Name of Individual Completing Sheet Type of Sample Lab ID # Date Arrival at ISDH Radiochemistry Lab Time Write the information present on the outside of the sample in the corresponding blanks below: Collection Date 1. 2. Sampling Point or Location Collection Time Sampling Size, including 3. Monitoring Team # 4 Units Complete the following for air filters: Average flow rate Flow Rate Sampling 5. 6. (cubic feet per 7. Correction Time minute CFM) Factor – 8. Filters present Particulate: Silverzeolite: Volume of air 9 sampled (Cubic Volume = CFM x Min x CF x 2.83e+4 = Cubic Centimeters Centimeters) 10. Analyses Requested by EOC: Gama Scans alpha beta Date Time Date Time 11. Forwarded to EOC 12. Received by EOC Master Sample Log LAB ID SAMPLE SAMPLE RECEIPT ANALYZED STORED COMMENTS NUMBER INFORMATION TYPE DATE/TIME (YES/NO) (HIGH/LOW)
Name of Individual Completing Sheet Type of Sample Lab ID # Arrival at ISDH Radiochemistry Lab Date Time Write the information present on the outside of the sample in the corresponding blanks below: 1. Collection Date 2. Sampling Point or Location Collection Time 3. Monitoring Team # 4 Sampling Size, including Units Complete the following for air filters: 5. Sampling Time 6. Average flow rate (cubic feet per minute – CFM) 7. Flow Rate Correction Factor 8. Filters present Particulate: Silverzeolite: 9 Volume of air sampled (Cubic Centimeters) Volume = CFM x Min x CF x 2.83e+4 = Cubic Centimeters 10. Analyses Requested by EOC: Gama Scans alpha beta 11. Forwarded to EOC Date Time 12. Received by EOC Date Time Master Sample Log LAB ID NUMBER SAMPLE INFORMATION SAMPLE TYPE RECEIPT DATE/TIME ANALYZED (YES/NO) STORED (HIGH/LOW) COMMENTS
Starke%20County%20Ingestion%20Pathway%20Plan.docx