~- ***-*****-- ~- -** *--- Meter 1* Bkg Bkg Counts . Sourc:e Source Response +/-10% ln~t. Battery Time Ambier.1 Initials and Comment> Cnt (cpm) or Cnt {gross cpm or source Calib. Check Of Ter>1p. {add' I Info: inst. Condition, etc.) iime uRem/hr}
- Tlme LI Rem/hr) gross cµm current (Y/N) check (°F) or uRem/hr {Y/N} I
"""""~~""""'=~"""""'"'""-~~*,......,,..r,..v/,,,,N..,,)..,_lb=-*.~-... -** . **---L*.-* *--- .
..-~&._lf lo*- .. ________ Y -** __ y__ . Y D1l':fo 15. ( l Jt "t:.
f)-:..~1,,0 .............Y... ..... . .. y_____ i.__t=t* . . t)j'i__o_ _j__f (. I l.>.1.D_,,.,.5._J:___ ;
H~---+--~--'----+-""-'-'-*-'---t--'-----'-~'---~'!---'-y_--t---'---.-+--'-' . I Jvo __'f_'LL.. 1112;.2_5_/(_ _ _ ***--*-* _ *--*-**--*)
..,. ___ y__ l:. 130'-' '-1'12 **
- J
* ~ --** . . . **f-- *-* --*HKf~--- -----++-'"'-'-'-'---+--..,..............._._-f-'~--+--_........~,...__--ll-----i----'"1------i-'-"~-*
(_ .--* =eyf-- f
) __ . - .. . .1 .. ).l. --- -.- ... --*****-*-*----1
_Brcron___ ... '/____ .. ___ j_ _ . *- ..... 1
..---** i. c Y~*t----;_._'~*......1--1-~1._,~_z_~""'"/l~---~-----____,
- ~~~~ NA 0 ~~ I ~ _'f_ . ..... --Y.:********** j }~*? ~-~-?-- 'f~if-Jif-----*-* ----**-------**---1
,.--L-lnnrurr.-e~1iie~*ienatedcheck so1ir~P. is :i;tP.d on cafibr<itior. sticker, Record check sour*~"' re>pon~c- (net cprn) prior to field deployment for all chei;k sources b~i;~g~~ ... ,~*. . ... - ... -*** ~
'l. sourer, ~rid IJackgrour:d r.ou11t rate should be d~t?rrnir.Fd lrom the average of three static counts ar tlif'*>ame /ocatioll. Repeat count~. should b(* wirnin 20%. If tP'Jnt rati.> 01vi:rgcs s1gnifirar.tl*~, pf'.rform additional <.aunts lo evaluate in~trument stability
ins.trumentField~.Re$ponse. Che~k Loig
- 1. lnstrumenflnftl'rmation1 H~temeter: Make/Mo~el:* Serial No. p"1(){,{)Cjf Cal. DueDate:Vpf1/!.t.
Detec~or 1_: Make/M.od~I: . Seri_aiJIJ(): f'l94;J.hl/*4 Det(:!ctqr*2: Make/Model:* Serial No. _ _ _ __ 2~ CheckSource Information: - Source.l*ISofope: '1~*-:(5) SerialNo.t* /([' ..* . . ActivitytLO:.* f units:/fl(/
- tnsvu.ment Response Acceptance*~a1we.(so.urce cpm-- bkg +F20%}: .
- Source.4Asotope:.[$*.J?Yseri'il.1No.:. l(C-(£23,J".2-- ActiviW: C)~G:J2 unlts:-fal{.(Ass~y.Date: __. - .
lnstrum.enn~esponse Acceptaricidfange(sourc1fcpm - ~kg:+/720%): * * *net cpm + ~0% (6 ;rl.7 .net cpm ao'}{, ~&yq .
.Det BKg Bk~ source sour.ce +/~ 20% of Inst. Battery Time Ambient hiitials~and Comments
.f\JO. C.rit (avg .of.:!) *cn.t :R~spon~e* i;9µ.-ce*Net. Ca lib" Che¢k Of Temp. (add' I Info: temperature, Inst. Conditlon, ll/2) Time (c;pm)
- Time (cpm <~kg)
- cpm (Y/Ni clwc~ {f). etc.)
I Netcpin (Y/N) I I I {
;
.iJ, l I 1 ....
' *2.
Rev 110/18/15 Instrument Field Response Check Log 1
- 1. Instrument Information Ratemeter;
- Make/Model; LUDLUM 2241-2 Serf!ll N.o. 2.02237 Cal. Due Dat_e: -9.J.lfjf;.
Detector l: Make/Model: _L_l).DLUM 44-10 .~ Serial No. PR 111127 Bic(on Mlc;roRem Meter: Serial No . ..A._224\.L__ Cal. Due Date: 8/4/16
- 2. ~h~I< Sow:s_g__lnformatton:
Source l Isotope: Ib-232 Serial No.;, 11§ Activity: ,g}_,-1...__ units: .ur;L.. Assay Date: .12L3.0/10 Response Acceptanc(~ Range (+/-20%): uRem/hr -i-20% *------ uRem/hr -20% ~---* net cpm + 20%_2_ill2_ net cpm -20% 15284 Source 2 Isotope: _C'5.:l3J _,_Serial No.: _B.l.E13:::4.8-_. Activity: 0.02 .units: __j.lC.L .l\ssay Date: _1L2.Q.Ll0 Response Acceptance Ra!'lge (+/-20%): uRem/hr 4*?.0% _ _ _ uRem/hr *20% _ _ __ nm cpm + 20%_l.3.1Z.S.... net cpm -20% ..B.9.~9__ ..
- 3. Technicl<m/Worker Performing Checks:
N~me:_i..ii.c.""-~-*--*- nt1e: _K..cc.._. ___ _
- 4. ~i!~__qrJql'.;_ati~n: Site/Job: _ ___!:/, 3_ ..______ l.ocat19n [l(.,~scription: _ _ _,_ _ _ _ _ _ _~
X-Cc:mrd:J>;l_ 1~"'_9 Z-' 5"5:_0.>: ___ Y-Coord: H 1 GPS Coo1 dina!e:; (when required); -12."?. t,' i,"5', 'S" ' T""""~*~...-pi;: ..... "'J'"'L.... : .... ,f ... *:r.-.1*~*-r~...... =.ri,**-,.,-,... r;-*~.,..-.. r-.'t*~* ..... _,,,. * .,..,.J.~"\.:.*"!~ ... , *.** - . . *** ~. ,.._...,._~~*~!'* .. . ~
. ...._...__~-*---~
i Instrument Field Responsei Use Acceptance Criteria Remarks Merer Bkg Bkg Count:; Source Source Response +/- 20% Inst. !: Battery Time Ambient Initials and Comments I i I Time Cnt (cpni) or uRern/hr} r Cnt Time (Bross <:prn or uR~m/hr) sowce gross cpm or uRem/hr (V/N) Calib. current (Y/N} i i Check (Y/N) Of t:heck Temp. ("F) (add'! Info: Inst. r.ondition, etc.) i i
~ 71.)~'-j-
;
YTY="""'-==
*~ *-* - *.-** ~-'M.df! ... t;el, *"~-,it .. UX:!X-~-J!I\
I 1-'l:.9_(g 31 'I l ""' "' YJ,OJ /h-'"l-"'Z. )'( !
---~r------*--
~---
iat-emeter f
- 7 CJ '5 '1 I . . - .. ..... 1.1 ..4~-~ . _...... - ..... -**** .J......... ,___ j ___ . .~-
t1 ....... , OL>> L1 37.6 ~--I '57 ---* ).tl y '1'7.(-~ i latemeter IM 11\l 1 (e 3 '1 I 1'\rrv .J" ). '-I 1-"1 '( 1*7_(_ .. -l~---~LL1L_.
'/ 100 __. *----~I \atemeter 1Mriv- l (,, .S (,! I ~1 riv' IL 1>-o '! y -i> \n J/C
___'---*-** t
*~~ Jllt I ~~~~~~~~~--
1icron
/*:.:; ~-t f~-
NA __ .. lL_, __ NA l.1'1.tJ!..... j M Ill/
--+-1
_17 f.i..f...
/l lf 7,,li
______ , __ _/_ ____J_ _
'/ f
____ 't.___,_ 1 _ _i_
*/
y
) 51(, . 1'l. z. *1h zt l .......1..&
J {'1~ >)._l__ ,,. t...> .. /1.1_ .>"K.:._. ___ l;;t:.r,. -, 1.o Jh-i,~2 )t:::
--1 I
I i
~ __J__ ~ -*---!*- -*-~--*-..?f;<~tf *- Vi\.
II
;icron NA ~ NA l '\ d.1-~ __l_Ll.._ ....ll....'-- ----*---~-*-~ .icro11 NA "j NA ii 7J 1.- f K. "*-* -* ********- ~ .*. **-*--**-*-* 1 I
- i. ln$trument d~slgnate(i chec:k source is listed on calfbr<i:tron sticker, R~cord check source rE!~pon~e (net q:im) prior to field de:plc>ymc,,nt for all ct1eck sources bei!'g used.
?.. source and Sackground C1Junt r;;te should be deterrn!Md from th.e average of three static: couhts at the same loc-atlon. Rep~at count-; should be within 20%. H c.ount r.:it~ diverge>
s1gnlf1cantJy, pe.>fform aod1tional (.(lll0\5 to CVi.Jluate instrument ~lab!!1ly
Rev 110/18/15 Instrument Field Response Check Log
- l. Instrument lnformation 1 1 Ratemeter: Make/Model: f+/-/lc *r J?i//;,,2 Serial No. ,::--*vc09 'Y Cal. Due Date: o1.)ijl.<
Detector 1: Make/Model: tl/u,x t/1-/' Serial No. PIVl.2.?W Bicron MicroRem Meter: *serial No. /~'? 7 Cal. Due Date: ~/;<?'.1/6
- z. Check Source Information: * ., ; .., / ,
Source 1 Isotope: -:fl. ~..JJ;<-serial No.: frc:* Assay Date: ~/o 1 11 / Activity: C.(). I units: Response Acceptance Range (+/-20%}: uRem/hr +20% ___ uRem/hr -20% _ _ net cpm + 20%"'7:1 Z"i;f net cpm -20% 3'~S;c,6 Source 2 tsotope:CS-/32 Serial No.: JI ~~:?3-/.). Activity: (,i.C.;J units: e("Assay Date: ,~/,/! ResponseAcceptanceRange(+/-20%): uRern/hr+20%_~ uRem/hr-20%__ netcpm+20%('!'/2.f netcpm-20% '{Sf'l
- 3. Technici~DfWorker Perfqrrning Checks:
Name: __i E Jw,~rJJ.£
Title:
_ fZ('/ _ _ _ __ Date: Jtp.f/;c Time: 16 er.: 1
- 4. Site or Location: Site/Job:_ J..f'r?c;, '-(, 2 Location Descriotlon: Wt:>1..t,,., ..('
GPS Coordinates (when required]: X-Coord: /J L(.J°.$2..* 'ii) 7 Y-Coord; l,J 7 4 c:(1.),. V ~- -----~------- i 2 j i r i Instrument Field Response Use Acceptance Criteria I Remarks TI me I Ambient i I Meter Bkg Bkg Counts Source Source Response +/-20% Inst. Battery Initials and Comments I I 1 Cnt (cpm) or Cnt {gross cpm or source Ca lib. Check Of j Temp. (add'l Info: Inst. Condition, etc:.) I Time uRem/hr) Time uRem/hr) gross cpm or uRem/hr current (Y/N} (Y/N) check (oF) I
! (Y/N) J l/t.s17 ~#-. "\./ \./ JtJ *""7 37. f.,I *n -_.. , y ,;__ ~'L... I 0
Rate meter { h\f f\ (IJ{1;2.c.*A~ 1J"lit"- \j ,,,,.. c... Rate meter .j.µf-7 ' ,..,.1/\ il17c ...:#,..,, v' .J <; /n1< .>7. 7 ° ?or *FY7 /_2<.. I Rate meter l/p.'t,fl C{'Jy I I 1/11 i"' '}t'{.-~ 71/~0, .... \; {/ tv 1g4q _"ZS";'l t':J Jt._ ~
~.
') .,,. , "6t c~""
;
l Rate meter /1i4,",~ II YCfI / ~/ ~ ~~ 13y r- ~I.'.~*~ Cs.-\~ 7 .t?~ ! Bicron NA ~-/'~~a-11 NA 4/)-~ //: ,., v *v YI /UJ6 27-,;)- '"7-A . 1 .3 2v 0 F-. Bicron NA .q~ff,,~ NA ?r)* fl I./' l.f r v* vI /5'fo ~-7 G~* ~- -J?;i..
,. -M-'-
Bicron NA I NA I ll?J/l~ '?J"f I B!cron NA NA [ v
- 1. Instrument designated check source 1s listed on cal1 bration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used.
- 2. Source and Background count rate should be determined from the average of three static counts at the same locatton. Repeat counts should be within 20%. If count rate diverges significantly, r:ierlorm additional counts to evaluate instrument stability I cJ I
Rev 110/18/15 Instrument Field Response Check Log 1
- 1. Instrument lnformation L, .Uc:~11 ,,,2;Jf /... ;i.. Serial No .*~1 ic'"0<:.' S'",... cal. Due Date: '-';k'{h wb Ratemeter: Make/Model:
Detector 1:
- Make/Model: t. b. ,Ji;,, ....'. ¥ ~<-cti Serial No. PR 11,)PI J 6icron MicroRem Meter: Serial No. _&_~_*7~- Cal. Due Date;
- 2. Check Source Information:
Source 1 lsotope:-=fP-).32 Serial No.: /I f Activity;L'O.I units: ye~: Assay oate:l~k'"'ffo Response Acceptance Range {+/*20%}: uRem/hr+20% ___ uRem/hr ~20% _ _ net cpm + 20 ot;;3;,ZC4' l( net cpm *20% 3~('?;*~ Source 2 Isotope: (5 .. 13') Serial No.: I 11 ~d3-t:2 Activity: t) .. 62 units:~ Assay Date: NA-- Response Acceptance Range {+/*20%); uRem/hr +20%___ uRem/hr -20% _ _ net cpm + 20% 1*Q.]3 net cpm -20% Z(j"<f /
- 3. Technician/Worker Performing Checks:
Name; :J* 0v-'c* ., if'.$-
Title:
T2C'T
- 4. Site or Location: Site/Job: _ _ A__r:..._i"_-"_._l/._._..3.,..,..----=--
GPS Coordinates (when required): X-Coord: NV ':;i<. l./.;J.7 Y-Coor<l: i Instrument Field Response 2 Use Acceptance Criteria Remarks ~ i' Meter Bkg Bkg Counts Source Source Response +/-20% Inst. . Battery Time Ambient Initials and Comments I Cnt (cpm) or Cnt (gross cpm or source Calib. Check Of Temp. (add'l Info: inst. Condition, etc.) Ir Time uRem/hr) Time uRem/hr) gross cpm current (Y/N) check {QF) I or uRem/hr (Y/N) (Y/N) I Rate meter /;:,;11 o/S'~f:-...,,., !Jt.'it I t:.;b 7.) '( .Ce:'~ y v - v 15n *~? ? <O 7/.. *- ..2.32 .,,O;..
' I 11! i11 1("'6'5'-11~yt --4 {/ ~7.. S.:;, r* ~
Rate meter (.._. lrr"I '7 t~
, . I
!a.,. ;.,.
,?--**
Rate meter ( I Rate meter ! Bicron NA .£..~/ft',rl ifl/ NA ~ ll
*. / v v* Jt;li<K 3?.>c.. *-rt.*- )...)'..'.L /Jc;i Bicron NA ' I NA I I v
*v*
r1/,75/rr' {:;)cf.. I / I - Bicron NA NA Bicron NA NA
- 1. Instrument designated check source 1s listed on callbrat1on sticker. Record check source response (net c:pm) prior to field deployment for all check sources being used.
- 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability
Rev 110/18/15 Instrument Field Response Check Log
- 1. Instrument lnformation 1 Ratemeter: Make/Model: L..,,;J/vwr ~/.-.:2_ Serial No. c::~kp"7 l. Cal. Due Date: D"i/ol/;6 Detector 1: Make/Model: f.__,,i!'fv . .,. , ~l/*-(6 Serial No.RR.f//t.*'12- r1 Bicron MlcroRem Meter: Serial No.----~ Cal. Due Date: ~--
- 2. Check Source Information:
Source 1 Isotope: /J...0) Serial No.: f( { Activity: .c:.c*, 1 units:~ Assay Date: I;! /.:x/f(J Response Acceptance Range { +/-20%): uRem/hr +20% _ _ _ uRem/hr -20% _ __ net cpm -i- 20%0/'1'&* net cpm -20% 5~.;~. C Source 2 Isotope: (,5'-/57 serial No.: If iE;lS-t .2. Activity: 6 ,t,,J- units:~ Assay Date: tJ/r Response Acceptance Range (+/-20%): uRem/hr +20% _ _ _ uRem/hr -20% _*_ _ net cpm + 20% t> )ll net cpm -20%
- ggy q
- 3. Checks:
Title:
- 4. Site or Location: Site/Job: ft(.?~ lfr3 1
, Location
Description:
_ _ _--.-c._,..1..._'/_""*~-,,_,f_f.__.,,,_P,_,"'"ft~p~s~--
~I IJ'J 6 7e;*.c-) 0 ~ 6&/ 7 1
X-Coord: /1/ l/;? c.. 1 GPS Coordinates (when required): ;;) Y-Coord: rr ,.,. V. *
' 'II Instrument Field Response 2
Use Acceptance Criteria Remarks !
! Met'?r Bkg Bkg Counts Source Source Response +/- 20% Inst. Battery Time Ambient Initials and Comments i i Cnt . (cpm) or Cnt (gross cpm or Ca lib. Check Temp_ (add'I Info: inst. Condition, etc_) I
- source Of I Time uRem/hr} Time uRem/hr) gross cpm current (Y/N) check (oF) . lI l
I i .. or uRem/hr (Y/N) (Y/N) I i i Ratemeter 1
/hAiY\ lfitflo**-' I Mr'*"' !./(; <<.1 c/"h, \/ y \( OC/$7 I.ff, I " /f.. .-;J...>2 ii? !
i fl~ (7 ~ f1JAI'. ...../ c~ *- i"J"7 ( ! Ratemeter I ,,._.rt. '-/ \.../ u1'i 7 '-I I. l> (:/ /} £_,,. ! I Ratemeter l!M. l'I .
<'/f7U~~*- (It\ ~111
'-f63cR *** ..
I i!J v r
-...:./ r* J'-f 14-tl ;;:z_<> 71-,~;J?.2. ~;;~ i I Ratemeter I wu*il\ ' ! /.:7+7 r ~~ (/ y
'I I IJ-6 14/J. (., 0 ~_;'JI *--.a~
! Ratemeter inlJ\. .qrz..:.2
- r
,,~ I~.v<.,l'\. i.f~"'t;.-;;i._ ~- .~.~ !_j .J v /4ro U'/ '/ ., -,h - _)_ f':;. t)y I
i Ratemeter I "'1- *"'- II 5711 ,. .,}Lvl .J v ~F' i'f)J '-I '?_ 'fr o> G:_,,,f? I ff~ i NA I I I
! ,:Y )
Bicron NA Bicron NA NA I 1 Bicron NA NA I
- 1. Instrument design<1ted check source is listed on calibration sticker. Record check source response (net cpm) prior to field deployment for :all check sources being used.
- 2. Source and Background count rate should be determined from the average of three static counts at the same location. Repeat counts should be within 20%. If count rate diverges significantly, perform additional counts to evaluate instrument stability
App E-Sub-Area 4.3 - Sample Data Sheets
SAMPLE LOCATION DATA SHEET
--. ,--;
Date:_ 1\ \ 7..'>I ii\ Name:-~--*_O_r*c~\.l C'i
- 1. Sample Area (SA):
SA Designati~n: L\ -~--A ----*-**
Description:
~. r:J..~i, lsiL _____________
SA Origin Location: ___ -------------- Coord. System; ____ SA Land Jvfark
Description:
________________ ... ________ Coord: ________ . _
- 2. Sample Location Data:
Sample Area ID: 4 .*). tt. I Matrix: __ )(i_l _ Location Coord: 71 ~ ( } ' ~-~--}-~~:: ... ------* . ---- 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:
_J-t*,,o.\ ;,,,_," .---) , p-:-A *':' 1~, \._,. ~~.,; .-.\ q. 1 ~~-r,.:i bn) J... _____
, ' . I 5 "'-t--
Canopx Type: _fPrk1" \l.*~-*- LI\>'~}___ Land Use: .bi.~~'.i J .-+<<..~Soil Moisture. (Wet, dry, etc.): {:\Ql\11*1' I
- 4. Sample Information: Sample Area ID: Ll . 3_r'.\ I . RI
- R. i../
Depth llften1aJ Soil Type (Org; clay; Soil Color
*1 Su~i~ID --r-*----.. Sampling ii~scription i (Surface litter type/depth, sample depth retention, I
____,(_cm-----'--)_,___s_an_d~,_e_tc_.,__,,_______ _. ____ ----1'_:.efusal, ston~. or rock, topo~y, eros~~l!.. feat1.1resL1 O *YS- +o"~o.I A_~,k. brr.;,+ 4-:l:.!:'_J_J~-'-L... . _________________________ ,
')-31/ :+/-i-~~c .J _ h-i. . . . --, tJ.3 ft. I i_ _ l 1 ~t:;"Y'.~ rr.~ *::ic-1.:.0 i~C - 'cl~
!-------+~----
-tv... ~. I
+/-.;pG '
br~=-- u.-~ 4. 1-:-1 ~~-3-~-'~c-Q'\?_Cs:-*6 -------------- ------i I ... b,rp~~-~--- 4. ~ -~~~~t --~~~=-~--~~~--
--+=--=-------+*-- -- --
_ -_ -_ -_ -_ -_-_-_-_-_-_ -_-_ -_ -_---~--_ *-_-_---=-------! Sample Recorded on Laboratory coc fo;m ancl~C~n"i~iner *Labcl~~i: m~('N)~---------- 10/20/15
SAMPLE LOCATION DATA SHEET Date: Jl~L3-I_f_ Project: t: Y~ l./2f.?1.::J ___ _ Weather: ('oiJ, Ut.Llf't ,..-3Jf....!. __
- 1. Sample Area (SA):
SA Designation: 1* 5J-l
Description:
__ W~o_co_\_s________ SA Origin Location: -**------ Coord. System: - - - - - SA Land Mark
Description:
_ **--** Coord:
- 2. Sample Location Data:
Sample Area ID: Location Coord: __,i,J=--70~--',.c.."'"'1.:..-='_ Alternate Location Measurements (distance 1Tom SA origin and Local Coord.) X Dist. from Origin (0,0) }.11/4-- l Y Dist. from Origin: µ;A
~*~.
Site Sketch Attached (Yes) ~ Sample Location
Description:
\/iM<..
Canopy Type: ~Land Use; Lir }'..._.y\_ft.__ Soil Moisture (Wet, dry, etc.); U-7 )
- 3. L oca tion R.a diatlon . R ead.m2s: .....
2x.2 Nal Bicron Notes {cpm) (uRem/nr) timer* - Count
. . (min}
I I
!cm 7JC;*1
<;.i;J 7o lm
'Y5*7j 7'1Y1
' ~cmt~m
>.Jr AJ/Pr A
- 4. Sample Information: Sample Area ID: 'f, 3A.f!. .7_ ;-1 Description by DCJllth Depth Soil Type Soil Sample ID Sampliug Descriptl'o!l
!11terval (Org; clay; Color {Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topographh__erosio11 features)
O**J\ S**I &11..~-.. 4, NL fl.J,_1_ JJ/A
/)-ju ~I/cit;...~ &:v.r.. '-f. -~. 12.'.L z. I 1-'iA* .-.-- -
10-<YO I-~~. Ji, le~..., ~."t _,,,_ 'i-3H*IZ.*ld l"J/l -
~*()*;"d~ :::io: llctc ... ..., ~,i::A...Jn. L[.~A. l?.J.'i 1:!/J3_ .
.* ***& -* --***~~- __ - ,.
..----t**
Sample Recorded on Laboratory COC form and Container' Labeled: @ (N) *-- _,. 10120/is
SAMPLE LOCATION DATA SHEET Date: /1-z0-1 \ Weather: (D._i..., ~f'IA~---*-*--
- 1. Sample Arca (SA):
SA Designation: _ _ 4_._3_A_____
Description:
vJ ood S SA Origin Location: Coord. System: _ _ _ __ SA Land Mark
Description:
____ Coo rd:
- 2. Sample Location Data:
Sample Area ID: -* 'f. :3A .5 Matrix: So: \ 0 \ I' Location Coard: JJ...!j_z./' Sl; 22':, &n' WI lJ O "2- -Z.,l.R .* 4 I Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) AJ_/11.* _ Y Dist. from Origin: __ t!}ll___ Site Sketch Attached (Yes) ~ Sample Location
Description:
-1.cl-=-a.J='-ds--+1___,,.,/.e--=o.;,,.,<Jt':.....::S_ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Canopy Type: ____Q_,?e""'n-'---- Land Use: ... Jj~J~ Y11 _ Soil rvtoisture (Wet, dry, etc.): ~ 3 L QCa f lOll R a d"lati on R.cad.mgs:
- -** .... ~ . ***-- .. ......._............ _., .
2x2 NaI (cpm) (uRem/hr) Bicron I Notes Count time 1 cm lm 1 cm lm (min) -** ~' -- *.,,.:....::c::.t....:*O::::: *.:.... ii:.....:..::...~~*!* *- -***- =*=-** ..... * - - * * ' ' = ( {
/tl.~7 7&7.:~ i'o s Alff.\-
ICjs'i 73&7- }Jjp.
=3
;
- ... ~** -~L- ...- - * * * * * - -
- 4. Sample Information: *Sample Area ID: lf, 3r+. R.. 3, I- Z D escnpt1on b'Y D epth:
Depth Soil Type Soil Sample JD Sampling Descriptio11 Interval. (cm) (Org; clay; sand. etc.) Color I {Surface liner type/depth, sample* depth retention, refusal, stone or rock, tooography. erosion features) 6- r.; se;l 1.:i~"- 4. 3Ft /2.. *3 . I ))/It+- IS-?.V sc.;t &/µ;Vt. t..j,~A_K..~,2. iJ/{J-
~.- ....... --... * *
- L - --~** **
. - i--------**** - 1----- ***
Sample Recorded on Laboratory COC form and Container Labeled: C!JJ' (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: /--ZD-J ( Project: N'/ ~ E:R.\.:>0_ .... *- --* ,,_ Weather: C.Oo) <;Ji1n~ 1
- 1. Sample Area (SA):
SA Designation: 4_*~5_A _____
Description:
~l~N~'o~o~cl~S_ _ _ _ _ __
SA Origin Location: Coard. System: - - - - * .-* * * - SA Land Afark
Description:
Coord.:
--------- --~-.-- -*******---***---
- 2. Sample Location Data:
Sample Area ID: __!:i__3_B._.<..~(__ Alternate Location Measuremeuts (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) rJW Y Dist. from Origin: ,JJ/& Site Sketch Anached (Yes) <fE§)) Sample Location
Description:
. Wool S: 1 \!ialLv1 ~.? h.. ---***** *---
Canopy Type: _Opefr\ Land Use: /-{; )0..h) Soil Moisturt! (Wet, dry, etc_):_t)c--1-i- -
- 3. L ocation R ad.ia t*ion R ea d'mgs~ ...
-*~---~ ****-------****
2x2 NaI Bicron Notes (cpm) (uRem/hr) Count time 1 cm Im ; 1cm lm (min) '
... ... *~:- .. -~ ' --**-.-*~
I 7Cif& 7?;7o
*~
(,, ,j}A -* ..
*- ~---
( /f(Cj/ 73'76 I------' .. _ _ _ _ - ~L/'.\ -**--
.. ~
- 4. Sample Information: Sample Area ID: 'f 3A-. g_, if, I- 2. '5*- &
D escnption by D epth: .. .. DeptIi Soil Type Soil Sample ID Sampli1lg DescriptioJl Intenral (Org; clay; Color (Surface litter type/depth, sample depth retention. (cm) sand, etc.) refusal, stone or rock, topography, erosion features) 0-1\ '$0"* \ ~... lf-3A.A.J./,f rJiA
!'6-3 0 '.;>O~ 1 &rw"" 1i3f\-.i<-.'i,7.. IV 1IA__ - *-**
.si:>>. \ ~a;v.r Lf,*. -SA . g_. '-f, ~ ~*~
o-t5 ['5-3 0 ~'}~\ lO:'!).U.\. ,4, 'H
- C2.. * '-!. ~
'**'Pr
~I ----********----****
I Sample Recorded on Laboratory COC .form and Container Labeled: ~ (N) 10/20/15
SAMPLE LOCATION DATA SHEET
/')
Project:~-- Name: -:::S-. U*" **-* *1 weather: r-. .,( 1._,:1,,_,fl-="}r.Jr-"c"'".cx~)1'""""'~'"'"3"=0"------'--
-""';A."'-'
- 1. Sample Area (SA):
SA Designation: ~-Lf-L.--3 "-*D=-----
Description:
__..lN'-"-'"o"""**~r~:s,,___ _ _ _ _ _ _ __ SA Origin Location: Coord. System: SA Land Jvfark
Description:
- - - - - - - - Coard:
- 2. Sample Location Data:
Sample Area JD: Lf, QD .J Matrix: _)_c':___\_ Location Coard: N l.f '{; 32
- W7li*oz_'
---**- ---~---
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) t-iJr \:\ Y Dist. from Origin: p JJp .. Site Sketch Attached (Yes) @
- Sample Location
Description:
I .' f::.,'..i1;1'. ( **i L~1~:'".!. ... ~ 1 *1i1,Jrc(
- br.,,:i~1 :1.n6. li,'2°ci:S Canopy Type: rJi'.AI!' 'Lq {>j".<-.-", Land Use: \'i*l*r: '.l I t;f'-. Soil Moisture (Wet, dry, etc.): ~..i"r'T I r~i'. 'Jch,-'
- 3. Location Radiation Readin s:
~--------'--------"--------------*~-------- ----.., 2x.2 Nal Bicron Notes (cpm) (uRernibr) Count time !cm lm 1 \!m lm (min)
"- - I
--"--+----------*-_=j
-----"------------- J
- 4. Sample Information: Sample Area ID: i.f. 36. R, \, 1-1/
Soil Sample ID. Sampli1tg Description Color (Surface litter type/depth, sample depth retention, t---'---'---+----~--;-,,----+------- refusal, stone or rock, topv ra hy, erosion features) 0 *IS t.~_,.-, '/. 13.f2, I I ~.i..u rt:;)D
-l-----*--**-,.-t-----------------------i I
f-----4-----+---+------*--1*---- Sample Recorded on Laboratory COC form aurl....i_C_o-nt-a-in--e-r_L_a_h_e_le_d_:-,r,....,-~(N-1_)_ _ _ _ _ _ ____, 10/20/15
SAMPLE LOCATION DATA SHEET Date: // 123-1~ Project:_;::._ 'f_'§<;; l~ [;?j:>._ --* *----.. - Name: ~n B~'P(,Jr'l
,. {
Weather: _c..Q~'~r-~Q....:____ _
- 1. Sample Area (SA):
SA Designation: 'f, '2,[S . - - -..*--
Description:
woo:h_, SA Origin Location: ------ ..- __ ,, ...__ .,. ____ Coord. System: SA Land Mark
Description:
_,, _____ Coord:
- 2. Sample Location Data:
Sample Area ID:-* If, 6 B ?-_ __ Matrix: ~---- Location Coord: N 'i2.".3<.' 23 .*-n" _b) ?J.:.o-D,_'1* 11'1" Alternate Location Measurements (distanc.-: frnm SA C'tigin and Local Coord.) X Dist. from Origin (0,0) t:'/-f?. *- Y Dist. from Origin: ,>Jj Pi Site Sketch Attached (Yes} ' Sample Location
Description:
. LJuu ci s Canow.Type: ___!l/7)ffl___ Land Use: __J!;l~.r!9--- Soil Moisture (Wet, dry, etc.):_}d_~*:..- -
- 3. L<:ication Radiation Re~dings:
2x2 Nal Bicron Notes (cpm) {uRem/hr'
- 4. Sample Information:
D escnption b1y D ept b DeptIt Soil T,.vpe Soil Sample JD Sampling Description Interval (Org; clay; Color (Surface litter type/depth. sample depth retention, (cm) sand, etc.) ............:--- -* * - - .. refusal" stone or rock, topogra2hy, erosion features) o*-1) -::,c1 L .I) YU"'*.:. '-I* -56.~~ ~--- ~'l Y-1 15-?D ~o ,'\ ~..kD 3;3 .12.. z.._ 2-
- 4. I
. ::)
J.C?- (.,;() ';,(;, \ I Su r\J. R~- *n Lj. ja,a... 2. 3 -1CC...">i--,-. -;,_,-..d~-.
~o--1cu "t>d . . ...1. *- B.1~:-"- '-f, 3~. e.:z.,, __ ~
**-~-r ____
"*'*-~---
. ***---~: --** _______
~* Sample Recorded on Laboratory COC form and Container Labeled: tfJ (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: 11 -Z3 **1 ~ Name: __ -rv,-; ., bvv_ ...,,_M_ _ __ Project: J ~ Weather:_£__~ t.iV-lJ'1-r_:.:;,q,, _ __
- 1. Sample Area (SA):
SA Designation: 4, 3 b
Description:
~lV";J"'""o_.,_*J_~---------
SA Origin Location: __ - * - ......... _____ Coord. System: _ _ _ __ SA Land Afark
Description:
__ _ _ _ Coord:
- 2. Sample Location Data:
Sample Area ID: 4, 3;?, , 5... __ Matrix: ~Qj__ _ Location Coard: N '1Z-.., )z' Z3 $'LJ' * * -
- ___ W.,_7? ~-if!-__'_z_z._._u_*3_____
Alternate Location Measurements {distance from SA origin and Local Coqrd.) X Dist. from Origin (0,0) N '10 _ Y Dist. from Origin: _Y_'~ \\'\__ Site Sketch Attached (Yes) @ Sample Location
Description:
Wo ch 1 a,\U'"'1 h-~0-.;\ ~'\J()..v'"'/ bt;~----- Canopy Type: 0)le\:J Land Use:-**~\( \L, 111-.. Soil Moisture (Wet, dry, etc.):~--¥---
- 3. Location Radiation Readings:
2x2 NaI .. ~*-- Bicro~-* Notes (cpm) (uRem/hr)
- 4. Sample Information: Sample Area ID: _L?~ . [ .3 . I -11 amplitzg Descriptio11 type/depth, sample depth retention, r rock, topography, erosion features) 1 - - - - - - - - - - - * " - .... J ~* . __. ., _. - * *-.. .-. ..
Sample Recorded on LaboratoryCOC form and Container Labeled: @ {N) 10/20/15
SAMPLE LOCATION DATA SHEET Project: !"J'**i 'SE._ R D-tl____ L Sample Area (SA): J
- SA Designation: L\
- 3 r':i ~ i;z ~--~---
I *
Description:
I_...;:~-~ ... ~~ ; ~ SA Origin Location: * * - - - - * - -**- **-*-**** **-- Coord. System; _ -*--- SA Land Mark
Description:
Coord:
----**--~--*** **--
- 2. Sample Location Data:
Sample Area ID:--=!...:}__ D .j~_.j___ . Matrix: __ :'~~~*L.... Location Coord: ~" .1 J.. '-!Jo* _j_.J ] '1_~_~Q.A,.-3_l_K_ '________ 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) Samp Ie Locauon . Descnption: - . ~~'.'-i\ " ..}.. .:... r
.....\']j_~.,.: .......=:.L~:.J3.? <
, \ k t
- Q~.1 ..-~(1 (1. 5c1'"'vi-1 t.;~).j S J
1 CanopY, Type: ff\11-:tk.1 oy-**.,, __ .Land Use: _b~~~i~Xt!::____ Soi! Moisture (Wet, dry, etc.): r\.\l. n'\ \' f" 1*,~"-*-.-. -* ...
- 3.
- Location Radiation Readings: __
.-----*--- *-----~- --~
2x2 Nal Bicron Notes Count time p...q.:M*.,, (min)
=~>=l=~~~'""""'~~=***
(cpm)
-I cm l lm lcm (uRemihr) lm
~ ~,,.=-~.... ':"' ...,... "'*~*;, . . .~*~=-==*-*1**~
'1'~-~ 1 r~----**1.*-** _L_~
i:,,,. 1 * /),rt _ *----***-----
' ~ia1.1;, *->---~J_Q]___ - * - - - - - - - i i - /\J_; -**---*--* ..
. . ________,_______,__________ ~----- .L__ . . . .__ll__ ________ . --*----.....J
- 4. Sample Information: Sample Area ID: _'i) . D* ~ -'-I J_-J.:,__
Descnvtion by Depth. Deptlt Soil 'l)pe Soil Sample ID -1**------*---S7impling D~scriptia;-,- - - - * - Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal,_~~one _or ro~k, topography, erosion foa~res) ~1)~--1~,:----tt:-.-.,-"-c.~.1_ _.____.....h_,,!,-~-....-*1,_!:_'-_3_6__. ~-*<+. 1 __ * .- r~-~*. T>__ _ ------------1 r--_7_~_a_....+._.......,.-"-5'"'~;_1---t-'-'b""-;'~-.::=I~C) :~- ~. ~--:; -k- -------*-****-------------\ r--)"-"O~f.:_,t_.--t--'--k'".*."'""".::;_o:._,'_---1--"b"""" 1 ~-~~.J0- b. ~- L\.J 1-l£~~.,,~ -----*----~-----*
~ c>, ti~* --tr..-,<- *. 1 b,-1' .* ~:~ '1. ~--rfi-:-~---~-** 1 **-*----***-
1-----'.-.-L.: .~- -.-'-~- (-=-~:" "'.i.," "<"- 1.'~."'""'._:-:1-=..-=..-=-::h"'""',~-'-'*~*~~
+": ,__'.:.:J_§..&,. 4 _~ ......,_1=C~1'-"~-'-'*:---1-_'ti:..-'""""*.;--"~~-*(r---u--J~ 1,,., 00 J~~- _Q_:... f: '*=i-l~ -lc*.,~.-=~.r.ii*i_~=-----
Sample Recorded on Laboratory coc form and C~~taincr Lab~led: (M' (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: _JJJ-!K// r Name: fan' i)n:.._., I\ Weather: W,(Jdy, coot 1
- c. toJdy
- 1. Sample Area (SA):
SA Designation: __!j_,_3 B
Description:
_-J..W~D~<Jd~~W~r----'Jti . . . . . ~- -'.L\'-5.,__ _ o_,=-* SA Origin Location: Coord. Syste:n: SA Land Mark
Description:
Coord:
- 2. Sample Location Data:
Sample Area ID: l/, 3 K:> ; 5 i\.fatrix: 60*, \ .Location Coord: N '-j 2.. , . p?. ~2:if'.. '/I *\ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0)_.H. f'>(
- Y Dist. from Origin: J-1 Pt-__
Site Sketch Attached (Yes) @D Sample Location
Description:
-l,AfQcd s 1 s; ck o~ 't¥i 1l 6ru~-h.- . ~- - - - - - -
Canopy !ype: 0 pe.. ~) Land Use: ---+/-:L_k,~- Soil Moisture (Wet, dry, etc.): f.?:'\,r
- 3. Location Radiation Readings:
2x2 Nal Bicron. ' Notes (cpm) (uRem/hr) Count time icm 1m ' lcm lm {min) f~~*- J s.~ol lu6_£[____ 6 rJl~ .... I fJLiJ IS 7 ~2. '? ~.;'}Pl . i
- 4. Sample Information: Sample Area ID: J.f. h3. 12.:5. 1-2.
D escription b>Y D epth : Depth Soil Type Soil Sample JD Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) .. refu~al, stone or rock, topography, erosion features) n-J5 ~u,\ I h-,., . nA 4 3:6 i? .'S . I ~7;-_ U1*'VVL'f- - B-30 bo'1 \ '-'?~\:,,.,_._, 4. ~-1;$.:J? ,"$ _ 2 * - ..Ht.... 01*vt.u.., __ . I I
--r--
Sample Recorded on Laboratory COC form and-Container Labeled:~ CJ") 10/20/15
~n::o~<<.~~
SAMPLE LOCATION DATA SHEET Date: !t[ z{){ t S' Project: f\J\{ Sc {(DA Name: ::r: tsl'!lw '\ Weather: PIT Svr1n1 l l{o :-i J c.,.:.;nd.1
- 1. Sample Area (SA):
SA Designation: . t.\ *3 b
Description:
_\,.)~J:.r,l *luf______ SA *Origin Location: Coord. System: SA Land lvfark Descripti6n:
~~~~~~~-~-
Coard:
- 2. Sample Location Data:
Sample Area ID: Y,3 'G f( {_p Matrix: -~01 L Location Coord: ~ d.. 3 d. :u,, ~ d rJ t J~ b ;)_I did.' :J, ~ 'I c.J Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (0,0)_~--._ Y Dist. from Origin: ______ Site Sketch Attached (Yes) ;dfc))}. Sample Location
Description:
'-pJ., i;1)J. we o.J J d n. u :-.. ~ .3C.r"" b b.'V ~
Canop,Y. Type: Vo.r-l-1a..Hy u'f.o." Land Use: luto13 1 Soil Moisture (Wet, dry, etc.): d.__a.,VVI?
- 3. L ocati on Rad' . Iation R ea d"mgs:
2x2 NaI Bicron
*-----------Notes (cpm) (uRem/hr)
~cml ~m Count time I cm lm (min) ,. ! * ~
I "t)~o is-iq :V-M ---*--*- I ~SIJ' t'5'33
-~-_t--- ------*-
- 4. Sumple Information: Sample Area JD: t./. 3 G_~ L.1- .2 D escn1>tion b*Y D el)th Depth Interval Soil Type (Org; clay; Son Color I Sample JD I* Sampling Description (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rack, topography, erosion features) c-1S -\u.:-. ~ o; I bttwn Y. ::..15.R.1.,,. I I ~~ ~~
I 5 - jD 1-i>?St.>: I bi'!)*...,., L1 _.*?, B. ~~NV\~ YD'~
~-**
I I --- Sample Recorded on Laboratory COC form and Ccmtainer Labeled: @ (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: ti-e:<>-rr Project: )v ysc-~f)A- Name: / _o_*-,-'-----'""~~*-=--'1--- Weather: l'.~al, cI IJ'.Jy
- 1. Sample Area (SA):
SA Designation: l.f.._,_3_1~3----~
Description:
_ _._frJ_,_a~c~1J"-""'s~- ________ SA Origin Location: ----- ---*--*- Coord. System: _ _ _ __ SA Land Mark
Description:
Coard:
- 2. Sample Location Data:
Sample Area ID: Lf, f 8, 7 Matrix: So: ( Location Coord: ,rJ 42"32' 2&'. 't--Z. Id 7 7 ° O'Z,' ZLf, <7., Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) h JR Y Dist. from Origin: f.)jft I ' Site Sketch Attached (Yes)~ Sample Location
Description:
~Jo~ leo>XS Canopy Type: _O.f=.pg"'-f'--"-*___ Land Use: Hau*~F1-- Soil Moisture (Wet, dry, etc_):_'D~tyf-----
- 3. L()Ca f lOil Rd. a taboo . R ca d.tnf!:s;
~
2x2 NaI Bicron Notes * (cpm) (uRem/hr) Count time ]cm im lcm Im (min) ~=----:-*.*** **~** l ,
/711 1:\1,\ 7 !d. 1-'IA 1 7'5(,1' i I 1..'i I t11 Ir
- 4. Sample Information: Sample Area ID.- lf, 36. fl., 7, t~z D escr1pt1on b*Y D epth :
~* DeptIt Soil Type Soil Sample ID Sampling De~>>cription l11te1*va/ (Org; clay: Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topograEhy, erosion features) 6-1) s,)1 I ~ Lf, ~/$.£,I./ JJ/A ~*- 1~-so ~o,f 1?~ L/, 5i3. iZ. 7. 2 M/1i Sample Recorded on Laboratory COC form and Container Labeled:@<N> 10/20/15
SAMPLE LOCATION DATA SHEET Date: !1-Zu-f') Project: NY5 ct< b~ _ __ Weather:_(. oc.i\ J S\1n~'~
- 1. Sample Area (SA):
SA Designation: lf, i5 a
Description:
__tJ...::.........~_v_d_~---------~ SA Origin Location: Coord. System: _ _ _ __ SA Land }vfark
Description:
***-----* _ _ _ *- Coo rd:
- 2. Sample Location Data:
Sample Area ID: 1t ES 2J, I) Matrix: .5o; I __ Location Coord: Al !.ft' ;z. i1, '6 -t' 1 1 N 7/nDz' 21_._l.f_'J_"__ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) ~f.P= I Y Dist. from Origin: -C/---- IJ,I A Site Sketch Attached (Yes)~ Sample Location
Description:
l>) o~ 1 .. kc-1.. \Jr S y_9'..J/\1*-~~~6~---:--**--*--*-
/
Canopy T)rpe: Dpel'I Land Use: ___H1 ~~--- Soil Moisture (Wet, di)', et'<-): uf\y 3 L ocation Rad'1af lOll Rea d.lllf!S; *-~* **-*-* 2x2Na! Bicron Notes (cpm) (uRemfhr) Count time !cm Im !cm lm (min)
.--r. 5
~::** ~:.~-}- ... *<l':~~
l 71§i= 75&"-I k2 AJJP.. - I m~ - 72 f{C, ,_ JJ.J f:\ I I
- 4. Sample Information: Sample Area ID: 11381 K.. %. /- G Descriotion bv Depth:
--------~
Deptll Soil Type Soil SampieID Samplitig Description llt1erval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc,) refusal, stone or rock, topography, erosion features) D--1< .so;1 I
+/-_*-_-_-_-_-_---***===============--*=======~
! - - - - - - + - - - - - + - - - - - + - - - - - - - - - - - + - -_ _ _ _ _ ,_~ - - - - * * . ~-***--**--------' 1-----+------l----**- ~----- 1------1------+----l----****--~---------------------l 1 ._S_a_m_p_l_e_R-'--e-co_r_d_e_d_o_n_LJab--o-ra-to_l)_,_'_C_O_C_fo_r*m--a-n-d-'-C-on-ta-in_e_r_L_a-be-l-ed-:--:@.,,--,-r--(N-)--****--*-------' 10/20/15
SAMPLE LOCATION DATA SHEET Date: /1-Z<.'*y S- Project: N'i$E /2 DA Name; '(0-". ~~=""'"------ Weather: ( c;:u;., <.::.oii\':f
- 1. Sample Arca (SA):
SA Designation: LJ, ~6
Description:
--~~------- SA Origin Location: - - - * - - -*---~-- Coord. System:----- SA Land Mark
Description:
_ _ _ Coord:
- 2. Sample Location Data:
Sample Area JD: ~"3(3, 7 Matrix: So, ( Location Coord: A.l ~i" 3'1; 28, 77'* Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) I" 1 A Y Dist. from Origin: J.f/H I Site Sketch Attach:::d (Yes) ~ Sample Location
Description:
u.bodd J l.e.o.\,ff"--'S"--------- Canopy Type: ~-Land Use: t/i Jlr~ Soil Moisture (Wet, dry, etc.): Df'\7 .
- 3. Location Radiation Readinas*
2x2 Nal Bicron Notes Count time (cpm) lcm lm lo+s Im (uRem/hr) ~
.. .:?'"""...=-.=-...... ~ ........... ,.~ --r.-.=
~.:.:...~~!~*.......... ... .....__ .* ,u.:..-....
'&'?:.&'Z.
(
&'~<./ 0 71./37
- 7 l_
i ~I A 7S'57 ~/.A *-
.- I
- 4. Sample Information: Sample Area ID: ':f,36, r2..S. /-2.
Descnotion by Deoth: DeptIt Soil Type Interval (Org; clay; Soil Color Sample JD *r*--** Sampling Description (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features)
/~_,I& 61::>-, \ R~ ']', 6c. !-!.. 'i. I . ;-,. j jC\
s 611 'Am: '1. 6 i;), K-.* Cj.
*- --.M--
{~-30 l._ri z_ J.J 1I I .
-T-=~-**
Sample Recorded on Laboratory COC form and Container Labeled: ~ (N) 10/10/15
SAMPLE LOCATION DATA SHEET Date: II/I f'"i Il1 ( Project: _.1J. '{ S-E /2.0A-Weather: lciC..l"'W'--
- 1. Sample Area (SA):
SA Designation: 4. 3D.___
Description:
_ _.._W.. .,cn" '* d'--------
"-d.i. . .....
SA Origin Location: Coord. System:----- SA Land Mark
Description:
__ *-------~- Coard: 2:* Sample Location Data: Sample Area ID: 4i 3)5. I i.J Matrix: 'So.,)
. \'
LocationCoord: t\.l l{l"'S2'ZZ,_'S.. W 077" v?.' 25. 8 Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) PJ /fl, Y Dist. from Origin: t..l //4 I '
- Site Sketch Attached (Yes) §;
Sample Location
Description:
Wo.0d-'-s-rf'----l'-7~-ft_-f_ _,b=-r_t.J_S_~----------- Canopy Type: J4Qt;_f]____ Land Use: f{ Ki fl] __ Soil Moisture (Wet, dry, etc.): l>v>Y I
- 3. L oca fion R a d.iation . R ea d"mgs: .-
2x2 Nal Bicron a Notes (cpm) (uRem/hr) Count time lcm 1m lcm lm (min) l ~~?7 3525 {; *-,__£_ JJl/l.
~
! 'ttJ2~ 't'ltJZ /\J_lB_.
1:
*-~- .____.....____ . _ _ . i . . . _ _ . *- i 11> 1'/11
- 4. Sample Information: Sample Area ID:_!/ ~8.fd l{. '3'B . ~. W. /-7...
D escnotion b y D epth : Sampli11g Description DeptIi Soil Type Soil Sample JD Interval (Org; clay; Color {Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topogra~hy, erosion features) Od15 ,....-.. So*i ~~ 4,?,?i.-U...10'.! t N/rl 15-Bo s,,,( f;;Oc..>'1.- L/, ~R, P- JO, 2 tJ,111
- I - *-** -*
i'
~-
I Sample Recorded on LaborntQry COC fonn and Container Labeled: (Y) (N) 10/20/15
SAMPLEJ,OCATION DATA SHEET Date: JJ/.l.J__ Weather: looi / Ci__Qv~*e;=-7+----
- 1. Sample Area (SA):
SA Designation: Lh ~ 3
Description:
V,Jood.e-d SA Origin Location: Coard. System:--*-- SA Land Mark
Description:
_ __ Coord:
- 2. Sample Location Data:
Sample Area ID:~ 4. *.)_o . i I Matrix: ?, D*, \ Location Coard: W 71 °Z L Z. ~ .. L,:; ~ " ~ L/z" 32..' ~ ~ '5 ~' Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) i.J1A- Y Dist. from Origin: __J~..tf rr Site Sketch Attached (Yes) <J bvv'S ~,_,._ft....._,,.,o.."'----+'-----_ _ _ __ Sample Location
Description:
\,i.. )ooM 1 1 Canopy Type: Dpeo Land Use: liiJ~'r'lf;;,,=,_- Soil Moisture (Wet, dry.
etc.): Dy f
- 3. L ocation Rad"1ation R ea d.m2s:
2x2 NaI Bicron . Notes
-1+/-
(cpm) (uRem/hr) Count time (min) f ¥Sw7
!cm l 1S?5~
lm
-- li s
1\.1 A
.~--*- c**=-=-==
I rJoo i -*. fuiZ :
... N ft
. _l_
4- Sample Information: Sample Area ID: '-/, 3 i?>. R.. \\, 1-2.... Description byDepth :
.Depth Soil Type Soil Sample JD Sampling Description Interval (Oro-*
~,,
clay*' Color (Smface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, toEowaphy, erosion features) 0 ;- ~0-, \ c,,...,t_,),\ l/.36. R.. il' f LiJ~ 1'5-?iD so:\ ~.... 4. ~"3,, i2.. \l, 7 Lo~ ..
- _r_ I I
---.-I
*-i-- - (N)
Sample Recorded on Laboratory COC form and Container Labeled: t!fJ
*10/20/15
SAMPLE LOCATION DATA SHEET Date: _!f/tfltC Weather: {oJlj C(o.Jd..:::t------
- 1. Sample Area (SA):
SA Designation: L/. 3 6
Description:
l;Jo,> et.d
- SA Origin Location: Coord. System:-----
SA Land 1'\tfark
Description:
-* * * - - - - Coord:
- 2. Sample Location Data:
Sample Area ID: if,. 66, /Z Matri~ _bo ~ )
~ l 5- \\
Location Coord: .J...1 77 o~ 2Lj_ / Alternate LQcation Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) ,fl..} I fl Y Dist. from Origin: Nf A Site Sketcb Attached (Yes) ~ Sample Location
Description:
~cl.s 1 I;1\,ci tnzS\..
Canopy Type: ___,DfM'"""l'-'__,._n_,___ _ Land Use: /-{,*/{.,1hq___ Soil Moisture (Wet, dry, etc.):_~="-->--- J
- 3. Location Radiation ReadinJ?;s:
.--~-~----~--~~--.---~----*~~-~~---~-------~ 2x.2 NaI Bicron Notes (cpm) (uRem/hr) 1 .. Count time l cm Im 1 cm I Im (min)
**1*'**==="'1===~=~o=.-~~===--=----
l 7'?77 7 3 'ff<J 5 . <;' µ}~ ====J=====:=..c,..7fi_~,,_-_.,~::_0:=====7=-S='S"==-,=~-*-:~:1-----~-~~~-~..---=--=--====:::M'-'-'-*'--c-A-_.=--:=_-. -.--~_-:__:_-_--_***_*-_--_-_-_- _ ---1-i '---------'-----'-----------'-------. __l_._____.._______--'--------'
- 4. Sample Information: Sample Area ID: q, oi), ~. \'2. * )-Z D escnption by D ept.h :
Depth Soil Type Soil Sample ID Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, toEography, erosion features) 6 -IS- so*:i gr'V........ 4. 3,3 - j2. 12..-1 ('JI fl 15-'30 5*":1 3-1'.1l!Y..... 4, 3 Ci. e.rz.. ~ A1 I f1.
--+
Sample Recorded on Laboratory COC form and Container Labeled: ~ (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: ul2oi1<) Project: NY Sl=.R.Gt\. Name: . =:r c.'.5rn wq Weather: P\1 c\c.ucl\j ) Ljl). ')} w111d~
- 1. Sample Area (SA):
SA Designation: Y. 3 . f3. K. 13__
Description:
SA Origin Location: Coord. System: SA Land Mark
Description:
_ Coard;
- 2. Sampl~ Location Data:
Sample Area ID: 4 ."2>. 6 .f< l-3__ Matrix: ~* \ Location Coord: Yd.~°3) 'J.1.SS '1 rJ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: Site Sketch Attached (Yes) @§:) , . Sample Location
Description:
?G<i'.1~ (l . . l 'vJood J , h~..J*.'( 3 CX'\J b b(1.I.) 11 1 Jl(.et.[)\ l~..s ( dfU-r:> v-{)
CanopyType: 9!K-+; ... ll'i Otiu1 Land Use: hill1~'.l' d-c__ Soil Moisture(Wet,dry, etc.): Q.,CU'VI?
- 3. Location Radiation Readin os*
2x2 NaI
*-* .. Bicron Notes (cpm) (uRem/hr)
Count time lcm lm !cm l lm (min) I v
=~*
\ CfJ.S S'" i-=1- ~5 + h! I-ii I "i'3'-!~ 'Z'S" i 1 I
- 4. Sample Information: Sample Area JD: t.{ * ~ B. R. .13 i- ').,
D cscnp "tion bDtby ep* Depth SQiIType Soil Sample}]) Sampli11g Description Interval (Org; clay; C<>lor (Sutface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topograph~, erosion features)
~w.-.,
o-;~ f c:r**S o
- l 4.3.13-f<. _13_ 1 -~*"":rb IS"* )0 -k')Sc* I he.-....,...., '-1.38 R.,13.d. 01:.rn~ 10 1ri-.J Sample Recorded on Laboratory COC form and Container Labeled: (N)
- I 10/20/15
SA.lWPLE LOCATION DATA SHEET Date: IJ-Z'3 'J ( Project: N'/f£.. jZf)ft______ Name: fD1 6v'DvVL Weather: covl s. .~'r.lf-;--J..,__*")~o"_F~-
- 1. Sample Area (SA):
SA Designation: _j~-_,~)~13____
Description:
_L-_.J_u_*o._ri_S __________ SA Origin Location: * - - - - - -** --****---- Coord. System: _ __ SA Land 1\!fark
Description:
---~------ Coard:
- 2. Sample Location Data:
Sample Area ID:. '-f, "? b .11 ."---Matrix: S IJ * /
., I 7 \\
Lo.cation Coord: tJ 1-12" )'Z' 2_gyf j;J 7 f~ Ol 2 .>. [2 Alternate Location Measurements (distance from SA origiri and Local Coord.) X Dist from Origin (0,0) /JIr ft Y Dist. from Origin: tJjfi l Site Sketch Attached (Yes) ~ Sample Location
Description:
__ {/Juo d >, 8:1151'1. Canopy Type: _0-"-'Fpe_,.,1'---*"'_ _ _ Land Use: JiL~- Soll Moisture (Wet, dry, etc.): LJ-,'1 f
- 3. L oca f ion Rad.Iation R ea a*m~s:
2x2NaI Bicron Notes (cpm) (uRem/hr) Count time !cm lm lcm lm (min) s
--*-t*
;
-* ***'=-..'*
' s
-~*- ~- ":::~
i I '$!) ~ 7~'-1/
- t ""l_lL_ _, __:__ _***
,_____, I ~') )' s- '1511 ~114 ... ***-
*- *-*~*-** ~- - -
- 4. Sample Information: Sample Area ID: 'f. 3 fJ
- 12. I '1. I-i D escnp . ti on bty D epth Deptlz Soil Type Soil Sample *-~- ID Sampling Description Interval. (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) .. refusal, ~.~one or rock, toeograehy, erosion features) 0-J(' s.Q;_I 6,, *:.. .. ~* if$_,..il:_...E'.j1 l JJI I\ *- ..
I'}. 3il s.::.'.\ brc..,.:-"' 4 {,~,{2..f'.:J.2-:_ Jli.~.-
- ~*-**-
~.
Sample Recorded on Laboratory COC form and Container Labeled; m (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: }J-Zo- t<) Project: N 'i SE R-""DA Name: fl,,. o~ Weather: fool }"vnny
- 1. Sample Area (SA):
SA Designation: Lf, 3B
Description:
_W,,_,,_,,ru""'"""'M,.,.: SA Origin Location: Coord. System: _ _ _ __ SA Land.Mark
Description:
Coo rd:
- 2. Sample Location Data:
Sample Area ID: 2.f,38. 15 l\fatrix: -~-- Location Coord: N 1"C37....' lj,~f' Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist from Origin (0,0) l-1/14 Y Dist from Origin:~-._ Site Sketch Attached (Yes) @ Sample Loca1ion
Description:
lA.}ooJid Qrvs,_,__~b.......______ - - - - - - - * - - - - - Canopy Type: 0 pen Land Use:. µ; kJ. ns__ Soil Moisture (Wet, dry, etc.): Dy )
- 3. L ocation Radi ati.on R ea d.mt!s:
2x2 Na! Bicron, Notes (cpm) (uRern/hr) Count time !cm Im lcm lm (min)
- I .!./ µJP. -
I @J5Z 7'j71 7 I *---- I ¥t.YK n9s- . j
' flf/Q- *--
... _l
- 4. Sample.Information: Sample Area ID: 4. 61&. J2. I~, /- Z.
D escnr>tion by D ep1th Depth Soil Type Soil Sample ID Samplbzg Description fllterval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) n-l'S"' ~ :1-.,,., ~ 4, 3&. R.15", I IJJf\ IS-J~Q So~ I l~m...-A Ill 3&. 12..K. Z. ;V/r A-
*-"'~***--*
* -I i - - -
- Sample Recorded on Laboratory COC form and Container Labeled: {!Y {N) 10/20/15
SAMPLE LOCATION DATA SHEET Date: /I)/ 71! ~ Project: ,iJYSe/2.QA Name: .... ..--;--(. Qv'l
< "2 ,,..,....
121 '"' f , ) **--****-**- v-..i- .... Weather: u.o--~ 1 .so*\Yl¥--*-
- 1. Sample Area (SA):
SA Designation: Lf 3 i3
Description:
___lyoadeJ . -* * - * - - - - - SA Origin Location: Coord. System: - - - - -
------- -~----**-
SA Land i\1ark
Description:
* _ _ Coard:
- 2. Sample Location Data:
Sample Area ID: l/, 3 lS I~ Matrix: So~ I Location Coard: Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (0,0) tJ/ ~ Y Dist. from Origin: Y.. . /_A Site Sketch Anached (Yes) ~ Sample Location
Description:
Canopy Type: Q'j)!'VJ etc.):.Jd.c,... . .__ Land Use: idi ~-rIJ---*- Soil Moislure (Wet, dry, 1
- 3. Location Radiation Readin~..:..,.--*--*-* ....
~
2x2 NaI Bicron Notes (cpm) (uRern/hr) Count time lcm lm 1: 1 cm 1m (min) ~..r-**-** .. .. ... r '8"" (p (/ tj] I '-1 ~ & (,., tJM I ~570 J"'Cr2.J : N[tg -* I
- 4. Sample Information: Sample Area ID: !..{,. 30. '£., _fl..J?, 1-Z D escription bIY Depth :
Deptli Soil Type Soil Sample ID Sampliug Description lntenal (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, topography, erosion features) 0-15 So-* l '!'.)~ .... if. i t1..£,.J.M.L_ ,___ 11 K
}:J~?o 1*. "3l~ !.Jhlu. -z. _t:,!_f fl:
C:.o."l '?.>~ ...........
=l .
___ ._ _L_*~-" ..* I
----~-*-*t--*
Sample Recorded on Laboratory COC form and Container Labeled: (Y) (N) 10/20/15
SAMPLE LOCATION DATA SHEET Date:. I\/l Jt/tr Project: Name:~ 'brown Weather: Cool c I ou_~~'1---
- l. Sample Arca (SA):
SA Designation: ~3=-""'"0,______
Description:
_ ~dfl.-c;\ SA Origin Location: Coord. System:. _ __ SA Land Mark
Description:
*--- Coard:
- 2. Sample Location Data:
Sample Area JD: L/
- 3 6. 17 Matrix: __Q._ci~_L_
Location Coord: N 42° 5Z' 25. 52" \'177 .. o2: -Z3- & 7 "' Alternate Location Measurements (distance from SA origin and Local Cocird.) X Dist. from Origin (O,O)_____J,ij_Pr__ Y Dist. from Origin: ~i-J~t~A~-- Site Sketch Attached (Yes) ~ Sample Location Description~ Canopy Type: 0~ Land Use; __fi;J~ n.+-- Soil Moisture (Wet, dry, etc.): 'J)A?
- 3. L ocation Rad.13 tion R ea d"in gs: .-~---.
2x2Nal Bicron Notes (cpm) (uRem/hr) Count time !cm lm I cm I 1m (min) J I 8'7S't. SS-2 ZC) 7 ~gc,
"?-5" '} 1
_:~ '
)Ji14 Njk
**==-==
- 4. Sample Information: Sample Area ID:. Lf, 3 6. IL f?, /~L.
Depth Soil 'I)lpe Soil Sample ID Sampling Description
.Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, cm) sand, etc.) refusal, stone or rock, topogra by erosion features) l-'-<'~~~*~S:..-+--5~_~_1_ _+"~_:___-+-~'~$'-""-"-"K~
- 1 u
1--~---3-L~\-'---$--D-',\~~-1-~~+~----~~-~a~ *'fV-;l()~+~~~~-~---~--1 _____,_________.,_____ ~--+/-- ' ----*------------------1 1---------i------i----~-~----+----~----. - - - - - ---------i Sample Recorded on Laboratory COC form -;;d Container Labeled~~ (N) 10/20/15
SM'IPLE LOCATION DATA SHEET Date: l'/LK/15 Project: pj't.'Sf;ROf>r Weather: Coo\ w~ndy 1 c fdy
- 1. Sample Area (SA):
SA Designation:_.-* L/, 3---'-'{S"-----
Description:
. ~'ft Jo Jrti-s l, tws k.
SA Origin Location; ______ --** Coord. System: SA Land Mark
Description:
Coord:
- 2. Sample Location Data:
Sample Area ID: _!f.!.-3. f3, I 5 Matrix: S~;._.) __ D I " o I \.\ LocationCoord: W79 D1 21.32 b.l 1-JZ 32 24. 3 ~ Alternate Location Measurements (distance from SA origin and Local C_oord.) X Dist. from Origin (0,0)~.V/~ I.
.r-JJ/\
Y Dist. from Origin: ./-1.;:..,t~-- Site Sketch Attached (Yes) ~ Sample Location
Description:
_Eru.;h t.Jc;J- Jo -!fl~u..~;~[_____________ Canopy Type: Ope b Land Use: /1, /u*VJ:.j Soil Moisture (Wet, dry, etc.): Drey - 1 3 L oca tion Rad"1aflOll R ead'JD!l;S! 2x2 Nal Bicron Notes (cpm) (uRem/hr) Count time lcm lm 1 cm lm (min) ______L_
/e;o?- ?~)(,,. [F R di A:
I 7~5Y 7~7o/ Ni'f\ _j_ ___ .1 I
- 4. Sample Information: Sample Area ID: J./, 313 . f2 / I { /-2 D escnption b)y D eptb :
Depth Soi/Type Interval (Org; clay; (cm) sand, etc.) Soil Color Sample ID r Sampli ng Description (Surface litter type/depth, sample depth retention, refusal, stone or rock, topogra hy, erosion features) l/, :;s. i2. 1${ I
~~f%
b-J) °SD.\) bl'"b<-"h t5'"-Jo So .* l 14 .... .,..., y, 3fl.. IZ..1'i( 2. . . r - Sample Recorded on Laboratory COC form and Container Labeled:
~ e© (N) 10/20/15
SA.i\'IPLE LOCATION DATA SHEET Date: 11 ( e.nf 1') Project: fV\l '5E ROA. Name: -:r: .Grl'>wh Weather: ~vnn"-1 , C. bi>\
- qc.), t;J;.-J._f
- 1. Sample Area (SA):
SA Designation: _L\_.~---"6=-----
Description:
\;vn~j;} _L~---------
SA Origin Location: Coor<l. System: - - - - - SA Land Mark
Description:
Coard:
~--------~
- 2. Sample Location Data:
Sample Area ID: tf .3 6 tZ. 1( Matrix: St;- I Location Coord: ~ ? u 3 d 1 ~(,,
- 7J .. p) _]J_:_:i_ ' J, I. 11 L.J .i Alternate Location Measurements (distance frqm SA origin and Local Coard.)
X Dist. from Origin (0,0) Y DisL from Origin: Site Sketch Attached (Yes) ~
. /
Sample Location
Description:
-+<'<..~ 1 .Su'.Jb br d, \-u.JJt) .Q....Q.._31't v f"\~ ( d-£o...r.o 2t}
l .J > CanopY, Type: ~~...t*,~ i\'1 dis*J Land Use: h'kr nJ----- Soil Moisture (Wet, dry, etc.): a(l)/f\f
- 3. L ocation Rd. a 1at1on . R ead in2s; 2x2 NaI Bicron Notes **-1 (cpm) (uRem/hr)
Count time l cm Im lcm Im (min) I q3~ I "!1 ;;;i {, . µ- __k_* *' flJ~ fi - '"""-"=* *=--~ I 93~-r' i7Lf) -- i J___
- 4. Sample Information: Sample .4,)"ea ID: 4 _3_& Rn I - ~
D escription b*Y Dept h: Dept/1 Soil Type Soil Sample ID Sampling Description interval (Org; clay; Color {Surface litter type/depth, sample depth retention, (cm) sand, etc.) refusal, stone or rock, to~ography, erosion features) 0-1~
/'.>. :,t,O
-kr.-5;;1 \
fL~.._n, \ bfQ<oJ>l b,-?>.., . . . . LI .3 8R!1-l y.>!l R 11 . ;z t :so !!l'<. n..h I Sample Recorded on Laboratory COC form and Container Labeled:@ (N)
+
. 10/20/15
SAMPLE LOCATION DATA SHEET Date: u_-zo-1~ Project: /-J'-JS{;R.QA-Weather: Cold, S JAn\1 I
- 1. Sample Area (SA):
SA Designation: l.f, 3i3-___
Description:
_ . . .W.__~----------- SA Origin Location: Coord. System: _ _ _ __ SA Land Mark
Description:
Coo rd:
- 2. Sample Location Data:
Sample Area lD: L[, 3B. 20 lvlarrix: .So__j__
' ...~
N Lft' 3 'Z. 30. ~lo 1 Location Coord: \rJ l f 07.. 2£2,__Ql;" Alternate L<X:ation Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) J.Jj/lt
- Y Dist from Origin: Mf i4 Site Sketch Attached (Yes)<§ Sample Location
Description:
Wro.kJ :"6 /US\,. Canopy Type: 0 jW'1 Soil Moisture (Wet, di)*, etc.):~"-+~- 1 3 Location Radiation Readinos* ...... -*** Notes 2x2 Na! Bicron (cpm) (uRem/hr) Count time t cm Im lcm Im (min) .... *- I 81)~ 73<?.1 In T Lj µ/Pt { 7&l-Hp l"'fzo l Jlf A *- I I ..
- 4. Sample Information: Sample Area JD: L/' 38,,f2J1.. 0 ~ £- 2.1 i;;-Cu Descnption by Depth:
~--~--~~~~-~-~------~--~~-*~-~
Depth Soil Type Soil Sample JD \ Sampling Description Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, i.--_,.(c_m_,)'--,.__sa_nd__;.,_e_tc~.)---+----+--~- .. ---~al, stone or rock, topog<aphy, ero;;ion features) J--==<b_-_1~~--l----'6~c~~~\-~+B-=-~-*-~-+--4_,~-=B~*=e~.~~!_t *~----~ 1<-30 ~o ~ \ °&1"l'v"' LJ, *5g, R.. ?JJ* 2. j .se(V"(. 1~ @ '3/)~C:::.M.:__ _ _ _ _ _ _ _ _ 4 O-f'.) <bo~d 13~"' 1./,'515,R.Zo,-:;' l1J/0°' i><30 <:_,,; \ '8¥0v-'"' IL/,i?r'S.Q.. 7.r).1,.. \._,.o~-Yu 1 .
'SC<'J Q 30 c.......-
*I i-----+~~--+--~+-~----~t---~*_*-----G-=h-~~~---~---'
. Sample Recorded on Laboratory COC form and Container Labeled: ~ (N) 10/20/15}}