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App E-Sub-Area 4.1.- COC Forms
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rag~ ..... ,_,-~-- <>I" -·· -·---·-·· ·--···' GEL Chain of Custody and Analytical Request GEL l•borotories, 1..1.C
l'roicct U: 2040 Sov~s~ P.oad
GEL Q~o!~ ti· ·---·· ·-·-·--·- ·-·· "*Sec www.gel.com for GEL's Sample Acceptance SOP*"
Charl~o1on, SC 29407 . ·-·· .... -COC Number(' I: .. .... GEL V.-'ork Order Number: l'h<Jnc· (843} 55u-El71
PO Nuinhor- ra~· (843) ?66-1178
Client Name: !'hone';/-. S:itnple Analysis Requested 1~1 (Fsll m the 11L1mbcr of cantnincrs for each (eM)
Projcc1/Sitc Name: Fnx fl: Sl111t1ltl •. -· ?rcscrv•I•"~ 'fypc (6) lhl!
s~m~lc he
Address: consld<ti!U : Comments
Coll~clcd by: Send Rcs11l!s To: Note: extm sample is
•[lf\!o (\l);;i.;:C'd 'Tfmc
fi<ld Jtmri•~ TSC required for sample
C1;1ll\'CICt.1 Qt" specific QC Samp1e ID (Mfll!ary) Cc~c••1 r~~l~:e;J Mi\HIX Rodi A (u1m .. tltl·)'Y) C11hrru11)
CH ,,, O~('tl 11.<&U i Fl1r c;.Otllf.'asrfr.'."r - 117d1calf .~·1111·/ m:Ii ·"·'ml t.lti1e;f,,;1i.: V• lolocl ier o
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·-r--- _J ··-··-··········. ··--·--Li.1.CIZ. I. 3
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TAT Requested: Notmal: Rush: Sµcc1fv. (Sub;""" Sord:Ar~cJ ! Fnx Resultsc Yes I No Circle D~l1vmblc: CofA I QC Summary I Le>·cl I I Level 2 J Li:vcl J I Level 4
Remai•/,/;: Are there any knowrr hm:ard~ appliuab!e to these .l'ampfo.1·? lfso. pl<!a,1·1! iut the hazard~ ~11DJlli; C.2ll•>Jto£l Im1~Zmll; Eostem Pacific Central Other ----l\.1am>1n1u
Cltah1 of Cus1ody Signatures Sample Shipping and D~livcry Details Rcli11q111.1lacu By (Signed) Dole Time Rccci\'<~ by (siiinc<l) Dole Tnnc
GELl'M:
I I Method ofShmment· Date Shinocd:
2 ;! A;rbill "·
3 3 Airbill H· l) Cl~:ih~ af C~s.:1ody N\lm\::cL" .. Ct1~111 Dr:t1:m1~:.;~l
For L~,;, Rac:~.Jvrng U~11 Only 2) QC Co dos NT• N'i!-n'dl1Simple,1:n ... l'rrp U!n:~k. rm .. Field l1•:P.llca1t!, F.n .... ~1l!lp1;";'1 rt~d.. '.\fS ... 'i.1:iai.x SJ11ki: .Si!.;fiplc. \fSD - M11i1u~ Sptk~ Dhpl,1:a1~ Sa11~p~.:::. G ... Or~h. c - C..;r::.r.n"i1Lc:
l 1 Field Fl11cr<d ftl t[(jUliJ.mNrr(Cl, l:':dit1.':~C.._,.,!~I n- \' - (or ytoi tt1:: :1c:11p!o;. Wl\S. fi~Jd m1C!r'-rj. Gr .. ~· fN !;;mfl~C \V:Ji:;; 11~ (1:1d n1tCll!t1 Cm·/<1 dy Seal {>11m·t 1 .\.} M;;lri:c Cn-OC~. [}\V···Drbb:t W:tJ<r. GW~-(j:1J ... ;;J\"·.;:c.r. SW•·Smfat:c W.:il-=r1 \V\\~WD11tc WJlet, \\'.: W.1t;.'.r, Ml-Ml~c Li1)Uid. SO=·S~il. ~D=Si:cfh~;;nr, Sll=S~!:C:Ii~· S.S·-·Sri~f;i W.;i:;L~._ O·•·(:~i, F· Fii1,:1, r 1·W1ri.·. \I .... l:lf;:l".". r·.fr.'L1!.1, N-T YES NO 5) SLu:1p::ik J\r,21lyn~ Jl.c:q1~~~11::J- J\n~:)·1IL;;1l u:c\l:d l'ct'llr~s.~cd (1.c. H26all, G.aUlBi747U,\) m;..J 11i:11:bn 1.1f rn:iin:r.cn. 1)1'1~.i!i;d fu1 C'ilt:h (i 0 .. iiUJCI · J, Mlf.'B.'7471).l - l) Cmif~r 1i:mµ · G.) Prcser,,;iu\': Tyr,c tlA .. Hyi::.::.ch[:jJ:l~ At;i1, f'iJ -1-.li!cic Acid, SU - Stufom~. lt:yt!ro~i:lc, SA·" 8111(111;,~ Ac1d. Ai\ .. Ao:.c.;:1~1-:: A~il. llX = H::.:.:.mc·, s1· -.'li:::11.lu~m Tlacs1:lf1u~, If r.;;:a ;m:1c.rv,,c1"a is 2(Li'!d •· :~:.r .. e-!i.:ld b~~ml: c
WHJTE~ l,A80RAl'ORY YF.l,LOW = FlLE PINK~ CLIENT
Pilge. _ ----- -· Pro;c,:;t 11.
~r..,_ ., .. __ ,,,
OELQuotel/; ...... - ... -- .. -....... - .... COC Number lli:
PO Nu1nber:
GEL Chain of Custody and Analytical Request "'~See www.gel.com for GEL's Sample Acceptance sopu
GEL Work Order Number;
GEl lnboralone'i, LLC
2040 S" vagc Roild
Charlcsmn. SC 29·107 rhcmc: (843) 556-81? I 1'•1'· (g43) 766- \ 17~
Client Name: Phone#. Sample Analysis Hequcstcd «\ t,F1ll in the numher or containers for each t~.~lj
Proji:ct!Site Name: Fax#: Shu111d
!his J.--------------------------------------------1 sa1n11hrhl"
Address: considered
Collected by· Send Results To~
Sample ID •Fur Lf:;1•vor;1trrw m~llcate :t'(:.Jrt m::l slr.p 1ILJU:1r1m<'!
t DL~t.:: ""'11!;;dc..:t~ "T~ir.1:.
f.t.:!d s~.:r.r-1.::: TSC: Cul~·~d!:4..I Qr
f;f:(';cil M~~rnc. n.~1 A (oun-d11-~r1
'(Mltilm)·I C'NIC' nJ : ~, "' ~ .. ~u R~gu (h~"'"') lnkd
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u 1.c.R. . .:i.; 4 I.( .i?.. j,~
j
,eYO
·~-- Prcsorvali•1' T)'pc (6)
Comments Note: extra ~ample is required for sample
specific QC
TAT Requested: Nunnal. Rush: Specify. (S"~'""" ~'.1rclt0,go) I Pa.'t Results. Ye~ No Circle Deliverable. C' of,\ r QC Summary I Level I i Level 2 I Level 3 I Level 4 :J.~<;.\11<1n li1ru; Zlll!C r:a~tem Paci fie
Remar/1s: Arc there <my /mfJwn hai:ards aprilicab!Ci to these rnmple.~? I(.w, plectsf! !isl thi< ha?:ards
Ccn1r:U Other fvtaunlain
Cllain of Custody Slgm11urcs Sample Shi)>plng ~ nd Do livery Details Rclim111i•tc<I Uy (Sigi:cd)
GEL PM:
Mclh~d of Shir.men! Dalo Sliir>ocd.
2 Aiillill ~
1\irbiU ti. 1.J C:hc:n or("m;~c-cly N~11\.::r .. CHcm Dt!C'Il!ujl~J fa,. Lah Rl.!("(.,jVlng u~·(i! Onb· 2 J QC C'Q.'bt N. .-N.,n:i21.I Sa.!l:.l);c. TB• Tr,p n.~.~nk, FD"" f1cl.i D·.1p~i1·.ulc:1 EB" f~1.1r-:-:-~t:r.L Blilr,\,;, \tfi ~ ~ .. f.)lll' ~p;)n; 8;unr.!c, ~JSD - M;o,tr111 3;:iik1:' Ot:pJ;~;oi!¢c St'rnr.~. G '-"<lr.lti, C' ·· c·~·,i~:i.-,\e
3.) H:ld fjlfc.r~d f<:r1~'1uid r.:•tlr~cc~~ rr.drCi;l" ,.,·.fl1 n ~\"-for~\;.~.~ .• ~ •;t1.nlp~c WJ.~ r~:::.I.~ m~rn:d r.r • N. rof :'i~npli: IJ,j" !h;1 iic!d fi:!c11!d Custudr Sedl lnra1.:I? ·I l \of:.!~:•~ Coi!t;~· 0\V':Drlilk:nr;\\.';z!(i_ G\\'·. (it.•t.tt•1's..tl.:t, S\t'· S,•rf;;;o:~ \''.J.t..::r, WW· \\';:i!.1.· W.i:l!1 1 \\ •. :W;:1..:-r. '.\otl.•·M1't: L1lf.J.:d, SO -S:nl, .C,:D"'S..:~t-.,,1..:r;r. SL··Si!i.:..J~'L!, SS'S•Jh•I \'1..'a,;1~. 0-·f.!.l, F r-t;tL •. t•. W1p-.:, t; 1!t11',;:1 •"·f ,_.. .... al.X· 'r------)'E~',_S_,_,,.-_N_'0 ___ -1
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~) l'ro«r;•U\O Tyj:O. 114, ll)~rc<hloro:: AC"1. I'll - l';",c l\OIJ, SH• S"'l'»ll ll~''r'"'~" ~,\ - s.,l!.,11< A<,<, /.,\ - lme<l-l' /\,;,1, llX" lie"'''• S1' - S<doun Tho$,,ll'tl>, 1r,,o r"'"'"."''° :• a,•~,,1 .. 1>.rv< Ed•I b!,,1k C
WHITE =-1.ABORATOl~Y YE!,LOW.,, FILF. !'INK~ CJ,IJ.'1\T
Pago· ·----·--·- ~f - ... ----·--- GEL Chain of Custody and Analytical Request GEL Lsborntorics, LLt.
Project fl: 2040 Sav~gc R<:ad
GEL Quote#: ··- ......... .. ... "*Sec www.gcl.com for <JEL's Sample Acceptance SOPM Chorle•lm1, SC 29407
COC Number c•1, . .. .. GEL Work Order Number: Phone: (843} 556-81'11 PO NUl'nber: Fax: (g43) '/Mi· I l 78
Clren!N~me: Pl:onctl . Sample A oalysis Req11e~tcd tit (Fill iii rhe numbernf con1iiiners fm each test)
P1o;ecu'Sitc Nam~. fjX II: Shon hi
•:-- rrcservutivc Type (6) I Ms s.mplcbc
Addre.~s: (OU.ddetcd : Comm cats
Callcctcd by: Send Rcsulrs To: Nole~ extras.ample is
•1)6~C CcH~t.kd "Trmc- r-l;Jltl fu.mj!le TSC
required for sample C'o~h .. i;1,;:<l Qt specific QC Sample ID \l\!lllrnry) \.,'("oC~c:! !11 f.ilfen:d M:11ri1; Rodi A
(1n.ni-dd-n) {hhlJltlt)
l>l C"~ Ol.l:CI/ R<~~ "' For ,.QltiJJ.?.tJIF-~ - t>ulfruli :sr11tt m:d.-;toJJ dt.1e/r;me .. J:\lul )l:!r D
ti 1.13. ,(( 3. I 1'2..('"'l's 4. ! . e, ,{( .3 -~ 1'-1 'ii/r\ L\ .l.\°:i.r(..L\.\ !1.(-r,(1<;;
t.1 . I.~. l'(. I.I,. Ci-. I .. r~r,~ LI. l .f?.-.K S'.1 1-i.J ~rr)-LI .I .l).,R. S.~ 17.-l '6f1.; -----------··---- -
<.1.[.&.rct.I rz..1~11~ •-LI .13. 9.. -~.d. IZ l'!fr•; L1 .\.15.R. (....S 11-. / :i-(1.;'
TAT Requested: Normal; Rush: S1'ccifv: (S"~ioc11, s""boiv,c) ! Fax Rcsull> Yes I No Cirdc Ddivcmblc: ('of A I QCSumm11ry I Level I I Level 2 I Level 3 I Lev.I 4
R1111wrks: Are d1er11 any knmvn hazard> applicable lo these samples? Jfso, please list the hazard~· Sgmlll~ !:;Qllec!i!lu Time Z~!lll Eu;1cm Paoiric Ccnirnl Other ---Mounmi!l
Chall\ of Cl.l$!ody Slguatures S~mple Shipping anti Delivery Det:11Js Rcl1nqu1Slml Ey (Slgno~} DJIO Time Received by '"'i;ncd) D;i!~ Ti inc
GEL PM·
I 1 Mclhou ofSl111:rncn1 Dar~ Shioocd:
2 2 Ai1b:ll #;
3 3 Airbillll 1.1 Cb'11~t atn1sl<>.:fyNuruhr:r..: c1:er:f D"lcm:m~d
Fm· Lah ll.eceivi11g U.\'e Oii~1· 2 J QC,' Co4os ~ c: Normll Sanipfo. 1'11- Tr1r n!i\nk, f.'I> - f:~ld DLlpbc-a.te. ER• F.cpip:rn::r.j R!ru1l;. MS .. Maw:t SJd:~ Ss~r:rlc, \fSD ... ;M;\(JjX ~:t,:ki: o--;:ilic.:11c s~tl'pli.:, G - Cn:ib. c ... C<lrll}!CXT!C
\) f;c1d J!U;crcd· l~tr ltq1.1id 1n~1trlcu, int.!iCAIC: \\ith I\ .. y .. rer)'CS the :i;n=i;p!c \Vr.\ 11cld fil:.peJ 01 • N. f~t J11n1p~.:: w;i.i; •1(11 Iidd fllti;:Jcd Cir.1·rodySeal /r1/a<'I? 4) M;m1x ~·11Jc:5: uw:. D1infCJ1:~ Wo!i..>r. GW: tirn11n<lw.1~t . .S\\!::.Sutfat:<= W'<llcr. \V\\o'-=Wn'."I~ \\',u1.•:. \\'ir\\!.;.t..!r, Ml~=Mu.l" L111wil, SO,·Sa1t, SD=St.~1111~n1. SL=-S~~Jgl!', SS·•S,1hd W11.i.:1c:, O.=Orl, r• •fi.ltcr .. P·~\V1pw, ll,,.,( 1r~;:~. F·f<io2'~. j'l.;:•1 ms NO 5.) s.rn1plt An11ly~is Req,u~ilc.d; t\m.ly1ic.:d 11~etl:..:;iJ req...:c~t~\l {1 (' SUillB, C.!)J(!Ill7.47CJA.) 1i1Jll.h1 .. n11.xr cf COl•t":r..cu !J'IUl'':"tfo:J rc-r r;'Dtri.h (i c. $]6.'ID -.3, ~(JJ(J[)/7'171'!. - l) Owler T~mp 6 l P'•t:<itf".irsti~c T)'p:~ IJA ""!Jy•!ro~h!chc Atiil, NI.,. Ni!r1c AtJd, SU t-6 Sa1Iou:n J[y.-Jroxt•i~.S;\"" ~1tlrL1l1t: Ac;tl, At-,• ,\n:·xh;c tu:id, UX co Hexane. ST ... Sadr~.rn Thio~l!lfillc, Jln:'.1- J~·Y.tstt'v~r1vi:: IS :1111.1.cd.., leoi\rC ril!U h~:ml c
wnrm ~LABORATORY VEI.1,0W - FILE PINK ~ Cl.I ENT
Pog.c· --· ···-----· of -----·--····· ....... --. GEL Chain of Custody and Analytical Request GEL Laburnmri~s, LLC
Project 11. 2040 Sava~c Ro~d
G!:l..Qilotcll "*See. \'tww.gel.com for GEL's-Snmplc Acceprancc SOP*-" Charles Ion, SC 294[)7 -··· ·····--- ·~··--·--··
....
COC Numb~r ''': .. .... - . GEL Work Order Number: Phone: (843) 556-8! 7 I PO Number Fa~; (B4JJ 7Ci6-11n
Clic11! Nam~: Plion~ ti Sr11nplc An~lysls Hcq1icstcd m (Fill in the 1111mber of conrni11crs for ench tes;)
Fa, H· Sh11uld ., l'H>Jc~VSitc Name I his ._ __ Prcs~rva11v~ Type (6)
SOlllJll~ ho
Add res.>: comidotc!I :
Comments Collcclcd by: Send Rcolllts To: N<1te· extra sample is
"Da•c. t"ul:cr.:!:d "Tim.: f·ichJ S•n~:I< TH; required for sample
Coll::i:kd Q~ specific QC Sample ID (~tillt1'fyJ Co,l-:-111 Fih~n:J ~foll ill! Rodi "' \ (ram-Jd-)'Y) tbhoun) \Jj l41 oi1cO R~&U I
" F1.:r £Q~r1>(1.<>UU.'i - imlic•1k sfutt w:d .~wr1 tltile/limit .. ~2hd ~Cl"O
¥3r I I --; y _ ((. \. i I I. l'Z.. '1 I~
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-~ '.)
!..\ t. c (?, :r . f --;;_TJ!~-
t/· . ( c. t(: 1- . ;;. 1d<r{{':," I ·------
T,\ T Rcque~tcd. Normal: !lush: S1>et1fy: (Sab;e<r I• Sunli"~'J Ir-ox Remits· Ye• I No Circle D~l ivcral>le; C of A I QC Smnl\lary I Uvol I I Level 2 f Level J I LcV<:I ~ Rctlt(ll'lls: A re there an)' lmawn hazard.~ applicable to the.;·~ samples? If so, ·please li.~t the hazardi :S.ilw111~ r.21Im•uo Tim~ Z9JJ£
Eastern Pa~tfic Cc111rnl QI her _ ............
--Mo11n1am
Chain of Cus!ody Slg11ntur~.1 Sampfo Shi11pb1g :uni Delivery Octnils Rclin'l""!tod lly (Sign:d) Doto Tiri·.~ RocoJvoJ by ls1gnecl) Dr.tc Time
GELl'M:
l 1 Mc!liod of Sl1ipmcn1. Dnle Shipocd
2 2 Aitbill~:
J 3 11U:bi1111· I} Cl:4i11 ercu.'\!ody Nt1d;i:::r.:.... ClierJ Dl!'!an:~in-:id
Fm· Lah Rl'ctJi1dng U11~ Only 1.) QC c-Q~c!i· l'i .. Normal S1111p;~, Tn,.. Trrp llb:i~, FU"" Fic.l:.HJ1lpfa:u1;. RR - f:'!J.L.\p11:::1•l Blr:r.h, litS - M~lrix S1~'h Sii.mpfa, 7\o{SD a M~1rix Spll<to D:.:.r-ll~:Ue S~n·p!o1; 1 G ... \'lnb, C .. t_',,mzi.:i-.:i1c
3) FiC?~cJ r,1tcr~d- Fm llcioJ:tl rru!lni:cs. ir.d·o:.IC w.Jl. n. v. ruq•e5 t=x: n~~p·c: nn:'i fold m1c-·c:~·o,,1r .. N - fct ~IH•ljl!c WD,c; tl-0\ 1!.1.'!lrl rihcr.;:J Cn<ivdr Se<t/ !1110<"1? •0 M11m~ Cet~s. ()V{· r:>.1nka1J;, W:r11o.i, GW· Grt.1VH~fou1'"''• &W.-S.uf~c::: W1!1!t:1, \V\Vr..\V:,i~c~ W.ale~', \\'·•W.1ti!t, ML:::Mtn: l 1·1~1~d. SO,·•SQ;l, SD=-St:di!ttl)lil, Sl·•S1.d~t!; SS·:Sl•iul Wa~h.:, O='Oil. Ii' ·Fdtcr. l'··\\i'11~. U=lJrim::, F·· f.:i..;sl. :-f·•t l'ES NO ~) Siin;pJ: 1\paly!li$ nc.t:1\•.Utr:-J: Ni11l1lii!.ul :1;tfJ•?(1 tO'l)u:Cs.!CJ h.e guon. (1JJ00..741U1\}•1.'tl 1;:.a::bcr o!cv;1t11:ru:I':> 1;.rtJVt~ktl f1,1: i:::ii.:h {o.C.. s1aao. J. (J(1/CiU74irM. I) Caal11r Temp: fi.\ Pn:;(~UiT"c. Type: HI\ .... Ht1:1cc11lon; Ac(.~, M .. N:!L:c AcirJ, SH .. 5c~:um ll)·;!rr::xH~~. SA""' S-.trnmc Ac::d, ,-\f\., /\tto:bii:: Ac~d. HX ... HcXi111~. ST.,, SoC:n·m Th:t:thlfa!e. jf1:u('U!:s.crvi\!j''-"1! '' :dt.-::=;I -1:.!av~ field lll:>)~J;. c
wmn; ~- LA.llORATORY YEI.LOW = PILE PINK ~ CJ.ll~NT
·-------·--· Psr.e: ___ --·-··-··--or ___ .. ________ .. GE.L Chain of Custody and Analytical Request Gl!L Lubor~mric,, LLC
Projcc~ Ii: 2040 Savage Ro~d
OELQumcll: "'"See www.gel.com for GEL'.~ Sample Acceptance SOP"~ CharlestOll, SC 2\l407 ··-·· ·---·-----· ......... .....
COC Numbcr<1J: ...... ... . . GEL Work Order Number: !'hone: (843) 556-8171 PO Number: Fax· {843) 7!l6·117N
Client Nnmc: Pbone ti: Sample Analys.!s Requested <5J (Fill in ihe nnmber of contorners for cnch tesl)
·rrojec!lSite N~11m: l~ax #: Should <·· PicscrvJti~~ Typ~ (6) Hai~
•mnplc be
I Address: consMcn~ :
Comment~ Collcc1cd by: Send Rcsulls To: Note: extra snmple is
•D.,tc C1.~i1t"i:t;:J •T
0
1f!OC F•:,~:d s ... mp~c. TS('
rcquu-cd for sample <:ullct!<il Q·" specific QC Sample ID '· f,;11;;c:J Mau-ix Tl•dl A
~1:1m-dil.\'Y> (Mll;t"ryl {;t;·dt at
'" l~i r;t1tU Rtq~u "Fc:i· c:omvos11r.Y • im/if:C1le ,,·111r1 onJ .~lUIJ Ja/t'lr111Ji: U•luun1)
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- ··-L\ I !C jl., q. i )?.-~ -~{. - -~-·-
'-\ 1\(,,, fl.. ~Is rz.-9- 1 -s- -· ·-----,__
l\,1(.. (7_, 5,\ t"-~--IS' iAT RCQUCSICL1: Normal: Rush: Specify: 1Sub:0<1 to Strr<h::ri;<) I fDX R~sull<: Yes I No Circle Ilch verab!L'. C<lfA I QCSumma1y I Level I { Level 2 I Level J I .Lc,~\-1
Re11mr/1s: Ari.! lltere any known hazards applicable to these samples? if so, pl<!a,w: li~t thf1 hazm·d~ .s.anu>..Js~~ Eastcni l'ooffic Central Other ... -··--Motmtain
Chall! of Custody Signatm-~.~ Snmplc Sl1lppi11g and Delivery Details Rclinqu!slv:u lly (Signe~~ Onie Tir11c ltt<crv;:d by (;ign<:<l} Pa1c: Tim~
GEL PM:
I l Method ~rs1u10111cn1· Dale Shinued.
2 2 Airbill ti.
3 3 Anbi\lff· I } Ci:~~n csf CIJ~tody N::nnb~r = Clu:nL D;:h:.nt1b~d
hn Lar, Recetvmg U.11• 011/)' 2) QC C(]d'Vs. N =-N~m1af Sa.111~10, TH-"Tr~ll H!ar:k, lff) 01 f1~ld l)i1pli~I1;, En..., !~qtqwr.cr.L HJ"r:J.:.. MN"" "liilrix S1tok.:: Si:r-p:'L-, :'\lSD .... M~:ru: Sr.ilcic DltfltC.iil; Samp!r., G =- Gr;i1', C" Cv!1!ro~1lc
1.; F~c:d r1llc.red· FoT J;qutd rr11,1ricc1, rnU . .cMc. 1V·U1 Q- v - for )'<CS. t'oc s;i.rr.p'o ....-~~ riuld r!lOl'Cd Of - N - rer &mnpli; ~V.tllii 110l J1dd [i~tcrcd. C11J.'/udy Seal /ntacr? 4.1 Mo:i1rbc.Cldc!." J)\VC':'Or!:1k11~g Wo.h'.f, GW··Of1\M;.:l•N0::c:r, S\V.1 SuJfacc: \Yi!lkJ, W\V'I. \V1iSl\l w.~1. \\1••WiiJ..:r. ML= Mm:- l ~ti:::"d1. .so-.~1111, ::;D··S<:.:foni.:•;:I SL=·Slr.d~~. i;-$~·!\·.hd WJS!C, 0-.Cll, F"'·Firt::;:, ri-w11x:-. U.:·ur;ui;. Jr·.r~a:oil, N--t Yt:S NO S) S11mple- AJlilyji:i ncej:.11:sleJ, f\n~l1HcL:l 1~1c:l~d ra~:rc::io~td (:.c SU.Oil. 60'10Ili7<$7UA) 0!.r..:l 1mm1J::i1 c.r(;c.1i1.li:ioL'S'f?1Uv1d::d for c~c;h (1,t" ,tl6{)8 · 3, {t()/0R/141fM • tJ C<w/,:r Temp 6.) l1•c3cr1,1a1h·e Typ:::: HA., IJyLlrOClllorii; Acr;l1 NI ,..?'f[tri' Ac11J. SJi .,. S:cd1u:n H}'t!r0>xi:'..c, P.i\ ""811Hi-~~'I:' At:•1, ;\:'\ =- A$ccrbJc A1.:1d1 BX .. Hc~>1·.~. S'J -S<.;;•,,:.n 1~i:::i.•.~,1r~tt:, tr l•:t Ff1!~r,,,1HVJ..' :;~ a;11;c.1- i-t;W(I fJ~MUl;iiuk c
WHlTE ~LABORATORY \'ELl .• OW "·FILE PINK"' C'l.IENT
Page·----·--·· .... ot.' ..... -------·· GEL Chain of Custody and Analytical Request GEL L•bont.,ric~, LLC
Proj<:ct II: ,; "See WW\V.gCll.com for GEL's Sample Acceptance sopu 2040 Savage Rood
OELQuotell. ·-·· ···-·---·-··· .. . ·~. Char!esto11, SC 29·1!l7
COC Number 1•~: .. ... ... .... . . GEL Work Order Number: Phone: !&43) 556-8171
PO Number: Fax· 184)) 71i6-J 178
Gliem Name: Phone II: Ssn1plc Analysis Requested 1.5; (Fill in the nurnbor ofcohmincrn for eaoh test)
'" ProjecrJSitc Name: Fmci/" Shuul<I
<·· l'rcscrvativo Type (6} ll1i~ '""'Jllo bo
Address· cotlsfd~:rcd
' Comments Collcclcd by: Sond Rcsulls To:.
j Note: ex.tr:i sample is
•p,.k(.~1Jl1:".;~tl 'Tirr~
f1C':.1 Sa.:i-:plc nc ~CJ required for sample
("ijql,;1;;~..:J Qr I~1lrer~.J l-,fotri>i: R•dl A specific: QC Sample ID (m111-cld·1'J'I
l1'11Ufo.t)') C.)Jc iH iii , .. (U,dl Ro~u
• FoJ· c.omJJ:'ll.'~!e.J • lnt/ic:u!e .~lat! aJ!J .l'lnP dattJllll:Il! ~hhmml ,. l•ltd
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--
TAT Rcqucs1ed: Normnl: Rush: $pccifv: (S\lbJ'"' 10 Sml~·•»<) I f11x Results: Yes I No Circle Ddivcrnble; C of A I QCSummarv I Lc,•d I I Level 2 I ·Level 3 I Level 4
Remm·!rs: Are there any known hazards applicable to these sample.I'? ff so, please lil't the hazards ,S.~ollcqio!J '.Dlll!<Z= Eas!em Pnc1fic Ccntr.1 Olhcr ... .-·--- -· Mo\mtai11
Cl1a!n of Custody Signatures Sample Shipping a11d Delivery Details Rclinqui>l;cd lly CSlur.oo) Dalo Time R•~~iv"d ~i' (~inr-.c1\) Oaio n11w
GEL PM:
I I Motho~ of Slurmcnt: Dnl< Shinned:
2 2 Ai1bill U:
3 3 Airbill#: l ) Clt;i;11 a! Custody 'Nul:llm .. C..::bU DtCttlltl!le:d
For Lab Ro«eiwng IA<! On~) tJ Q<.' Cede.•: N "'Ncn11111l s~mrlc. Tll• Tr;r Dlt1.d:, FU ... f1cl::i Dl!pHe;i~{', l-:U= f-.q~11pn!r:T.l nll!:11k. M.S "'MM"1)( Sp1k~$1!1.ptl.", MSl> .. Mcm1); SpH::c n~.phr:~lC'! !:i~~~p:!:. G .... (jrtl•. C ""'Cc"'·f10tiu~.
l} Fiald ~;~u:.rcd·. Fc1 hc;i.a!';I !llA:11.;e~, mdi~111c ·.vllh 0 - 11:' - r~r )'Cl t!\O ll'llnpl~ \Ytl! field t11tcr:d or. N .. 'or :i;.11m~k \V~~ Ile\ fi=:M f:!tt.:!l.'.:11 Crmvoly &al fm11.-r? .t) M~1rix Cl•.!es DWr(Jrmkmc \V;il"Cr, GW.:..GmHi1J·,.i,.oi!ar. 5\V•·S·Jrfru:.~ \1/~!cr1 ,.,.-,\·=W.:tni:- \V.ut·.:r. W:=W1:~>:r. Mt==MiS\.' l.Hi~:id, SO-·:S.J'rt .~D:·S'(J::1x:1~1. SL .. ·:SlaJs,~. SS· :1r.li~~ W.e~.i.:. ()~=Oil, F:.·F~ltcr, i•,·\ViJ:'..', U'"'Utmc. F"'·fc.t:.:.1~. ~ 1 1 YES NO .s) S.i ri:plc: h·~ly:m R~1~1tct,I Ar;nlyric.n~ m.:thth.I rr::c;ccs!,J hoe .MZCOU, 60 IO.Dl747{9A) ~nJ rnr.:ib"' c:J i:tior.1(1.:i::cts. 2n(]'tJCed for e.1'1..:11 (1.c .'i26f10 · J, ~q1on1747,M, • I) Crmlt!r Tt:mp: ft) 1'1c~rv:uiv:: T:rr.~. llA"' Uy1t(tr.d1l'1tit Atbl, Nl ... t·H~ric. Acid, Sn ::s S-0di1l:11 Hyilm~ir.~ •• ~A TT S;)]fu:-t~ A'::'id, .\A ... A-:c~o;b;e Ac1:J, nx .... jiQ}l,ill<, b·r .0:.. :i':J~.11111 Tlii::it1:H:i.:t:, lf 1:l'l 1:u:.s:::rv?.h\i.: i.!i ~1,i'.c~t ... tc:iv~ ndd b?:mk c
WHITE.~ LAl~ORATORY YEJ,LOW = li'ILE l'TNK =CJ.JENT
l'Di;~· -·· ·--··---· -· 01' GEL Chain of Custody and Analytical Request GEL Laboratori••• LLC
Projocl II: 2040 Snvoge Road GEL Quore ti: '"°See \.\'WW.gel.com for GEL's S:unple Acceptance SOP*~ (.11arlestou, SC 29407 -· .. ··-· .J_ .....
COC Numher !•l. .. .... -· .... ... GEL Work Order Number: l'honc: (MJ) 556-8171
/'O Number: Fax. l&•IJJ "/66-1171!
Clie11I Name: Pho11c II: Sample Analysis Requested ••l (rill in the number of cm1taim:rs for·euch tcsl)
. ~ .... · Projtct/Site Name.
Sho~M . I Fax~- ltJis •:-- Prcsc1vJliw Tyµc (6)
<nmpl• bo
Addfe£s: <"omhlc:rcd :
C(IJnlllClllS Collected by: Send Results To: Note: extra snmple is
*'0111c Ctt:h:i.:ti:d "T11~-:i F>eld Silq1plc TSC
required for sample Co~l:.:c~J QC spl!cific QC Sample JD !~11111"')) CoJi: flj Fili~rcJ M.:itti:c !Ir.di A
(nim-dil-)')') (hh1un11 cJi. ") 'O:ttU Rtcv
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t{' l(.jL.4.l rz:..Gh") TAT Requested: )\fcnncl; Ru,li: Spcc,fy: (S~brcc1 r:..i S1:1i.:l:-"rlii:-' l Fax Results: Yf!S f No Circle Dd1vcrablc. C of A I QC Summaiy I Level I I Level 2 I l.cvcl 3 I Level 4
Remnr/cs: Are rlirtre any known hazards app/1c(1b/e ro these samples? f(so, plea.re list the hazard1· ~~m~t~ (g ll~~liiin T1m~ Z211~ E-asten1 Pnc11ic Central 01hcr -----· 1'.lounrain
Chafll of Custody Signatures S~mplc Shlpplng and Delivery Dctnlls Roli1;qui.1ltcd Hy {Sigi;cll) Dillt: Time Received by {signc<.l) ll"e riir.c:
GEL PM:
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2 .
2 Aubill #·
3 3 Atrbillll· E .) CJ~l'lliJt G[C.;,iskdy Nt.ur.'bcr • <:fa,:i.1 0.:-c::::rniltCd
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) ) f1c[d F•:lcrctJ. for llqi.u\'.l rnr.:r1e~\. in~Hci:uewah .n- \." -fGr ye~ m" llmip!c: W31 riclJ mtcri:d Gf. N .. for ~am~[Q W.!IS r.~I nrtd 1T1er<::o;1. Cimody s.·o/ lmacl? 4.) M~lm:: ClH~o D\V ... Dt;nkiilf! \V..11~. GW· :G(L•u.:~tJ. . ..,·.-itiff. SW= .. S1.irrJ~c Wat.er. \\"W-=\V;;:o;cc ~Vilt<:,, W=-Wjf1.:'r. ML=·M•:s• L:1J•.;i~. SO"'S·Jt\. S1>-~·Suh:l~c1~t. SL··S1u;J~.:. SS "'i::-li~l Wa!':ti.°, O=-Oil1 !'--.1:::!~1· 1 l'···':ip1!. U.:·l:r:h.!-, 11' ·h·t.-21, N=Z YES NO 5.) S:mJJJ!e A:talyius n.cgt:cs:etl. A11~l)L11.:.2l m:lh~ ri:-uuul('l1 (•.e. U.6CB, CiOIOD/747UA) v1iJ Uii•til;r;r r,,f 4,,;t:fll11<;-,~1~ FOVilf:d for e~&h (1 r;: 826Gll ·.J, l'J:)(~~Bn47M · I). Cao/er 1'emp. 6} P1os~pr:tcivc Tw.c· H .. '\ -Hydro~Mon~ Aci~. NJ..., Nbic Ac:;rl, SU,.; ~r.rii11m Hyol;,;,:i1;idc, SA..,, S1:l(1:rfc 1\(i'1, ;\f\ ccA~cd·1c Acid, flX :--:- llc:-g,•~c. ST"' Scc1h1m Tl1!:>1l::r.m. !f t:t• r.1c.,,rn·;1h•; 1:; :uf:kirl"' \i:.w~ fi:-M ~bl1k c
WHlTE ,~LABORATORY YELL.OW- FILE PINI\ - CLIENT
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P!)onc: (81J}:556-&i71 Fax: 843 766:1.178 , PO.Nun:ber: -~l'-----'·--"'--
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WHJT:IC ·"·l.AUOl~A'.!'QRY YP;tLOW'~ FIU; J~INI~ ~c;LmNT
. l'•g~; ----- --·····- of' ... - .. ---------- GEL Chain of Custody and Analyticai'Request GEL Lnl1an•\or;o,_ LLC
P•Q]CCtll: 2040 Savage.: Road GELQuorc fl. '*See www.geL.:om for GEL's Sample Acceptance SOP''"'
Cbor!CSl\a\1 SC29~1l7 --- ·--··---.. --·-·-- .. __ ... coc N11mber 11>: .. ... ..... .. !GEL Work Order Number: l'hcnc: (S43) 556-Bl 71 PONum\:ler 1 Fax· (843) 7!i6· I 178
· CliJnl Nnrr.e: l'ho11e#; Sllm11Jc Airnlysls RcqneMcll <51 (Fi\I in !lie number of containers for end1 test)
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required fm- sample C"o}ltvtccJ Qr Spt!Cific QC Sample ID (~Ull1<1·y) CCJ<!;U) FiHeTC1t Mlltris:: Jlo<il " ~nmi-i!d·yy) lhlmua)
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Ro11wt/1s; Are tlwre any known hazard.~ app/icab/El to the.~e .wmple.s? I[.1·0, plea.l'e /i.l't-the h<ize11·d1· &m~liila.Iim.V..M!< Hnstcm l'ncific Cc111rnl Olln:r ·-··----Mmmtnin
Cllalt1 of Custody Signs Inns S:unplc Sl1!1iplng 1111(1 Delivery Dc.t~lls Rcli11q11i~l\~d Uy (Signed) P:llo Ti1m~ f\cc<liv•d IJy {•i~m<l) l);ifc lime
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7. 2 Aithlll 11:
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l'nJ!.e· __ ,_ -··-"-··· ot' ----·~-- ··-·-- GEL Chain of Custody and Analytical Request GEL l.ol•or~torics, Ll C
Proic~t #: 2040 Savage Road
GEL QuOtcll: _ - .. --· usee www.gel.com for GEL's Sample Aecept:mce SOP""'
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Comments Collected by: Send Results To: ]\lotc: extra sample is
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WHITE•• I.AnORATORY YELLOW~ FILE PINK~CLrnNT
4.1 A
Date Elevation Coordinates Collected Sample 0-15 cm 15-30 cm 30-60 cm 60-lOOc cm
IL('t{l~ 4.1A R 1. 1 x 42°32'27.S8"N 79° 2'47.72"W ,2 l'l (rs- 4.1A R 1. 2 x
4.1 A
Date Elevation Coordinates Collected Sample 0-15 cm 15-30 cm 30-60 cm 60-lOOc cm
l2fi· .... l )' 4.1A R 1. 1 )( 42"32'27.88"N 79& 2'47.72"W
n ..... "'J-1~ 4.1A R 1. 2 )(
4.18
Date Elevation Coordinates Collected Sample 0-15 cm 15-30 cm 30-50 cm 60-lOOc cm
ll.--'l0-1'~, 4.18 R 1 . 1 x 42"32'27.53''N 79° 2'45.36"W
i'l-'l 0--\.~ 4.lB R 1 .. 2 x L? ,-'{ 0-1. ~ 4.16 R 1 . 3 x Q,""\~·--t\ 4.1B R 1 . 4 x n.,"'10--ts' 4.18 R 2 - 1 x 42°32'26.66"N 79" 2'45.78"W
\'?.. --{0--1 S"' 4.lB R 2 - 2 x \?All-'ls' 4.18 R 2. 3 x l'L4C-t~ 4.lB R 2. 4 x 11-10 ··\5' 4.1B R 2. s : x. tc..-\Cl -u:f 4.18 R 2. 6 x !'!.,-id~ 4.18 R 3. 1 x 42"32'25.66"N 79" 2'45.27"W
IZ-'1-1 S° 4.18 R 3 . 2 x n .. i,1( 4.lB R 4. 1 x 42"32'24.89"N 79° 2'45.56"W
t·i- ~-\( 4.1B R 4. 2 )(
L1.-- '6'..-1 f" 4.lB R 5. 1 x 42°~2'24.00"N 79" 2'46.27"W
11..-1 ·I( 4.18 R 5. 2 x l'L-8-1( 4.18 R 6. 1 x 42°32'23.70" N 79° 2'45.30"W
{'t--"61 ( 4.18 R 6. 2 x l'Z, - 'i ~t-:{ 4.1B R 7. 1 x 42''32'23.13"N 79° 2'45.34"W
/? ~'i ..-1) 4.18 R 7. 2 x n-~-1t1 4.1B R 8. 1 x 42°32'23.19"N 79° 2'46.36"W
f7~'1-t < 4.lB R 8. 2 x
4.18
Date Elevation Coordinates
Collected Sample 0-15 cm 15-30 cm 30-60cm 60-lOOc cm
12.. /<l f~ 4.18 R 1. 1 x 42"32'27.53"N 79° 2'45.36"W
Ji./ 1 <) 15' 4.lB R 1. 2 x 1z.{ re.I 1'5" 4.18 R 1. 3 x 1"2.. /o / 1 "r 4.lB R 1 . 4 x 1'2. /0 /1< 4.1B R 2 • 1 x 42 "32'26.56" N 79° 2'45. 78"W
\1. /0 /) 4.lB R 2 . 2 x IZ. (l• 1) 4.lB R 2 . 3 x 1-z.. /11 ,.,- 4.1B R 2 . 4 x 1<./10( I~ 4.1B R 2. 5 x 1d11·1<;°' 4.18 R 2. 6 .X
]"'t. y/} .-;- 4.1B R 3 . 1 x 42"32'25.66"N 79° 2'45.27"W
r<. '8' 1-r' 4.lB R 3 . 2 x \:1.. ~11) 4.lB R 4. 1 x 42°32'24.89"N 79° 2'45.56"W
IL ~l1S" 4.16 R 4. 2 x 12 t !~ 4.18 R 5 . 1 x 42 °32'24.00 11 N 79" 2'46.27"W
,?:,. ~ /) 4.18 R 5. 2 x 1 'l- 15 1$' 4.lB R 6. 1 x 42°32'23.70trN 79° 2'4S.30"W
n .. "":11{ 4.lB R 6 . 2 x ri. ~I·< 4.18 R 7. 1 x 42"32'23.13"N 79" 2'45.34''W
r • / ~ <.. I 1< 4.18 R 7. 2 x ,v • , 1'\ 4.18 R 8 . 1 x 42°32'23.19"N 79" 2'46.36''W
12. 1!1) 4.18 R 8, 2 x
4.lC
Date Elevation Coordinates
Collected Sample 0-15 cm 15-30cm 30-60 cm 60-lOOc cm
\b-10...(( 4.1C R 1 . 1 x 42°32'26.89"N 79° 2'43.ll"W
\1,-\d--1 { 4.1C R 1 .\ 2 x rl.-(0-l ~ 4.1C R 1 . 3 x t~-\O-l{ 4.1C R 1. 4 x (2.,-{0 .,, s' 4.lC R 2. 1 x 42°32127.lO"N 79" 2141.85"W
r?.. .-io ... i< 4.lC R 2. 2 x 12-·10.-l{ 4.1C R 2. 3 x rz..-tU-t<; 4.lC R 2. 4 x (2;~ -'! .. $' 4.1C R 3. 1 x 42°32 '26.39"N 79° 2'40.86"W
ri-4,,1{ 4.lC R 3 2 x n,4..,1,( 4.lC R 3; 5 x .. ,
12~'H'( 4.1C R 4. 1 x 42°32 '25.60''N 79" 2140.451'w 17-<.1. ( S" 4.lC R 4. 2 x (1 -C\--1 £ 4.lC R 5. 1 x 42°32 125.21"N 79° 2'41.52"W
Q-°'\-'l ') 4.lC R 5. 2 ·x rl -'i-t< 4.lC R 6. 1 x 42°32'25 .04"N 79• 2'42.35"W
17...Ci--l< 4.lC R 6. 2 X·
~l-9-t\' 4.1C R 7. 1 x 42°32'25.71"N 79° 2'43.12 11 W
r?__J·1- 1) 4.lC R 7 . 2 x j2,--9..-J 5' 4.1C R 8. 1 )( 42"32'26.44"N 79° 2'42.2S"W
11...t-\-'l.s' 4.lC R 8. 2 x l'L-~,...(5' 4.lC R 9. 1 x 42°32 125.6811 N 7ga 2'41.52"W
11:-'1..-tt S' 4.1C R 9. 2 x 11-1-"'l) 4.lC R 9 . 5 .X
I I l I
4.lC
Date Elevation Coordinates
Collected Sample 0-15 cm 15-30cm 30-60cm 60-lOOccm
l'Z .. 1o{1S 4.1C R 1 . 1 x 42°32'26.89"N 79° 2'43.ll"W
l'Z- 16 r'\ 4.1C R 1 .12 x 11.. r ll I') 4.1C R 1 . 3 x \'2.. /0 r{ · 4.lC R 1. 4 x 1~1~/1<\ 4.1C R 2 . 1 )( 42"32'27.lO"N 79° 2'41.85"W
I<- /U / 1 <( 4.lC R 2. 2 x 11.. Ill i '\ 4.1C R 2. 3 x J1.. /U /) 4.1C .R 2. 4 x
1-:..11/1( 4.1C R 3. 1 x 42"32'26.39"N 79" 2'40.86"W
11..-fr-4 ( 4.lC .R 3 2 x 1z.1-1f 4.1C R 3. 5 x ti-Hr' 4.lC R 4. 1 x 42°32'25.EiO"N 79° 2'40.45"W
(2,-/"'.'()° 4.1C R 4 . 2 x h:lJ-<\ 4.lC R 5 .. 1 x 42°32'25.21"N 79° 2'41.52"W
/2-7"''r 4.1C R 5 . 2 x: 1z.~ti' (6 4.ic R 6. 1 x 42°32'25.04"N 79° 2'42.35"W
l1..-~-rS' 4.1C R 6. 2 x 11.h 1'\ 4.1C R 7. 1 x 42°32'25.71 11 N 79" 2'43.12"W
\"'L " 1'\" 4.1C R 7. 2 x
12-'l-tS" 4.lC R B. 1 x 42°32'25.44"N 79° 2'42..25"W
Jt.-4-iS" 4.lC R 8. 2 }(
rz..-1-tS 4.1C R 9. 1 x 42°32'25.68"N 79° 2'41.52"W
rz-'1 .... s. 4.lC R 9. 2 x 12-~-S" 4.lC R 9. 5 ){
1z.-1-:r I I 11
I '
4.10
Date Elevation Coordinates Collected Sample D-15 cm 15-30 cm 30-60 cm 60-100<: cm l~(Y{-;' 4.lD R 1 . 1 x 42"32'28.69"N 79° 2'38.SS"W
/2wf0•1.<;;°' 4.10 R 1. 2 x Q.-!0.01:) 4.lD R 1. 3 x l'Z.-(b-(l 4.1D R l. 4 x L1..-l.~ ...-') 4.10 R 2 . 1 }( 42"32'28.31"N 79° 2'36.95"W
l1.. '-(.(} ... l 'S' 4.10 R 2. 2 x ti~to-1.~ 4.10 R 2. 3 x tz...-Ji)· tl° 4.1D R 2 . 4 x l? wlo--f'S 4.10 R 2 . 5 .·· .. X.
\L.Jfl-16 4.10 R 3 . 1 x 42°32'27.lS"N 79° 2'37.19''W
11 w~•{<\ 4.1D R 3 . 2 x /Z-tj.1r 4.lD R 4. 1 x 42"32 '27 .24"N 79" 2'38.48"W
(}-~ 1( 4.lD R 4. 2 x 11.4--~ 4.10 R 4 . 5 >(
1'2.-0J1S' 4.10 R 5 1 x 42°32'27.73 11 N 79° 2'37.09"W
11.:--Ci\ --I'S" 4.1D R 5 2 )(
n-9 ... 1< 4.lD R 6 1 ){ 42°32'28.0611 N 79° 2'38.48"W
Q-'j..i<;" 4.10 R 6 . 2 x
4.10
Date Elevation Coordinates
Collected Sample 0-15 cm 15~30cm 30-60cm 60-lOOccm
l'Z-\ 1 l)l I~ 4 .. 10 R 1 . 1 x 42°32'28.69"N 79" 2'38.58"W
It.. !C!l 1':>- 4.lD R 1. 2 x 1"'2.... roj 1<) 4.10 R 1. 3· x· )"2 .. Ju/I)"" 4.10 R 1. 4 x '
t·L tlllr< 4.10 R 2. 1 x 42°32'28.31"N 79" 2'36.95"W
1-J It'>\ 1'( 4.lD R 2. 2 x ..
lZ. /C>\i'-{ 4.10 R 2 . 3 x fl..( I ,,;l 1 '·) 4.10 R 2 . 4 x r1...! 1 f.ll 1'\ 4.10 R 2. 5 ·X
12..-~-IS'° 4.1D R 3. 1 .X ,' 42°32'27.15"N 79° 2'37.19"W
lt-~-CS'.' 4 .. 10 R 3. 2 x li.~-1~ 4.10 R 4. 1 x 42 °32 '27 .24"N 79° 2'38.48"W
IZ.-'i-' t'S" 4.10 R 4. 2 x 1'2.-'i-t "'l 4.lD R 4 . 5 x
l'V-C/-t S" 4 .. lD R 5 1 x 42°32'27.73"N 79° 2'37.09"W
!ir-'i-l'S'" 4 .. 1D R 5 2 x ..
I z..--'i-'"l 4 .. 10 R 6 1 x 42"32'28.06"N 79° 2'38.48"W
L2r'7-i'f' 4.lD R .6 2 x
·"
App E-Sub-Area 4.1 - Instrument Field Sheets
Instrument Field Response Check Log
1. Instrument lnformatlon1
Cal. Due Date: ~1/:rj G
Cal. Due Date; w 4
Ratemeter: Make/Model: Detector 1: Make/Model: Bicron MicroRem Meter:
Serial No. do~-~1 F Serial No. Ptf/~G. Cf.;) Serial No. Ff?_
2. Check Source Information:
Source 1 lsotope:-ti.--.-,?p Serial No.: if { · Activity: .¢:.C.1 units: fl'G Assay Date: fi!i~o Response Acceptance Range (-t/-20%): uRem/hr +20% __ ~ uRem/hr -20% __ _ net cpm ·I· 20 '1 net cpm -20% J;:'Fo::
Source 2 lsotopel~-- ( 31 Serial No.: l(q E .J;.-1 ) · Activity: 6 C·2. units:;a:::_ Assay Date: _flA_ Response Acceptance Range {+/-20%): uRem/hr +W%___ uRem/hr -20%___ net cpm + 20%(3.)7? net cpm -20% ff} 4 f
3. Checks: Titre:_!c_(_._·"T __ _
,,, t../. I tJ 4. Site or location: Site/Job: ff!'e&i · . / Location Description: IA.lo<..·d'S
A I • , { I ·---------"'------.----
GPS Coordinates (when required): X·Coord: 1v '-/).. :;2 ,27./ 72 Y-Coord: !N 78' 0 S1 ~0.$)._:> "
Instrument Field Response2 Use Acceptance Criteria Remarks
Rev 110/18/15
Meter l Ekg Bkg Counts Source Source Response
Cnt (cpm} or Cnt (gross cp rn or
+/-20% Inst. .source Ca lib.
Battery
Check (Y/N/
Time Of
check
Ambient Temp .
(°F)
Initials and Comments (add'! Info; inst. Condition, etc.)
lime uRem/hr) Time uRem/hr) gross cpm current
or uRem/hr (Y/N) (Y/N}
Rate meter Ratemeter
Ratemeter Ratemeter
· Ratemeter ; Ratemeter
Bicron NA Bicron NA Bicron NA
1. Instrument designated check source is list on calibra ion 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
srgniflcantly, perform additional counts to evaluate instrument stability
' '\
.~~~ ~N.:sl>
1. Instrument lnformatiotl Ratemeter: Make/Model; Detector 1: Make/Model: Bicron MicroRem Meter:
2. Check Source Information:
Instrument Field Response Check Log
Serial No. 8<St:..tn g' Serial No. /71<'11)-C/I ;;.._ Serial No. /Cf. f7
Cal. Due Date: o~i&1-/lt . I '
Cal. Due Date: Z)~/G
Rev 110/ lh; ·
Source l lsotope:iJ-,)$1 Serial No.: I ( ( Activity: C::.O· 1 units:~· Response Acceptance Range (+/·20%): uRem/hr +20% __ ~ uRem/hr -20% __ _
Assay Date: ~a net cpm + 20% ")2"?15 net cpm -20% :3 S-E" t:C.
Source 2!sotope:C~·137 Serial No.: } ('f W-- r 2... Activity:{> ·l'l 2 units~ Assay Date: ..µL Response Acceptance Range (+/-20%): u Rem/hr +20% ___ uRem/hr -20% ___ net cpm + 20% 15.;.) ·" > net cpm -20% %¥'.:.( ~
3. Checks: TiHe: 1ZCI
Instrument Field Response2
Meter Bkg Bkg Counts Source Source Response +/-20% Cnt {cpm) or Cnt (gross cpm or source
Time uRem/hrj Time uRem/hr) gross cpm or uRem/hr
Date: t.?jo 'if 0 !:" Time: 6 -r; ~ -D I
Use Acceptance Criteria
Inst. Battery Time ·Ambient Cafib. Check Of Temp.
current . (Y/N) check (oF)
{Y/N)
Remarks
Initials and Comments (add'! Info: inst. Condition. etc.)
r I
i ! {Y/N)
~~ .-
! Ratemeter lw-.Y. ~.=...:.::.:.:.C.---li--'--~-+---='"---.c..:.:F-=t---'-"::.;.:_,_:_-t----"~-'-~f"'-""'--..-~-"f-~-t-~-f-~--+--t-~-!=-'o:..;;..-=..-+''-"''---=-+~'--'---"";..::_.~--75'"='-'--~----~·
Ratemeter
Ratemeter. \ '"'~"' Rate meter
Rate meter I ;111. ;n.
1 Ratemeter Bicron NA Bicron NA Bicron
1. lnstru:~t designated check source is lis ·a~~ration sticker. Record check source response (net cpm) prior to field deployment for all check sources being used. 2. Source and Background count rate should be determined from the average of three ~tatic counts at the same location. Repeat counts should be within 20%. If count rate diverges
significantly, perform addltional counts to evaluate instrument stability
~TS JWiJW T~ .... ~ SOEIW'-"r.t:"ES
1. Instrument Information~ Ratemeter: Make/Model:
Detector 1: Make/Model: Bicron MlcroRem Meter:
2. Check Source Information:
LvJlvw- :J()Yf-) Ll/u:ri ¥1'-.,_ I </
Instrument Field Response Check Log
Serial No, ...... ~CC2?,s< Serial No. pg.j(.)-~'(2. Serial No. ft.I </'1
Cal. Due Date: CJP/6 Cal. Due Date: oC.../!<i/1$
r I
Source 1 Isotope: / / ... ·/ !>} Seria I No.: { ( I Activity: c.C J units: ~ Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20%
Assay Date: 12~< net cpm + 20%..:, g- net cpm -20%%f~-C.
Source 2 Isotope: {sJs7 Serial No.: I !16J"-f} Activity: uo/ units~Assay Date: fJ/r Response Ac;ceptance Range (+/-20%): uRem/hr +20% ~-- uRem/hr -20% ___ net cpm + 20% 13:??? net cpm -20% ~ V7
3. Title: 'f:C'·r·
4. Sit• or Location: Site/Job: SE"~41. 'l( t' . GPS Coordinates (when required}: ;;;;rd: {\[ o.f)-
0 -:i;i.-' t">, J?)- Y·Coord: t.J
Date: P/o"!h{. Time:0~2o Tl
Location Description: @ri.J (~ ,.,.._ fuadf ·1ftt;'1'<;0 r,;s;;.t'/ I
Instrument Field Response2 Use Acceptance Criteria Remarks
Rev 110/18/15
Meter Bkg Bkg Counts Source Source Response +/-20% Cnt (cpm) or Cnt (gross cpm or source
Inst. Battery Ca lib. Check
Time
Of Ambient
Temp.
Initials and Comments (add'! Info: inst. Condition, etc.)
Time uRem/hr) Time uRem/hr} gross cpm current (Y/N) check (oF}
or uRem/hr · (Y/N) {Y/N}
i Ratemeter I Ratemeter 1 Ratemeter I Ratemeter
Raterneter Rate meter
Bicron NA
Bfcron NA
Bicron NA 1. Instrument designilted check source is list on ca/i ration 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
significantfy, perform additional counts to evaluate Instrument 5tablllty
fnstrumegt Field Response Check log ~
1. Ins tr .!!.!!l£!1U.!J1 crrnatm..1/ RHemPter; Make/Mad>?I: LUDLUM 2241-_L__ ~erial No. 262737 Cal. Due Date: _9Llli6 Detector 1: ll.-1~ke/Model: _ LUDLUM 44-lO -·------ Serial No. J._fLllll2L Bicron MicroRe.m Meter: Seriai No- --~l]_Al/ __ Ca!. Due Date: 8/4/16
:z. ~hec&._~urc_e lnforn:_1j!tfo11: S.ource l Isotope: J..b..:2..12-_S~rlal ~o.: JJ..(? ___ ... Actlvrty: .~Q.,Jc __ units: JJQ __ Assay IMe. 12L3.Q/10 Re~port;.<: Acc.,:Jtimc.e Range [~/-20%): uflem/hr +20% ··--···-·- uRi:m1/hr ·l.0% net cpm + 20%_2._2,3.lQ__ net cpm -20% 15284
.Souw• 21.o,otcipe: _Cs:l32_ ___ Senal No.: .--8.2E.13.::48-_ Activity: __Q,i)2..__ Lin it$: J,KL As..>ay Date: J.flS)JJ.O Respo'1:.r A.cr.r;•p.twce R;;inae ( ~/-20%): uRem/hr ·~2G% __ l1Rc111,'h1 -:0% .. _ ____ net cprn 1 20%_13J]5.__ 11et <.pm -20<;'.. _l;i~JS,t __ _
ntle: i.,,.-r ·-·~······---·····---.......
:..,... ..• ,<;:"·~ .,.. . .,...r--., . .,,.,.-•o·.·.•:'lo':;•• ·.;···.·:..:.,..,.,..,.,.""i.-1:·:···.v• •.,·~·•·.":.··.'A·. ,. ...... 'l"",:·~-, .. - .. : .... '.'·· ... ....-'".•r.-.... : .. :·1· ··• ·-·~• .-. !~·-~.:~.".,.l'I..,...;<:.•~..,..~·.,..·::.~~...,\:~~~-=-=-=-- .. ~.-·~==""1,,__,_
Rev 110/18/15
!nstrumer:t Field Response~ Use Acceptance Criteria Remarks ~~~!!!!!!?,!'!'!:""'~~~~~~~~~~~~~~!!e~!'.!!!!!l~!'!!!!l!!!!!!!'S~ .. ~'!!!"!'!~l'~~~.~~~~~~!!'!!!'!:!!!!!!!:!!!!!!!l!!!!!'.!~~~!!!!!!!!~!!!!!!-1~ -ME>te~----j-Bkg T!lkg co~nts -,- So~;; ce Suurc!? Respon:;e +/ 20% Inst. --1 Batte~ , - Time 1 Arnbient 1n·rt1als and Commehts
, Cnt ' (cpm) ~Y _ Cnt ;gross cp~ or source Calib. '- Check Of Temp. (add'i Info: lmt. Corldilion, etc.;
r Time uftemfhr) : F_~ne uRem/hr) gross cpm current (Y /N) cl11~ck (°F)
{ffi1µ) I vr11fJ) oruReryi/hr {Y{N}
R;t;~t;~~.,~~.,..,.o____J=_ -/'~-··r;j;;~-u,,,,~, 7NJ -----~-- _j_ - -- _( __ 1 j_ _ - -·---·- --- .) ____ ----·-~·---·- ~· - --y-Ratemeter I () L ____ /!_5._ok _ _________ ...... .. Ratemeter __ K' v1(p_ ( - .;JD -,5 y y
Ratemeter t 'lfe.. i .. _--!-Lll 1?' J ____ _._'f. ____ , ,_v __ -~--+"--:~...----i.-.L.C~-~-~~-------=::.!::.------~~~~~~!~~--- ____ [_ - ·--~t'/__, ! _, __ .,,. _' .. ;l..'?. 1_q_5 ____ ---- __ y____, -__ , ___ ,_'/_ __ _ Ratemeter ! _ '7 _t z.o 'f _y_ -·-- Ln _ ft.._ ________ ··---·-----·---·--- _=1 Bicro_~_ ... _~ ___________ jp_ _____ NA --------·-----L-1---·-··--- y ____ 'j__ }'.:' _____ ojDO 'H:._$___ A Zn fk_
Bicron NA NA _ _'t___ · -·· .. ... .J' _____ .L-'1..Y.f f ff.![____ ::(}'- fil ... J K ------- ·-- -----------.. :IIcron __ -~!:\_ b . NA __ L __ _j_Lt---- ___ '"{ I _y__ rr S).1 .fh2.J1. .SK- .......... ·-·---·-·---·--j
l _____ ·
1. Instrument designated check sou rel.' is liHed on ;-Jlib~atio11 ~ticker. Record chec~ sourca responrn (net cpm) pnor w field dep'oymer•• lt>r all check sources being used. 2- sourc\' rinrl sadq;round count rate .>h0t•lrJ b<• d;ore.rmtn?d frolT' The ave1age cf three static count~ at The· same loo\'1011 Repl°'at cot•r,ts ~11ouid be within 20~~. If w1.mt rate div~rges
signifirantly, p~rform additional courrt5 tt> e"1<1lu<1~e rn~trurne'll ~1<.1bilHy
~TS M...1~ T~<. S~V-ICE'l>
Instrument Field Response Check log
1. Instrument lnformation1 L I
Ratemeter: Make/Model: t-f(A.,,., ,J)tf /- ) Detector 1: Make/Model: · I ,/)7/(1:,. Cf¥..-./ c Bicron MicroRem Meter:
Serial No. ~o~.l~(/ Serial No. f[<:-l l,;l.G.<f >Serial No. /t/$ 7
2. Check Source Information: f
Cal. Due Date: trf ~ Cal. Due Date: ~ ,t
Source 1lsotope:1'FiJ.32 Serial No.: ( ( \ Activity;~() - units:µ{;._ Response Acceptance Range (+/-20%); uRem/hr +20% ___ uRem/hr -20% ~-
Assay Date: f 2/s?/!_e-net cpm + 20% }$??¥ net cpm ~20% .:?S'-9G;"C
Source 2 lsotope:Cs. -/?( Serial No.: ! 11[)"?,1)- Activity: 0.C:-"2- units:pdj._ Assay Date: AJA-Response Acceptance Range {+/-20%); uRem/hr +20% ___ uRem/hr -20% __ net cpm + 20% ( 5;; 7;; net cpm -20% g q '+C.,
3. Technician/Worker Performing Chei:ks: r·~ IJA/~ · Nari'le: ;::;--, i· d,, ;r,r/!s Title: 72' Cl Date: ~ Time: {) 1 <!;)
4. Site or Location: , Site/Job: ~EV } b/1,,,. lf. i . I Location Description: on·L)'\c, ~ .J-· I w ..... (¥ fls GPS Coordinates {when required}: x-c/oord: ti 4)-., > 2 ;J zrr). Y-Coord: w 7?. ;.>s=·7 I t;>.D ?<;;i. ;/ I ./ I
Instrument Field Response2 Use Acceptance Criteria Remarks
Rev 110/18/15
Meter Bkg Bkg Counts Source
Cnt {cpm) or Cnt Source Response +/- 20%
{gross cpm or source Inst. Battery Time
. · Calib. Check Of Ambient
Temp. (oFJ
Initials and Comments (add'! Info: inst. Condition, etc.)
Time uRem/hr) Time uRem/hr) gross cpm current (Y/N) check
or uRem/hr {Y/N) {Y/N)
Ratemeter
Ratemeter
Ratemeter Ratemeter Ratemeter Ratemeter Bier on NA Bkron NA Bicron NA
1. 2.
lnstrum~ield Response Check Log
l. Instrument l.uformatlcm~ Ratf'meter: /l.·1ake/Modek ___ _lli_DLUM 2241~_],,_ __ Detector 1: Make/Model: --~UQL!,JM 44-lQ ..... __ 81r::ron MicroR-em Meter:
:Z.. ~hei::k So_wce Information:
Serla I No. 2 5.2737 Serial No._ PR 111127 Serial No • ..AU.1U __ _
Soun:e ·1 lsotcpe: Th-2 32 Serlal No.: ... U.fl______ Activity: <O ...... L .. units: -lJCi __
Respon~e Acr.eptcinc.e Range { t/.20%): uRr~m/lir +20% '·······-·- \1Fl.ern/hr -2-0%
- car. Due Date: _91Jll6
Cal. Due Date: 3/4/16
Assay Date: J.2/30/10 net cpm + 20%_2,.2926 net cpm -20~·6 15284
Sni.:rc•: :! l.~otor,~: .. C.~::137 .. _ Seria! No.· _.B1£13:A.8-._ Adivity: ...Q.JJ.2-.... _units: ~ AW~y Date· .li2QLJ.O
~r.>~pon:;r. Acceptance Range (-i-/-20%)·. ~JRem/hr .;.20% ___ ~- uRem/hr -2.0% ---- net cpm + 2o:i~.J.J.3.7S. . 1H>.: tern -:zo~; .8n9
3. Technicla.JJLWo_rker Performing Checks:
Name:.~ VC __ .L.;.:.!Y.j_t~ f-.J Title; _i\c._:::c ________ _ r ~;' I ·' . ,.., ~ _, Date·., .. 1~~11~ f1rne: u ·J\..;u
··-•""f.··-·ll'._..... ~····-- - ..
4 51!~.-or.~pc_atiQn: S;fe/Job· __ L/,_( ____ .. _ ... -.~-- _ ... -. ·--·-· __ Location Oe;cripUcin: t· •. 'L" t!_D .... >"'-. -----
GP$ Coordlnat(!~ (wh•~n require.d); X-Co<ird: __ ~_.':t.l. .. :'...3.?.'...1:-L.3..: __ Y-Coord· \N 7~~Sc:;- '5~, "i-
lnst. Battery Time Ambient Callb. Check Of Temp.
curmnt {Y/N) check (~FJ
(Y/N)
Rev 110/lS/15
App E-Sub-Area 4.1- Sample Location Sheets
SAMPLE LOCATION DATA SHEET
Date: _EJ..Ji~L.. Proiect: 1..!'f St r:..C 4 J --J:!----·-··--· -·-. ·~·-·· ·--- ··-···-·--·-
1. SampJe Area (SA):
SA Designation: 4. I. A _______ ,,_.... Description: __ \....._>..:;.,,,.t:=r.~cl_; __ ~i_l~D-t-_! ______ _ SA Origin Location: -· _ ------- Coord. System: ____ _
SA Land ~Mark Description:--···-·-·-·---·-- Coord:
2. SampJe .Location Data:
Sample Area JD: 4. __ !_}1 ._a..\ Matrix: Su{_ ... __ _
Location Coord: ~ d" ·3 d. ' J.1 S-~ 11 .~} _ j t_),' __ LJ "1 . 7 ~ " LJ
Alternate Location Measurements (distance &om SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dr->L from Origin: _ ~---
Sile Sketch Attacht:d (Yes) ~~ ~r;~ r.:1(. .. . .,J "'.C.,'N -+n >(_\ ;i-{r • ._ (·~ c .. ,..,f,:..l.;l --~-~·-- ---·-... --.--=----:...l-.'·''"j· " ........ .. .. Sample Location Description:
Canopy Type: p . ..\;o,tlL1 vr~'"' . Land Use: 11\_ilL~-t,.kJL ·--Soil Moisture (Wet, dry,
etc.):_(\~~-----
3. Location Radiation Readin s: 2x2 Nal (cpm)
4. Sample lnfonn~tion:
Bicron (uRem/hr)
Notes
Depth Soil Type Soil Smnpl~ Ii>_T _____ ·-- Sampling Description litter type/depth, sample depth retention,
tone or rock, topog_!:~Y..' erosion features) ;T) -· ~,:;T-2
lnten1al (Org; clay; Color ~ (Surface (cm) sand, etc.) refusal. s
o- is H\-u··,~,~ t ·· _LJ_.1.rl._rl.~J,i +;:~~.; ~-- -+-:?-:--+- -
1 ' ')l ., ·.JO +o•·.)~,\ --i-=bc:..::r1>:...:.'"-'--+~........,_.w..:..·t,_,<.."""•'~-_;_._1_ylu(Q. f"
I ··---·
·--
~
--------------· ==---·=r~~~--~ -- --=I ·--=t---=-~--=--+~~u·=--
samp1e Recorded on Laboratory COC form and Container Labeled: ~_)N)
10/20/15
-------------------- -----
SAMPLE LOCATION DATA SHEET
1. Sample Arca (SA):
SA Designation:--~_§ ______ _ Description: Lue;od ~Ji lr.r-f-SA Origin Location: Coord. System:
SA Land Mark Description:--·--·--·-···--····- Coo rd:
2. Sample L.ocation Data:
Sample Area ID: ~-,iS_J ____ Matrix: -~_c:!_l__ __
Location Coord: Lj Y ·3)' d-1 ~3 •i N
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist from Origin (0,0).. Y Dist. from Origin: ____ _
Site Sketch Attached (Yes) @<JD Sample Location Description: + { u..+ ~rt~; n ~~m~Jr~.{s_,.cho o1 ( .;i ,Rm. s O.Jl1 rl s+ I LIL s ( ( \ ~.·:1-f~ ~{) Canop1Type:9-M1 ttl~ Cf&i Land Use: .b~ +i.ill..._. _Soil Moisture (Wet, dry, etc.}:i(\f~'l \ .. _
3. L Rd" . R d" ocat1on a 1ation ea 1ngs: 2x2 Nal (cpm)
-~:~~~~;mf ul ":"~. • ~·~ . ·-
f tu,olS" cil.\t-~ --------· --- -· l 10, 11'%' __ 12,_ll_ ___
--- .... ·-·
4. Sample Information:
'
. Bicron Notes
{uRem/hr)
l cm lrn ' . "] ........ -· ......
.i· .. ~·,,,;,.;:·.:·.:.:.:~-:.:......=..--=:-:::·;-=-=-:.....=:- ~=~·~..,,,- . . ·=-~··~·.-
_ _] __ J_ (.,. Bc(,110 fhrurdLi..pJ * J'/O'] (P.) dlt<!,~ ··-=1-----.. ; /wlt.LM "Z.Z.'ll·?..<f-z.o".<_:J''ir __
·-·--·--·. --· . ti.,;Ll. rr:.G-. 4~~ it p~ 11?.(.<1<:. d d.J...J.s... .. r.: /, (11.,
Sample Area ID: .!L!_ ~,6 {( . i . I - _1..._/ __
---.---------------···------··· Soil
Color Sample JD Sampling Descriptiott
(Surface litter type/depth, sample depth retention, -.....::-.-''---!-~ _ _._.. _____ -+-_re_fi_u_sa __ l,,_s_·to_n_e_or rock, topo~a.p~y, erosion features)
.Jt:.'--"1 S",_-+----l'-'='-'---1--=b.:..:.11-· .... :=;·: -"l_,_· -J. it . I . !?:i . (U . I ]$ · '3-0 +>~:'.ii'>. brev.." ·-~~-,~ e-:-~-Z"T"i_ ... --t'l..1>• {~i)+_-=------=--=----_··-=~----------i
1_,,.?,_o-_L,_O_--+--\-_,_,c.'+".J't:"--'-:;-'-.-'I : ~u brown Y ._L._~_gL1_ . +t,_.;__:~'"t_,_· "'------.-------..,------·-Go_-_16]:; f9t;,3'...l.Ld~r ~f?.1.t:..0 4 _(.(5.K.l. -hLnrt:S/~'-k ,1'!10~!_··}_ .... _(....:.~-------1
~·==1==-·-.. -··-~-=--~:=:·_-- .- .. =---~ Sample Recorded on Laboratory COC form and Container Labeled: (\')) (N)
....... ·
10/20/15
l
SAMPLE LOCATION DATA SHEET
Name: "2i"er ~ n,
\ "~ W eatller: CCil. ~,---d-.~ o:::r,_~o .:So-~-
1. Sample Area (SA):
SA Designation: l./, I B. '2..;.._...,:· __ Description: -~eds ____ _ SA Origin Location: _____ -···---- Coord. System: ____ _
SA Land Mark Description: ---· -·----· Coord:
2. Sample Location Data:
Sample Area ID: ... 9-!...l.E_, R.a,, ___ Matrix: .~Q~ ___ _
Location Coord: # Lfz.0 ~-Z.-' :1-"$-G,,. .
Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist. fro~ Origin (O,O)_hl.JA_ ... _ Y Di$t. from Origin: F'S t A
I
Site Sketch Attached (Yes) ~ Smn.ple Location Description· -~M~, \l~k,,)-:i--{Q""'6.lf¢-.=..:;..5..,__ ___________ _
Canopy Type: 0-peY\ etc.)·~-----
Land Use: t:i.:~ __ Soil Moisture (\Vet, dry,
3. Loc~tion Radiation Readings: 1x2 Nal 0 - Bicron (cpm} ~ (uRem/hr)
4. Sample Infonnation: Sample Area ID: 4. I B , j2.. 2-~ \-le_
10/20/15
SAMPLE I~OCATION DATA SHEET
Proicct: /15'1"Si<:.12..D A J -----~-· --- -·-· ·---·· ........
Name: .j. ~J_,_o~_.,._·,~-----
1. Sample Area {SA):
SA Designation:~~--- Description: h~.~Q{iid ~ SA Origin Location: _ . ---··------ Coord. System: ____ _ SA Land Mark Description: -----·-···-___ Coord:
2. Sample Location Data:
Sample Area ID; -~.-:L..0> 1~ .3 Matrix: ~-~--
Location Coard: <1 J.. ~ :>;,),' J). {,~ ~- JJ _3- i ~ ) ' ':_~_t ,. l~J __
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0)______ Y Dist. from Origin: .. ___ _
Site Sketch Attached (Ye->) ~i...i'(})J '"••-r.•--./
Sample Location Description: .Lid-, .:5.J,n1l!:h·~_:y-~~~;~r.k~- ..... ~-, J~JJ, t~~v~S (<.l,:•:;t,-J)\)
Canopy Type: ~)(\;ill+~Land Use: Jukrr+.tl:L.._ Soil Moisture (Wei:, dry, etc.):_~(t.1\1\---
3. Location Radiation Readin s: 2x2 NaJ (cpm)
4. Sample Information:
Des~tion bv Depth:
Inten1al (Org; clay; Color (cm) · sand, etc.)
~ Depth I &u r1pe--so0
"t...-1 S"._ .. -~2.r_! ____ ~•:0c·l._. I.,;· JC. +or.So.· I . _ brt;~Jr,
-----·· - .. ·-·-···
~~---~ f--·---->--··
>----- L..-o.-__... ••• I
----·----..,,.-.---- ----- ----~ Bicron
(uRem1hr Notes
Sample Area ID.- I.\ .1,6.K ~-1- J
s~;pi~-iiJT .. -- ·-- Sampli~ig Description .
_LlSurface litter Lype/depth. sample dept? retention, . refosaI,_stone or rock, topography, erosion features)
LI. I 6.fC.). J +.,.v -ruc-i-~ ~ -1 .£,I(. j _·;t_ \YI~,-{_ rti;;-1-\
·-·-·"
-----·----~·~··
- .... - . ----·-··
Sa~ple Recorded on Laboratory COC form and Container Labeled:(@(N)
10/20/15
Project: _11.:_l 'i [" r7-D A-
SAMPLE LOCATION DATA SHEET
Name: ), er(;~···q
l. Sample Area (SA):
SA Designation: _lj,__.l_._l)_____ Descripfion: I., J.')J;: ,,Y Lt:L SA Origin Location: ----·---·- Coord. System:-----'--SA Land A1ark Description: ~--- Coord:
2. Sample. Location Data:
Sample Area ID: .. t.\ -1. 8. (( · Lj Matrix: 5~1 J _
Location Coord: Yi~ j;:i. 1 J-4 .Z'} ''_.!J)__
Alternate Location Measurements (distance &om SA origin and Local Coord.) X Dist. from Origin (0,0)__. · Y Dist. from Origin:_· __ _
Site Sketch Attached (Yes)~
Sample Location Description: +(~+··~rt;,; nvo r,~::..J:.u. s J,,~1 rJ.... l~),·.J? ~ (ci ~~1.r,i.J) Canopy Type: pn1+, t"i. H ·; ~·,·'" Land Use: _bi.tu:.;">
1 l)fc _..____Soil Moisture (Wet, dry.
etc.):-:'3.,!.'l:.·n\_~ . .
3. _1ocation Radiation Readings: ···---....,..------..----~----------. 2x2 Nal Bicron Notes (cpm) (uRem/hr)
4- Sample Information:
D b D h escnption 1y ept l>eptlt Soil Type Soil
Interval (Org; clay; Color (cm) sand, etc.)
0-15 i---- ,_~~t·· I l~,·~~ .. _,r}
l~' )c -1vso· I b~~
·- ··--··---..
-·----- - ··-
-·
, ·e;il;r,,,-jV)';~-~Dr< .. ,.n 14°%"1- c>;1J Jue. t, ' 11~ Lt.ell.,,.., .. "-7..LI/· c.:a zo l.oQ t,
\.'-'~·: 1t:b~ t!t.J ·ra=# 1 I~ (;'i J, '----'---'--=...;.....;c-.-,-1
Sample Area ID: l\ . \ . t3. (Z. L/ . f - ;),
Sample ID Sampling Description ·::i-·-··· (Surfac e litter type/depth, sample depth retention, stone or rock, topogra h , erosion features) refusal, :-h -L{ .1 . {$. i( . ~~--l ~v-i r:.;, .-+s 4 .i .e £<. L'·L.-~-.;...r: ...
;
.. ·~--..
- ·-·· ... ~-··-·-
·- ,_ .... _ _, ........ .__
·---·· -· Sample Recorded 01:1 Laboratory COC form and Container Labeled: (63) (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Name: J. £~01,, '") Date: '?... !. (.( ( ·;
Weather: "::1~.111: .. ;
------
1. Sample Area (SA):
SA Designation: _t.\_. _I ._b _____ _ Description: .. l.w~_rl..: .i_l_o-1-__ _ SA Origin Location: SA La.nd Mark Description: __ _
Coord. System: ----Coord:
2. Sample Location Data:
Sample Area ID: .. q. \. i~ .K.) -·-·Matrix: ...1.Sl._ Location Coord: 4 J."' ~1 ';}
1 J."/, tr•)'_' !J
Alternate Location Measllrements (distance fi-om SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ----Site Sketch Attached (Yes) @ Sample Location De~cription: ..C:lo.+_
1 b-;>:\v(i ?r,(fv,;, rl»1~tJ \~·J.\I~.') {( f.•~) )J
Canopy Type: .25.~-n~etc.) :_c\ ~ .. r!~-t----
Land Use: h 1t1,:j ~ r+r:, ___ Soil Moisture (Wet, dry,
3. Location Radiation Readings: --··
~ 2x2 Nal Bicron Notes (cpm) (uRem/hr)
Counttim·; r -1 cm lm ij 1 cn;-f .. lm . ' --·· ···-- ..
~-T:) : 11~ ~"~~~]"~~~~1~~~·~ f>i'-1~' ;:;:c.~fltfti 'i 1~~7- _(~lu,,:. l( fl 2'2Lf(·Z.~ 'Ld1,, ........ l_{,(:,(J'l ;J"
-- --~- ·--··- - . . . ! -----· j_ ___ , ~ ._.,;-!-~ r.>rob. 44-1 Ci tf I IZ l,<i 2, C:iJ rh.~.,
4. Sample Information:
Des'" bD h cnption >Y ept Depth Soil Type Soil
lrzterva/ (Org: clay; Color (cm) sand, etc.)
{)- 15 2~.'l J;, .. !t_. br<o>-• -~ .......... -
IS ;ic -· +&:-~. bi-<.1-....
··- -· ...•
..
I
Sample Area ID: '-\ .1.6.(<.. S".1- d. 'r ( • f 1r..,
Sample JD Sampling Description . -·-··-----·Tt:··· (Surfac e litter type/depth, sample depth retention,
stone or rock, topog_t_:a hy, erosion features ·---~f~al, 4 .I. 6. R. ·;- ,J __ t -.h> .... J m Y . l . 6 I~ S'. J. . (\1;" ~-1----·
~)--~----~~-~~-----< r_(•--+.)
··-.-----........ ----- __________ _.
-· -··---·--·· -·--·-----------~ ·--I--__ t I
Sample Rt!corded Oil Laboratory COC form tlOCI Container Labeled:@ (N)
10/20/15
SAt'1PLE LOCATION DATA SHEET
Date: I ,J ~( 1";' --··-
Pro'ect '-H <_\r=; i2-C- /~ ~ ___x.._ ___ ._ -·· ·-- ····-· •. - -
1. Sample Area (SA):
SA Designation: _1_,_1~·-·-···-- Description: \i~t~~d lw+ SA Origin Location: ---·-·----SA Land Mark Description: _ --------__ _
Coord. System:----Coord:
2. Sample Location Data: f..
I r·. I Sample Area ID:. L . I. i.)~_,...,_.-___ Matrix: Sc:\ ··-
Location Coord: _:\ J~ .:'.,;-) 1 J). 10 :• ;V
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: -~-
Site Sketch Attached (Y~s) c§ Sample Location Description: Cl(!:\- ~1~.:,,11L~.m~±£?~) (!\"\J J't::."1 r{ 6r~1::J.., :J \';'.iJ j,; .1. \.AS ((I ,·J.1.?.JJ
Canop~ Type: -~.l~\l.ci ~Land Use: J11 kin~...±_-:K-_. _Soil Moisture (Wet, dry, etc.): c ~~'1:1f:.--. _
Notes
4. Sample Information: Sample Area ID.- I..\ . I _ G[ (, I · d.
Sampling Description ce litter type/depth, sample depth retention, , s~one or rock, toeo_graphy, erosion features) c.ic-i-.s ·-··
(t.·"t:S
~------~ ··-·-f-.-----+--- ----+----- ..
-+---~----t--·---- ...
····-··-· ---.. -5;;-;:ph; Recor-lled on Laboratory COC-fonn and Container Labeled:@2) (N)
10/20/15
-~-~JI~ ~~(/.~'V~ SAMPLE LOCATION DATA SHEET
· Proj cct: _}tj. ~ f_ Q:A- _ ..
1. Sample Area (SA):
SA Designation: _i_J_.:..._.G_.. Description: l1-'.}~1.d.:> J, /trl-SA Origi'n Location: --·--·-- -------- Coord. System: ____ _ SA Land Mark Description: ________ Coord:
2. Sample Location Data:
Sample Area ID:-~~\· B.J<. 7 Matrix: ~~L .. _ LocationCoord: -Y;J." ):;!
1 'l.3.f3'1 J}_ _J.1~L!.f)._3,!../'' hl-~--
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ___ _
Site Sketch Attached (Yes) (CN'OD
Sample Location Description: -n iJ-T" Sli"I'\'. +r:i.~~'lt\~_fr_.~C.k >,-·'I cl Do a ( 9(1_ "") ( d~a. ,: :):) Canopy Type: p~.-=httJ.: ~, :;[ i~ Land Use: ', • '!t1 \::+ ~+c;__. _ Soil Moisture (Wet, dry, etc.):_i~~t·--·-
3. Location Radiation Readin ---.. -· ..;._..'--'-'=>-=--~--.. --------.,-----
2x2 Nal Bicron Notes (cpm) (uRem/hr)
4. Sample Information:
D b D h escnpt1on iy ept --~-i----Depth Soil Type Soil Sample TD Sampling Description
Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm} sand, e~c.) ----~fusal, stone or rock, topography, erosion features)
t~1) l-4-c.r-,o·l ~:-'-+ i:.-:_,-, q.L&. 1~.:..LL.. 4\,. ,-u::--5 \ '.)'. <,t;-·- P:-~":',c,. I h>.•r 4' 1, i3. (<.. -:r-.d. - 4.":'. 1-~ n_____
I -- ···-- ··-·~········
... __ .. ---· -· ·-·--··-·-·-····-
--·- --I
I.... •• ··-- .L. . -
Sample Recorded on Laboratory COC form and Container Labeled: ®) (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Project: N'I \C: P-DA Name: _:I. ~~t·r~_·i.,_.,_C\~-----
1. Sample Arca (SA):
SA Designaiion: Y. /. () Description:_ ~,::,~,r:\ . .)J. \ cri--SA Origin Location: ____ --·-- Coord. Sysrem: ____ _
SA land 1V!ark Description: _____ -··- -·--- __ Coard:
2. Sample Location Data:
Sample Area ID: Y · I · (>...:_ R, '(:'_Matrix: '.:'"1.:,; !__·
Location Coord: ~ ~ ~ ·3) 1 :J.~. I~ '' 1L }l"_i_.LJ.l._ 3(-, '.'. l..tJ
Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (0,0)_ Y Dist. from Origin: ____ _
Siie Sketch Attached (Yes)
Sample Location Description:
Canopy Type: M·~·rtJ.._, t;;:'''I
etc.): a.,,,Ylf ·-·-·-
§> . . +:!~J- S;it_;,J I \-hi., tr<-:~--·~1-11·1; ..... 1::.l b~·u }·, OJ{d ffH .. l::~.r) 'dW-t~ ri:i.1, t-<_) [ c.!f;)_;~A) Land Use; \1,bi'.j.~±~ Soil Moisture (Wet, dry,
3. Location Radiation Readings: ~"·-· 2x2 Nal
(cpm)
4. ·Sample Information:
D . ti b D ti escn~ on y ep l: -Depth. Soil Type Soil
Interval (Org; clay; Color (cm) sand, etc.)
O·IS +(;r.'.•.- \ d".".r(. h·.:i.-.~, --- ,...-·....:...k..:... .
L ... ·~ lS·3C +~ ... '.""'' r------·-·- -
··-··---· ---···
Bicron (uRem/hr)
Notes
Sample Area ID: Ll . I . &. K . 't. l - l
Sample ID Sampling Description (Surface l
_ .. ----- -1--·--·-.-. refusal, sto
itt~r type/depth, sample depth retention, ne or rock, topogra hy, erosion features)
t.\.l.D.1~.'1;'~~"" 1-..:t> L\ .1..e,rc't'.~ . LHV'-· re.
.-· ..... ------~----------"
·-··---· ,,. ___
fo- .. ----···
.. - ·-
-· Sample Recorded on Laboratory COC form and Container Labeled: (l"0J (N)
. ·--··
10/20/15
SAMPLE LOCATION DATA SHEET
Project: .. ~l\D_-A-~------ Name: ::J. b1·Lv, _r--------. Weather: S vnr14 u1.Zk-l../,_O_,,_)'----
1. Sample Area (SA):
SA Designation: t.j. I. c_____ Description: -~dul I c+ SA Origin Location: ____ ---·-·---- Coord. System: __ _ SA Land Mark Description: Coord:
2. Sample Location Data:
Sample Area ID: 4 . r . (_ . R.. I Matrix: Sc_i ___ ·-
Location Coord: 4 J. • 3) • ¢.~ S9 '1 /J t-9" J, I l..p, .(I •• I_,_) -- ······-~-----
Alternate Location Mea;mrements (distance from SA origin and Local Coord.) X Dist. fr<lm Origin (0,.D)_~- _ Y Dist. from Origin: ___ _
Site Sketch Attached (Yes) ~
Sample Location Description: ~{ d-1 'S<im-L -l-r~~s. 11.Y'r:;/ ~J.-C\,nd btv~l, Id ~cid I et). Vt)_ (cl ilo r .. J) Canopy Type:Mlls!-ly O£"Yl etc.); cfo. .. l'V\ ~
Land Use: h-r1 ~-...... 1-· ~~· ~-- Soi! Moisture (Wet, dry,
--··--1·
3~ Location Radiation Readin s: --~~-....,,....~---·····--···-,,----
2x.2 Nal Bicron Notes (cpm) (uRem/hr)
4. Sample Infonnation: Sample Area ID: LI -I . C. . R j,i_-~tf __
D b D h escnption 1y ept Depth Soil Type Samp{e ID Sampling Descriptio11
Interval (Or11· clay b' :"
Soi/l Color 1-···"' (Surface litter type/depth, sample depth retention,
(cm) sand, etc.) ... .J~fusal, stone or rock, .topography, erosion features) 'D - 15" jt,7.S<>i I bw.lhvo _LLU...JLU. . . .... ····-1-;;--:i,o ks~,\ br1,..,_\(\ 4.(.( .f;'..1_.:2 - ~w r·i~5
····-· -· 1,D • bC -j-t,.,S•' I /.LI~\{ bi?J<· .n LJ,1.c..R.1..3 w1~:.€: rm+.s ··--··· !,,() - i 00 -k~::;•, 1 /Llfi..~ bruv-.v-, Ll.(.(.r<'.r.'-f r.~' n.: r.~~ ·--
' --- ... -- - ~---------- ·-----.. ·- ·-
~
Sample Recorded on Laboratory COC form and Container Labeled{OO '
10/20/15
SAMPLE LOCATION DATA SHEET
Project: 1\H SE:R:D-f: . --··- ··--·-
Weather: .'.~ni(\01.J I vrc,;~....-:.~---···--
1. Sample Area (SA):
SA Designation: Y .1 .c_ Description: lru~Gl.;t&l I~ SA Origin Location: ---·-···---SA Land li1ark Description: --... - .. - .... -----.-
Coord. System: --··-·· _ Coo rd:
2. Sample Location Data:
Sample Area JD: -· LJ · f _ <.. .R .2 Matrix: -5._q~L__
Location Coord: YJ":<i)' ?..1.16': -~-- . 7-9~ d.'t/r. iS'" LJ Alternate Location Measurements {distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ---~--·-
Site Sketch At~ched (Yes) ~~
Sample Location Description: _flltl- gt:!L-uv:l~c~~ 'S WJcl ~1-1h .. !'J d br\}\b 1 ctep.c{ ! ~A 11L~~d \
1 • · -s+,ck.s [ cl->.:J...r~)) Can~p~ Typ~: '.)',,_r~1C\ ll \ 1 6 f ln Land Use: l'l1k• n5· , tr'<... Soil Moisture (Wet, dry, etc.). d!UY1 __ ·+I--
3. · L(Jcation Radiation Readings~~ 2x2 NaI
--~--- ·-------···--
(cpm)
4. Sample Information:
D b D h escnpt:ion •Y ept ···--.. beptlt Soil Type Soll
!llterval {Org; clay; Color (cm) sand, etc.)
D-1~ +l"'"-c•l [;r:-t-ct b .... !S · -:lJ .~.J.1.._._ ~.:!? .. "''
~~o- ~~- .. ~.<.o•l 1t~h\ b,,,... GO- r'6D -lv.-'>011 1.~1r.t b,.,""'
' ···----·· .. ·-·-- ...
Bicron Notes (uRem/hr)
Sample Area ID: t{. l.. C .R. ;,i.. f ~ t.f
Sample ID Sampling Descriptiotr (Surfac~ litter typefdepth, sample dep
··-1-- -_ refusal, stone or rock, topo~hy, eros
th retention, I ion features)
ll.J.(.(..l('. .. ;;l,.1 +:~w_.c..:.ITT?. 4 .(. c. ~-)' 2 .(_,1 _ _, n·4;; --
f~t-· Lj .I. C.. e.. ~.J -.. !:2.!h_~- ----· "4 .l.C,_~21_ ... -:r~1.) rei~ • .-+s
----~~-- .... -Ao'••:--~ ....
Sample Recorded on Laboratory COC form and Container L~beled: (00) (N)
10/20/15
SAMPLE LOCATION.DATA SHEET
Date: . /2-:-J_':"'r' Project:_ fil~--~.':?.f\ -~·---
~ .r-. "r Weather· -~\_~\)nll\"{ 1 't.tc..=Q... __
1. Sample Area.(SA):
SA Designation: '-(,((., Description: Wo0cl,5 ~---~~~-~---
SA Origin Location: Coor d. System: ____ _
SA Land i\fark Description:------·--·-··--- Coo rd:
2. Sample Location. Data:
Sample Area ID: L/. jCc._~.-- Matrix: -5 ...... 0.-j\ __ ... _w "17" oi _1jQ_,-'~z..,=--'"~ __ _
Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist. from Origin (0,0) Ail A- Y Dist. from Origin: JV/ f\
Site Sketch Attached (Yes) @;1 Sample Location Description:_ brv".':>\-\, de!.:oJ. h-~~ 'J'WYl vet:ftu ±j6A
Canop~ype: ()~·--·-·--·-Land Use: _H1j~~r---Soil Moisture (Wet, dry, etc.): ---4· ····-. .
3.~~~_tio'n Radiation Rcadinl: , ----.----2x2 NaI · B1cron _ ~ (cpm) .· (uRem/hr) m
Notes
4·. Sample Information: Sample Area ID: L{, I(., . R. -.3. l -2, S
·-· . ··--··-··-····- -· -·---·· .. --·-·--·-·-··- .. -----------l
·--·----+·----i;-----·-·-·---+-·----·--------------------j ,________ J_ ·-----·-----7"·--!l------------'
Sample Recorded on Laboratory COC form and Container Labeled: (Y (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Date: {Z- C/-1'f . ~-Weather: _:_w_\v-' .... , .~'-liJ..~'{o ·· ~-
1. Sample Area (SA):
SA Designation: Lt 1 t ( -···---- Description: _'W __ c_~---·~----------SA Origin Location: . -·- _ ______ Coord. System: ____ _ SA Land Mark Description: __ · ______ .. ___ Coord:
2. Sample Location Data:
Sample Area ID: l..J, l C.. • (~. - ~ Matrix: __ §OL~. _
Location Coord: .t:L':.l?:,0 ::sz:·.zs. ""ci' '~ JN 19 ° oz.: LjO,LC
Alternate Location Mem;urements (distance from SA origin ao.<l Local Coord.) X Dist. from Origin (0,0)___,&_/ft.-. Y Dist. from O;igin: __L}_j_E__
Site Sketch Attached (Yes)@
Sample Location Description: -~~\f lbIT} ~ .llifil S jw,.\if'--=----)~------
Canopy Type: __ D_'j'KJl.._ ... ___ Land Use. J:tLk_"'l~-- Soil Moisture (Wet, dry, etc.):_D__q________ )
3. Lo~?:tion Radiation Readings: 2~Nal
(cpm)
4. Sample Information:
D "ti hDth escnp: on y ep:
~--·Bicron-- .....
(uRem/hr) Notes
Sample Area ID: ..:f..! .. ~f.~'-1 . l -"Z...
Depth Soil Type Soil Sample ID 1-- Sampling Description
......
Interval (Org; clay~ (cm)
--------'"-·--· sand, etc.)
Color t (Su refu --··---·--·
rface litter type/depth, sample depth retention. sal, stone or rock, topography, erosion features)
o- I$' ~c; ~ ts.~ L(.' .~.:. i2.'-f --~-- fj .• 1s~.3D ~t-.\ lSfl'>u\11
. . I . ---···- 't' r c.. ~ .... '-\. 1-1.J:JJ.
~~~--~-----~------l @-___________ ___.
I
-······-~ ~--~--· ---~ -· -~ ~--=~--=--j:--····· 1 I
.... --·-- -I
·-- ··- --·------------1 .....
Sample Recorded on Laboratory COC form <Jnd Container Labeled: (Y) (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Project: N'/S~~-----·-··· Date: L1=£'L-Hi .
Weather·--·---··--··-----
1. Sample Area (SA):
SA Desig1101ton: __ _!:{J_G""'------- Description: Lang•' &pn:...'=>"i> ion ~I/\ \DcQ.\~·2, (ct..·1 o.:.:+ c•-c"\ SA Origin Location: __ ________ Coord. System: ____ _
SA Land Mark Description: ----'-- Coord:
2. Sample Location Data:
Sample Area ID: _ _3~c,.l2-. ~---Matrix: _.5_:u\\ __ _
Location Coord: Al __ 'il-~.J1' Z5 2.) .. W 7 7 ° C Z ~ _':f.-'-/_. __ S"'z.="'---
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0)_.tJJ\"'s Y Dist, from Origin: rJ I e
I
Site Sketch Attached (Yes) @ ~;J
Sample Location Description: __ df~·r6':>.i(.)"\_ _ _lt1_ v.C>cd\ DC.."/ t cm.A ~I ko-V1'.. ')) 1'1'A"l v~. Canopy Type: --Wn··-----·Land Use: :tiD,...~ Soil Moisture (Wet, dry, etc.):--1.'J..01.st. ... )
. .
3. Location Radiation Rea~ings: --· __ ·-·--· 2x2 NaT Bicron Notes (cpm) (uRem/hr)
4. Sample Information: Sample Area JD: '=I, I(_. R. '5 . l--Z...
,----_............,. _ _.___.~-.--~-,-~-----,--------------------, Soil Sample ID ! Sampling Description Color : (Surface litter type/depth, sample depth retention,
!---'----"-----+---'-..--~-+--~--+---~--~-J_ .r..e:fusal, stone or rock, topograph , erosion features)
1-=---J--'""'-U.1..1.p.<O=+-l-"='-'-"''----l--i.~-1(,.lC.~-~LJ_O-J~t-'.Ql~\ J d.,c.A
:i.•.ll.-:_~ '1· 2..~h--'--'-""..LJ,L........I,,i.>-L.l...L....---------1 !
.... 1·-··--·-·-·-=r------r-------t~--1------t-J---···-··-· ,· -----l
I ·-1 -------···---1· ---····-·--·-· Sample Recorded on Laboratory COC form and Container Labeled: (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Project: NY Sc/&~.--··---· Weather:
1. Sample Area (SA):
SA Designation: l-\ .I( --"--~---
Description: SA Origin Location: .
s:1 Land Mark Descriprion: _ . ---···-· ~---····--Coord. System;----
Coord:
2. Sample Location Data:
Sampl1:: Area ID: __ _:-1)_(_. ~-~--Matrix: _5q~_\··--··
Location C oord: .. }-J_'t_Z'-' :3'1: • Z.5. a'--\''_
Alternate Locatior. Measurements {distance from SA ~irigin and Local Coord.) X Dist. from Origin (0.0)---114-f1-- Y Dist. from Origin: -.l.lJ...._d~-
Site Sketch Attached (Yes) (@) Sample Location Description: ~~"")\.l_~@Y. •l 5 1 ~e.__J...epros\ "Db, leu ... 1--c '."), g ~'
. v~ Canopy Type:·-~~- ____ Land Use; _1\~~'0-~ Soil Moisture (Wet, dry, . etc.):~·---· )
3. ·Location Radiation Readino-s: · --~-··· __ !;:!1·-·-··-·---··· ····--··- ···---
2x2 NaI ;I Bicron , Notes (cprn) ! tuRem/hr) ·
4. Sample Information: Sample Area ID: 4. ( C . R.. • (a. !-Z.
Soil Sample ID __..,. ----
Sampling Description Color 1
!--'"-"-~.f-!=~..__--j~'=.:_--+-~;-=1GR.~~~t f--'--=--=-==---+~= .__,_ __ .....,.,..-===..:+--=· '-'-J-"'(__,_, -'-=!(:. (..,."2. !
I
(Surface litter type/depth, sample depth retention, refusal, stone or rock, topography, erosion features) ~~Ia . _ _})~----·
I
-··---=----·=- -+------~ =i= ·- -~ ·~
-~··- ·-·------l-··-··-·-··---·
~-----'--------'----~ -------·L Sample Recorded on Laboratory COC form and c~~~t-aincr Labeled; \£:9) (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Date: ; <-(_~J'._·· ,.
____,,. '•. ' Name: -~- f _. !' ... ~ Proicct: /.J~ ;.c P... (1.il.
J ------·--··-·---·-·M··-
1. Sample Area (SA):
SA Designation: 4 . (. (_ Description: ~,/~cl~d I 1.+ SA Origin Location: _______ .. __ Coord. System: -----SA Land }vfark Description: _____ _ Coo(d:
2. Sample Location Data:
Sample Area ID: 4 · i ( R . ! -~--Matrix: S. L~
LocationCoord: lf)." ·\~' 'J, )'.71' /J. __ :-tt:LY3._t:_i _··~\~;,,__) __ _ Alternate Locatio11 Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (O,OL Y Dist. from Origin: ~---
...... '··-.\ Site Sketch Attached (Yes) l.(NO) :
·-- ....
Sample Location Description: ~!·1k4:" 1t;d1t;.-:. er b:vtt ;.£ b)_\;n C!fi.i\ rl~rl[\ (~n OJ·•d :s+(c:.h (tk .. ,-._J
Canopy Type: ~-~t--~ ___ Land Use: J~1 v ;,: :.fc_.~ Soil Moisture (Wet, dry, etc.):_ .. _ .. __
3. Location Radiation Readin~s: -~~-~~---~~-~~~~~~~~~~~
2x.2 NaI Bicron Notes (cpm) (uRem/hr)
4- Sample Information: Sample Area ID: '-L l. (. . ((. 7. i -;,
D b D tb escnption IY ep1 .. , Depth Soil Type Soil Sample[)) Sampling Description
Intenal (Org~ clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc .. ) refusal, stone or rock, ~graphy, erosion features)
~! i '\ .±~~-1 b!.,.r, LI.\ -c a.. 7 I. -·---- ·-1<;' . "il h. soi I '· '-4 '.C.R. 7. "' --~v.-' ,,,=+-\ u·r. ........ i1 do • .. -
._ .. ___ . -+=--~----· .. -...~. -··· -
... --··---·-·-··
----··~- .•. Sample Re<!orded on Laboratory COC form and Container Labeled: (Yl (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Date:...JZ.-~. ..r-
Weather: __coj~,___ISQH6.._'f,--!:LD-5_Q_
1. Sample Area (SA):
SA Designarion: 4. I(..,~-·-··- Description: _\_,.,J":-~\w.o,,_,.o_,_,c...,.\ .... 7>.__ ______ ~ SA Origin Location: --------··-· Coord. System: ___ _ SA Land }.dark Description:_--"·------···- Coord:
2. Sample Location Data:
Sample Area ID: LJ, I l- R. ~--· _Matrix: -51.J_
Location Coord: -~"' 3Z..' 2~':1:L.____ ..
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0)--2)~- Y Dist. from Origin: JV.ff!
Site Sketch Attached (Yes) @> Sample Location Description: . dR.nd hcg,~ __ \! l -tl.I:.;:"> l.t(Ll,,J(
I IL>..!..""'=.:~,-"'~~-"--~-~-----~--
Canopy Type: -·~·n_ __ ._Land Use: -1\.\\t._\'f\l etc.):_j).f'4--····-···
3. Location Radiation Readings: · ---·····
~ ...
2x2NaI Bicron (cpm) (uRem/hr)
Soil Moisture (Wet, dry,
Notes
" Count time lcm··=L Im · l cm --i---·---~-- 1m D· t..,..;;,..--!...v6w1.:...:··· i2'1T~··-·--
' I :.? . 1f z~21'37 (min) ' ' _ . ... r,;:',~.... c; I zJ1_tp )
···- Ao'',..,~• ·c····- ..... "O'l Cj w 79-~i .. 5 I l..i . 2:-::Z.. Li..''\JLV f'.A. '"!'-/~I b
I ~n8 __ J_~z __ -----·-J· t
-"··---··- ~.t"l( •. \ tt PR.11,,i.1 #'f\·2'(_'-J()
" . L. ____ . f c,_I rlf}C . ~J4Jj(,,
I -,
4. Sample Information:
D b D th escnpt10n y Ctl ·------··-· Dept Ii Soil Type Soil Sample ID Sampling Descrip1io1l
Interval (Oro· clav· b' .,,. Color {Surface litter type/depth, ·sample depth retention, (cm) sand, etc.) refusal. stone or rock, topography, erosion features)
1------
0-1';) ~o~\ ~.......- 1. K, iZ. ~. I .... . ..ar:;\)
,,_ 3.Qt""" (t<l«, i p., ll" '-'""- '-/ ~ t l • K . 8' .,_L + .La.a:ie (.!:£~
=t==~ ---- --··--····--~-------- - ..
-- . -·· ·-····----·---+-····· --·-· ... J__
Sample Recorded on Laboratory COC form and Container Labeled: (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Weathei::
1. Sample Area (SA):
SA Designation: __ Lj. \ (, Description: ~\ ..... ,J~o~od.~' _'>~--SA Origin Location: ---···--·--- Coord. System: ____ _
SA Land Mark Description: ____ _ Coo rd:
2. Sample Location Data:
Sample Area ID: '-11 IC, K. Cj ___ Matrix.: .. ..SiL t .....
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (O,O)_r:!_/ e Y Dist. from Origin: ~--
Site Sketch Attached (Yes) @ Sample Location Description: --klaoc\<.,
1 \\~hLill'5n 1 \.RO..,\JC""-"':>~-
Can~py Type: _Q~ .... __ Land Use: _'r.\..L'f.-~ .. --Soil Moisture(Wet., dry, etc.)._::Qr~--. -·· J
3. Location Radiation Readin s: ,--------------=---,,-------···---·...,,......---------·---~
2x2 NaI Bicron
Count time (min) f:+-
Notes ( cpm) {uRem/hr)
4. Sample Information: Sample Area ID: lf,/ (.. t?_, 'l . 1.::z, )
Depth Soil Type Soil Sample ID I Sampling Description Interval (Org; clay; CoJQr I {Smface litter type/depth, sample depth retention,
{cm) sand, etc.) +-----· ! . y_i;;fosal, ston~.?r rock, topogra~y, erosion features)
"'"0~-··_1 s'-'-----+--""ti'"""o_\ '----!--"'---+--"-'-f :}_C \Z.. Ci ; l i.AJ.,_ft'------------------1 I S-;3Q_ _ Sc.'d ____, ............ ~----.~· \~(.,_, ~K.. Y • 7- _J,.5[\'la).;. -~~i>~:\ __________ _
so \ \ , µ_.CL I · 8
---!----------·· ----+----1"-------~-------·---------------<
Sample Recorded on J .. aboratory COC form and Contajner La.bclcd: (Y) (N)
10/20/15
SA1'1PLE LOCATION DATA SHEET
Proje~t: _J\l_'{SE~M~·~-- Name: -=r.- 6-oiv='-~_,_____ ____ _
Weather: Sunn·"\, ll\f''l.£.~l../_C~:.,....) __
1. Sample Area (SA):
SA DesignaJion: ~ D~-____ _ Description: _w---'-ccd_~_l'-ot"'------__ _ SA Origin Location: ---·-·--··· Coord. System: ----SA Land 1\tfark Description: ______ .. ___ --·- _ Coord:
2. SampJe Location Data:
Sample Area. ID:. Y .I .D.Q. i Matrix: Soil _
A!temate Location Measurements (distance from SA origin and Local Coord.) X Dist from Origin (0,0) Y Dist. from Origln: ___ _
Site Sketch Attached (Yes)@
Sample Location Description: {led- ~1-ti"ncl J ~{~ -d-~: . .:_[_\2~.r~1.:·1;,n'1.r_Y+ j-e.Jct 1 dfetd ! 'f'c1 vO Cc ( ~l.'f\'(,l) Canopy Type: ~()..r!-io. {~ ~?~Land Use: -~·--·Soil Moisture (Wet, dry, etc.):_ ... _____ .
3. Location Radiation Readings~ 2x1 Nal Bicron Notes (cpm) (uRem/hr)
Depth Soil Type Soil Sample JD--\ - Sampling Description -· Interval (Org; clay; Color ~
1
(Surface litter type/depth, sampie depth retention, f--_,_(c_m_),__+-s_a_n_d"'-, e_t_c.-"-)-+-----+~---"-· sal, stone or rock, topo!$!ftph)'.~ erosion features) u- 1_$"_ +._w_~ ~.,\I h-c.1,...,,.., q · l .t). R.. I. f ~' ·. n :::"t\ ·
.--!-" ------1 "-' - ·--------.. rl-~_-3_0 __ +--+o---=~~~'~---t-'~~~w~~~;--q-·~l-_D_.R_./_.~~o--~'--~~'~.a~·~:r:s~··~--
+-~-o_·_L,_o __ ~. ~·::_"=~ ~;__,_.'1_~_· ~-; --~-·~_R·_?~f ;~~::_·=;_,~):=·-·_··_·_ -----------------4
Sa~ple Recorded on Labora.tol)' COC form and Confain~r Lab-el-ed_:_@)...,. _.,..-(N)--. ----------'
10/20/15
SAMPLE LOCATION DATA SHEET
Date: rz.. I to I 12_ Project: Name: J. 13.raLc -:--\--------
1. Sample Area (SA):
SA Designation: --~.D_____ Description: _l0M~~ rl_ lo± SA Origin Location: ·- -------·-· .-.- Coord. System: __ _ SA Land lldark Description: ---~ Coord:
2. Sample Location Data:
Sample Area ID: t.! .I. tuc, J... Matrix: 2~--
Location Coord: ~ d.\J 2-i). '..2..J.~('J_- .1.J0. _d~~.\ '' ~L;.) __ ~
Alternate Location Measurements (dist.:1nce from SA origin and Local Coord.) X Dist :fi-om Origin (0,0). Y Dist. from Origin: ----'--
Site Sketch Attached (Yes} §) Sample Location Description: -Ao:l- %-u'-'n.d I M.0--to m -mi:;! 'Sarnt -\rn:> ~ r.-,Ki,_,,.,cJ.. brus . ch.o.ol
L ·- \o~v~5 d~~~\ Canopy Type: \~::t11:1J\,.,i CfL!--) Land Use: .nik:lD+i--~- Soil Moisture (Wet, dry, etc.): c!,~f . ·
3. · Location Radiation Read~-~--:--,,-2x2 Nal (cpm)
4. Sample lnfo.rmation:
Bicron (uRem/hr)
Notes
Sample Area ID: lLQ. .. ~ ~~ 0 l I. /(c
Color Soil . Sample in)-- Sampling Descriptioll
\ ( Smface litter type/depth, sample depth retention, ·--·- ·---· I refusal, stone or rock, ~o~~:~y, erosion features)
'-l .1. D. . ·;i_. I 4 .(. D. .'J..J. ~----- -~-·--·-·-~t ./. o.t(-~.3' Y\'l~(t_ ro-=rl-1._
~L~o~·~i~o~~----+~~~~1~.i;..:;_~=+---y~·~(·~D=-c.c:..R·~~--~-..t-_..._~u{~~,__---~ ~~-~-~-----l i s-· o '"-'------+-'="--'---+-ti"'"'.'-'-i_. _o'""" __ {(~·---a~. -+---:fu,.i_____y(Jm ______ _
.. ~-----·
'----~-----'--~-'-----~· I Sample Recorded on Laboratory COC form and Container Labeled: ® (N)
10/20/15
J •
SAMPLE LOCATION DATA SHEET
Date: [Z-3- 1".{ Project: NYs;tR-~'--- Name: :ra=· .&n ...... Ji ~---
Weather: -~~i'll"l~.,...~ _ '1.P- '5u ~
1. Sample.Area (SA):
SA Designation:--~-~ .... Description: ~QQ....ci.2_ ~-------SA Origin Location: SA Land Mark Description: ---------
Coord. System: ~---Coord:
2. Sample Location Data:
Sample Area ID: 4 .Jll::.~3 __ Matrix: _'$.o.>.l.._ ....
Alternate Location Measurements (distance from SA nrigin and Local Coord.) X Dist. from Origin (0,0) Nf A Y Dist. from Origin: -t:!i.f3, __ _
Site Sketch Attached (Yes)@
Sample Location Description: ~_fil.L-":i 1 fl'-lAS e<0 <jC~- '2.0 f·t. a\.\ +ca.:,\
Canopy Type: Ope.()__ ___ Land Use: J:t&,,,,._Yl..,,.~,.___- Soil Moisture (Wet, dry,
etc.):~'/------· )
3. Location Radiation Readings:
r·· 2~~~I r- (u~~~~~·;) ___ . Notes
4. Sample Information: Sample Area ID: _ _!:LJT:), i<.. ~- \ - L
Descnpt1on by Depth Depth· Soil Type Soil Sample ID- I Sampling Description
Interval (Org; clay; Color d (Surface litter type/depth, sample depth retention, >---~(_cm~) _ __,__sa_n_d-'-, _ct_c~.)_,__ __ .._,____ ~~efusal, ston~ __ or rock, topography, erosion features) 1--0_-_1_<.>"--+---"<'-"o_,,_; _,_\ __ +-B~ru_,._._"--+-4_, lQJa., ___ tfj,___/-1,__,_ ________________ ___. t~-~ ~',I IK,.,-,,, ... ..._ -'1.iD~.-z..l _ __t-:11l=i_. ______ ... _________ _,
i ~--·-··-----+----t---------t-------------------
1 t----··· -+---- ----+------1----·~·-··-·1 ~·-----·
f-------:---· --- -+----;-------· ---:-·-------------------! ;------~--~-·--+-----+--" -·---··· -·---1--- .. ·------·--------------------J ~--.. -·~--L -- ··------..-...------------'
Sample Recorded on Laboratory COC form and CDntainer Lahcled: (!J (N)
10/20/15
SAMPLE- LOCATION DATA SHEET
1. Sample Area (SA):
SA Designation: Lf, !l::L.. _____ _ Description: ___..\.r>J ...... ~=""~=S"---------SA Origin Location: Coord. System: ____ _
SA Land i'vfark Description:····-----·---··--- Coord:
2. Sample Location Data:
Sample Area JD: ~.J.1>· 12:.'-f Matrix: __ &::,~; l__
Location Coord: N 112° Ts,' 7 .. 7 r z ~..... .. . .:'lc.L] q" .ltf.. ·~ '6..:.1[ •'
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) AU A Y Dist. from Origin: , _ _;Ji(:{ I'
Site Sketch Attached (Yes) §» Sample Location Description:_ \Noc:A--5...r.~ -· ~_,_Jitjb \ \:.N-sh.1 ~<-.JI'.!> 1
Canopy Type: --0-:pt-D----·Land Use: _.1:3..c~J~.\---Soil Moisture (Wet, dry, etc.);~---- _)
3. Location Radiation Readings~ r··------ 2xl Na! J3i°cron··-----· Notes
(cpm) (uRem/hr)
4. Sample Information: Sample Area JD: I../, fv, ~. 4.. 1-z ~
Soil Color
Sample ID 1\ Sampli11g Descriptioll
(Surface litter type/depth, sample depth retention,
--.. ···---1-~e~.E_~~~~e or rock, topogra by, erosion features)
f----'-----+---""-""-!..l.......--j.!1~""'-'-1--4-,_1µ:......:....:,e=-.~·l 11~~~. ~raru~.__._~·.LL.l""-~-~---------1 c...:.=-~:=:. -+--_,,_=~~~-~~- <J. fQ, iZ. • ..,_._(,. [~---~-----------!
~ ~ \ 4. ~-·LI.<;"' ---r . :iW\Cl .. 1..'. 1Xl ~
---·····---- __.._ __ __,_ __ -------t~-------_-_·---~-:r ........ ----------' Sample Recorded on Laboratory COC form and Container Labeled: (N)
10/20/15
..
, .
SAMPLE LOCATION DATA SHEET
Date: _t"l-~:!S__
l. Sample Area (SA):
SA Designation: ___!d_d~D __ _ Description: \,J ouC. <::.. SA Origin I.ocation: SA Land Mark Description: --------·-· __ _
Coord. System:---~Coord:
2. Sample Location Data:
Sample Area ID: 4, 1p .R.. S Matrix: So_J ____ _
Location Coord: .. V_!:tl,,:'_'3 z. · 2. 1, 71>"' __ L-.J •74'-' o?...' 31 , ~ ('
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) ___ ..A!/_tl__. Y Dist. from Origin: -J:#.-A~-
Site Sketch Attached (Yes) @
Sample Location Description: -M ~~o~cnd •y1 . .,.$>, f 5 El .:.ff ITh.-1
Canopy Type: -~ti'..'\-... ____ Land Use: __ h\.1 ~'11.) Soil Moisture (Wet, dry, etc.):.~ .. ----·
3. Location R;idiation Readings: _ ---------,,.-----------------~ 2x2Nal Bicron Notes (cpm) (uRem/hr)
4. Sample Information: Sample Area JD: 4, ID. i?-. '5. J--1-
Soil Color
San -~- - . zple ID Sampling Description (Surface litter type/depth, sample depth retention,
· r~fusal, ston~_?r rock, topography, erosion features)
'~. c5_ .__L__ ~~""''-' (b~~;_.._ . ~- <S L j sM.:--'-\ (1JC.lt"~ ..
'--1 1 lD
I
--~ ·-·- -·-=t--.. ·-·-- ---I ...... -···--~r---- .. --l __
Sample Recorded on Laboratory CO C form and Container Labeled: ©} (N)
10/20/15
"TS
~T~L.~~ SAMPLE LOCATION DATA SHEET
Date: /"2.. ·. 9-::::-.!...C_
Weather: --·-··-------
1. Sample Area (SA):
SA Designation: Lf. lP Description: \cl 00<l _s· ________ _
SA Origin Location: ~----··- -·--·----·- Coord. System: -----SA Land Ma.rk Descriprion: _ _ ___ _ Coord:
2. Sample Location Data:
Sample Area ID: ~. T2 ..... _k___ Matrix: _ . .S.fil__ ..
Location Coard: . N.-:::J.?0 Q,.'._.2_&~ OU;_:_ .. vv J't O~~] '8 .t-1 S' .~
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0.0)__fi.J.f.h..___:...___ Y Dist. from Origin: ..V/J'!o __
Site Sketc.h Attached (Yes)~
Sample Location Description: ---~..QQ..6,..lli.!1e .. ~,_~ ~-'""" -=.:s=-.-, ~w~o1.-11 iµl'C:.::....<...S _______ _
Canopy Type: ___ Q_~.L2- ___ Land Use: _l::.\. .... .d-'\.,__· V''-'~c.+~- Soil Moisture (Wet, dry,
etc.):_:w.r..-¥-----· . J
3. Location Radiation Readin s: ···-----···~------------~
2x2 Nal Bicron Notes {cpm) (uRem/hr)
4. Sample Information: Sample Area JD: ...!f_,j D. K., ~ . l- Z..
,........:...---'--T----"-----''---,-'---............. ------· ··-;-----··-·-----------------. Soil Sample ID ,
1
Sampling Description Color (Surface litter type/depth, sample depth retention,
--+-.-. -··--+~e~usal, st~~e or rock, topogra hy, erosion features)
~_,_-"'--!--'="-"----''---_........"""'~!...:........il-'-'''--!./.=...~i~ .. +.MJ~ ...... --------------~ ..............,~~ --~"""""-'~-+-'-.........,1 o_l.g_.J.P._,___~ __ .-y_f-1±._ _____________ ---i
--·-------··-----------! --+-------··-+-----~-----!
.___ ___ -_J_ -__ -_-_·_--_..___~~-=--~~~:_·_··_··_·--_-_-l-..... _··_-·-_-_· ____ --------....,~~---_· -----============= Sample Recorded on Laboratory COC form and Container Labeled: (N)
10/20/15
. '