InQrganic Soil Sarnpling Field Form · 2021. 2. 5. · ,_H ·S • " -z " :r ~B Q n o~ en ~ UI ~ 0...

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InQrganic Soil Sarnpling Field Form

.SO!llple Inforrnation

Property ID Nllll!bero PC• ¢/'6( Proje0t:C0lorado Smelter CPSA RI

Sample Collection Method (circle one): ---~' 1 Liner? 'iffN"). , Drive $amp~ I , Other: ____ _

Yard Hazards: {;J.:',j{ • ~ f. AL, ' -. ~ cT<di/\

Sarnple.LocationsRecordod(ciroleon~): - GPS ' ( PropertyMa)) Other: ____ _

Sample Identification Time

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- . Sampler Name /Signature/Date (relinquish custody of listed samples): ef.., IL, • >· 7 ·I -;;--

Field Lab Name /Sjgnatwe/Date (accept custody of listed samples): ~~ • ~-~ ,.-_ 7-15 ·~ --~<-

Page~3

Inorgal)I~ Soll Sampling Field Form

Sample Information

Property ID Number PC• ~ \ 8'J Date: S .=J-1 S- Starr!End Time; I

Projei;t,Co!orado Smelter CPSA RI SamJll"I"($); ~. II P. Company: \1.vi- lft .SampkCollection.Method (circle one): 1111+, W,l'ft... '

Line.r? Yi© Es;!~ YardHaiards· C~ {,r..e_, \'yl'j~ Sampje Locations Recorded(cirole :ne~ ~S C"Proper1yiiia_li) Other

Other: ____ _

Sample Identification Time No.of

:o,A/QC Incremental

Comments HO!~~ V/N

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InorganicSoil S!lmpling Field Form

Property In.forinatlon

Property Contaot Phone NUffi~e , Property Identification Code: PC- 0 ( g / Prop1<rty· Owne

Property Ad.dte11s:

Ombuildin~?'.fype?·_:::r;.:.:i.:..~~~il-f.::--Hf....:i!~L_~L:..!../~Jfi!CJ:f-~ll.):1-PorcQ/O!her: Ce> ii Q I~ d

Gutters:.-+.>..L------------------Spri!iklet SyM¢m present?;._'1-~~ ... ,,,_S ___________ _

Sample Containers: 4 ozglassjar 8 oz·glassjar Ziptop bagged ·

Condilion:__:;O_!:-"--

Condilion: G oo d Condition: ~az, CJ Locaf;ioh: [ Y 5 Y . J) Y

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Other: _____ _

N\llnber of Sample Containers:. __ _ :Preservative: 4°ct2°c ~Other: __ _

Analyses: T AL by 6020B aCP-MS\: antimony, arsenic .. cadmium. .copper. lead, zinc by 6200 .<XRfl

--"-""-~??·~ Reviewer Name and S1gnature;...,,~~~"'~='-'-...---"" "''--'&.~~!Yl-~"'-------------

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PROPERTY ID: PC0181

Project 14426 No.

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SURFACE AREA OCCUPATION BOUNDARY: 5497 sq.ft. SURFACE AREA FRONT YARD: 207 sq.ft. SURFACE AREA SIDE YARD: 318 sq.ft. SURFACE AREA BACK YARD: 516 sq.ft. SURFACE AREA GARDEN: 125 sq.ft.

Drawn By: CEB Date: 5/1/2015 Checked By: -CEB Sheet 1 of 1

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~Cldrk~lbJ f3J~ ~urv~ylnq•ALTA•Mdpplnq 1740 EaglerldgeBlvd. Suite 140 • Pueblo, CO 81001 • 719.882.1270

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Inorganic Soil Sampling Field Form ~

Sample Information

Property ID N1U11ber: PC- D :J.<o q !5"-18-15°"" >J>-lg-J'::>

Date: 5 I~ f "6d Start/:End Tnne: 0"/ZQ Project: Colorado Smelter CPSA RI b Mil\- Company: PIJI Sample Collection Method (circle one):

Liner? YIN ~ Other: -----YardHazards=---------------:::::=:=:::::---------

6oP~Other Sample Locations Recorded (circle one): GPS


QA/QC Incremental Holes VN Comments

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Sampler Name /Signature/Date (relinquish custody of listed samples):-r;:U-.; ,,_ A;. L .• A A .. c 'If--/

Field Lab Name /Signature/Date (accept custody of listed samples): R l.U; fl- -7 /. . L7.h .S-191'-/s~

Page lof3

Inorganic Soll Sampling Field Form

SampJe Information

Property ID Number: PC· D 2Je4 Date: £-1 i§if'.Ji~ Start/End Thne:O't.?Qt

Project: Colorado Smelter CPSA RI Sampler(•)~ &Ml ,I!) Company: i'c:.Ut Sample Collection Method (clrcle one):

· LineT?Y/N ~ Other:. ____ _

Yard Hazards·

Sample Locations Recorded (clrcle one): GPS (Pr~Map) Other:

Sample Identification nme No.of

QA/QC Incremental ..

Comments Holes V/N ,<:,fl, ,_,,._,,,V-NV'>1, '1>1 NII.I '7,...., Ii\

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Field Lab Name /Signature/Date (accept custody of listed samples): R w; 1+ ~-: q;zp;:;' S:-18-l s-

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Inorganic Soil Sa\llpling Field Form

Property Information

Property Contact Phone Number Property Identification Code: PC-0~ 6 'f Property Owner:

Property Address: Occupant:. ___ _

Type ofRoof: htM.if /j~·'iJl.e Condition: WJ Typ.e of Siding:._...:f/=µ_<>::><>.>.c ._c .. n'-------...------- Condition: #ti);__

Type of Trirn(windows, doors, eves)::--'~'--"=::""Jl'"-"-------------1~=::....::.--0utbuildings? Type? ~/sA-<A. Condition: t.co..&-Porch/Other: ~vUJt Condition: 0 /<._ Gutters:_JUn__________________ Condition: ___ _

Sprinkler S}'lltem present?.:_ .....1../\..:J/ls:L..:...· ----------- Location.:_----

Sample Containers: 4 ozglassjar 8 ozglassj~r~ Other:. ____ _

Number of Sample Containers: 4 ~ Preservative: 4°C ± 2'C ~Other:. __ _

Analyses: TAL by 6020B CTCP-MSl: antimony. arsenic. cadmium, copper, lead zinc by 6200 (XRFJ

Samplers Name and Signature:_1'!.lfi~~~~~~~-t=-~~~:___;;~!....'....' )i.].K~-=..!l~S-~--

Reviewer Name and Signature:~~~~~tJ:.~?2::~~~~~&1~·A ~{,J~1if"It._:S~-!_/!:_B~~~( s~_

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PROPERTY ID: PC0269

Project 14426 No.

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SURFACE AREA OCCUPATION BOUNDARY: 6,026 sq.ft. SURFACE AREA APRON: 260 sq.ft. SURFACE AREA FRONT YARD: 269 sq.ft. SURFACE AREA SIDE YARD: 1,025 sq.ft. SURFACE AREA BACK YARD: 1.446 sq.ft.

Drawn By: SLM Date: 5/1/2015 Checked By: SLM Sheet 1 of 1

~c1crk~~f?J~ :.urvE'ylnc;i •AL TA• Mcpplnq 1740 E'aglerfdge Blvd., Suite 140 • Pueblo, CO 810(11 • 719.592.1270

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Inorganic Soil Sampling Field Form

Sample Information -

Property ID Number: PC-039'f Date:S/\5/ ~ Start'End Time094D;

Project: Colorado Smelter CPSA RI b AA S~pler(~)iRJPti/D Company: f!\rt / TI: 6~'t Sample Collection Method (circle one):

,,.,..,.~--:--... Liner? YIN (Drive Sample~ Other: -----

Yard Hazards: Tn~ hCQo.rd.? Sample Locations Recorded (circle one): GPS Property lMap Other: ____ _

Sample Identification -1 Time Ng.o(

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Inorganic Soil Sam piing Field Form

Sample Information

Property ID Number: PC- Q ~"I Date: 5"-ri·~':fY Start/End Time:flf<{'V I jfi~

Project: Colorado Snielter CPSA· RI Sampler($): 1'A;1w 1G.fl Company: ___ _

Sample Colle.c1ion Method (,circle one): Liner? YIN q-i;-.v-.e-Sa-m-~ Other:. ____ _

Yard Hazards: ________________________ ~

Sample Locations Recorded (circle one): GPS ~Other: ____ _

Sample Identification Time ·No.of

QA/QC Incremental

Comments Holes Y/N

50'!>~ - AP- CCOI - o I '~"3 5'"' I\ $o'3tt-Af'-o lo"'. -o. l t'f'lr s VI

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Property Contact Phone Number. Property Identification Code: PC- 03Ff'1 Property Owner:

Property Address: ~----------..,.-----Presentduringsampling~~cupant: ___ _

Type ofRoof:._,..;;;;,c1,p~~.µ..----------

Type of Siding::_J'._5!<.,AD'...!..o~..!==..I~~~~-----

Sample Containers: 4 oz glass jar 8 oz glass jar Ziptop bagged

Number of Sample Containers:il Preservative: 4•c±2•c

Condition:~ Condition:~ c::>

Condition: ~

Condition:~d Condition:~ Location· .. ____ _

Other:. _____ _

~Other: __ _

Analyses: TAL by 6020B CTCP-MSl: antimony. arsenic. cadmium. coPDer. lead. zinc by 6200 CXRF)

Comments/Observations:. ________________________ _

Samplers Name andSignature:;_\[l.ll!()nu11.101.L'!li!iS;aii0L-..lp~,~fil!w.:dyo..~-~~~-~~=:o;-.L.~:___...::::::::::::::..... __ _

A/ Reviewer Name and Signature.: __ --G_,__ '"-'· "'"'. "-V 1,_•>,_,fu'--'-'c:;>-'-'~'-' . ..__"ictJ(/LS.-""''--1!,L-'o-"Llt!~,_,,-"~'-----------· __ _

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PROPERTY ID: SURFACE AREA OCCUPATION BOUNDARY: 5770 sq.ft.

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Projeot 14426 No.

SURFACE AREA FRONT YARO: 86 sq.ft. SURFACE AREA SIDE YARD: 1526 sq.ft. SURFACE AREA BACK YARD: 1780 sq.ft.

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SURFACE AREA OCCUPATION BOUNDARY: 5770 sq.ft. SURFACE AREA FRONT YARD: 86 sq.ft. SURFACE AREA SIDE YARD: 1526 sq.ft. SURFACE AREA BACK YARD: 1780 sq.ft.

Drawn Bv: CEB Date: 5/1 /2015 Checked By: CEB Sheet 1 of 1

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Sample Information

Property ID Number: PC• ¢f "(;)3 Projoct:'Colorado Smelter CPSA RI

Sample Collection Method (circle one):

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Date: 5 -¥- IS- StarllEnd Time:' I

sampiei<•J:~ company: Pwr /If

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Sampler Name /Sil!!l•_ tur. e/Date .(.•eling. -uish custody of.listed samp. Jes):~ -~ - :; -~ s?~~ 'f-1 < Field Lab Name /Sil!!l"ture/Date (accept custody of lis(ed •amples):~ 1~ ~ - .r? .- -t'S

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Pago 1 0f3

Inorganic Soil ·SampUug Field Form

Sample Information

Prqpexty ID Number; PC- 0 'f2'3

ProjeQt; Coloxado.SmOltor CPSA RI

Dato: S·A.. StartlEndTime~ ilampl.o~t•J:JW/vP Co:mpany:~i


Llner? YIN (""D.ri"'·,...,,"";~s=-am-ple!..,._~

Ym:d Hazar0s: hd eb 1 \2lltili 1ar1 IM!l S < lofliioc, /;i .RI

GPS (1'i'oporty~ther:. Sample Looationa Recorded (circkono):

Other.~· -----

'Sample Identification Time

..... , ,..,,;a.a ... K\f -11tVl l ... ~ I "M''"i i:.'-+-"'1.,J---l---'1¥-+--lr---!---------1 I' - · '!""'":lJ. CH,~ 'h

_ i'lFV:ii-"' _ r""' v l ::::

- -. }..,. '·~ "'\O

- AolJllYo :l. .... " . ' ~.I"'\

--··- ... .. " ..... :-.:. ' "' II" . / ·... 1 _,,,.,_ .(') r~I! ..,

I -OJ . 'I -1'11.J'i _,.. 1 • : I

/";!..I _,. . ..

. ,-rvi~ _, .... ,

,,.. ... /';1..1 :1-/ ... .s.;!-l--"~--f--''-----t--''!.___+------1 • -I I

\ . \ .

\

'7

• ,., '1:i.<r I IV . ' f"'lo'"f;~;;;;.~~.~~...,,,~...n.~-,'-l-~::~~,~1n"-l-lf-"'--t---"f';--+-~·~'--'-+-------~

_./<>I Ml. -,on ., ~'1.

\Ir ' . I -

Sampler Name /Sigµature/Date (relinguish custody oflisted samples): 1• " . L. AL ,~ r-1i-1~

Field Lab Name /Signatut~/Dato (accept custody of listed samples): ... /.P/_,,~-~ -C-1z-15-

..

Page 1 of3

Inorganic Soil ·Sampling Field Form

Samplelnformatlon o4~ Property ID Number: PC 5!' i:tt fli Project:Co1ocadoSmelter CPSA RI

Date: ,5-Jd, Start/End Time:~ Sampler(a):._ Company:~i

Samjile Colleotioo Method (circle one):

Liner? YIN l..J2.rive SampleV {, Other:

Yard liaiar<ls: I, .ifJA .... .,L.nr.~J I,. • - . dt>/Avb /ll\J2... . Sample Locatiom Recorded (circle .oqe): GPS (. PropertY~ Other:

Sample Identification Time No. :of

O;A/QC Incremental

Comments '

Ho-Jes Y/N

-· I ' 1 'l..... ,,.'\\.;'fAl. l"'Wll-OI ... ""' ."\ I I I

I - ..: .... I _tv, .. -t, I .,. .... ,_ I I,.·~ •9-" I s:;i,, I I ......,, _,. •

I . ,flfo-' ,_, .>

"' 11':1. _,

.r -

I' ·,g_. ..... · ' "i

""'"'' - ... ..., ~·~'

, ' l ... ,_,~ _,, • 0 /

" ' ,. 1-.1R _,., • . .,.,, . , • / I

-171111TN -di/ 1107 " I tJ -· ~·

,,, .... I I ~ . (I..!. I ,,, / \V . ' ;<- _n,r '•' \, j I J -.. • -<F . ... , • I ,... . .

~ I •' " " e ,.;,i ~'I ' A ... ... \ / ,, .... / .

-Sampler Name /Sigpature/Date (relinguish custody of listed sampl~~·: ~ -t'l..•11'

Field Lab N•me /Sigl)al!ll•/.Date (accept custody of listed samples): - · 5:-( ,?-/ - '

·!!!

"' lo0 ~ z :c ~ e 0 n ---------u c~ ~ ;:o s . "'

$- ~,_, ~

r1.'7·.r .,.,.~17d'Jj,

f/..f

1~,~·~~'. .. "'t···. "'M I 'i< ... I• .ffelJ };.::;! .. >' Xcf I •

f -1 VJ ... • :,,~,.®~ft. ... ·.'-!.-.• ~~.~,, :..10,.)(\(. 'X~Jl. .... -Cl' .1 ~·· .,

""~ -+- ic. )I. ; .,. .. • .. ~ f: . ..- L · • · •· · ·•· · .c..:._

~ .,.. IJ\ (' • ~. is .>,L. x,.. x.~t f: ... k~ ~"' "'9.-''.dt:;ri''''• ti, .. ,,;,,,;,·.:·~"i ')(' ,·,·~ f 6;+ :k

~m •• ., J• ® fc; pli.>;"-

'f:=-10~. ?,;. dtA '?> ,,.. -h:.'f . o-.. sp't·

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)<: ')<,

)( ~

· .•... "'" . . ...... o-1

("' )<. i I -x

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rn 11 ·

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t~ C'J~()"D'V! ~o~~~~ ~ 0 ~ ~ l!! ~ : " ~ !Z! ifi ~ g

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x

PROPERTY ID: SURFACE AREA OCCUPATION BOUNDARY: 19,334 sq.ft. SURFACE AREA DOG YARD: 12,626 sq.ft. PC0423

Project 14426 No.

SURFACE AREA BACK/SIDE YARD: 2,163 sq.ft. SURFACE AREA ORIP ZONE FRONT: 129 sq.ft. SURFACE AREA EARTHEN DRIVE: 1 ,234 sq.ft.

Dn:iwn By: SLM Date: 5/1/2015 Checked By. SLM Shffl 1 of 1

'><'. "X II ~ 't ?~

>< It-'< ~~ ~ ~ \:

)< ~It ~

l )<

~

~clerk~ 5.urveoyln<;1XAL TAX Mc0ppln<;1 1740 Eagistlc!ge Blvd., Sul!o 140 • Pueblo, 0081001 • 719.582.1270

www.clarkls.com

(J 4'2:

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Vop

of3


Sample Information

Property ID Nwnher: PC- f2f'( 9 (,, '

Date:§- l?l - I <::; Startf.End Time: /DZ$- I

Project: Colorado Smelter CPSA RI bl'1!+ Sampler(~)~ Ju,. G" Company: ___ _

Sample Collection Method (circle one): .-----Llner?Y/N ~ Other: ____ _ Yard Hazards: _________________________ _

Sample Locations Recorded (circle one): GPS Property Map Other: ____ _

Sample Identification Time No. of QA/QC Incremental

Comments Holes V/N

<:r.L/e;ltl-~Y-()()O:l.-ol /0'51 ., I'\ ::..111.t ei t,g- SV-0'26!Q-c I l 0 41 :> V\ '\oL\Oi 1.--SY· 01a12-o l 10'13 ~ "' ~O l\ci1.-~Y-1Zl9.:-Cl 16 4 - ,.- ,/

"il'\<J.'I/;. 'f>Y-oO"'"Z.-o't.. Jo'(• ll

souqu, ~bY - ot.oi:. -cz.. J(Jr , -

50 Liq lb - '6Y- "'· 17- - iS'l.. O~• "' ~Oli'll. -L'l- Jt.IT -"'1.- lo~:) <[' I,

1~uei1. -6'/·()0ot.-o; //{)'I "5 ,, Sb""t.a-;t.Y -ozo~ -o~ II (J IP " I)

<6'f'1'· -g,, · l!lf'.t1Z-o.3 1111 '"i( <;, VI /DI.\ 'Ho - BY - 1t.1Ci1 -o-z.. 11/0 ,,, VI 5{)1J q/" -"J'/ ·- C.002. - o I I I z ( ~ tll 56'1'1~ -s y - O'ZO(Q -o I fl z !> 5" Vl (OL[~(o-51-l'V••Z - o I 11 Z-5 s- tll .5o'{"il. -SY- /Z/8" - OI 11t.7 s- VJ

1 ·1>t('ll- -~'1-oooz-oz. 11;5/p s- ti! I• ti'{"ju -<;.'f -OZ.OID -o'Z.. / 18~ 5"" YI ,t>'t'!lD -SY -o~ IZ. -o-z II <-/ 0 5" tll

..So<t'll.D-'Y -1z.1g-oz.. II "/ t. ? ii\ <o'l'il.o -'5Y -oooz. -o.3 "5°/ 5' II 'i'o't"lv-ft' -oz.o<p -<=>5 11<8 5 I f'o t.(C,ep-.JY-ow•Z- -<>;, 11,::< s-: II

fd'f 9 (., - 5Y '/Z tf< - .:>3 fl ")7 5"" I

,,, Sampler Name /Signature/Date (relinquish custody oflisted samples): 1f ._v' i .. 11\bh"'-' /!// 4 .:S -13 -1&

Field Lab Name /Signature/Date (accept custody oflisted samples):~ ~ c;-:.;?-/} ·

of3


Sample Information

Property ID Number: PC- (2 lf q U Project: Colorado Smelter CPSA RI


Date: 5-13 ' l i:;- Start/End Time: iP l< /

Sampler(s):fA 'r,,.} I(, 1-I Company: I - I ·-~~~

Liner? YIN ~e Samp10 Other: -----Y~dHazar&:._~~~~~~~~~~~~-:::::::====::::::--~~~~~~

Uroperty J\:j;p]other Sample Locations Recorded (circle one): GPS

Sample Identification Time No, of

QA/QC Incremental

Holes V/N Comments

5oQ"/{,, - C:V-OC01 -O I I 12 (, s-- u'I ~o '111.2 ·f"/- oz.or..-o I lt:Z.8 ,.. Ill '504"'i'Le-fy -oi.ti.,-tll rz:so ":?' v'1 So<('j[i, -i:;V -lz/8 -o I IZ32- 5 VI ,S.O <{'l&-Fv'- ooo Z - c 'l.. JJ..37 ' tt'.o41t. -fY · cz.,t.·<><- 't.:3 'J ' .~o !('\lo -FY- ot,, I z. - o-z_ /2.1(/ ' v <o 4'llo -f:Y- /ztt ·o-Z 13"; 5 .10 t1"1 ~ - FY • ooo i.-03 11 '/'I ;;-(tJ '{t:/11 - t:jl - tJi?<>fJi -a• 1251 ~ 5tfJ qql.J - (Y -lf(R IZ. _.,, 1zn s ' uA J ~ L ii -· -. ,.- «a .

--13 - 1> . -· -,S04'llo F')- l-Z\8 -o?;. fZ~

/

Sampler Name /Signature/Date (relinquish custody of listed sampl:~A-15 /.,, 'f/ ca- -"-t~ -15"'

Field Lab Name /Signature/Date (accept custody of listed samples): • b~ .S: I(-/~

of3



Property Contact P

Property Owner: ·

Property Address:

Property Identification Code: Pc-Rf'(9'1 '

Occupant: ~ Y •

TypeofRoof: kp~t,Jf- DkfAjU- Condition: o/<._ Type of Siding: v-?oobl

1/fh1 c/::_, (..~) Condition: eoo \

Type of Trim (windows, doors, eves):_V-!>~E>il>~bl~ ____________ _,_f-=Oc..."'_..-__

Outbuildings? Type? o.A:: Porch/Other: &v->f/ll..k {,ea.I tt-/(/J Gutters: {\ ~

Condition: ----Condition: ~~

Condition: ----Location: -----Sprinkler System present?:. __ __J/...U:5.....---------

Sample Containers: 4 oz glass jar 8 oz glass jar c$Pto~ Other: ____ _

Number of Sample Containers: j Preservative: 4'C ± 2'C none Other: ---

Analyses: TAL by 6020B CTCP-MS); antimony. arsenic. cadmium. copper. lead. zinc by 6200 !XRFl

Weailier:._~o~v-t.-=-=-C~~==~---'l~o~;:___·~70_·~~--------------visitors:_._if'.,..A-_,__ _________________ -::-----.----

Comm~ts/Observations .. ·_ ..._C_..µ._p.t=J-._ .... o..,,v«~~-ili&~~~'/'l"--"'j;~· ...,_\":=J-t---"r.f+--j+:J. ____ _ /Mtu.A.U

" ·a· n~ -0 ,,. - :i:

z -II~ o (") -----v "'!:I Ul o- • s; ;o c r . "'

I!!

~ I I I

i I ~ g ~ ~ ~ ~ ~ g z ~ ~ ~ i ITI il'5 ;>;: C: Ill IT! ..., z c m m ~ z ~ ~ m

PROPERTY ID: PC0496

SURFACE AREA OCCUPATION BOUNDARY: 4, 111 sq.ft. SURFACE AREA FRONT YARD: 310 sq.ft. SURFACE AREA BACK YARD: 183 sq.ft. SURFACE AREA DRIVE: 449 sq.ft. SURFACE AREA GARDEN: 299 sq.ft.

Drawn By; SLM Date: 5/1/2015 Project 14426 Checked By: SLM Sheet 1 of 1 No.

~c1crk~Q P'l~ !:.urv .. ylnc;i><AL TA><Mdpplnc;i 1740 Eaglerldge Blvd. SuH& 140 • Pueblo, CO 81001 • 719.582.1270

www.clarkls.eom

Pag.e ~f3


Sample Information

Property ID Number: PC- flf 7.;I t./ Project: Colorado Smelter CPSA RI l>MA

Date: S:/l/j S- Start/End Timef'<f]q

Sampler(s): 11111 f~ l>JV! Company:._:ft...,.......__

Sample Collection Method (.circle one): -----,

Liner? y.@:) \Prive Sampler Other: YardHitzards: ~owif l ;., .:-- ,_. ,. -'I·• '~ ""'( .·-a._v_oi--CS~r-,._-c.-0\:P ~t'.~ Sample Locations Recorded (circle one): GPS 6P~°'1 Other: __ • __ _


--- .. ,.;~ 1.00.., of:Ji

No. of QA/QC Incremental Holes ·1 VIN

Comments

""'" ...i,,. ""' ...t.: ~-~r-J-:.!:ll~J~._.,4..,--J----il--+--/---1----j_------.J I (,, l:l-il ?) fi!:'Q'.:.!!)!:l~,.~--+---+-11---+-J---~-----_J

- R"" _,..." • • oa. .. 1----,w.,--~~ - rh' ·• .. "

7"' • "i' _,.,. r'l. - r .-.-1 R-"-1 _,

- 1 11:0 ....

~~\~,~~-~-~l~.\~IY--~-0~1~<~1~~~~~;;~~~~~~~~;;;;;;;;~~'·14l> ~;~~~I~. ·; ,;,.~ I'. ~=vc .::.1?tS'(-• I l •

~ II ' ~ --M,1' .4;\ '!;; , . ~ 11\X\.\ :at:/,-1))... /LJ~ -~ \../ '7"~·,, / /J'1,

Sampler Name /Signature/ ate (relinquisli custody ofITSted samples): 1N1 '-"- • rll-A" •1/ t/ / Field Lab Name /Signature/Date (accept custody of listed samples): ~ Wiit , _ ,,.: _,, : / Y° -

5""-l'f~/.5

Page :ijpf3


Sampie Information LJ . . · . . . - . Property ID Nwnber: PC- <p]J. 7 Date: 5 "'f tf~;5 Start/End Time09Jb

Project: Colorado Smelter CPSA RI b/M;- Sampler(s): '11:\ ~ /!4 Ni\ Company: f t . · Sample Collection Method (circle one):

Linei'?~ ~s~ Other: ____ _

Yard Hazards:.~_..,.... __ ~..,....~--~----~----....... -~~---Sample Locations Recorded (circle one):

sample Identification Time

l ~\ ~..3¥[.~f;JfX'-m:. I ~ -.i ·-

'l~' - , ' - ~ I

-lNDt -0\-., I l\.

. (/'Xi'--~ 1£~·5 - / ~ ~ , ,, ~.-..

- f/t -· I I .,.

GPS

No.of Holes

; '

Property :Map Other: ____ _

Incremental .. Y/~

Q.A/QC I

Comments

I l

I /

'- I °' I

·l-------------1---+-----+-----t------+---------I

/

, II _,¢,,,/ ,#' -Sampler Name /SignaturelDate (relinquish custody oflisted samples): 111. '' r ,_,,,,, ...-

ni. I ".l.L _......R' A" "" /. /•/ .7 fi 1 Field Lab Name /Signature/Date (accept custody of listed samples): n l/V ri I 3"- 7-{)

of3

Inorganic Soil Sai:npling Field F~rm


Property Contac

Property Owner

Property Address:

Prope~ Identification Code: PC-d 1J'f

Occupant:, ___ _

Type of Roof: ~i ~f Condition:~ Type of Siding: 3Jl /\y . Condition:..b..;:_c

Type of Trim (windows, ~oors, eves):.,..::L<J=-.::°':..0>:::7CS'=="'0i--'1--------------

0utbuildings? Typ~e? ChLf9d:t $'.({ c.J Condition:fS,-c

PGuorttch/ers~. ~er/..: __ j '7 Condition: -{:3 t C-'J__ _ Condition: B t' L

Sprinkler ;tempresent?:______________ Location: ____ _

Sample Containers: 4ozglassjar 8 ozglassjar ~ '\. Other:, ____ _

Number of Sample Containers:~ Preservative: 4•c±2•c ~Other:. __ _

Analyses: T AL by 6020B CTCP-MS); antimonv. arsenic, cadmium, cower, lead, zinc by 6200 CXRFl

Weather: Fq l [ b~ \

11\

G> s· n~

"z

~iii o-

"

~ 0 C5 • 7

"' v w ~

"' 0

'-<>'").~ 1 r'l

,0:-- "' z -{i-'

' / J •'. /

"' -~ ""

/,.

,...;- :'-"'?< .

. ~\\-.:..< ....

».. -f..

' /

~~ ___,

• ;( '\. /~..,~~ ' . ~ ~ VY

' "< "

•' ('<\

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w / ~ / c /

' / / /. /

' ~, I i : © •

a ~ g £ ~ ~ § ~ :::a 0 z ~ ~ .. ;! ~ ~ ~ g ~ g ;;: r- (/) :::a ~ z -I

~ ~ l'1 fl: m m m

PROPERTY ID: PC0724

SURFACE AREA OCCUPATION BOUNDARY: 3,689 sq.ft. SURFACE AREA FRONT YARD: 351 sq.ft. SURFACE AREA SIDE YARD: 306 sq. ft. SURFACE AREA SIDE YARD: 597 sq.ft.

Project 14426 No.

Drawn 8'/: SLM Checked By: SLM

Dotv. 5/1/2015 Sheet 1 of 1

Ii ~

~ ?<?< ,.... «> ...

;.,~<:.,-:~~

~c1crk~~P51~ SurvE'ylnc;i•AL TA•Mdpplnc;i 1740 Ea,g!~h:l~a Blvd., Suite 140 • Pueblo, CO 81001 • 719,582,1270

www.clarkls.com

Page J.ef3


Sample Information

Property ID Number: PC-10111

Project: Colorado Smelter CPSA RI

Sample Colle.ction Method (.circle one):

Date: s.J lfJlJ..iJi.'i( Sampler(s ): YhoftC

Mtr

Start/End Time{!/</0 I CompanyJff?J'i /;?;vi

I

Liner? YIN • . • <'.!§ve Samp1€)

Yard Hazards·~ llf'l~ai.>'1-Other: ____ _

I

{P;ope~ Sample Locations Recorded (circle one): GPS · ther:


QA/QC Incremental .

Holes Y/N Comments '

,.-,rnf:-111..1~-, ,.,_ 'l..I 'l'O({O ~ I I/ ~., .. , ,,_, .t "1CIU'),

- ". r' l.., In l 1. , rl»i1::. - ~

. '"'"' .·

~-~ "1Ni5' 7 ,.ru,1_ -~ 1/11.1,P, . '· 7 ./

""' - n'!7n. ,,,. "'I . hL,i) .- I l _,.., ,,,_ -"'/ 111..;!i kl,.., -A/ II?-'-1"- IQ ;_/)/ //]A .

. th I~ ' ' /Tl,.. -K"t ; .

,.,.., ,. ·. _,.)) ' -I'\ I ..,_~ I ·u .~.:- _,,,,

"' '- .

;T"\N -~ tiJ>S 1"9.n' _ltl. /)..../{

, 1 ...

'" 10 -~ /)-/4 ' I 'ii' I .; ' -

&- ....... ..,,_,fl/ /l.R ,,-' tV ' I

om• - -11"1 n "-it Oi~;1 - 01 /Z., .. ,, , /;}. -,., Jz., 'I J

. ,;,..;_:), _, fl v I '.:I. (. •

Qi oT,:;-,-, ,;i S" ~ l''V-" - ,.,., ~ ~ ,.., . . ,,-,fl.._,,,. 0 ;.I s-'"' -(')lo\.,<) I - Ir>.. l ri1-:.i-: _,, .. . ,-.,, ,;,-;_ ,--;i _, ,_ ':> c;, ,

I) -, ;,,ta~

"' ~,. ~

' !/ ' 1,11

~

- I Sampler Name /Signature/Date (relinquish custody of listed samples): f ·' . 'L ,.,,., .. " //<;ii J// <;"

,,

~ .. ,.A·~,,' -Field Lab Name /Signature/Date (accept custody of listed samples): ,. ~ ' ,,_... 5-/8 ·Zo(s-

.

!J>f3


Sample Information / ·

Property ID Nwnber: PC- /b 7 ~ Date: sits l:Jni'5 Start/End Timee!f4Q; ,, Project: Colorado Smelter CPSA RI :b/l1A Sampler(s ): ll:t,.aJ ffJ fk_ Company: fJwL/VEbo; Sample Collectionll!ethod (circle one):

Liner? YIN (!""b_,ri,...ve-s"'"am_n.,...ler--...)

Yard Hazards: ;5l1~j2l /'fif?;r&.fl~ s{:.,il/J Sample Locations Recorded (:rJlOne): GPS

Other: ____ _

(PfOperty JMaii) Other:

Sample Identification Time No. of QA/QC Incremental Holes Y/N Comments

l<\\t')'l/A- t-'I' - f"lrlJJ. ll f I~ (; ~ kl IA/ I ' •/)' I ·:1 < I I

I .-NAI~ f)/ I " I -1:.I I 0-AI 'l ... ,

- t71JfI:l-l'J)... ~ - • ' - ri'lll(p -1J>.... qtr1. I - ,.,_, l - ffl

,. _

_ , ,.. l(J -fl. I.I• .., _......,,'lJ - n; '(// • "'..,,,, "t'P' Ill!{,,

AIAI' ·o .. l'-tt'I • \Ir ·l"ll9, •Kio 1'-t1 •r "/ r / ..,, " . • · . - . • I I

I 1 OIOC,- ~1 I •• ' 'I. ('V 1 "- .- ~· I i-... .l ~\Q. - n { . . r

i1"!rw... - Ol. \I.JI"" - - -(5)... ~l ~-·A\ '

tn{A f\ -l'n ,,,...,, )(. I I I """I' - v "' '0. -r., ~ I l .~

t"ll'lll l _( ~ I l v I {\\Pt- -1 , I

IAv fl." I)..._, ., j I .. / I • A - 11/ /

• , :1 "loo) Ela'[,- ~ 11)1 -t)/ I~ t; r I 1\1 - C:r2'- /'Vro I - .n"I 11t;• I

o:i....- Blm t - (f!;:i I 'Ir ' , / ,I/ •• -, .~ b , ...

/

4 ',j' ~ ~

I -/I .

Sampler Name /Signature/Date (relinquish custody of listed samples): I I fi •• r A'J Ut .,, h "'-, fpl. f ).() S 1:~~, Field Lab Name /Signature/Date (accept custody of listed samples) 5-T~-t'g-

-

Page Jef3


Sample Information

Property ID Number: PC· .l '7 ft Project: Colorado Smelter CPSA RI

Sample Locations Recorded (circle one):


~I l'A.11~-AJJ,... 'I I t.f"'?,O

_n-.. I 't • -;;; -~· 1). -r" • 11.\ "' -- ,. .... c,,.-_n 14 7 ...

• -· 7' :IC"\ __,. ' JI./ i " J ,, "\ I Lt ' -· - I . r.1.l I l (' ) . ... -_r/, ... ,,

' .:.fl''. • ..(j ·. 5i

-llV.11 -r·· > . ,,k;.~-:: I e; ~, .

'

.

Date; $1 ?f.J-/'.'£- Start/End Time: <Ji'((j Sampler(s):,iL . £T flt{I- Company: -rf=

l I

Other: ____ _

GPS Property Map Other:. ____ _

No.of Q.A/0.C

Incremental Holes Y/N Comments . c:: ' J ' l

,•

' .

.

.

. .

''/ \ '/ /

'

'

~ - . Sampler Name /Signature/Date (relinquish custody of listed samples); J.A -' "- 'J. . o:;-' //J,,/')tl :;-

Field Lab Name /Signature/Date (accept custody of listed samples);~' "' /.P.'7, <.,./a~·

-- Page2 of3

Inorganic Soil Sal_llpling Field Fprm


Pmperty Contact Pho

Property Owner.

Property Address:

Property Identification Code: PC-10 ZfA

Present during sampling? (Y@:Owner: __ _ Occupant:. ___ _

Type ofRoof:._._,;jyi'-"-1.!.~-LL""-------------Type of Siding: Ylrgbh()itL

Condition: ~ Condition:,__,,_f't....._ __

Type of Trim(windows, doors, eves):--'\Mi...,..016.J-----------------Outbuildings? Type? $w:f ,4raJ wl:<An,~e Mj~i...-.1t1cw.t144r9 Condition:<pJ ',at. Porch/Other:~"( r 1Co'41'ltJ ·(l««'h!b'dcoowJ Condition:_,O...,k,__ __

Gutters: \11.!M.t.,... Condition: ----Sprinkler System present?:._.:y..,..fz.__ __________ _ Location: , ____ _ Sample Containers: 4 oz glass jar 8 oz glass jar@p bagge~ Other: -----

Number of Sample Containers:,~. __ _ Preservative: 4•c±2•c none Other: ---

Analyses: TAL by 6020B acP-MSl: antimony. arsenic. cadmium. copper. lead. zinc by 6200 (XRF)

Weather: cltA.u:t 'j I m ti7-j1 GitD I Visitors:, ____________________________ _

Comments/Observations: _______________________ _

Samplers Name and Signature: 'ft¥atk.-l.,.(trie../~ I

Reviewer Name and Signature: '"'ff.,.,.,'!, k~~L

..

GRAPHIC SCALE 0 10 20 ------ -( IN FEET )

inch = 20 ft.

''"~ ·~· ~\ .· " . • . ·-·

'"

® ~·~ .,,,.

~ . .• HOUSE

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LEGEND:

@ SIDE YARD

@ BACK YARD

@ APRON

@ DRIP ZONE

0 DECIDUOUS TREE

~ IRRIGATION CONTROL

PROPERlY LINE

-0----0-- CHAIN LINK FENCE

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--~

r: . . ., . OVERHEAD UTILITY LINE

CONCRETE SURFACE

RETAINING WALL

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Inorganic Soil ·Sampling Field Form

Page 1 of3 A

Sample Information

PropertyIDNumber:Pc-IS'Ql/ Date:S-/l-1~ 1 StartlEndTime: oqJ{)1 . ( Project:·Co1orado.SmelterCPSARI . Sampler(•):~ Company: ~TfeM f Sample. Collection Method (circle on~. .

· Liner?Y/N ~ Other:. ____ _

Y~dHa;zar~:-------------------------Sample LocatiOljS Recorded (circle-0ne): "PS l'roportyMap Clther:

Sample Identification Time .QA/QC ·Incremental

Comments Y/N Holes

No.of

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Page 1of3 g

Inorganic Soil .Sampl!ng Field Form

Sample Information

Property ID Number: PC- I 5"0 l{ Project: Colorado.Smelter CPSA RI

Date: 5-tf • IS StartlEnd Time:~ •

:Sampler(s):.DH ,0\.-.) Company:_f.M./1l.f:J:nl

Sample Collection Method (circle one): ~---.

Liner?YIN _ ~rive~~pl~ _ Other: ____ _

Yard Hazards: -Jvi• ...... A.

1 ,,

Sample Locatiom R;,,o}Jed (circle one): GPJ ' (l?roperty Maii'::l°S!her: -----

I No. :of Incremental Sample Identification Time Hales ,QA/QC Y/N Co.mments

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Page 2 of;>

In.organic Soil Sampling Field Form

Pr.operty Information

Property ContaotP orty Identiftcation Code: PC- •f l)OL(

Occupant: ____ _

.Gutters~--------------------- Condition: ____ _

SpririkletSyst.em pre.sent?·:----'N-"-..::0:_ _________ --'--- Location: ____ _

Sample Cont:siners: 4 ()zglassjar 8 ozgi.assjar Other: _____ _

Ninnber of Sample Containers: __ _ :P.res-ervative: 4o:c±2°c 8 Other .. ·_ ---

Analyses: TAL by 6020B CTCP-MSl: antimony, arsenic .. cadmium .cgpper. lead.:zinc by 6200 <XRFJ

Weather: f U\fu., ( (Cl>.J J L, Visitom: c.r~rMJ31--(103d;) CDmments/Observalions:. _________________________ _

Q'j> ~Samplers Name andSignatare::~.J.J.~~~~!!!!£~::::::7~~~~=::::::.... __ _

::)Reviewer Name and:Signature:.L~~~~~~p_~~~~".::_~~.:J_~-:1__2 ____ _

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PROPERTY ID: PC1504

SURFACE AREA OCCUPATION SURFACE AREA SIDE YARD: SURFACE AREA BACK YARD:

Project 14426 No.

Drawn By: CEB Checked By: CEB

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BOUNDARY: 9506 sq.ft. 17.:SB sq.ft. 1896 sq.ft.

Dote: 5/1/2015 Sheet 1 of 1

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www.clerkls.com

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Sample Information

Property ID Number: PC· 15 9 :l Date: ).. I>, 1-S- Start/End Time: 0z3'0 / Project: Colorado Smelter CPSA RI l>MA Sampler(~);771, /SH J Ti.d Company: ___ _

Sample Collection l\IIethod (circle one): -::::===--,._ Liner? YIN ~Samp:9

YardHazards: vhflh'~7 Other: -----

Sample Loc.ations Recorded (circle one): GPS Property Milp Other: -----


QA/QC Incremental

Comments Holes V/N '>f~z-·gv-ON,-z-o 1 -;--, ~y ~ I'\

..5 i 'l °I Z -B)' -tt.<>l• - "' l ~ /)\ 1.e. 16""1?.- [email protected]

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Sample Information

Date:yl 5°' ;i ~· Start/End Time:C'9Z0 I Property ID Number: PC· { £1'2 Project: Colorado Smelter CPSA RI Sampler(s):'111. r:.i+. TW Company: . r , ·----Sample Colle.ctionMethod (circle o~

Liner? YIN ~ YMdHl!zM&:. _________________________ _

Other:. ____ _

Sample Locations Recorded (circle one): GPS Property Map Other:. ____ _

Sample Identification Time No.of QA/QC Incremental Holes Y/N Comments

.5j!)"J'2- b-A-"'AA I .. " I /lOlh ., l1 ~ " - ~ ·- - ; -. - /J 5""-1.5 "tS- (/\

<:. (~'Z ·Gft -ClfO"'-o 1 Ill> 9. .5 ,/ lc::1 S'"<fl. _,,. .. -0~1-z.-o I i/10 ,.-- 1/ ~(<;1 Z.-&A - n.18 -a 1 ''''- ..,

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S l§"<;Z-P ~ -ot..l'Z·c 1 l/Z-z ~ ,, <: 1 c-4.z_- PA -rt.18"-c I Ill§ .:;;--- fl

1 ·71:7'1Z -PA -·llfYlf-dZ. //2() s;- t I '

1<1s-q-z. -APA - olo<o·oz.. //!;2- s- J 1' I 5"1l - t-'A - 01..t t. o-z. j/3'1 .;--

51S"'i1-F'A -1z1fl -02.. 11~1- .;:;-

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Property Contact Phone N Property Identification Code: PC- I~ 9 '2 Property Owne

Property Address:

Present during sampling? (YIN):Owner: __ _ Occupant: ___ _

Type of Roof: kM"' \ +-- 51A CY\!)le_ Type of Siding: s-+ t.:J LLQ

Condition:._o_i_c.. __

Condition:__,6""-'\C...c=_

Type of Trim (windows, doors, eves):.__,,/.&;...2,,.ro...,"'&-""'-----------------

Outbuildings? Type?__,fu=""A"'"f""""""""---------

Porch/Other: (fflCJ\ok

Gutters: ~

Sprinkler System present?:.....1,L.l.I=------------

Sample Containers: 4 oz glass jar 8 oz glass jar ~

Number of Sample Containers: 4J~ Preservative: 4°C ± 2°C

Condition: 6 k:: Condition: CJ I:=_ -/~-/)

Condition: I I·~~ r Location: p4£- IS" - I~

Other: ____ _

none Other: __ _

Analyses: T AL by 6020B CTCP-MS): antimony. arsenic, cadmium. copper. lead, zinc by 6200 (XRF)

2() r,c_ W'eather:.--''"'-''"-""'------~-"--~-./..:.... ___________________ ~ ViMtors:._i...:CL.::.:_ __________________________ _

Comments/Observations: ________________________ _

Samplers Name and Signature: rr:; L '1,5 AU.5 h d C -#'/· P'

ReviewerNameandSignature: ~' ~ S:(,S:--fS-

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PROPERTY ID: SURFACE AREA OCCUPATION BOUNDARY: 3096 sq.ft.

PC1592

Project 14426 No,

SURFACE AREA FRONT YARD: 200 sq.ft. SURFACE AREA BACK YARD' 274 sq.ft. SURFACE AREA PLAY AREA: 2.31 sq.ft. SURFACE AREA GARDEN: 90 sq.ft.

Drown By: CEB Date: 5/1/2015 Checked By: CEB Sheet 1 of 1

~c1ark~~r;sJ~ $urveoylnc;i•AL TA•Mdpplnc;i 1740 Eaglerf~ge81vd., suite 140 • Pueblo, CO 81001 • 719.582.1270

www.clarkts.com

,<

Page 1 ofl


Sampie Information

Property ID Number: PC· 11-" 1-.

Project: Colorado Snielter CPSA RI

. Sample Collection Method (.circle one):

Date: .ff ·i,S(-*/~\ Start'End Time: 6 fl~ /0 / 5-Sampler(s): "f A i c,.q Company: f P<,r/

Linei-'I Y@ Drive Sampler Other: 5U>of

YudHazards: ............................................................ --::;:::;;;;~:::;::---------------~~ Other: ____ _ Sample Locations Recorded (circle one):


.$ /S"'/7 - /M. • C:.lcJI I'\ - .-., ') ~'f/1..

GPS

No.of Holes

QA/QC

Sampler Name /Signature/Date (relinquish custody oflisted samples): o

Incremental V/N y y

Comments

OOOCI - OCJO I (!)CO 0 - cro I l!JOOO-oco I

Field Lab Name /Signature/Date (accept custody of listed samples):. __________ _

Inorganic Soll Sampling Field Form

Sampie Informatiiin

Property ID Number: PC· I 5 'I -z. Project: CP'npdo Snie1ter CPSA RI

Sample CollecnonMethod (oifcle one):

•\°).,. :~:: ;·~~

Date: f ·lfi~J?:j · Sampler(•)tfA 1ht

Start/End Time: 0'1 1 s· I Jo I)

Company: pw "I

Liner? YIN Drive Sampler Other: ~ '- •1" f

Yud~&: ........ __,__. ........ ;.._ ............................ ......,....,,,,.... ............................ _ '--...-~

Sample Locations Recorded (circle one): GPS ~-May Other:. _______ __

Sample ldantlflcatlon Time No.of QA/QC Incremental Comments Holes V/N

I ~ '7,, s " ? -- '"( ,"> II

l - ..... '11>" L-1 - I el II

5- 1 .n" /,, - n,&;•• 1 - 2.,?s'' ~ - j ,7-; ,, ,,, . o, S-" 10 .,. 2,S"· II - 2.0'1

1? - 'I. "'[ 5''~ I '> - 2. ZS'' J 'I - ' !l /l.5'" , ,, - '},".)"

I t. • ..- -.::, 75 " 17-.-zQ" 18' - ~.-(')"

I 'I - 2. ,.t;-'' "ZlJ- ~.t5'' 7/ - ·~ . 5' , ,

1Z - 3.75'' ?'3 ~ ::l.. 7C" ZL) - :t·"Z-5''' Z5' - ".-7~ I( Z,(,, ' g,'?!>'' 17 .. ~ S"' ,,

zz - l, 75" 'Z'J - 'J.5'' 50 ,,. ~.t:f 11

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Sampler Name /Signature/Date (relinquish custady of listed samples): ·1f. , , < /./1;. · A~ '>.?"vf'f'

Field Lab Name /Signature/Date (accept custody of listed samples): __________ _

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PROPERTY ID: PC1592

Project 14426 No.

I T t ®) '

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SURFACE AREA OCCUPATION BOUNDARY: 3096 sq.ft. SURFACE AREA FRONT YARD: 200 sq.ft. SURFACE AREA BACK YARD: 274 sq.ft. SURFACE AREA PLAY AREA: 231 sq.ft. SURFACE AREA GARDEN: 90 sq.ft.

Drawn By: CEB Date: S/1/2015 Checked ·B)o: CEB Sheet 1 of 1

si4i.1t1 l,t o! •

I

• "' • '

~c1crk~tJ~~ :.urve>ylnQl<AL TA•McipplnQ 1740 Eagl&r!dgeei..d., Sult& 140 • Pueblo, CO 8100i • 719.582,1270

www.clarlds.com

Property PC1592 Play Area Sand Depths

0.5" 2.25" 3.25" 2.5" 3.25"

2.0" 1.75" 3.0" 3.25" 3.5" ® ® ® ®

1.0" 0.5" 3. 75" 3.5" 2.75" ® ® ® ®

-15-ft 3.75" 2.5" 2.5" 3.75" 3.5"

® ® ® ® 3.5" 2.0" 2.25" 2.75" 3.25"

® ® ® ® 3.5" 4.25" 2.25" 2.25" 3.75"

® ® ® ® -15-ft

-

Page 1 of3


Sample Information

Property ID Number: Pc-lti/S: Date: 5"-/Yt<

Project: Co1orado Smelter CPSA RI PM Sampler(s): vf' 1}'5 Sample Collection Method (circle one):,,.....--- =

Liner? YIN C Drive S~

Start/End Time: I

Company: :t'f1n£

Other: ____ _

Y~dHazar~:·~~~~~~~~~~~~~~~~~~~~~~~~--

Sample Locations Recorded (circle one): GPS Property Map Other:~----

Sample Identification Time No. of

QA/QC Incremental

Holes Y/N Comments

::"\ \., \f.', • f': D-llUJ f .. rn •.rt,_ 5 N N All) l.?-0\ or-r 7"'i1 nfo I 1 --0 \ -.1· '1. i

' , 1 I 12 IS?-O I O" 3Y c..' -~-.l-6i • ,x

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~ .,'112.0i.?. <;?. ") llV::-[( .... o y ·-o ... ..-." - ~:i 11''17 :36 y -fl.J.OI~. - 7: ~ 1,. :J.7 .... ,.. J }I

B'i-eOe?-.-e\ l·'lji,~

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-'"'l:l.'"Oi 121L/ -. ""'"·'.). - M':l. 1.%~"" ....... ..,~,.:.. -... ·;). , ... ~c _N:..-. -o"> ,, ! I

,.., ,.i.1 ~c 'J •"· ~.., -e.....,"l-01. '~""'° ... _,..€'/" _c,··~ t:l4'3 __ ,.,....,_,,,;,/.

l'.2 '"I "' - l'\ I~- -Oq. ,,_,..,q. ~'i-00o1-01 13~'°'

-riFJO'J-~ o;.. i~~o - l')(.)('f). - tJ -~ 1·~2"."

/

Sampler Name /Signature/Date (relinquish custody oflisted samples~ ' • ">-/.?;~ ... ~ - ....,

Field Lab Name /Signature/Date (accept custody of listed samples): ~ W" <::. '5=-(:

of3


Sample Information

Property ID Number: PC· I(,!£"° Date: 5,1i;...\ii?' Start/End Tilne: I

Project: Colorado Smelter CPSA RI ArM,4 Sampler(s): 'If 13'5 Company: -f!itVIC-Sample Collection Method (circle one): .

Liner? YIN C Drive Sampler~ Other: -----YardHazar&:. _______________ ~---------'----

Sample Locatiora Recorded (circle one): GPS PropertyMilp Other: ____ _


QA/QC Incremental

Holes Y/N Comments .

P"I ·- ooo"' -o 1 '!°'t; . .:;- 7r {\

~ .,,'.:>. ....... "' \ 1?,i. (

_ ... t ... p.-01 bl:>( ..... - 111. .... , ~

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l"'-11 "'~-A! ).N,,11-0 \ ILi~(,,

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. Sampler Name /Signature/Date (relinquish custody of listed samples): ' l/tlllV'tn..- 1 /,, .~Y1r--..__-

Field Lab Name /Signature/Date (accept custody of listed sample~):~ u~ PS-1 s=rs--t;h 511$

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Property Contact Phone Number: Property Identification Code: PC- /fo/S-Property Owner: '

Property Address:

Present during sampling? <&!N):Owner:._.X,__ Occupant:. ____ _

Type of Roof:,____:;$-.,~"'·,,,_,,.-;""()\A..1=______________ Condition:._-f._._~< __ _

Type of Siding:,...J:JA:c.i;I""'""'=' """"""""'<::....------------- Condition:,_,-C.;-=· ,,_' r::....... __

Type of Trim (windows, doors, eves):.--"'w"'o'"'•"'j'-----,-------------

Outbuildings? Type? slreol fwoo J) ~rror\- (.woo J ) Porch/Other: f'O..,..._J c.............._h Gutters: tJ~

Sprinkler S)'$tem present?: N...-.. ... eA,..cv-.t

Sample Containers: 4 ozglassjar 8 ozglassjar @p bagge~)

Number of Sample Containers:. __ _ Preservative: 4'C±2°c

Condition: E=">"" Condition:~ r ....;...;"-'----

Condition:, ___ _

Location:. ____ _

Other:. _____ _

~ Other:. __ _

Anruyses: TAL by 6020B CTCP-MS): antimonv. arsenic. cadmium. coooer, lead, zinc by 6200 (XRFJ

Weather: P...r1"i C ( .,..,J ... t

Visitors .. ·_-----------------------::--------

C~ents/Observations: El:>~ C..·i:r•rk bu·, s:A ",,,.J Cft"~·.rl c .......... ~'l''t 'b 19·1 .. ~ -to $"pf- ./ri .2 11 .. s i ~j <;ie,. .... p\.A<;, c.J\&Pkc.>.C..,, ... Q"-2"j ... 3>.c, ... j ~ l!)''-t"c).L~O

Samplers Name and Signature::_jr._[4i.d,:i.....4J.1JJ.~~::::='3~~~~C==-------

Reviewer Name and Signature;:,,,,.~~.....!:::===~~=~u:.._ ___ _:_=--.'....::::_ ___ _

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PROPERTY ID: PC1615

Project 14426 No.

SURFACE AREA OCCUPATiON BOUNDARY: 3,127 sq.ft. SURFACE AREA FRONT YARD: 96 sq.ft. SURFACE AREA SIDE YARD: 232 sq.ft. SURFACE AREA BACK YARD: 990 sq.ft. SURFACE AREA CARPORT: 218 sq.ft. SURFACE AREA APRON: 66 sq.ft.

Drawn By: SLM Date: 5/1/2015 Checked By: SLM Sheet 1 of---,

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~c1ark~~EJ~ :Ourve>1,Jlnq•AL TA•Mc0pplnq 1740 Ea~riage Blvd., Sul\o 140 e Puablo, CO 810IJ1 • 7'9,582.1270

www.1:larkls.com

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Sample Information

Property ID Number: PC- /fa~t Project: Colorado Smelter CPSA RI

Date: J-;i/0/''? Start/End Time: {)'j~ I Sampler(~): 771,JIN,G-H Company: fwi

; ;

Sample Collection Method (circle one): -'==-~

Linef'?Y/N ~ Yard Hazards:, _________________________ _

Other: -----

Sample Locations Recorded (circle one): GPS Property Map Other: ____ _

Sample Identification Time No.of QA/QC Incremental Holes Y/N Comments

<.11 <!><.I - f"Y,,e'tJOZ• ~J 6'72-f' 30 'I .'511.;'5•/ ·F=JI- tJZ"w:.. 3i c:!l'\'L<g ~o }'

5(1.o:>~-f'V- 006'--"I"L 6'7S-ti lo y 51 IQ_ S"J ·f'( - O<_OF- -"C'a_ /()6 I .5() ' ft tr)'{ - r:w - coo z.- .3'" · 1,1;;;·7 JO y '>1 "G4 - FY - 6lD4' ..;._r71 llJ.~'7 ~o 'V 5'[l4S'f- FY- OCnc -a I IN/I( .::;- Ill Sliu'OJZ/-{'f- ozor~ -d 1 J/l/{r; ~- v1 S/~S'f-PI • ~ 11. - 01 ff't~ .;--- 11\. Silo!>"'/-FY-l·Z-151- -cl 1150 s- 11\ '

5 It• $''1.· FV - coo z_ - oz. /I If;'> t:: II Silti5"f-PI - Ci2'o<o - cz.. /(<;"7 5" (I

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<11.os'I -r:v - oc.i1z -ci:s- ( 1. I '.) rt S/t..<V -FY-fZ/'ii -a3 J 7 1,"!J e- v1 .~11.-=;t./ -BY-CJOo-z-o; I Z.4 'f $" V\ 51u '>"I - 13~ - ozoc. - to I l'Z'-17 ~ V\ 51it'>'I - 1'5Y-<l(.rc:. - cJ I I Z L{ "I I) {\

SlltS-4- BY- rz.IP. -01 I Z:J( s- 1A 5l(t5<j - i:Y-0 ... 0Z-6'2. rzS's ~ v'\ 5tt.54- Y,V-<lt.OlA- o~ !2-57 .r- VI <'It. '5"Lf - i! Y- "'' ('l - o Z.. ,z.,, 9 11\ 7fv~"I - "p'1-IZ.IS --07 ,a --~-, ~ v'\ j!C,S'•(, °BY - oocz -o-1. ;~ t>' • ;j 11\

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+"""'" . - ./ Sampler Name /Signature/Date (relinquish custody of listed samples),.,..:; ,,~ A - ·-.. A/'./ ~ -1r-1. Field Lab Name /Signature/Date (accept custody of listed samples): ~' -,,_ / ... ;;. , S:!c/-11

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Sample Information

PropertyIDNumber:Pc- /ft;S'( Date: ~/l/-/S Start/:EndTime:Oftb I

Project: Colorado Smelter CPSA RIP MA Sampler($):17f;c {W, G-lf- Company: f fif(' Sample Collection l\!fethod (circle one): /

Liner? YIN ~ve Sam~ Other: ____ _

Yard Hazards:. ________ ~-----------------~ Sample Locations Recorded (circle one): GPS Property M"ap Other: ____ _


QA/QC Incremental

Comments Holes Y/N .-.... 51/e $'1- D2:. • O()O I - o I 1355" > " ' ~ 5 ti .-s-l( - D;> - Ooo I -a-z. 1'33 7 r /,/ -_,

5/14, S-lf • D2. -coo I ·C3 133~ 5"" VJ. -.::

~I'"~ 7 - 5Y-Oo"'t..-OI 13 4'-( r .)Pr" ~ .. ~ - • -SY-eiwt,, -01 13 '-l (Q ,- / (1 .... ,.) ..,,, . •

51lJS-'1--SY-0~1z. - o / t.~ 'I g < ./' 1A ~~ ·- ... !t - --IC. 1 (t S-'I - 5'/ - JZI fl-O l I!. S-D .., ~ 111 -~ . '{ "'.'> * ~ l i,5"'( - S'I- Oo6t - o z.. l'/tJ I _,e ii\ • .,.§ ,<;;; ~ .._,,

Sit.S-4-SY · t:>z.<>to - 6..:. 1'{q¥' {"° vt """'" '\i '-> "' .;....., fit. '>4 -SY- oc..1i - o" ..-'fi.lo5" ~ I ~ . iii; <.

~ .. 5111 S-lJ - SY- la A I( • ....r-z_ I'-( oi ~ . ·"'s:s'~...J

1 s 11. <lf - s~ -o~ - o3 /<-/1 5 > ..., <;.~ , - .

J /i, ~l{ • S~l61o - c3 '"' 7

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5{1A<4 • &A - rz.ie -0 I /i/;'f s b

'~ -Sampler Name /Signature/Date (relinquish custody of listed samples): I""'"> .ku.' !....._., 7~-/ v

Field Lab Name /Signature/Date (accept custody of listed samples): ~ .#/. 5"·1'{-f

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Inorganic Soil Sampling Fleld Form

Property Identification Code: Pc-/ b5 'I Property Owner:

Property Address:

Present during sampling? (Y/N):Owner: __ _ Occupant .. · ____ _

Type of Roof: C.~ hla Condition: 5et.t& Type of Siding:.~"Bi~.:.=·c..::..::L=------...------- Condition: j~ Type of Trim (windows, doors, eves):,__.V-'?"0¢=.=:.o&:=.. ___________ _:::~:1,<d-rr.Cl:lli"°CJ~!._-Outbuildings? Type? S'Lu ~l ! bvu:1 R Condition:~ Porch/Other: ~9 h, C.OV--c;f'e..\< . Condition: ;~ Gutters: r ti (M.. ~c.\,.._ Conditioil: ~ J... Sprinkler Syi;tem present?:,_..:,~='"------------ Location: ~J_

Sample Containers: 4 oz glass jar 8 ozglassj~ Other:, ____ _

Number of Sample Containers:, __ _ Preservative: 4°C±2°c ~ther:, __ _

Analyses: TAL by 6020B acP-MSl: antimony. arsenic. cadmium, cower, lead. zinc by 6200 <XRFl

Samplers Name andSignature::_·_~.uei· ..Ji.J~__.t.:tU:;.:j..!Ll.""'7'5~~g:=--~5-==2_-~/ 41::_·-L/ zS_

Reviewer Name and Signature;:_ t __ ~_:_11~(,J:__;__t. tf-..!IL..__:;e::,::~=--1~~~_::S:~-/L'(1--!.(..L_

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PROPERTY ID: SURFACE AREA OCCUPATION BOUNDARY: 6,617 sq.ft.

PC1654

Project 14426 No,

SURFACE AREA FRONT YARD: 1, 197 sq.ft. SURFACE AREA SIDE YARD: 122 sq.ft. SURFACE AREA BACK YARD: 968 sq.ft. SURFACE AREA GARDEN: 144 sq.ft.

Drown By: SLM Date: 5/1/2015 Checked By: SLM Sheet 'I of 1

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~c1ark~~~ 5>urVE'L,Jlnc;i. AL TA• Mdpplnc;i 1740 Ea;lerldge Blvd .. suae 140 • Pueblo, co 81001 • 719.582.1270

www.clarkls.com

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Sample Information

Property ID N]lltlber: PC- / l\''3 S--,.;"" ,.. ,· .. ,; .. ):.~·-~

Date: !> .., 26 ~I B Start/End Time: 01 aG1

Project: Colorado Smelter CPSA RI

Sample Colle.ctionMethod (cll:cle one):

Sampler(s):TA,Gtt1 C:.vl Company: f LJl

' --~~ Liner? YIN C Drive Smnpleo Other: -----

Yard Hazards:._~-'------------~~--------------·-··--·------,. Sample Locations Recorded (circle one)· GPS C Pr~ Other·

Sample Identification Time No.of QA/QC

Incremental . Holes Y/N Comments

'l1ir?><; • Fi - l>Ol)Z - 0 I ~I"/ '5 II S/~3S- - FY -o-Zoi.> - ol '/tJ2./ ..;- v'

Sl~J.) - ;: y _/f/;i'Z.. - A I /tJZ3 5 ,, 51&-J,S - FY - /ZIK - fJ l t()•'r s t

I<; IX .r '>-fY - oo:.:n. - <l <- JtJ?'6 _s-- II

5; 5"3 ~- (Y - <l!Ot;, - o 2 1930 5- j

5 t<>.-c--FY -q,,tz. dZ... 1c3z .... p S ;g;,rc ('I - fZI rt · o ~ /03'i s- I Si&>S-~<Y·eto2-o.3 /l)fJ"} 5 II 51~~)-f>' ·0<'.64'.; 03 n•'{/ 5 ' S lqJ)- f'! - cJul <... -c::>-3 ;ort3 ,,, l

SCi3.S--fY·fZJS'- 03 10 fr ? f .51g5 - OZ- ·(Jl!J(J'Z.-0/ lo l/g ~ /!'. .SIS'?.<:"- Oz-c.ooz...- "'- ttJSO 5 f

Si&!s-- D2--.::;caz.-o3 /tJ.5Z. ? II

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Sampler Name /SignaturetDate (relinquish custody of listed samples):-1( ,.,Jis Ji0;./-. A ~ .,.c j-?{}-15

Field Lab Name /Signature/Date (accept custody of listed samples):~.L ·~s:zo,,5--

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Sample Information

PropertyIDNwnber:Pc-1635 Date:~tO·· I<;" Start!EndTime:O'lOS- I

Project:ColoradoSmelterCPSARI btfA Sampler(a):fA •HI LIJ Company: ['w r

Sample Collection Method (circle one): ·----·---·-·--.

Liner? YIN ···~ Other: ____ _

Yard Hazards· - - ' Sample Locations Recorded (circle one): GPS '-!:!operty Map pther:


QA/QC Incremental

Holes Y/N Comments

71<0 3"5"- jl:Y ·- oeoz- "1 Cf1t,,... ';) fl .::/'l!! s-zo _, 51l33S-BY-czoc. ·o 1 0'717 ~ 11 51~ >S" - SY·clo 1-Z ·o i 0'?11 ~ 11 ~163')-Bt-t-z.l~ - ot ,., 'i "l I ;- v'I S I 'il-.. "5" • TJ.Y - woz. ·oz.. 6"12'i > l S' I S Vi" • f'd ·tJ<'t5¢> -oz () "11..4? 5"" j

St'i,'3:')- BY-OlD<Z -~'"2. · O'lZ'[) ~ " 51X::SS" ... ~Y-121;>-DL 0136 ,,,.. ,1, ~ i~:35" • Ei-tDtJZ - 6~ (PC/:$ 5 :;> '\

6163< • BY - 02ou - t15 10'13? )

.51 g3s" - r~Y. t>(JI IZ • .. 3 tl~"3 7 ,.. f)

f;,/ 13!!.S-... "fl'/. IZltl. ·o5 A"J3"i '!"' v ....... - - di~) <I' -~ -~}") !:" ... z ·~·-(~ •. ~ '.:;-A. p ... Ct'l'.)~ -0\ 0'150 $""" VI

5183$"" -~ -O'Zc!Co -c I 0'151- ..:- ,, :S1ss~-AP·cter2 -01 CJ'1'>LJ -,. " ~l~?.':>-AP-1z19· o i d'/5"(,;, ; '. 51~;s- - At>-o~ o-z... c11s-•1 ; 1!1 51 ff3 s-- AP -crz. ~, • o ""L I <Jo j < v'I 5~.?>S'-AP-- <X.>1i. -o'?. /IJOJ s (I

.$i.<i.3S:AP~ rz1...c -ca.. jOO~ 5'" VI '' \ 11>'"3'5""·-AP-tv>oz..-o~ if)O!!,

,. <: i(;s;- .Ap .• t.Ui.P-o3 /[) '"' 5 ~- l({~s -AP~Dw 1z.. o> /I) I Z.. ~ ~

~A£ S-4o-·IS-;11~~s-AP- IZrB -03 iDI'/

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A

Sampler Name /Signature/Date (relinquish custody oflisted samples):' '"Vi~ ""J>·n..., ... ,,.,,,,, 5 -zo-1c,

Fiel<fLab Name /Signature/Date (accept custody of listed samples):~-.: "~ ~ L/ S:-21J--(

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Property Contact Phone Number: Property Identification Code: Pc- / 835 Property Owner:

Property Address:

Present during sampling? (Y /N):Owner:._,_ __ Occupant: ___ _

Type of Roof: Ajp le.\.\- S kiv'J le.a Condition: 6 ,t Type of Siding:-"vOo=u.,_· ,.,,&.~-------------- Condition: fOt.J..r' Type of Trim (windows, doors, eves):_...u.J""-"O"'!i:..c,l.:=. _____________ -lf.f}.i<o~ef:_.i__-

1 Outbuildings? Type?__,5~Wo~d..:.· '------------- Condition: e~

L I Porch/Other: C {])'\, 0£_,'!f _ Condition: "' f!. Gutters:_'_,_/.~,,,_________________ Condition: po a-~· Sprinkler System present?:--lJ\wai\:~-· ---------- Location:. ____ _

Sample Containers: 4 ozglassjar 8 ozglassjar <:Zi;i;b";ed) Other:. ____ _

Number of Sample Containers: 3} Preservative: 4°C ± 2'C none Other: __ _

Analyses: TAL by 6020B QCP-MS); antimony. arsenic. cadmium. copper, lead. zinc .by 6200 CXRFl

Weather: Di}{j ui!JfVisitors: /\k Comments/Observations: _______________________ _

·~

<> n - -0 ,. 2 :i: ·a· :a = ~ -----v o~ ~ \;? ~ c r ,.. "'

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PROPER1Y ID: PC1835

Project 14426 No.

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SURFACE AREA OCCUPATION BOUNDARY: 4,655 sq.ft. SURFACE AREA APRON: 258 sq.ft. SURFACE AREA FRONT YARD: 366 sq.ft. SURFACE AREA BACK YARD: 1,009 sq.ft. ~Cldrk~~P'J~

:.urv.,ylnc;r><AL TA><Mdpplnc;r 1740 Eagfeririga B!Vd., Suite 140 • Pueblo, CO 81001 • 719.S82,1270

Drawn Bv: SLM Date: 5/1/2015 www.clarlds.com Checked BY: SLM Sheet 1 of 1

of21

Page2of3

Tnorganlc Soil Samplfug Field Form


Property Contact Phone Number· Property ldentiliealion Code: PC· 0000

Property Owner:

Property Address:

Present during sampling? (Y/N):Owner: A/ Oceupsnt d/

Type of Roof: ////A- Condition: ___ _

Typ~ ofSi<!ing: 2/f k Condition; __ _

Type of Trim (windows, do01., eves): _ __._,,?1"-+~-''A-'-"'-------------OUtbuildings? Type? .,,(// k l

µ~1 Porcb/Other: ___ ....:':itJ"""-4="""----------Gutters:. _ __,,£t-<-l<--/-1~'d---/~ ///,..,__, ,,,----Sprinkler System present?:,~-....:.!V=...r-/l.!...:;r-c.:.... ______ _

- I

Condition: ___ _

Condition: ___ _

Condition:. ___ _

Location:.~---

SampieContainers: 4ozglassjar Sozglassjar ~ Other:. ____ _

f.~ ..... "' NutnberofSampleContainers: /( (p Preservative: 4°C±2°c ~!her:. __ _

Analyses: T AL by 6020B !ICP-MS~, arsenic. cadmiwn. copoer. lead, zinc by 6200'iXRF\)

Weather: C...\"-VJ..l uv/ e>cc~-:i~\. lf"C'-\""'-

ViSitors: L/C? v-->----

Commen1B/Observations: S\"-'\ ~\.._s-C,,l (4'.J.J "'-+- 1'";1 "'9'$'SM-L.J.1,M · cw:s\... ]\.\£-i r~'"'D bvi.-Nlll "SMe-\.4-\. 1 ..... -1-1 .... k..li.JJ~<

l :!)l\.Jl. ~' -<11. I- \q c....,

Inorgantc Soil SamPilng Field Form

P11ge l of3

KeVISIOn :l.J

Page20 of21

Sample Jntormation

PrQPerly ID Number: pQ.0000

Project·CoJoradG Stne!ter QPSA RI

Sample Collection Method (cirele one):

Date: 5"/6 /, J . Start/EndTime:q:·3a7'°'tc!46 .. ....._ i I :tlS°t¥.'\_-<.1'" .....,

Sampler(s): w ur Contpaey: l""WT

Liner? YIN ~vo S(lll)pler

YardHa:zards: fuk+~ S\.e,qgs 1

l aoQ.e_

Sample LccatiOllS Recorded (cit:ele one)· @ Sample ldaritification Time No.of

M!ll• . -oooc -Wfl-OCl'Z..., •L 'r:'f / "'> c::-o---l• 1--2-~ I 10:00 s -· .. ... ~ "0<'02.< l'l:sM 5

'~lJl>L -a~2.'""' 'IO: le> ~

_,., P s-o~.., ~ to:.,, f; G;'~-wor. •oct:>z..-o 1 10:2.8 "'

c:'.wo.t~

Other: _-\, o...._rJ .\-~I \@!.,,_,\...._

Property Map Other·

QA/QC incremental Comm.ants 't/N

A/ A/ r>l<lc..\t. $;\ .... ~ .IV' IV l"il_.. -'~ - I

··' A/ ~t~ .u . ..I~ .... ~ i I J/ fie\- .. -\

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Sampler Name /Signature!Date (relinquish custody of listed samples):,<;; · N .. ~Al ,, • .JJ / 5' 6/ [ ,~./.'.' I• Rf,_ ,, • .,, ~ Field Lab Name /Signature!Date (accept custody ofliated samples · _,_ • - ' ' 15 ,__ - ,, . ., -

InQrganic Soil Sarnpling Field Form · 2021. 2. 5. · ,_H ·S • " -z " :r ~B Q n o~ en ~ UI ~ 0...

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Transcript of InQrganic Soil Sarnpling Field Form · 2021. 2. 5. · ,_H ·S • " -z " :r ~B Q n o~ en ~ UI ~ 0...