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App ESub-Area 4.4- COC Forms
Page: -----·-··- of -- ., .......... , ___ ._. GEL Chain of Custody and Analytical Request GEL L•noratones, LLC
Pmjcctli: 2040 Savage Road
GEL Quote#. ···-- ... ·-··-- ... .,. **Sec www.gel.com for GEL's Sample Acceptance SOP*" Cl1arles1011, SC 29407 ······--·
COC Number ll l; GEL Work Order Number: Pl1onc (843) 556-8171
PO Numbet: Fnr (843) 766-!17X
Client Name: Phone~: Sllm1i!e Analysis Requested (SI (Fill in 1he m1mbcr of contniners for eadi test)
ProJect/Site Name: Fnx#: Should
-'-- Prcserv•tivc Type (6) lhi! sen'Jplc lw
Address: CQll~ide:rct.I ' : Comments
Collected by: Send Results To: I Nole: ex.trn sample is
•Dail.! C't~H.:;:t;.·~ 10 Timi:-
t!:i.:IU Sow.fl~~ me required for sample
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Remarks: Art' there. any known ilazards.app/il·able to the.> I! samples? if so, plea.~e li.~t the lrauwd~ ~lliw.!im1..TuJJs.-l.= E•sk.m Pm:ifi:,; C1:111rJl Ot\ior -··---Mmmtmn
Chafo of Custody Sig11atures Sample Sbi11ping and Delivery Details R.clin411>Shc1I By !Sil:n•,I) Dale ·r111~~ ll.c.:::e•·1~J by {!i!gni:tl_l D~ti:i rime
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Page: __ ._,,
Pro;ccr II: GUL Quote ti
COC Number tl); PONumher
Qf GEL Chain of Custody and Analytical Request ""See www.gel.com for GEL's Sample Acceptance SOP*'-'
GEL Work Ot·dcer Number:
GEL Lab•iratori«» LLC
2040 S•ngc Ro:1J Clur!c•l<>;i, SC 29407
Phor.o ( 843) 556-g 17 I
Fax· (84~) 766-1 !7~
Client Name: Pl1one #: Snm11le Analysis Requested (>I (Fill i11 the nt1mber of containers for each test)
ProjecUSite N111n.i: Shoul<I
tills 1------------------~----------~----~---------1,,mpllbo·
Address: t"On!'ih.lirit:!d
Collected by: Send Rcsulls To:
Sample ID • f''11' 1.1111or!.t.·~i/(J·• • 1ml1;;~f1> ~·1ur1 tmd.r!r;,1 d41r1:.•/1jm._•
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.:; .. Prc<crvativc Tl'I'" (6)
Comments Note: c:ttra 5ampk is required for sample
specific QC
No Circle D~lwcroM~· C of A ! QC Summarv I Level I I Level 2 1 Level 3 I I .evol 4
Remarks: Are 1he1'<! any know1r hazard~ applica/Jlr! to these samples? (fso. please fat tht! hazard:~ liill!lill~~£ Eastern Pac11ic Ccntrn I Other Mour1tai11
Chain of Custody Signatures _ Sample Shipping anil Deliwry Det:1ils Tin~e Da!: 1rmc
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Page .. --·- ...
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COC N11,.11'er ~tl
PO Numbor:
of ··- .. ·-·-... _ . --·-·---- GEL Chain of Custody and Analytical Request "'*S~e www.gel.com for GEL's Sample Acceptance SOP•"
GEL Work Order Number:
GEL Laborntorie~. LLC
2040 S;tv •Jl~ Rll~1i
Cl1arles1011, SC 29407
Phone: {843) 556-8171 F~x {8•H:i 71)6- ! 178
Client Name: Pllonell: Sample Analysis Requested «<;J (Fi 11 in th~ nl1mben1f containers for euch test)
Project/Site N.'.lme: Faxi1 Sho•lcl
!Ids ~-------~-----------------------------------is~nipl~~c
Address· candtlet•d
CoHcctcd by· Send Rc~ulrs To:
1T::n·~ he!J Sa!-:=•d~~ TSC
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Sample Shipping >1ml Deli''icry Octn(l.1
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WHITE= LABORATORY YELLOW~ FILE Pl NK ~ CLJ ENT
;.
Page---·· Pro,icct#:
uf GEL Chain of Custody and Analytical Request GEL L.aborotones. LLC
2040 Sa~ogc Road
Charleston, SC 29407
Phone. (843) 556-8171 Fsx· (841) 766-J I?!<
GEL Quote Ii: '*See.www.gel.com for GEL's Sample Acceptance SOP*+
COC Number I": PO Number:
Client i-:~m~:
ProjcctlSite Name
GEL Work Ordel' Number:
Phone 1r. Should
!hi•
Sam11le ,\nalysfs f{eq11c5tct\ 1~1 (Fill in the nurnbel' of containers for eai;h testi
)--------------------------------------------i •aH1plo bo
A duress:
Collected by: Send Resu:ls T,;:
•Tmj; :t-l.:~~ S...:ri;~;i:"
CP~hr.h:J Qr· ~~IHiTaty1 O::,ft-111 f1i~-:r~J M::.•ri'l
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Sample ID .. h ., 'CJ,tr1pt1\U1.'.' .. w.;/r.:c1'r .Hi.Jr/ dl!d 1.1.-·p rl°'!r!..'tmu .. :
4 .!..\ .D K.'3 t
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D . 1Z. "-\ . J. C R. ~. I
Remark.~: Are there uny known hazard1· (ljlplil·able to rl1e.1•11. .wmp1,,.x? Jf.w1. pleas'' list the hawrd.1
Chain of Cmtody Slgnnturcs Di'\tC Time Dul..: Ti;no
2
considt!1·1rd
TSC R•di A c.:n:Li Utgu
ve t:itC'd 1>c1·ol
I
Commcnt5 Note: extra sample is r~qu1red for sample
specilic QC
No c;rclc Dc~1vcrnb:c: C of A ! QC Smnniary • Level l i Level 2 ; Lewi 1 i Level 4 .S.tlllJll1"--(;.,uecti\1n Tim'<.~
Eastern ra~itk C~lllr3l Other Mcmnt.1i~i
Snmple Shipping a11d Ddh'cry Det~ils
GEL PM:
Dn1~ Sl:i1111et!:
Airb:li#
Airb1lln: l.} Ch:nn oi CH,\LMy Nwil~c:r -· C!icitt Do:t.:.::r111h;d
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WHITE ~!.A no Rt\ TORY YELLOW~ FJU; l'INI\: ~ CUKNT
L
Page· ·--·-·- . Project II:
GELQuO!c !I.
COC Number '''' PO Number:
GEL Chain of Custody and Analytical Request usee www.gel.com for GEL's Sample Acc:eprance sopu
GEL Work OJ'der Number:
GEL Lahc>mtoncs. LLC
2040 s·avagc Road
CIMtle.co11, SC 294U7
l'horn..C843) 5~6-8171
Fax: (843) 71i6-1 !78
Client Narne; Phone/!~ Sami1te Analysis Requested <5i {Fill in the munbcr of .::ontnincrn for each te:<t)
.. , .... - 'Project/Site N~nie. Shuuhl thi•
>--------------------------------------------!!ample he Address:
Co!lcc!cd by: Sent! Rcsulls To:
Sample ID it fo''m• t?7/"l'ti.~ife\ - mJ~c.a:1.• ,\'Ii.Jr! tr::d w·:1' Jr..IlrJ/(,r;;;..•
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Ch~il1 of Custody Signatures Dolo r11nc
GgLP:-VI:
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.:; .. Prnscrvol1vo T;v1>c (6)
Co1uments Note: extra ~.irnplc IS
required for sumplc sp~c1fic QC
Le·, ol l : LcYcl ~ ; Lev~I J ' Lcv~I •1 ~lUP.ls.Cclls:~..tiun.I~;r.c ZP11;;:
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WHITE~ Lt.BORATORV YELLOW~ l'ILF. PJ:-<K -~ CUENT
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Page: ----·-··-·---··"l'·--·-·~-------!'rojcct 11: OEL Quote II: ___ ... ______ ,,_. ·-COC Number Ill:
PO Number:
GEL Chain of Custody and Analytical Request **See v:ww.geLcom for GEL's Sample Ac"cep1a1;.;:c SOP**
GEL Work Order Nnmber:
GEL Labor.1lor:es, U .<: 2040 Savage Road
Chatlesloll, SC 29407
Phone' (843) 556-8171 Fnx: !lM1l 76~-l 178
Client Name: Phone#: Sample Aaalpb Requcsfetl <51 (Fill in tile number of conrniaers for each lest)
~ -- Project/Site N<1rne. Fnx fl.· Shoulcl
!Iii• f-.--------~---------------------------~~~-----l1aniple~r. AddreNS
Collected by: Send Rcsul!s 'l'o:
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i
Circft:Dclr1crablo. C of.-\
I I
i I l i I
.,.- l'rc.;crvallvc T;·pc (61
Commcnt.1
Note. extra sample i~ required for ~ample
specific QC
~J!o_,C111l•-<hC11 lj~ Ets~cm P':l.:.!lfi.c r."111nl 01lr~r ~lmimam
Chabi or Custody Signatures Sample Shl]iping mid Delivery Details DMc 'l1n:c
GEL P:O.-!
Moll:;:J nfSIHr,nl-":r.t Daic Stir.i::cd:
Afrb.~i N· I ~ C'J1~ .. , 6f C\1:1.1~1 N~.1;1b~ - (..l1:n1 0;..-1om1·1~d I .~ > QC..' C.:r.::J::i.. N -=Ncn:~:1? ~i~!\i.['·l:l, TB,,.. Tr:.~i !)!~;-Jc. liO .. frdd f)to,Z:.i;::Ji<;, F,Il ... f:Gu1p1tiC.nl ~1M:.lii, °l'1.S ... M:n;x Srtlc'C. s~mr.:cl '.\1SO ..... 'vb:rii. Spike f:';..o::l1::tt,.: S;i1;:.p;r:::, c .. fj.,~~1. c T."" C1m IMU:;
l J Fu~(d Fi[h:rcd :~er l:.'J-.1Ed .,,A.II it~\. Ji·U!~.:J[ll ~· • .:'-ih II~ v .. b.f'" ye~ ,r~I! ~~m:.r.1e WO.!'; rre:~d rihcu.".11 er ~ N - fo ... i;:w'p:t:' \v:tl: r.o-l 1:0?t:1 \~~Lm:-d Cu.~Judy Sea.' /nJJCt :i
4 ·1 M•!t;~ C11tl.':I DW=01·.:tk1r.3 w,,c1, GW•'''""'"""'•'<«. SIY·'.~orf•" IVO!<r, W\°""'11·.,10 W.:i<r, W--"\\'>1er, Ml.•M•« Li<i""!, SO-"'Su'I, ~n---<;,J·-;:'1•1, SL•'S'•••I&,, 1i~"~ol1d W•><c, o .. c,r_ F·•F1h«. l'""' -~•<, u~;;,,,,._ F•r,,,.,1. :<! -ll-----)~'£:::0'~'.-__ __ _,_f:,::fO:......~~-I $} S:m~p!1!' A:i!l)ti''i Req,:es1cd· A1ullw~,:i: nicrhcd rtc:uo::1:t:J. (t.c ~Z.6Dll..til>f DJ)l7470A) .-.~J 11 .1a~b:1· ~r cc1;t,1:1it1.1 1.1:Q\IU.!c-d fo1 C">'.ch (i.~ .~JWli -J, 60/r'Jfi/1.:f1iM. I}. Cool11r Temp. ,\) ~'"'"'·"i'~ l)ilo· UA ~ lly<iroo11kr1< ,\<>it NI - N""" AC11\. Sll • SO<l;u:n ll}'!ro.ic!o, S,\ - ~ulf"''" -'<:<!, .\A·· Aotc,b .. < Aoid llX • lt"""· ST• So.11·'"· T!"'"~'"'· If"" r-1c<en<0l;,.;" •ll<bi ~ 1,.., !lold bl•nk C
WHITE~ I.AllORATOlW YELLOW~ FlLF. PINK ~CLIENT
App E-Sub-Area 4.4- Instrument Field Sheets
L
rl'~._''t\..-, .......
·-.::.:,~rs ~-fr' T~C~..._L S~""liC"G.S
Instrument Field Response Check Log
1. Instrument lnfomlation1
Ratemeter; Make/Model: LUDLUM 2241-2 Detector 1: Make/Model: _ _J__UQ!..VM 44-10 Bicron MicroRem Meter:
2. fheck Sourc~ Information:
Serial No . ...2fi2n7 Serial tfo. ,..EB.11112.L. Serial No. A224U __
Source I Isotope: Ib-232 Serial No..: _J__l6 Activity: <0..J.. __ units: .l,lC.L _ Respon:;e Acceptan<.e Rringe (·1(-20%): uRem/hr +20% ____ uRern/hr -20% -·-
Cal. Due Date: 9/2/1Ej
Cal. Due Date: 8/4/16
Assay Date; 1lL3Jl/10 net cpm t 20%...12~26 net cpm -20% 15284
Source 2 Isotope: _c.:;s.~.137.._ .. Serial No.: .-8.7il.3.::48-__ Activity: Q.Q2 tJnits: ~!-\<;say Date: .lJ2S)JJ.O Response Accept;;nce Ranrie ( +/·20%): uRem/hr +20% ___ uRem/hr ·20% ·-·-- __ net cpm + 20%--133}5_ net cpm -20% . ..S9l.S. __ __
3. Technician/Worker P~rformlng Checks: N11me: _ _f'p"; .. _'\:iJ~. _ -·-- Title.
4. ~l.~~_ar.~qfation: S1te/Job·JJi+.Jj;... ~~~7.-=--..:i' t..f . Lnr.atir.>n Drmiption: =pc··(C n l k5' GPS Coordinate~ iwhen rc:quired); X-Coord ./l.)._'3__?,-:_j,_l.' 2 :f_:.i~- ---- Y-Coord: W J.3" 5 'i' '5c · z-4 .
Rev 1 10/18/15
-."T".~::--\".:.•·"Fr,...,._";"";'=:"'"'•.o.• • .._ ..... ,........";":"•":.,-.... ;:Y-~.T: .. •."•':':-:'"""7 .. -:•••.•·"""• -."""'T·":.•:•-.,..•.··.~·."·~~ '-•'':'•7"'-, .. ,.,.,. • ,,......, ... ., ..... ".~'";·:·"1'7z.~.~:l"":":"nl~~~.... ~ ..... ~ ... =-----------~~~= ... ·-~=~-: Instrument Field Response· Use Atcepta nee Criteria Remarks
M-eter 1 Bkg Bkg Count~_,... SourLe Source Re.~ponse ;.j- 20% Inst. Battery I Time Ambient tniti;;ils and Comments Cnt (cpm) or Cnt (gross cprn or source Ca!ib. Check Of Temp. (add'~ Info: Inst. Canditlon. etc.)
~~~;;~:~;+;~~ ~~;"~ ~:~:c~~~-(Y::J_::~'- 3!·(':) ~-Z3~-~-····• •' Aatemeter 7'1'i i ~---· .. U_?_L<ef _. . ,_ ... . .'t . ........ _.Y .. _____ ,___l~·--·-.E·'JJD _ ~~~---~~_-_µJ~&J::____ : Ratemeter f;'1i{ I JI .lifl '7 Y Y V · ~U£.__ ~_:Q_. ___ 1"".&:...~.Z.~.~---·.flf_ ·-· ··--· ---·-·-·-·-_j _Ra_te __ m_et_er__,___ ___ _{j1_f ___ ! __ .
1 __ <[S"(,!L ____ . __ ~ _ _y___~·····L-- Y 2.}o fo. iJ . U·fi/ [IL !
Ratemeter ,.,-/Jt ; ;V/A 1 : ·R~-i~~~ie-i · ·· --:-- ·-··------- ·· µ1;;;.· r ··-- ·- ··-- --··· ······ ··---- ·--- · · -- ·---··- · wTA ----- --·-·~-··---..· i
.- ... ----·· ... ···-·-- ·-· -·---··- -----I _Biq()'..1 ____ . ~A .. _____ ?_ ______ .. ~A ___ ,___!J5 ._ ... _______ __ 'f
1 ___ 'j______ 'I 01 IJQ 7:i1,o fb.:?.T;:. rk, I
,;~~;;_ _____ ~;, _JA ~~ 12/A Y L 'j__~···· ··";/;}·-·-· .J.~} .. ~- 1--~~·.o. {b.:.?1-~ ... -:fK--· ·_-·-·~-·-- -----·-· ~ · 1. ln~trument deslgnJted check source is listed on caribr<Jtion ~tid:er. Record check :;Qwce re~pon~e (net cprn) prior to field cl<:ploymc;nt for dll check source5 be mg used.
~- Source and Background C<)unt rate should be deti?rmined from the average of three ~tatic: counts at the same location. Repeat r.our.t~ ~l1ould b"' wit'lln 20%. If count rat~ div~rges -~ 5i511if1r.antly, perform <idd1tional counls to ev<1iuate in::.trument ~tab1Jil'{
Rev 110/18/15
I
l r
I
1. Instrument lnformation1
Raterneter: Make/Model: Detector 1: Make/Model: Bicron MicroRem Meter:
2. Check Source Information:
Instrument Field Response Checl:c Log
Serial No. c7C'.C.-O~ ~ Serial No. P?--1 &f.'t/JSerial No.-----
Cal. Due Date: .9~/c f {, Cal. Due Date: __ _
Source l Isotope: 'fh-.J,l). Serial No.: l / ( Activity:.:::.ci, I units: .pl:_;- Assay Date:l,}.fft;f t:o
Response Acceptance Range l+/-20%}: uRem/hr +20% __ uRem/hr -20% ~ net cprn + 20.% $'3 71ct net cpm -20% 3 55.b C...
Source 2 Isotope: C::;-fj7 Serial No.: / 14 e;;:,? .. /..J Activity: C).f.:.l/-..units:/1[.~ Assay Date: __
7 7 r"".•("' • Cr Response Acceptance Range (+/-20%): uRem/hr -t·20% __ uRem/hr -20% __ net cpm + 20% }$.;l. :::> net cpm -20% :... ~ 1 1
3. Technician/Worker Performing Checks: Name: :r. tiJ~..;,· _.{Js Title: ec· .. , Date: I 'Pr;/1{.Time: 69! 7
4. Siteorlocatlon: Site/Job: t:itl/.T'(}'\,1/.e.,yk( V(12.r //fr.i!~t 4. y Location Description: n/e,>:;J /c.;. !woc·dl~ GPSCoordinates(whenrequired}; X-Coord: M Cf'?°31."ti7<t: 1
. Y-Coard: wO"''l1~C>0.1t:..3.'° . I I Instrument Field Response2 Use Acceptance Criteria Remarks i
Meter Bkg Bkg Counts Source Source Response +/- 20% Inst. Battery Time Ambient !nltials and Comments Cnt (cpm) or Cnt (gross cpm or source Ca lib. Check Of Temp_ (add'! Info: inst. Condition, etc.}
Time uRem/hr} Time uRem/hr) gross cpm current {Y/N) check ("F) or uRem/hr {Y/N)
{Y/N) ·-· - - -· -· -
Ratemeter '1M\IA {7l'ia~,.~ ) 1Nl 1 \A 'f~ 116 O'I~ \.[ ·-i v oq IC'/ ../I. I "~ //....-.FJ/- /.~ I Ratemeter
, \ ,.,-.:r-... ( bC.J. 5 ,: """'
,, . '\I I ...!t !YIJ.~ 4f I c,:-..; /~ --1"??7 11?-
I Ratemeter fM"' kS-l)Cr'W' t W\;1'1 4 r..f tJ'U ) A• IA u v <.1 /J.?C ~0.1"' 'Th -.).31.v {_,,.}~ Ratemeter
. i ,,..,:i-1. <t8 rs '5. l.,,,,,,... {/ v " t'J!.5' c:;-3." c. ........ ..:.. ·- \3 r v r:J£.
! Ratemeter ' ' , I ,;;-'
Ratemeter Bicron NA NA Bicron NA NA Bier on NA NA
1. Instrument designated check·source is listed on calibration sticker. Record check source response {net cpm) prlorto fleld 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 addltional counts to evaluate instrument stability
i
I i I I
t
! I l
i '
I
l
Instrument Field Response Check Log
l. Instrument h.'tf9(mation t Ratemernr: Make/Model: LUDLUM 2241~2 Detector 1: Make/Model: _L_UDLUM 44-10 Bicron MlcroRem Meter:-
2. Check Sourc~ Information:
Serial No. 262737 Serial No. eR 11112.L. Serial No. A,..,,2 .... 2i4"'U __
Cal. Due Date: 9/2/16
Cal. Due Date: 8/4/16
Source l Isotope: Th~232 Serial No.: JJ.§___· __ Activity: <0.1 __ units: JJ.ci_. Assav Date . .12/...30/10 Respon!">e Acceptance Range (i/.20%}: unem/nr +20% ···-··--·-- uRem/hr -20% net qim + 20%_£?.926 net cpm -20% "15284
Source 2 lsotopf.!: _W37 ... _serial No.: _..81.E.1.3.::..48__ Activity: 0.02 units: j.lkL_ Assay Date: J..i.l.SJJ.jO Response Acceptance Range I +/-20%)· uRem/hr .i.20% __ uRem/hr -20% net cprr• + 20%.13.TIS_. net cpm -20% -29.19
3. Tectmlcian/WQf.ter Performing Checks:
Name:S:J]["~-~ Title~ _..f.<; -c__ ... ··--- fMe: il/J.'(i £:. rime: _r>-._1l ti ·-
4. $l~!'-'.£1!..~Q~;i~fo.ri: S1!E?/lob:_!£_!i __ . _______ . -·----- Location De<:i::ription:...,ll'--'-ei_c.,_/} ________ _
GPS Coord1n<rte~ {when required); X-Coord:J,i.."!D.L.~F_. c::._ __ Y-Coord: w 6) q "oo 's 1. 5' If
Rev 110/18/15
--M~ter TB-kg Bkg. (-;;un~-· Sou;ce Saum~ Respon~e +/- 20% Inst. ~ Battery Time Ambient Initials and Comments
Cnt (cpm) or Cnt (gross cprn or source Callb. Check Of Temp. (add'I Info: inst. Condition. etc./
Tim\ uRem/hr) Time uRem/hr) · gross cpm c:lJmmt , (Y/N) cheer. ("f}
:(J1ltN) . ~1~ oruRem/hr
~i~~~-J -.L.~r:LJS:. .. _ .. -~.. 75.KC !f-. · __ y!'==,=""i''/,__=_ """'-+J:v:rv:i;::::s,:.1:::::::::=J.~t.::··-::···:-:· ·· ._,, .. _·"'··~··.,,= .. _·~ .. ---·-· ........ ·; __ Ratemeter I S .... °1.J~~-- ................ -·· _Y,_ ____ 1-... 1 Q_J_f_ 1Li... .r.JlJ. __ ,£/!:_____ --i
::~:::~=~ ~ 1 .$.-~.• ~L-~- l g'2'Ho Y Jl~ _ _':fl..f_._ Jb ... 23~_·)1 _______ ··--·-······-·-·-··--i - -- _ _.____,___,_. __ _ '1.J.& ____ Y,_~'-=----+-+-'z,__. -~-,.,_._.__~..........,_"'-------! R~_!_e_f!.J1"..t.~ .... l_ __ .-2..J __ '?..?::: .I.··-····- Lf.YYf. _ . . ... ·v U:....'l__ _l.11_~ .. __l__t..;;...,_ ______ ~ Ratemeter 11..1... I ~ Lt,f <(l_.f'_ ___ ~/ /1.J ..... 5~_ ... ··----···--·-,------i Bi<:~()_!l ____ ... NA ...!~---- __ .Ll._ ... , ____ _y_ - ___ '(_____ :::-:L ___ I) 1y( /. q "1.11- )f- I
Bicron NA NA J 5 j__ .. .... '1.. ...... 1.{..!}_0 _'fz.~-~- _ThJJZ.,_Jt:___ ____________ ~! _ .p,lcron ···-·- !}_A_ __ .. _!:j_ NA . ~ l_ .
1 _ _J_ Y ;~1 D . <fl. f "Th_ J 2 _ -··- .... .. .. ............... i
· . l. lnstrurnem designated check source 1> listed on r.al 1brat1on $ticker. Record check ·;ource res pons~ (net cprn) pnor to field deployment for- all ~he~k sources lJeing used. ;.>. saurc.e and Background c:ount rate.shc;µld be determined from the ave(age of thrP.e static cownts at tl1e ~arne loc.;ition. Repeat counts r,\.ould be within 20%. If count rate oiverges
significantly, perform :idd•tional counts to evdluate instrument stability
1. Instrument lnformation1
Ratemeter: Make/Model: Detector 1; Make/Model: Bicron MicrnRem Meter:
Instrument Field Response Check Log
Serial No . .7Cil·O"'i"'· Serial No. f'/2 t I ,2(,,9,:;;. Serial No. f lf <if 7
Cat. Due Date: ?Jf/oi/;6 Cal. Due Date: ~!(
2: Check Source Information: Source 1 Jsotope:'Th-.l.'3,.J--serla! No.: ( { f Activity:<" c·. 1 units: ,eL .. ; Response Acceptance Range (+/-20%): uRem/hr +20% ___ uRem/hr -20% __ _
Assay Date:!) /3"~0 _
net cpm + 20% ~:n?J. net cpm -20%3S](£
Source 2 Isotope: (S,. .. i37 Serla! No.: l l'l()z~tJ..- Activity: 0.t.·-;;-- units:µL: Assay Date: NA Response Acceptance Range (+/-20%): uRem/hr +:2.0% __ ~ uRem/hr -20% ___ net cpm + 20%f37-7~"? net cpm -20% SY-¥-~
3. Technician/Worker Performing Checks: .-. -·fJ •.
Name: . l . P ,Yr,o,1c-,.p_,,, Date:!IJ.1/r Time: C) "/<!;'I Title: ~za~c~:~·'---
4. Site or Location: Site/Job: A·/c.7.-. lf. ~-li; S / Location Description: __ tu. __ 6~t:>_P-'s'----'-------
GPS Coordinates (when required): X·Coord: 7/v 412 0.~1 1 >'(/6~1
Y-Coord: W 7'$ C'.'s='!? i ql.f,,t:H~·--.t'
Instrument Field Response2 Use Acceptance Criteria Remarks
Rev 110/18/15
Meter Bkg Bkg Counts Source Source R_esponse +/- 20%
Cnt (cpm) or Cnt (gross cpm or source !nst. Battery
Ca lib. Check Time
Of Ambient Temp.
lnltiafs and Comments (add' I tnfo: inst. Condition, etc.}
Time uRem/hr) Time uRem/hrJ gross cpm current (Y/N) check (cF)
or uRem/hr (Y/N) (Y/N)
· Ratemeter r""''" Ratemeter Ratemeter
; Ratemeter ! Ratemeter
Ratemeter Bicron NA '5 Bicron NA r;;,, NA Bicron NA NA
1. Instrument designated check source is listed o c libr ' ton sticker. Record check source response (net cpm) prior to field deployment for all check sources belng 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%. rt count rate diverges
significantly, perform additional counts to evaluate Instrument stability
App E-Sub-Area 4.4 - Sample Data Sheets
SAMPJ.,E LOCATION DATA SHEET
Date: ii ,2'5 .. IS. Project: Ny s e i? 06 Name: .. =f0·) ~"·---Weather: WCJM 1 Svl'\.•~, :fo-7o'f
1. Sample Area (SA):
SA Designation: tj, L/ f\ Description: . ~.-~,c\.~ , ~~ 'f bfUSh SA Origin Location: ---·--·- -··-··-· Coord. System: ____ _ SA Land lvfark Description:.:. __ ·--- Coord:
2. Sample Location Data:
Sample Area ID: ~""} A , I ---·--Matrix: _5.~_;J__
Location Coord:
Alternate Location Measurements (distance from SA origin and Local Coord.)
X Dist. from Origin (0,0) f'J / 13- _ -·· Y Dist. from Origin: __t:__J~.u·-··
Site Sketch Attached (Yes) ~
Sample Location Description:_ Wood<::. ~ ... \l.'I ~&~.1'-.......,-deuJ f-tuZ:::S~----·---
Canopy Type: (J ye l'l etc.):...::D_t..)---
.. __ Land Use: M~~- ---·Soil Moisture (Wet dry,
3. Location Radiation Readings: · ~···---------- ·-"-'--~~·-··--~---~·--·---·_,,---------- ____ ,_ .. ...;,... ·--~
2x2 Na! Bicron Notes (cpm) (uRem/hr)
Count time 1 crn Im 1 cm Im (min)
~·=·····'~-~=lo=~=~==~=""~~==~
._ ____ .__ g 15.~S<~--72 ~ g .. ?~ ·---+-~c;,--111- rJ jl3 l 5qqK 77~f ~i~
1----'------f--'<-'-------f-:.__-····---- L........o-.-~. --- -.1-+-=-,t-+-~----------·--------·--···-
---.....---------'-------'----·--·---·-· --- ··-·~·_.__ ___ ,,___
4. Samplt! Information: Sample Area JD: lj. tf A. \?. . I.::~-
--~-----·~~······---------~-
Soil Sample ID Sampling Description Colnr (Surfact1 litter type/depth, sample depth retention, --+------ __ :efusal, sl?'~C. or rock. topography, erosion features)
:.'.-:....;~...).._,."-"-'~--~~~.....!.L1::......''-f!l...A!..!..~-J._ ,.; 1 ___ ··--·----·---··------1
-1--'-'-'-'-'-'--"""'-''._,,Lo__. - _ti I ~ . ·- . -----·-··· -·----~
,________._____ ___ - - ---~~ ~~-~ -~ ·-----~----~-·-Sample Recorded on LaborntolJ'-COC for~~ and c~;tainer Lab~led~@ (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Date: li-1~:'.'I) Project: N'j.$~----···-
Weather: vJru,.,,,,..\, (lt{y.ll1
.i L)lh'\'::f.1
't 0 -s-v · F
1. Sample Arca (SA):
SA Designation: '-f . t../ 6. --··-·- Description: SA 01'igin Location: ·~ -···-·-- ___ _ Coord. System: -----SA Land Mark Description: _____ _ Coord:
2. Sample Location Data:
Sample Area ID: _lj,_._· ,__.'i.._...· b,,___-e-+-\ ___ Matrix: So-. \
Location Coord:
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist from Origin (0,0) 111 i ft Y Dist from Origin:_ ..... H"+i-'-'&~-
Site Sketch Attached (Yes) ~
Sample Location Description: ___Qpef\ wows,. \-i.w. .. ~y Q'\J~'+•-rt'-'--c»-=-s ________ _
Canopy Type: C>pe-~1 etc.):~--
Land Use: ___li; )L..ns Soil Moisture (Wet, dry, ·~-,--
3. Location Radiation Readin s: 2x2 Nal Bicron
(uRem/hr) Notes
Count time (min)
I
·(cpm)
lcm
4. Sample InformatiOn:
D b D h escliptmn 1y ept : Depth Soil Type Soil
Interval (Org~ clay; Color (cm) sand, etc.)
o-- •<l :S6· \ g,__,_.,\. lS"""--<J' &.~ \ "R ...........
lm 1 cm lm.
----lil---5,=--·-!-- --f--c-"""""""11~~-+--·'-'--·--·-·~------l NjA-
Smnple An(J ID: '-/ · lf i3 · JZ • l ~ 2.
Sample ID Sampling Description (Smface litter type/depth, sample depth retention,
.. refusal, stone or rock, topography, erosion features) 4,y3,~.l ,v1K -4 t.1R ,r~. · '- "'J p..
-
··-·--Sample Recorded on Laboratory COC form and Container Labeled: ~ (N)
10/20/15
Project: ~ 'f S 61;.\28'.__ -·· -·-
SAMPLE LOCATION DATA SHEET
Name: Iv...:, "(:, i'Ov•1
{ ,J-?,~ ~ f Weather: GG<. """; .s ..J;l o y, v
1. Sample Area (SA):
SA Designation: __ 'j. ~ ( __ . _ Description: .... -·vJ c,.~¢_S ______ .. _____ .. _ SA Origin Location: ______ ·- Coard. System: _____ _
SA Land Mark Description: ____ ... _____ .. ~---- ·· Coard: ·-·----·-
2.. Sample Location Data:
Sample Area ID; ~'{{J__. ____ Malri:<::. $c.. ·.) .. -
Location Coord: t.J '12 u -~ 2..' 19. <-/1_·' __
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (O,O)_f'Jj£____ Y Dist. from Origin:!.'?/ N _,, __
Sile Sketch Attached (Yes) (@)
Sample Location Description: _L...Ju~.:.;_ \1 oo. v+-_b_~Y.~---------Canopy Type: Ope r. .. Land. Use: JL;_~- Soil Moisture (Wet, dry, etc.): "D 1")'
3~ Location Radiation R~adirtg.s~---f .. _____ ,,_· -·-· -----·-------- ·--2x2 Nal ; Bicron Notes (c m) • (uRem/lir)
Count time l cm lm l cm Im · ' (min)
4. Sample Information:
D b D escr.iption 'Y cpth: Deptlt Soil Type Soil
Interval (Org; clay; Color (cm) sand, etc_)
0 ·- 11"" -60\\ i.~.·1
1'5 -30 So; '/sc.-C £$.'I:-<-""
---- . ___ .... _. ____ , Sample Area JD_- 4' y (.. g. I \. I r ~
--· ·-· r---·-- ---~· ---------.·-------Sample JD
·---·-_tf.4/C.. e.!_i_.1_ .. 4 ,i-1(,. 12. •. J.~--
Sampling Description
~·
( Surface litter type/depth, sample depth retention, usal, stone or rock, topography, erosion features) re~
_.!"' I~ f.J ,.!::'_)
°36 ·l.>O ~ ,,-; \I'S c--.d Etii...-." H '-{C..R.l, 3 LJB, __ _ &,o-1C'O 50(\0 ~f1t,v"' :f.'fc,g. i!. .. L _t:J t }'.:\
-· --·-- -·-·-··J·· ·-· ·-~·-··--- ..... -- --·· ·---- --- ··--~~--"• --- ---·----
... ---· Sample Recorded on Laboratory COC form and Cont~ine:r Lab.eled: @J (Nf
10/20/15
--~~ ~·.»
SAMPLE LOCATION DATA SHEET
Name:_ ·-r;;;, . Rro_,.,f\.. ___ _
Weather: Cc.~"". ~ \Jlfl'f,.
l. Sample Area (SA):
?o .....
SA Designation: _ 1· '-/ (. ··---- Description: _[;'J o<>d 5 SA Origin Location: ··- ___ .. ···----- Coord. System:
SA Land Mark Description:----·----------- Coard:
2. Sample Location Data: .
SampleAreaID: L/ ,LfC Z. _____ ._r1..fatl'ix:_~c:1\ __
Location Coord: rv LJ'i :Si l~·'-17'' __ tJ-1 '7"01 I 'ii I~'?
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0)-41J-~- Y Dist. from Origin: ~ ..... /ft'-----
Site Sketch Attached (Yes) @
Sample Location Description:.. lJJa.;:lclS \'\.Q.o:_\J·7· ... t:i';;JS\-. -·
Can~py Type: ~ Land Use: µ;~\\JS __ Soil Moisture (Wet, dry, ~tc.) . .J2t..'f ~~
3. Location Radiation Readings: ......... - --·--·------ ,...----..... 2x2 Na! Bicron Notes (cpm) (uRem/hr)
Count time !cm I 111 }cm 1 rn '
(min)
~1.~~ ~~j ~ 1
'---_I ___ 770 5_ J1ii ·····• I gc~n ·-'" 7oc,7 --·-~ -... ___ AJ/B.-...
·- --- ··-
·--
··-··
4. Sample Information: Sample Area ID: {../ .'j(, 'f!-, 2.. • f-ff _
.---__,,_~-"--_,,_--~--......----·--
Sample ID Sampling Descriptio11
.,_
--·-~
Soil Color . (Surface litter type/depth, sample depth retention,
1--'-----'--1----'~-'---+----+---· ____ ~~1sal, stoiie or rock, topography, erosion fo~ures L !---"---'--~ . ......,_<.::---+---1-=--c=....---+__,i. '1 LJ?:b.J_ . -· I f'~-f------+--~-~~-=-<.:~--L..·....I....>«-'--' £2_"-·~- . .£.. /_ft_ ··--·--·-.. ···--·---------;
.:s0-t;,0 . ., (. g_d. · -..tJ-+.e'iffW.·---··-· ··--·- ____ _ <eo-10:
1
• • 4,1.f(,fJ~··· -~3-~el_·----·-··--·----1 1--=,3""-o_-..;;.ep-=o:.......+=c..=.:~-=--"---l-"B.="""'-=· >\. tf, 'fl.. l?-·Z::_L .... t!-/--f:!.---·· .- ··-·-··----------·-1---~---l-----~----+--· ··--·--· ,· ... -·. ···--··--- ·-~-----L__ __ __._ ____ _.__ ____ ....J...____ . ------
Sample Recorded on Laboratory COC form and Coutainer Labclcci: (Y) (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Project: ----111i.f;-J'?Qfj __ ---·-·····- ·-
Weather: lJovJV>., <-«iv-<, 9J.1r:pt)··'JO · •· _
1. Sample Area (SA):
SA Designation: Lf, 'f{, Description: ·_vJu;;ds,. "Erv~\.._ SA Origin Location: --···---- Coard. System; __ _ SA Land lvfark Description: ____ Coord:
2. Sample Location Data:
Sample Area ID: 'j,L./(. '3 _____ Matrix: ~_:_L_
Location Coord: rJ qt,• 3z.' 1 q, 'i 1 ,.
Alternate Location Measurements (distance from SA origin and Local Coord_) X Dist from Origin (O,O)_J:!J/1 Y Dist. from Origin: AitA
Site Sketch Attached (Yes) ~
Sample Location Description: \,~ou::l.s, h2CIJJ-f .. m-~~1_,..1--+·:p ..... r~'i~C~~-4?_···_t _ _s_· ------~
Canopy Type: _Q~f\ Land Use: ____llit~n~--- Soil Moisture (Wet, diy, etc.):~--
3. Location Radiation Readings: ·- ·- .-·····-... --~---·
I 2x2 Nal Bicron Notes (cpm) ; (uRem/hr)
..
Count time !cm lm 1 cm ! l rri (min) I
- ... -··.· ·--=--~-~---·-"""''
J &J·~ I 7& '{() 5 f-•.li ~ JV j r+ - _ .... __ NIA I 8o7i 15'3Y
' ..
.. ---·-······· -· -.- -· ·-----
4. Sample Information: Sample Area ID: Lj, L/C. R. 3. 1-_-:z_
D b D th escnptton 'Y ep --·· ··-~. --
Dept ft SoUType Soil Sample ID Sampling Description Interval (Org; clay; Color Surface Jitter type/depth, sample depth retention,
(cm) sand, etc.) 0-t \ So.,\ ~ t.j','-ff .~---~· 1r-'3u .So, I
·-- Bt1:.f...'''- \..(, !../(,.. ~' ~. ~-···
fu~, ~~one or rock, toEography, erosion features)
tf 8. . _fr__ ..
-. ·-·-~----. ------~
... .. ·--·
>-----·- ·-· 1----· -·-··-·--
... ··-···-··•»•
-·· ntainer Labeled: ~! (N) Sample Recorded on Labondory COC form and Co
10/20/15
SAMPLE LOCATION DATA SHEET
Project: N 't S6_1?1}fi ___ _
1. Sample Area (SA):
SA Designation: Lj , J·f C ·---··-SA Origin Location:
Description: _...._j,\.,..l.,.,.:iu""''c'""-4=s'"--------Coord. System: -----
SA Land Mark Description: ·-· Coord:
2. Sample Location Data:
Sample Area ID: <-/ 1 L{ G, L.j_ ___ Matrix: So·, \
Location Coord: 1\1 !{Z~ ·3z,'" 1 (S', ~<.. Ji::!. 7~' I ... '-/ z; ~I\\.··----
Alternate Location Measurements (distance from SA origin and Local Coard.) X Dist from Origin (0,0) Ni Ir Y Dist. from Origin: Ni A-
' I
Site Sketch Attached (Yes) ~
Sample Location Description: Woud.s, 'uv\l~\mo.\- 0.~0LJ.~··~---~----------
Canopy Type: 0 ~ etc.): Di"'/
y ·-·-
Soil l\.foisture (We1, dry,
3. Lo Rd. . R d" cation a 1ation ea 1µes: 2x2 Nal Bicron ~ Notes {cpm) (uRem/hr)
.. Count time !cm lm 1 cm lm
(min) '· Jo1-i
··~
I 751'i _ _},Q__+· -:; NL/4 { X?'iS< :1 7{.qz. f'll A ,__ ... ____
....
4. Sample Information: Sample Area ID: 4. Lf (... 1<. • 4. j ~?...
D b D th es~nJJtion 1y ep: ·-Dept Ir Soil Type Soil Sample ID Sampling Descriptio11
Interval (Org; clay; Color (Surface litter type/depth, sample depth retention, (cm) sand, etc.)
·--·~-
refusal, stone or rock, toeograph).'., erosion features) Li-!\ ~~\ D.n:._,.s,.., Lt.iG.12;'\.l - ~!Pr ()-]O ~c. ~ \ . r-, ...... ' ' Lf, I.{(,' R.-.i.\ ' ?_ Hj1L_ ·-
--··--··
---·-· ----····
·Sample Recorded on Laboratory COC fonn and Container Labeled:\.QY (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Project: tj°'/ $0e.{}.A" __ ,,, _____ _
1. Sample Area (SA):
SA Designation: lf , '1 C Description: __i.d_uc_" ....:·t:=-\ """~--------SA Origin Location: .. --·- ~ ..... ___ Coord. System: ____ _ SA Land lv!ark Description: -·· Coord:
2. Sample Location Data:
Sample Area ID: '{ • '-{ l. 5 1\fatrix: 5o ~ \
Location Coord: N j z" .~;;,- 1 l? 71" _{!j _1._7_" 0 J • i I , ':/.~z.._" __ _
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) µit~ \' Dist. from Origin:-· N 1 R
Site Sketch Attached (Yes) @ Sample Location Description: _ _.t~....,'o=· c,X-~ /4w+ (:.Jeed _________ --------
Canop)'. Type: ~--:r..V1 Land Use: _lli/(-.1 nS; Soil Moisture (Wet, dry. etc:): p,~ -~-- J
3. L Rd' . R d' ocation a 1at10n ea IUIDI: ·- --
2x2 NaI Bicron Notes (cprn) (uRem/hr)
_.
Co1mtrime 1 cm Jm -s lm (min)
·::..-~
, w~" .. .-:-;
I xvt?r ·7 %4 2, 1J I Fr '---•
I. ~Z.! 3 7 7'2..9 ------·--"•
4- Sample Information:
Description by D h ept ... Deptll Soil Type Soil Sample ID Sampling Description
l11terval (Org; clay; Color (Surface 1 itter type/depth, sample depth retention, one or rock, topography •. erosion features) {cm) sand, etc.) refusal, ~t
0-1) ~~\ R,'"",...'' 1-/.~,. f2. .s ti. i.Jf Pi I \-_{O So•'[ P.-..~ '-I, '-I c . i2. \. 2. .. l/'J I rt! .---·--------------1
'--------· -----·---
... --····----·-'
-Sample Recorded on Laboratory COC form nod Container Labeled: (N)
10/20/15
-~ ~WT~l.SER~ SAMPLE LOCATION DATA SHEET
1. Sample Area (SA):
SA Designation:. Lj .'-f(, ···--··-···· Description: SA Origin Location: -· -·- ---· Coord. System: __ _ SA Land .Mark Description: _____ ···------ Coord:
2. SampJe Location Data:
Sample Area ID: j. '-f(,. y _. Matrix: So · \.
Location Coard: .bL!::fl" ~:.' ''l . .Jr,·-_
Alternate _Location Measurements (distance from SA origin and Local Coard.) X Dist from Origin (0,0) tJ 1 Pr Y Dist. from Origin: tJ / 8-,
Site Sketch Attached (Yes) ~)
Samp1e Location Description: _ ld0~~J leDJ (c..J~-------------
Canopy Type: _O_,·D~e_n ___ Land Use: _ _B~..,;_,T1 -· Soil Moisture (Wet, dry, t
etc.): PC)
3. Location Radiation Readings: 2x2 Nal
-~-··---~-----,..-~----------~----.. i<t Bicron (uRem/hr)
Notes (cpm)
--· Count time l cm Im 1 cm. ! 1 m
(min)
:~::-1=~--~=. __ :·_··~:~)=)~.~~-'""'7 7=-~=_--:=_:~-.=_7_Y=~--~-4~3-z.)·~-~---=-1a-~--=~=.=~J*=_.-~0'·.= __ ~-.--=::=N~~I~ fi'~==·· __ ··=·_-~-~~~~~~~~~~~ 4. Sample lnfol"matfon:
D . t" b D h escnp· ion >Y ept : Dept/I Soil Type Soil
Interval (Org; clay; Color (cm) sand, etc.)
0--1~ ~0"1\ k, ...... I) -?-.c so·.' '\\rc.y•--
-·
Sample Area JD: 3.!:LG . R. lo. 1-z
----~·----·-
Sample ID
--4 .'-/G R_,~I lJ L/l. 12 • ~?-
...
--····--~ ..
Sampling Description (Surface litter type/dept
refusal, stone or rock, to -- .
h, sample depth retention, pogra h , erosion features)
,.J i Pt fo.l iPt
-·---·---
I ·-·
··-·--------!
Sample Recorded on Laborat-0ry COC form and Container Labeled: (N)
10/20/15
-SAMPLE LOCATION DATA SHEET
Date: JJ-)/)-Js -I . -:J
Name: IOt) Dttft-"'I"\--
'" th . ..,_ r!;f_ vi! ea er: _<;.c.-\ .....,., "':, vf\O'j, '.">'-
1. Sample Area (SA): ,~.y~,;.
SA Designation: '-1~·___..Lf~L~--- _ ··-· ___ _ Description: ~ l,....;. c.cc\s ___ _ SA Origin Location: Coord. System: ____ _
SA Land lvlark Description: ___ _ Coord:
2. Sample Location Data:
Sample Area ID: ___ 'tJ_ :LC.:.: . .J_ -··. Matrix: --~(;j__
Location Coord: IV qz:· 3i I~. s s· Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist from Origin (0,0) ;J/ Pc____ Y Dist. from Origin: i\J j A-
Site Sketch Attached (Yes) (~
Sample Location Description:_ l.-0ea,·\~_jlgci,__~.1 \-.... )('-.~.:;<j\\ __ ):-1\ch--· 1i.:...;.~~~~
Canoh~; . . 0 pen ...... _Land Use; ):t[k.,.;~- So;J Mo;sture (Wet, dry. etc.):_ . <" __ _
3. Location Radiation Readings: 2x2 NaI (cpm)
Bicron (uRem/hr)
Notes
Count time I cm 1 m I cm .... T-· --_ i-m (min) _
4. Sample Information: Sample Area JD: _j.__':f~. 1"-·.1-: .. !.::.'!i_<
D 'f bDth escrtJ)' ton 1y ep· Deptlt Soil Type Soil Sample JD Sampling Description
Interval (Org; clay; Ct>lor (Sutface litter type/depth, sample depth retention, (cm) sand, etc.) . _refusal, ston~ or rock, toposraphy, erosion features)
~Q-=-~- - ~-6.l_ ___ --- 3 ("t><..:--n !J./-1 G. ra.. 7 I 1\Ji A --~-~ . JJ/fl IS-3o .);:.)./ ~., tf .~c. R. .1.z .
-~·~--·-~··
_Cr·-/<_ __ ~-Ii .. ___ "tsrr>.·-"~=-- ~.<-.:fC· 7.~ r-JJ~ •
·······--·- _ ...... ·--·- -···-.. ···--·--· .. -
--·---t_ Sample Recorded on Laboratory COC form and Container Labeled: (Y) (N)
10/20/15
SAMPLE LOCATION DAT A SHEET
Date: _}l_j() -I( Project: ~ 'y.')E;f?...DA ------
1. Sample Area (SA):
SA Designation: Lj. 11D ·---·- Description: __,(,_,\J~o~'<_x~.\.~~) ______ _ SA Origin Location: . --·-·----- Coord. System: ____ _ SA Land Mark Description: ______ ... --·------- Coord:
2. Sample Location Data:
Sample Area ID: __ !Jl[D.) ..... ,. _____ Matrix.: __ f::._l'l __
Location Coord: f'J t/2"'32. 1 I fl, <1z'' __ W Tic Ui' J;{ . .){ ''
Alternate Location Measurements (distance from SA origin a.nd Local Coord.) X Dist. from Origin (0,0) ('.) i P. __ Y Dist. from Origin: N 1 /\
~, ~.
Site Sketch Attached (Yes) @ Sample Location Description: __ J,...),)_l)~I S..,....b.eq__v_}'--.Dn..2~k, rJ.f9~17_,___·~~l~fc_ ....... ~it~"--------
Ca11upy Type: _9/.J ______ Land Use: Hd~+------Soi[ Moisture.(Wet, dry. etc.); Dr) )
.3. Location Radiation Readings: 2x2 Nal (cpm)
Count time lcm lm
-· _..-- .......... ---··---.... --------------~ Bicron Notes
(uRem/hr)
lcm lm (min)
1-=c-~-=====9-=~~~~~"'7=~~~=~_,,,,. .,, .... =~--"'*~-~· __J_ ___ . ., _ ___!J_Gz~o _ _,__7}] 7 _,. __ ., '7 5 !:!i8 ... ........... __ -·----~ ...... ~ ) __ -+--.fe_· '~'?'-/-+--- 7 2 7 "{ . --- - ~-----+-·- --•"' -·- -~.ltr.---·-------l
1 ~---~-----~----~----~~------"~
4. Sample Information:
Soil Sample JD Color
L>V -jvo
SampleArea ID: '],'-/0 g. I, 1-'f __
Sampling Description (Surface litter type/depth, sample depth reten11on,
refusal, stone or rock, topogra hy, erosion features)
o-------t-------+---·--<- ........ ---·------;1---------------------!
Sample Recorded on Laboratory COC form and Container Labeled: (N)
10/20/15
SAMPLE LOCATION DATA SHEET
Daie: tf-<t)~rS- Prqject: NY~:E>1"2.Df)_ __ . __ _ Name: fL)•"J BrD ·-·-·---·
1. Sample Area (SA}:
SA Designation:· 4ilj1) Description: itlx; d 5 __ SA Origin Location: ---···· --·- Coord_ System:
SA Land A1ark Description:---------··---.. - ·----- Coo rd:
2. Sample Location Data:
Sample Area ID: __j~_._l ____ Matrix·: ___ 'Sc .1 I
Location Coord: ..tJ..!:1.L''J.2.'L~:, .. :? 7'' --···· ____ bl_l'i~P..~~_-,--Q. o1 _____ ..... . Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) tJ /Ar _ Y Dist. from Origin: --1:f.J /~
,• '" . I
Site Sketch Attached {Yes) (@)
Sample Location Description: &~l- c.d ':i ___ 9ru._· '"""J h.. ____ ------
Canopy Type: OtE-n ____ Land Use: __ H1l-lnc.i Soil Moisture (Wet, dry, etc.):______ ----Y---3. Location Radiation Readings: . .------------------.------·-·------,,....-----------·-·-
2x2 Nal Bicron Notes (cpm) (uRem/hr)
Count time I 1 cm l m l cm 1· lm
===-- ----r1017 l - . T /v[H""·· --f--.-----~__,_·f_·-"_··_j--i----=XQ_,_~--+-[ -'---liQ~l~-~~---······~ _, __ s_-_____ -_:-__ ·_-_,__:L== __ = __ ~_-_·---l .. 4,:·;V_/1--'-¥---'-1:--=--=--=--==-=======:
(min) _
4. Sample Information;
Depth Interval
(cm)
Soil Type (Org; clay; sand, etc.)
Soil Color
Sample Area JD: _.!f .. '-/ 1J . {2., 1 J - -s-
-·······------·-·-··--·-------~
Sample .lD Sampling Description (Surface litter type/depth, sample depth retention,
. -~efus~!?.~~.?r. rock, t~~__r~~~:.osion features) ,Q. 2..\ ...
15"-:$D 30---UC_· _, -!--'=
CiD-tro
I t./D, R~~ .. -.J:!.J.B__~~~---· --··------------1 '--=---f-'~=--i.~~4'--'--',ii)..~-2.~ '
--l-'-"~"---1--'~~· ~D.:Jk:L,_1-f .... -... ·-- ·---·--···. --··---·--~ !.?. .. ::;30 i.i.l../Q.1'2--4-...!.~s--1-~~------------------1
··--r- . . . .___Sa_rn_p_le-R~e-c-o-rd_e_d_on-L~a-b-o.-ra_t_o_._ry--C-.O-C-.-fo-r_m_a_Hd~.Coutaiacr Labeled:~;..,~ -(N)-------------'
10/20/15
SAMPLE LOCATION DATA SHEET
Date: 11 j 30 ( r). Project: t~ ·--i S E: RD~
1. Sample Area (SA):
! '· I '. (', \ J ' ; SA Designation: I '-I u Description;~:.~""'~· ·-· il_--r __ _
SA. Origin Location: -·--· -·----- -·- Coord. System; SA Land i\1ark Description:---·-··--·····-·--···-- Coord:
2. Sample Location Data:
Sample Area fD: ~·~-~_) ___ Matrix; . _)~_l __ _
_ 1-3~_L_JI .. Jl~J .. ... _ Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: _____ _
Site Sketch Attached (Yes) (fNcir '·
Sample Location Description: S 1 ·t~iv.+ -~' r i ,:1t;._t-~Y1~ }rl'..;, r · ;i JL r ~ h 1 fr i ct_:!L).-cl .YJ. d I ~Jl,v'?) ( ( / .. ,?.r ~ J)
Canopy Type; lf""t'.t:i l! L4 o £.h_ Land Use: h il:'.i n ~ , CL__ Soil Moisture (Wet, dry, etc.): dumf, flC• ldi.i-~..--
3. Location Radiation Readings: 2x2·Nal ( cprn)
Bicron (uRem/hr)
Notes
Counttime 1 cm l!iii =t ~cm I 1 m ~aj I I
__ L __ ~-'-~~-_,t.5_~-. --+--~;),' ~.c:_ · :=1-~-=. ~s-::::::~~~==,___tJ~.ltt"O-' ...... =::_-:__~=-=-~~-~-.='4 r~ .., r .J -~fllL'A __ .... _ --- ·-·--__, f-----'---+---'-~-'-'--1--·--m ___ , --·- - - .:tl -
'--- ---- --- --~----------------'
4. Sample Information:
Soil Color
Sample Area ID: -~· '1 . D. R. ~. r ~ ~
Sa;;,ple JD I Sampling DescriptiQ11 . (Surface litti::r type/depth, sample depth retention,
1----'--<---l---<----""--1-----1--·-- ·--·I refll'>al~sto!1~-or rock, topography, erosion fea!~es) 4 .Y . D R. ~ I ·h .> ,.... 2:L_ ____ --------~
, ______ .. __
-r-----+----1-·--·-_,,_-:_---=t= .. -=-~·~-----·------J '----~-~"----.- - -.. ---1·----~-- -----·--
Sample Recorded on LaboratOrJ COC form and Container Labeled:® (N)
10/20/15
' . ' '
-~--~ .•-. . ~T~LSER~ SAMPLE LOCATION DATA SHEET
Name: '3. B~~--:'.:'I
1. Sample Area (SA):
SA Designation: Lf. '-f 0 Description: ~,;~·rL d ___ ~:': ... __ -·-·---·----SA Origin Location: --·---- --- .. -·-·.---- Coord. System;_ ..... - __ _ SA Land JVark Description: ----·-·- .... - .. - ........ -- Coard:
2. Sample Location Data:
Sample Area ID: L/ .y l) !Z.._j ____ Matrix; _:._r;j_ ___ _
Location Coord: 4 '.). i._-3.£.!] JL.!~ __ 11 " I 1 }y__,_~·-~) ___ _
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (0,0) Y Dist. from Origin: ---
Site Sketch Attached {Yes) fNO)'\ . ' '· .
Sample Location Description: .( !cJ.<b~±!-~-~£"_).!:V'dD·· II: ~~r-l. -b-n )_,.. gr~·-:'1C'{ br L :,[..., rho.ct IY..1 .. N:/.) t
. ' 'I- ::rf.1 r)Cj ( d ~J.rP..J\ \ Canop:y Type: ~-1'1~. ll.'. oe") Land Use: l·1 1b i-o'i ~ •·-'-c -~Soil Moisture (Wet., dry, ·) etc.): d.'..\vv1p
3. Location Radiation Readings~ .-------------'---=---...-------··-- ,..-_.. ... ----- ----··--2x2 NaI Bicron Notes (cpm) (uRem/hr)
!cm lm 1: I crn !m Count time (min)
"'_=_:_i,......<=_ =_,,,,,,,-+·_:ci.t._~111:-_-:._-_~+,_...-, .. ~-...... i_-~G~~'""'··~F'-=-.. ~~-~-~= .. =~i~-5===1;,,=~=t\l=l"""; H-7=~ ~-,~~=~~-~ ... ~ ... I - <Jl-i .J.. 'GL • .)J, -- ---t--·----... ,_-~,~'-'U,~trfl,___ ---··-·---
--------'---...o-~~~---1---.--"-'"'-"'-"""---11-- .. -=r_-___ ~--------- ..... ---------' 4. Sample Information: Sample Area ID: -~ .. 4 .D. fl.. ._':Ll:_ ~
D b D h escr1pt1on IV cpt Depth Soil Type
.,----Soil Sample I
--------·-------D Sampling Descriptioll
lnteri•al (Org; clay; Color (Su1face litti:r type/depth. sample depth retention, ~fusal, stone or rock, topogrdphy, erosion featll~es) (cm) sand~ etc.) ...
r, . i)- ·-h,,,~, I 1="!~·~.,,. ...... i.l .1..1. O_~g .':l 1<;. )0 ft . .,,~)l; I ~:.-~ .. ...., ll.'-1.i) K '-I ---
. I +~ . ....; or:-:L. ... ·-----·--...... --·-·-------i ..:..d_ t\'\i'_,.,l{ ·Ct-:!'>-·---------------;
--.--... -...... -- ___ ,, ___ -------!
-->-·-- ---····~-------·~---
-------........--.--~- .•.. ~ ---- ··-···-----·---.. --- --------·--["·-·-·-----· , ...
Sample Recorded on Laboratory COC form and C-~~;·tainer Label~-d~~-(N}---·--·- ... ···---
10/20/15
I~ . "
SAMPLE LOCATION DATA SHEET
Date: . n ( ){;_~ Project: _N_1_'{_)_f.: :~ {_;.4_·· -· ... _· __ _ ~ .'\
Name: __ J. l~-~-'-·'"J ____ _
1. Sample Area (SA):
SA Designation: L{ .t]J2.:_ ____ ....... __ Description: wMcLJ_ ___ ~-f ... _ ........ _____ _ SA Origin Location: ~----· Coord. System:~ .. _ .. __ _ SA Land Mark Description: -·- .. --·-- Coord:
2. Sample Location Data:
Sample Area ID: Y .<-! Q __ R.. S' __ Matrix: _ _)_r..,:(. __ _
LocationCoord: LflL ')J-1 r1.~~· 1 !1.{_ _ ___ (I" 1 __ '..3"L .. ~~!. 1~-~).
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (O,o). Y Dist from Origin: __ _
Site Sketch Attached (Yes) ®-0)·· .. _\ Sample Location Description: .('.'.! o_+,.i-n .. '-> , ll'fi~d b, 1;:,I, ~al._r-ri ~1..-··) i~o d l.;;.'.l . .viJ ,. sf-1 u{'.j (d~.J·<~JlJ .
Canop~ Type: pr>,--\-,~ ~~.'.4--~~.L Land Use: h1-V.c ..-,:~j...,..Lt,f,, __ Soil Moisture (Wet, dry, etc.): O.'J. "'' f
3. Location Radiation Readings: ... -·-----~---,,,--------.. ·------2x2 NaI Bicron Notes (cpm) (uRem/hr}
i--C~o,.,~m=:=~~~;m===e=l===i:,,.,.,,.l,=~=~n~~-.. ~ (,ll.m.,t~ . ~:: _,Jf .. ~ .. --=-I m=~~; =~.,J=, ,~lil-== .. w•·= =~-.""·~=-====I ~-··---1---------+----r·1-;;_ =f
1 I _ 'f. [ I --·----·-
'---'---' ---'--Cf-/Lj-7j--. .L.---··---·-U'-__ ~=r-_ .. _-·.---.. -~:--_-_-___ !J--,_/,---·-·--- .. --···----
4. Sample Information:
D b D h escription ~y ept : Depth Soil Type Soil
l1tterval (Org; clay; Color (cm) sand, etc.)
-u- -l-c1 ::':('. I .b~o\,J~ ,,_-.. - ""
l~. :,o l,.,r <~.'.I b,~L,,,,
·-
____ .. _
,___
I
Sample ID
..f .•-i. 0 "i"7:-r"'"' (<., • . :
Sample Area JD:-~ .Y 0 · R. \ { - J...
----·-···· ... Sampling D escription
(Surface litter type/depth, ~usal, ~tone~~· topo
{- ~. \i, ,I ( c':. -:t5 . -·
sample depth retention, graphy, erosion feati.;.res) _____ , .... --...
4. <.l . (). f~ .. _r.. ;J, .. ~---· ff\~·-~,. .. _u.:.:lli ... __ ····
··-·--·~·- - ·-· ___ .. __ , __ _
·----.-·-···-~ -· -· -·---·----
=-=t·-· ·--- -··· .. Sample Recorded on Laboratory COC for.m and Container Labeled: (!'YJ:, (N)
10/20/15
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L___
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I
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·-···.
SAMPLE LOCATION DATA SHEET
Date: //-.{()-f) Project __Jj,Y.5:&__f:.,.I::f_~: ___ _
W th \ LJA~{ ea er: Cf" v- , 'S ~It'\ 'f..,_, _..lJ-<-=..v __ _
1. Sample Area (SA):
SA Designation: '-\ . '-/ D ·---- Description: _1'\J_' (;._· <::-:.J ~-·------··-·-SA Origin Location: -----··- ----·-·-·--·· Coord. System: __ _ SA Land Mark Description: Coord: · ----····-·--- ·-. ------... -
2. Sample Location Data:
Sample Area ID; L(. LJ., D. i(. L,, Matrix: S" :1 --·- ---~· ····- .-.-
Location Coord:
Alternate Location Measurements (distance from SA origin and Local Coord.) X Dist. from Origin (O,O)__tJ-fJ:1:-_ Y Dist. from Origin; /IJ/ f2r Site Sketch Attached (Yes) tf!li»
! I . \, Sample Location Description:N ood 5 ; O(=f1.,-_Q.l.tin.~ \.<.._ ___ ... --
Canopy Type: Open etc.); bc7
Land Use: _JdLk.inr-Soil Moisture (Wet, dry,
3. Location Radiation Readitigs; ···---·---... --·---·· ·--···
2x2 Nal Bicron Notes {cpm) (uRem/hrJ
Count time l cm Im . · 1 cm J Im I ..
(min) 1·
-7573 . 5 ~~f.:/"\'"- . .... --~,.,.~ • .,.~~:'IC·":'W
I lfD WO t== _:;______ J"JJ:'_ - --I 8/o"-1 rt.!! _____ . ·--~- . --·----··-
l - ··--·-·-·---- ·------------·-·· --··-·· -~·-····------
4. Sample Information; 4 u " ')I I :.-\ < Samn/e Area JD: · • . u. ''- u. - u. ..l r -----··-·~
D b D h escnpt1011 ~: ··--··-Dept II Soil Type Soil Sampl
Interval (Org; clay; Color elD j Sampling Description
(Surface litter type/depth, sample depth retention, (cm) sand, etc.) .. ref~~J.:.;;ton~ or rock, topography, erosion features)
_?· i'S" So;1 ~- _j~'i:_Q .. L~_I, 1-t}.l (f --····
I$ . °)<.; ,Sc;:\ Rn. "" 0- 1·; ">Oil Rrtii.,u·"' ·---·-
·-~·
t!. '-1. iJ. R 4.4.0.f<
~---··
·' '-·-·------· - - __!:if.ft. .t,,.S""_~ n-- ...
I .... -- .. -·------
·--· ··------···--
. ·-·· -~-=---·=r ...... ...__._.._ _ _, ·--- ··-·-··-..
·= ~·------·-· ·----·-··-··-· -.- ..... - ..
Sample Rec1>rded on Laboratory COC form and Container Labeled: ~ (N)
10/20/15
--------
