+-----------------------+-------------------+-------------------+-----+
| ## Field Labels       |                   |                   |     |
|  and Transmittal Docu |                   |                   |     |
| mentation Checklist f |                   |                   |     |
| or the Field Support  |                   |                   |     |
| Facility (Additional  |                   |                   |     |
| pages may be utilized |                   |                   |     |
|  as necessary for com |                   |                   |     |
| pletion of various se |                   |                   |     |
| ctions of this report |                   |                   |     |
| . Refer to Attachment |                   |                   |     |
|  B for instructions.) |                   |                   |     |
|                       |                   |                   |     |
| Page 1 of             |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| **Part I --           |                   |                   |     |
| Initiation:**         |                   |                   |     |
| (Initiator            |                   |                   |     |
| completes.) Provide   |                   |                   |     |
| the FSF Curator Staff |                   |                   |     |
| the following         |                   |                   |     |
| information to obtain |                   |                   |     |
| field labels for your |                   |                   |     |
| borehole materials,   |                   |                   |     |
| **Note:** An entered  |                   |                   |     |
| check mark ()        |                   |                   |     |
| indicates the         |                   |                   |     |
| requirement has been  |                   |                   |     |
| met. (If the          |                   |                   |     |
| statement does not    |                   |                   |     |
| apply enter: n/a.)    |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 1\. Borehole Name/ID  | 2\. Initiator:    |                   | Bl |
| No.:                  |                   |                   | ock |
|                       |      \            |                   |     |
|                       | (print name, then |                   |     |
|                       | sign) (date)      |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 3\. Field Team        |                   |                   |     |
| Leader:               |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 4\. Borehole Date     |                   |                   |     |
| Started and/or        |                   |                   |     |
| Completion Date:      |                   |                   |     |
|                       |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 5\. Labels Required   |                   |                   |     |
| (Type/Amount):        |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 6\. Borehole Total    |                   |                   |     |
| Depth:                |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 7\. FIMAD/Location    |                   |                   |     |
| Identification No.:   |                   |                   |     |
|                       |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| **Part II --          |                   |                   | **  |
| Documentation         |                   |                   | Del |
| Required for          |                   |                   | ive |
| Acceptance of         |                   |                   | red |
| Borehole Materials**  |                   |                   | to  |
|                       |                   |                   | FSF |
|                       |                   |                   | (d  |
|                       |                   |                   | ate |
|                       |                   |                   | )** |
+-----------------------+-------------------+-------------------+-----+
| 8\. Field Screening   |                   |                   |     |
| Log (Attachment H of  |                   |                   |     |
| ER SOP-12.01):        |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 9\. Transmittal Form  |                   |                   |     |
| (Attachment B of ER   |                   |                   |     |
| SOP-12.02):           |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 10\.                  |                   |                   |     |
| Curation/Disposal     |                   |                   |     |
| Strategy Document:    |                   |                   |     |
|                       |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 11\. Borehole Field   |                   |                   |     |
| Log (Attachment D of  |                   |                   |     |
| ER SOP-12.01):        |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 12\. Field Borehole   |                   |                   |     |
| Analytical Sample     |                   |                   |     |
| Removal Checklist     |                   |                   |     |
| (Attachment B of ER   |                   |                   |     |
| SOP-12.01):           |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 13\. Chip Field Log:  |                   |                   |     |
|                       |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 14\. Field            |                   |                   |     |
| Photographic Log:     |                   |                   |     |
|                       |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| **Part III --         |                   |                   |     |
| Verification:**       |                   |                   |     |
| (Completed by the     |                   |                   |     |
| Field Support         |                   |                   |     |
| Facility Curator      |                   |                   |     |
| Staff.)               |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| 15\. Verified by: FSF |                   |                   |     |
| Curator:              |                   |                   |     |
|                       |                   |                   |     |
| > (print name, then   |                   |                   |     |
| > sign) (date)        |                   |                   |     |
+-----------------------+-------------------+-------------------+-----+
| SOP-12.02             |                   | Los Alamos        |     |
|                       |                   |                   |     |
|                       |                   | Environmental     |     |
|                       |                   | Restoration       |     |
|                       |                   | Project           |     |
+-----------------------+-------------------+-------------------+-----+