Property Assignments Data Sheet Serial Numbers location relative to other structures such as old...

VARIANCE REQUEST FORM ( of 3)

Date: November 24, 1991

Document: Quality Assurance Project Plan (Sections 5.2-5.6) December 1990

Activity: Field Records and Data Collection - Vicinity and Satellite Properties

Requested Modification: Bound field notebooks are not utilized for the collection of data duringthe investigation of Vicinity and Satellite Properties. The following data sheet procedures, asdiscussed at the July 31, 1991 kickoff meeting, are described below for the project records.

Property Assignments

Properties are assigned to the NDL field team by Malcolm Pirnie on a day to day basis.Properties are scheduled for investigation at 9:00 am and 1:00 pm unless the homeownerrequests sampling at another time.

Data Sheet Serial Numbers

Each data sheet used during the field investigations has a unique serial number, asfollows :

Phase Description Serial Number SeriesI Gamma Scan Map 3000I Radon 4000I Indoor Gamma Survey 5000I Outdoor Gamma Survey 6000I Exposure Rate Summary 7000

n&IH Soil Sampling 8000II & III Downhole Gamma Logging 9000H & in Surface Alpha 10000H & IE Building Materials 11000n&IH Additional Radon 12000n & IE Gamma Logging Summary Sheet 13000

Sample data sheets are attached.

Data Sheet Assignment

Prior to a Phase I investigation, a data sheet package is distributed to the NDL team byMalcolm Pirnie. The data sheet package includes a Radon Data Sheet, Indoor and OutdoorGamma Survey Data Sheets, Exposure Rate Summary Sheet and Gamma Scan Map. Theprocedure for data sheet assignments will be as follows:

USR 001 1702


Data Sheet Assignment (Cont'd)

1) A property to be surveyed is recorded on the Serial Number Assignment Sheet byMalcolm Pirnie. For example: Block 22, Lot 7, 25 Lakeside Drive. Note that theSerial Number Assignment Sheet is in the custody of MPI staff at all time.

2) The Phase I data sheet package, as noted on the Serial Number Assignment Sheet,will be assigned to the NDL team by Malcolm Pirnie. During data sheet sign out,both NDL and MPI are required to initial the Serial Number Assignment Sheet.

Note that the data package for Phase I investigations consist of data sheet serialnumbers such as 3001 (map), 4001 (radon), 5001 (indoor gamma), 6001 (outdoorgamma) and 7001 (exposure summary). If a Phase II investigation is required at thisproperty, e.g., soil sampling, data sheet 8001 is assigned. The second Phase Iproperty data sheet package consists of serial numbers 3002, 4002, 5002, 6002 and7002. Phase II an III activities, if necessary, have data sheets with the serial numbersuffix 002.

3) Data sheets are utilized by NDL in the field and returned to MPI. The SerialNumber Assignment Sheet is again initialed and a Chain of Custody Sheet notebookis signed.

Data Sheet Completion

1) Data sheets are completed in pen. Any changes or corrections made to thedata sheets are initialed and dated.

2) All data sheets are signed and dated by NDL's team leader.

3) General conditions of the surveyed property (type and condition of structure, groundconditions, location relative to other structures such as old train tracks or brook) arenoted in the comments section.

4) Data sheets are returned to NDL if they are not completed correctly.

Rationale : Over 150 properties will be investigated during this project making data recording innotebooks impractical. As written, the Field Sampling Plan (FSP) is not consistent with the QualityAssurance Project Plan (QAPjP). The FSP contains examples of the data sheets while the QAPjPindicates that field data will be maintained in a bound notebook. Serial numbers on data sheetsallow Malcolm Pirnie to trace possession of data sheets at all times. Once the sheets arerelinquished to Malcolm Pirnie, copies are made and the originals are placed in the project fileunder lock and key. This reduces the possibility of data being lost or damaged in the field.

USR 001 1703


MPI Health Physicist ( {

MPI Site Manager

Remedial Project Manager

cc: Dennis StainkenKris Krishnaswami

Attachments

USR 001 1704

MALCOLM PZRNIE, INC.U.S. RADIUM SITE

RADON MEASUREMENTS (PHASE I)

04000

BLOCK: LOT:PROPERTY ADDRESS:NAME:

ATD#:DURATION

(#mo.)INSTALLATION

DATERETRIEVAL

DATESAMPLE

LOCATION*RESULTS(pCi/L) COMMENTS

*SAMPLE LOCATION:B-basementL-first floor

LF-first floor near fireplaceU-upper floor

SURVEYOR SIGNATURE: QC CHECK:

~*

USR 001 1705

BLOCK AND LOT NUMBERj_

NAME AND ADDRESS: _

INVESTIGATOR:

MALCOLM PIRNIE, INCUS RADIUM SITE

RADIATION EXPOSURE RATE SURVEYINDOOR GAMMA SURVEY

DATE:

TIME:

05000

(/>Tl

COORDINATESX Y

cpmsurface

cpm1 meter

COORDINATESX Y

cpmsurface

-

cpm1 meter

COORDINATESX Y

cpmsurface

cpm1 meter

EQUIPMENTRATEMETERDETECTOR

PIC

MODEL* SERIAL*

BKQ(cpm):

CONVERSION FACTORcpm per uR/h

ooCOMMENTS:

NfO

BLOCK AND LOT NUMBERj_

NAME AND ADDRESS: _

INVESTIGATOR:

MALCOLM PIRNIE, INCUS RADIUM SITE

RADIATION EXPOSURE RATE SURVEYOUTDOOR GAMMA SURVEY

DATE:

TIME:

06000

COORDINATESX Y

cpmsurface

cpm1 meter

COORDINATESX Y

cpmsurface

cpm1 meter

COORDINATESX Y

cpmsurface

cpm1 meter

EQUIPMENTRATEMETERDETECTOR

PIC

MODEL* SERIAL *

BKG(cpfn):

CONVERSION FACTORcpm per uR/h

COMMENTS:

USR 001 1707

070COMALCOLM PIRNEE, INC.

U.S. RADIUM SITEEXPOSURE RATE MEASUREMENT SUMMARY

BLOCK: LOT:PROPERTY ADDRESS:NAME:SURVEY DATE:

TYPE(scan/grid)

MAX READING(uR/h)

MIN READING(uR/h)

AVG READING(uR/h)

LOCATION MAX READING INDOOR OUTDOORFL-floor PL-property line DW-drivewayWA-wall HO-adjacent to house F-front of house

___________YD-middle of yard B-back of house

INDOOR GRID

% area > background% area > 30 uR/hProperty area (sq. m)

floor wall

OUTDOOR GRID% area > background:% area > 30 uR/h:Property area (sq. m):

COMMENTS:


MALCOLM PIRNIE, INC.U.S. RADIUM SITESOIL SAMPLES 08000


SAMPLE #

SAMPLEMASS

(g)

SAMPLEDEPTH

(midpt in)

SAMPLEINTERVAL

(in)DATE

COLLECTEDDATE

ANALYZEDSURFACE EXP.

RATE (uR/h)

EXP. RATE ATSAMPLE DEPTH

(uR/h)

RESULTSRa-226

(pCi/g +/- s)Th-232

(pCi/g+/-«)

COMMENTS:

OO


MALCOLM PIRNIE, INC.U.S. RADIUM SITE

BOREHOLE GAMMA LOGGING

09000

BLOCK: LOT:PROPERTY ADDRESS:NAME:DATE:

BOREHOLELOCATION

DEPTH(in)

EXP. RATE(cpm) (uR/h)

SUMMARY:MAX. ER (uR/h): ______________SURFACE CONTAMINATION (Y/N): __DEPTH OF CONTAMINATION (in): __THICKNESS OF CONTAMINATION (in):SURFACE AREA (sq ft): _____VOLUME (cu ft): _________

Comments:


USR 001 1710

MALCOLM PIRNIE, INC.U.S. RADIUM SITE

SURFACE ALPHA SURVEYS 10000BLOCK: LOT:PROPERTY ADDRESS:NAME:SURVEY DATE:

SAMPLE #TYPE

(tot/rem)EXP. RATE

(uR/h)RESULT

(dpm/100 sq. cm) COMMENTS

/

COMMENTS:


USR 001 1711

DRAFFMALCOLM PIRNIE, INC.U.S. RADIUM SITE

BUILDING MATERIALS SAMPLES 11000BLOCK: LOT:PROPERTY ADDRESS:NAME:

oo

SAMPLE #

COMMENTS :

SAMPLETYPE

COLLECTIONDATE

DATETOLAS

DATE RESULTSRECEIVED

SURFACE EXP.RATE (uR/b)

Ra-226 Th-232(pCi/gW-s) (pCi/gt/-s)

SURVEYOR SIGNATURE; QC CHECK:

MALCOLM PIRNIE, INC. 12000U.S. RADIUM SITE

RADON MEASUREMENTS (PHASES II/III)


PHASE II/III MEASUREMENTS

TYPE:GRAB-grabINT-integratedCONT-continuous

DETECTOR:

RESULTS:


USR 001 1713

13000MALCOLM PIRNIE, INC.U.S. RADIUM SITE

BOREHOLE GAMMA LOGGING SUMMARY

BLOCK: LOT:PROPERTY ADDRESS:NAME:DATE:

LOCATION(x,y)

ESTIMATEDVOLUME

(cuft)Ra-226(pCi/g)

Th-232(pCi/g)

Comments:


USR 001 1714

MALCOLM PIRNIE. INC.US RADIUM SITE8001 -04-1103

SEFUAL NUMBER ASSIGNMENT SHEET

BLOCKANDLOT*

•

NAME/ ADDRESS

OAMMASCANMAP

3026

3021

3027

302*

302*

3030

30*1

3032

. 3033

30M

3036

303*

3037

303*

3030

3040

3041

3042

3043

3044

3045

3048

3047

RAO>N

40 »

4CS.I

40 V

4081

4051

40V

4011

40R

40 B

40 H

40~«

4Oi

40M7

40S6

4K«

4O-0

4»>1

4*4

40.3

4*4

40>«

40. •

40-7

INDOOROAMMASURVEY

6026

6028

6027

5026

6020

6030

6031

6032

6033

6034

6036

6038

6037

6036

6030

6040

6041

6042

6043

6044

5046

6048

6047

PHASE 1 DAT4OUTDOOR

QAMMASURVEY

8026

8028

8027

8028

8020

8030

8031

8032

8033

8034

8036

8038

8037

8036

8030

8040

8041

8042

8043

8044

8046

8048

8047

t PACKAGEEXPOSURE

RATESUMMARY

7028

7028

7027

7026

7020

7030

7031

7032

7033*

7034

7036

7038

7037

7036

7030

7040

7041

7042

7043

7044

7046

7048

7047

OkMPI

ITNDL

1MPI

NNDL

6026

6028

6027

8020

6020

8030

6031

6032

6033

6034

6036

6038

•037

•036

•030

6040

•041

•042

•043

•044

6046

•048

8047

a01

MPI

SOILUIPUNn

NDL

ai

MPIN

NDL

(02S

0028

0027

0026

0020

0030

0031

0032

0033

8034

0036

0038

0037

0036

0030

0040

8041

0042

0043

9044

8046

0048

0047

DCOAMI

(XMPI

I4ALOOIT

NDL

PHASE

LEOINQ

1MPI

II& III D

NNDL

ATASH

1002S

10028

10027

10026

10020

10030

10031

10032

10033

10034

10036

10038

10037

10036

10030

10040

10041

10042

10043

10044

10046

10048

10047

EETS

01MPI

SURFAIALPHAIT

NDL

X

1MPI

NNDL

11026

11028

11027

11026

11020

11030

11031

11032

11033

11034

11036

11036

11037

11036

11030

11040

11041

11042

11043

11044

11046

11O48

11047

BUlot

MPI

LNLDWKITERMIIT

NDL

1ja

iMPI

NNDL

12026

12028

12027

12028

12020

12030

12031

12032

12033

12034

12036

12038

12037

12036

12030

12040

12041

12042

12043

12044

12046

12048

12047

OtMPI

RADOfIT

NDL

11

MPI<iNDL

C(/)7)

OO

0AM

13001

13002

13003

13004

13006

13006

13007

13006

13006

13010

13011

13012

13013

13014

13016

13016

13017

C 13016</)•̂ 13019

0 13020O*•* 13021

t-i 13022M1-* 13023O ———

13084

HA LOex.

MPI

aQMQITHOC

8UMM1

HP)

ARVNNOL

14001

14002

14003

14004

14006

14006

14007

14006

14006

14010

14011

14012

14013

14014

14016

14016

14017

14016

14016

14020

14021

14022

14023

14024

(XM'l

ITNOL

1ft!FI

NNOL

16001

16002

16003

16004

16006

16006

16007

16006

16006

16010

16011

16012

16013

16014

16016

16016

16017

16016

16016

16020

16021

16022

16023

16024

OtMPI

ITNOL

1MPI

NNOL

16001

16002

16003

16004

16006

16006

16007

16006

16006

16010

16011

16012

16013

16014

16016

16016

16017

16016

16016

16020

16021

16022

16023

16024

OtMPI

nNOL MPI

NNOL

17001

17002

17003

17004

17006

17006

17007

17006

17006

17010

17011

17012

17013

17014

17016

17016

17017

17016

17016

17020

17021

17022

17023

17024

O<MPI

JTNOL

1MPI

NNOL

Property Assignments Data Sheet Serial Numbers location relative to other structures such as old...

Documents

Transcript of Property Assignments Data Sheet Serial Numbers location relative to other structures such as old...