F. Donal/Mine Ann WOMAN: Mid}. mpg/?7? 77% ck. 67.0 ?ax/77.47am: 7?7 Mose?. bpnoLL-?ij man;- my? 1 I SAMPLE STATION IDATA SHEET I Samp'le Number; 5-3371} Signature: I . 001-4] Signature i :1 Owner: I I Exact S'ampTe.Locaton: I 43;ng Am}; i Emmi. 17!? II 595th . . (See Attached Site Sketch) Type of Sampie: posite Surface; e; Other - Describe: 53152131 I I Number of Composites: . I ll 9 Sample Depth: .. 75 I Samp'le Time: I I Photo documentation and Tog sheet compjeted? Yes No Describe sample composite coHection p?Iattern: Elegant?: 117.1%..Sample coTTection team members: @Wmm ?5 . 2ft. Met. .Conditions at the time of sampie coHection: Sky: I Hinds 12- -5 MPH 3.3m! bl Temp: 1,0? I *Must compT-ete and attach ?Sample Station Questionnaire" first. Page 1 of?" Type of Grass: 510? Quality of Lawn: LIP. Approximate Weeds: MR Approximate Sunshine: [go ?75 1 Approximate Slope 8. Direction (Describe): gg?dg??r?em Wag/?07? 5??!an Describe drainage: Iggy/[7 404;,er I Physical soil properties (Describe): MM 1? Moisture Conditions: we? 5011 Ph: 4.7.6 Any evidence of flooding? (Describe) ?40 mag/def [who?lh Ef?e, ?at/7f,? Any evidence of fill or unnatural soils? (Describe) up(- 757/?. W?m?v Sample Number: 51332)} Signature: 4 1 Date: Signature' Signature: Describe industry in area (distance and type): Wm S?mpuu magma}. 811358 Describe source of fire in area: 130?) Approximate roof area drained by sampied downspout: gape, Describe number, iocation, depth of coiiected sampies: Provide compiete site map, showing: house, iot, sample iocations, roof lines, drainage pattern, etc. Include signature and date. Sampie Signature. Date: {2/5/13 TO --I Signature: Date: alg?a Signature: I Date: {o??g'gg SAMPLE STATION DATA SHEET Sample Number: 5-337!? Signature: Tmtx. OUT Signature- Signature: Location Address: WM I Date: a Owner: Exact Sample Locaton: We) Bur. See Attached Site Sketch) Type of Sample: @ore; Other - Describe; 0F '7 Number of Composites: 2-- Sample Depth: 0-5 Sample Time: Photo documentation and log sheet completed? Yes 2; No Describe sample composite collection pattern: WM Spar-5 As upstage: About: - Sample collection team members: ??06 Conditions at the time of sample collection: Sky: 9&2 Hinds: {sou MPH 5: Temp: 6.0 'p *Must complete and attach ?Sample Station Questionnaire? first. Page 1 of} STATION DATA SHEET Sample Number: :2 Signature: OUT 3 Signature: Signature Location Address: )l?me DE Semn;m Lin]:- 6.5m 4.51917 W433: Owner: Sds-Tm EL Exact Sample Locaton: 25 EC wait 25 g?m QE gh?aulbm Ed mtg?maxim A pp smuuek?ee Attached Site Sketch) ,u Type of Sample: Composite Surface; Eire; Other Describe: Cl?! PMIIE mgmtulejr 511.1' Rom 91?th Number of Composites: M15 I Sample Depth: 1-2? Sample Time: 15 '50 Photo documentation and log sheet completed? Yes No Describe sample composite collection pattern: 3353!! mm 2mm?! Sample collection team members: Emma M?a?lg Q?E?lsq Nepal-,2 Conditions at the time of sample collection: Sky: 4mg . Hinds: MPH Temp: 4,06; *Must complete and attach "Sample Station Questionnaire? first. Page 1 of4 FIELD PHOTOGRAPHY LOG SHEET DATE TIME 45% A.M.P.M. DIRECTION: NNE NE ENE SE SSE sw.wsw NN NEATHERI: gage} ?ng SITE M;d/Qnd; KQE gag?032g PHOTOGRAPH ED BY: 7" Irkmoq?uer" SAMPLE (if appIicabIe) 70-133 . .. ?ll-IF I'll DESCRIPTION: Locohon o?szmlo/a (swam 72913 DATE TIME - A.M. P.M. DIRECTIONHEATHER SITE PHOTOGRAPHED BY: SAMPLE (if applicable) DESCRIPTION: PHOTO 33% STATION DATA SHEET Sample Number: 5? 54194? Signature: Date: Signature: Date: a 7 Signature Date: 6 \k 192% Location Address: Baum . was! of #76 ?Masai/an Owner: Exact Sample Locaton: . rad/ma! #05269 Local/2m 0/6514 079? 640 Amx . offhe. 7m boar/(See Attached ?Site Sketch) ?5 . Mao #662! 0/7 {?re 60557? 367:. Type of Sample: Composite Surface; Core; Other - Describe: 8/235 cal/w: rem Vca? - Number of COW: 6/295 Sample Depth: Incl-i 4'mch Sample Time: [030 Photo documentation and log sheet completed? Yes No Describe sample composite collection pattern: Sample collection team members: 5 06 5 Conditions at the time of sample collection: Sky: (Ma?a? Hinds: MD MPH (p?a Temp: 450/7 *Must complete and attach "Sample Station Questionnaire? first. Page 1 of3 Describe industry in area (distance and type): Describe source of ?re Approximate roof area drained by sampied downspout: AM 4mg. He, Describe number, iocation, depth of coiiected samples: owned pram/u. I Provide complete site map, showing: house, lot, sampie iocations, roof iines, drainage pattern, etc. Include signature and date. Sampie Number: Keg/8f? Signature: Date: [0 7?0-4? Signature: Date: /0 Signature oatez/o 1] Page 3 of3 SAMPLE STATION DATA SHEET Sample Number: Signature: Date: ?og/2523 Signature: Date: Signature: Date: Location Address: Q. Fog/4h 5%rcc-r? 5 of 505/ Gray; Sine/- 0% /502. E. Grove Jr?recr? Owner: a? M?d?a?d Exact Sanpte tocatonz Jomp/c Cojjecfca? ?5?eos/ a; me. nora?amcsl corner of A502. 5- Oral/t. Fog/'19? :51) and 49 War/7?7 off/71?; mica/zen (Sec Attached sate Sketch) Type of Sample: Composite Surface; Core.? Describe: 6/296 Number of CM: 6/35 Sample Depth: 0 - Z. Sample Time: 435?!? Photo documentation and log sheet completed? Yes No Describe sample composite collection pattern: (1)09 Co/Amfcd #75 can/?r of road Sample collection team members: Conditions at the time of sample collection: Sky: Hinds: .Tcmp: *Must complete and attach Sample Station Questionnaire" first. Page 1 of3 LOG SHEET PAGE DATE (ogrma TIME 3'55 A.M.P.M. DIRECTIONNNW WEATHER CREW CUNQ Clad/?A4 SITE 5M $1.310 TDfo ?fsol-?rm .. PHOTOGRAPHED BY: rTam SAMPLE (if applicable) s?amfr DESCRIPTION: Amati-1mm o? T0 Fr, - Kw i DATE I TIME A.H. P.M. 7 DIRECTIONNNW WEATHER PHOTO SITE . PHOTOGRAPHED BY: SAMPLE (if applicable) 1 r' - DESCRIPTION: . STATION DATA SHEET Sample Number: Signature: Date: Signature: Date: ?42240?; Signature/Siam 15 Date: [a ?51 Location Address: We) - . 4014 5 37/029635! 772mb Owner: Exact Sample Locaton?145., 1.4., 1 . . Attached Site Sketch) I40 464- norm e? . Amshn clan 191e- abanon .. Izzy/road Type of Sample: Composite Surface; Core; -- escribe: mat-5 Cira? Number of COW Sample Depth! 1- 3 [hams Sample Time: [440 Photo documentation and log sheet completed? Yes 1/ No Describe sample composite collection pattern: {Mai I Lgm}: sample Sample collection team members: (Mttde M095: 2522 Conditions at the time of sample collection: Sky: Ova/tag}- Hinds: mo MPH .Temp: *Must complete and attach ?Sample Station Questionnaire" first. Page 1 of3 Describe industry in area (distance and type). 33:724.} e?an/ca/ jot-mead. 1?0 192a sou-#1 - Describe source of fire in area: ?O?t 797; ??ned/Ga . Approximate roof area drained by sampled downspout: Describe number, location, depth of collected samples: Provide complete site map, showing: house, lot, sample locations, roof lines, drainage pattern, etc. Include signature and date. Sample Number: 5 eg?fgo Signature: 73-0 Signature. Page 3 of3 PHOTOGRAPHY LOG SHEET Page IOEI DATE TIME A.M. P.M. DIRECTIONHEATHER gag! SITE M/b?lana? 7305?9304 PHOTOGRAPHED BY: +eom mam/)5; SAMPLE (If appIicabIe) 70-7 1 5134/93 DESCRIPTION: 719-7. 9 WMIvm?-Hlp? DATE TIME A.M. P.M. DIRECTIONHEATHER (J ESITE Mam/7d I ?05?a304e024 PHOTOGRAPHED BY: Fl 7? 7?60273 member SAMPLE (if appII'cabIe) TD-7a5n34493 DESCRIPTION: Cox/Ewan or? 3mm, 70?7. $.1th STATION DATA SHEET Sample Number: 5: - if/Q? Signature: Signature: Signature: /d Location Address: f/B Wlmaul Owner: Ezbhi-of- mm x] 7 Exact Sample Locaton: ?54512an #55. (See Attached Site Sketch) Type of Sample: Composite Surface; Core; Other - Describe: Grab; ml: [Lei ?rm?x 49:5 1?0 ?ames . Number of cm Sample Depth: 5,5 {9 Sample Time: /0/0 Photo documentation and leg sheet completed? Yes 9? No Describe sample composite collection pattern: Sample collection team members: ?audg 'f I Conditions at the time of sample collection: Sky: Hinds: MPH a Temp: I *Must complete and attach "Sample Station Questionnaire? first. Page 1 of 3 #1611109 I :Jacpunn 6614799 5.1.5. 71 995' ??761,733: ?Na 3 a?gvmm'mu ?3 I '03 am; momm m-vz d1; 01 ?-0307 I . (JO 9 US mug-?l- owa 1303 7 ype of Grass: None. Quality of Lawn: Wam_ Approximate 5?6 Needs: Wig Approximate Sunshine: 100%- Approximate Slope Direction (Describe): (do Describe drainage: I6 Physical soil properties (Describe): Moisture Conditions: 5011 Ph: 5.0(6? {1515}: Any evidence of flooding? (Describe) Any evidence of fill or unnatural soils? (Describe) Sample Number: 5-34194- 13L Signature: Date: (0&225 Signature: I Date: [0((1283 Signature: I Date: I Page 2 of3 Describe industry in area (distance and type): 405(3de QQ (bag WM . Describe source of fire in are? Approximate roof area drained by sampled downspout: WM Describe number, location, depth of collected samples: Provide complete site map, showing: house, lot, sample locations, roof lines, drainage pattern, etc. Include signature and date. Sample Number: Signature: Date: 0 73-6 Signature: Date: 0 3 Signature: Date: Page 3 of-3 Noah m9+on 5+ree+ Sanple, Number: 554194 my ?irt-?1?9 Dow Chemical 00. TRACK. our No+ +0 399k. ?1 ?Qafple. Ecol ?Emtmanmenhl?: Cf" 1Q: "3&5 . FIELD PHOTOGRAPHY LOG SHEET Page DATE van-un4191.- TIME A.M. P.M. DIRECTIONNNW HEATHER - SITE M/?i/Onai Egg-? ia? .. Q23 PHOTOGRAPHED BY: 7? 7?60?) Mamba/f (if applicabha) +3 . 70- H5 5154/?4' DESCRIPTION: Co/Ach/z'm 0F {amp/g; 7?0- 13 DATE I TIME A. M. P.N. DIRECTIONHEATHER PHOTO .SITE PHOTOGRAPH ED BY: SAMPLE (if applicable) DESCRIPTION: 3:1th STATION DATA SHEET Sampie Number: 5134/22, Signature . Date: "q Signature: Date: 110211165 0 Signature: Date: Location Address: MW Ee?z? our/160d- 101,053 cow Chem/ca E/am? land. Exact Sample Locatom Owner: PeprmC-JJ (See Attached Site Sketch) b01167: Type of Sampi Composite Surface; Core; Describe: (grab Number of CW Sample Depth! 0 .3 lnr?fLS Sample Time: {750 Photo documentation and 109 sheet compieted? Yes l/hlo Describe sample composite coiiection pattern: WW dang/g; Sample coiiection team members: Lind/2L L, Conditions at the time of sampie coiiection: Sky: Hinds: Womm 0-5 .Ternp: 4:06/7 *Must compiete and attach "Sampie Station Questionnaire? first. Page 1 of3 Describe industry in area (distance and type) Describe source of fire in area: Approximate roof area drained by sampled downspout: Describe number, location, depth of collected samples: Provide complete site map, showing: house, lot, sample locations, roof lines, drainage pattern, etc. Include signature and date. Sample Number: 5-3442? Signature: Date: 10 Signature: 9m: Date: (Diff/33 Signature: d, Date: Page 3 o?3 STATION DATA SHEET Sampie 'Number: 5-3313; Signature. Signature: ?(10 [0 Signature: Location Address: bow G-mTe, Owner: Dam Chemtcat Co. I 'Exact Sample Locaton: I (See Attached Site Sketch) Type of Sample: CoLe; Other - Describe: Number of Composites: (0 I Sampie Depth: Sampi Time: 4?0 Photo documentation and Tog sheet compieted? Yes A No Describe sample composite coHection pe!1ttern: MM: Take-:44 glam NJ 6km 93 DP A Hum Samme col'lection team members W, . I W1. lo: ?s-g Conditions at the'time of sam'p'le col'lection: Sky: Hin?ds: ?g MPH Temp: 40'? *Must complete and attach ?SampTe Station Questionnaire" first. Page 1 of3 Type of Grass: Md SWTM Quality of Lawn: We, UM ?oot/L. Approximate weeds: (Ml Approximate Sunshine: Approximate Slope E. Direction (Describe): 50015900 (?Mogmc?l Describe drainage: Physical soil properties (Describe): I Qta? :5 (12? ?mdgh ga?gzzr? 422:5 ?5?1g??t Ir Moisture Conditions: qua/gr Soil Pb: 7.3 Any evidence of flooding? (Describe) ?pv 3/014; lma??x?z?aw Any evidence of fill or unnatural soils? (Describe) 741// [Mc?car Sample Number: 5- 3333Q Signature WW Date: (Oll?[gb 1' 0 4* ?10 Signature/W Date: Signature: WDate: {o/kj/?j Page 2 of3 OI 330 JV =14 we I Zara-V1 I I I Pa 70a wag'waa FIELD PHOTOGRAPHY LOG SHEET Page IIOFI DATE TIME 1240 A.M.P.M. DIRECTIONNNH HEATHER [aim 15m SITE 44d {and Mg @i??mf PHOTOGRAPHED BY: Fl mrmb?r SAMPLE (if apph?cabTe) DESCRIPTION: LormL/br} 5:40 DATE I TIME A.M. P.M. DIRECTIONNNH HEATHER I PHOTO -SITE . PHOTOGRAPH ED BY SAMPLE (if app11cab1e) . . DESCRIPTION: EMPLE STATION DATA SHEET Sample Number:1? Signature: .4 Signature 1: ate: are" - . TD. ll 0-5'33733- Signature. - and?, Date: a Location Address: meagre 121- I7 Owner: 3293!; Izhegg?ggi In! Exact Sample Locaton: (See Attached Site Sketch) ?Type of Sample: Composite Surface; Corl'e; Other - Describe: .. - I Number of Composites: I Sample Depth: Sample Time: [8.30 I Photo documentation and log sheet completed? Yes $5 No Describe sample composite collection pattern: Sample collection team members: Conditions at the time of sample collection: Sky: 00m? Hinds: MPH ?3-45 I Temp: 46"; *Must complete and attach Sample Station Questionnaire" first. Page 1 of3 . Type of Grass: was) (. Quality of Lawn: MW Approximate Needs: ?up: Approximate 1 Sunshine: 0002;.? Approximate Siope Direction (Describe): {Egg/1: @3222: 242914: l?%7o Describe drainage: 41/14 .77' Physicai soil properties (Describe): Al/? on Lind/#3049. Md Lug/{m? pp 7?46 m! 41/52) Awa??e?th haw/e, maze/A om? Alp/ye; 78) Moisture Conditions: 5/1451L/c, 314.01% 76 m? .4 . I Soi] Ph: Any evidence of flooding? (Describe) [hhof?m ?mmck a; ll +1 c/mlnMem ad I Any evidence of fiH or unnatura] soils? (Describe) gmi Q?gz 923:6?" we?? mag, Wand/{es rmJM: 0% over 157/- Sampie Number: 55-35223 Signature: A Date: M) Page 2 0123 FIELD PHOTOGRAPHY LOG SHEET DATE I AM.PJL DIRECTIONNNH HEATHER L595 51:5! 5 ITE AO/d/nndl PHOTOGRAPHED BY: 1%ch member (if Cozzag?maf?ampZL?jiaizap*. DATE TTME {am A M. P. DIRECTIONPEATHER 430549- MA PHOTOGRAPAED av; SAMPLE 10% (1f aopTTcabTe) wanadiferazp@.fvudS (I) IJJ 5% 2I I??i :5