DEQ-CFW_00023086

Weather ( ):
[] No clothing urboots containing Guve-TexT"
[J All safety boots made from polyurethane
and PVC
[] No materials containin8TyvekO
[] Field crew has not used fabric softener on
clothing
[] Field crew has not used cosmetics,
moisturizers, hand cream, orother related
products this morning
[] Field crew has not applied unauthorized
sunscreen orinsect repellant
Field Equipment.
[] NoTef|onO or LDPEcontainin0 materials
on -site
[] All sample materials made from stainless
steel, HDPE,acetate, silicon, or
polypropylene
[] Nowaterproof field books on -site
[] No plastic clipboards, binders, or spiral
hard cover notebooks on -site
41MM, "M��
[] Coolers filled with regular ice only. No
chemical (b|ue)ice packs inpossession
Sample Containers:
LJ All sample containers made ofHDPEor
polypropylene
[] Caps are unlined and made ofHDPEor
polypropylene
Wet Weather (as applicable):
[] Wet weather gear made ofpolyurethane
and PVC only
Equipment Decontamination:
[] ^PF[-free^water on -site for
decontamination ofsample equipment. No
other water sources to be used.
0 Alconox and Liquinox to be used
Food
[J Nofood ordrink on -site with exception of
bottled water and/or hydration drinks (ie,
Gatorade and Poxverade)that isavailable
for consumption only inthe staging area
Ifany applicable boxes cannot bechecked, the Field Lead shall describe the noncompliance issues below and work with
field personnel to address noncompliance issues prior to commencement of that day's work. Corrective action shall
include removal of noncompliance items from the site or removal of worker offsite until in compliance.
Field Lead Name:
Field Lead Signature:

..........?!................................................................................................................................................................................�rh.....N........."'...
..''».......................................................................... .
© containing materials
High-density!•(HIDPE) materials
! •• •• rAcetate
LPE) materials
Liners
! s •
Waterproof field books
Loose paper (non-wate rp roof)
Plastic clipboards, bindersor • : .: • cover
Aluminum field clipboards or with Masonite
notebooks
Chemical (blue) ice •.
••
MR." •
"I. V.
New cotton clothing.
Well -laundered clothing made of natural fibers
waterproof, `• clothing,clothing
TM
(preferable cotton)
containing•
Clothing laundered using fabric!
of fabric softener
TM
Boots containing Gore-Te
Boots made with polyurethane and PVC
Cotton clothing
Sunscreens - . Organics
To Cucumbers,I• Organics,
Block, Kiss my face, Baby sunscreens that are "free"
or
No cosmetics,moisturizers,•' cream, or other
related products part of personal
-••llents - Jason Natural Quit Bugging Me,
cleaning/showering. on the morningof
Repel Lemon. '.'Herbal
Armor,sampling • Baby Natural Bug Spray,
BabyGanics
Sunscreen and insect repellant j • Skin So Soft
Bug Guard Plus — SPF 30 Lotion
MO=;
I I � I � I I I � I I I I
LIDPE or glass containers
f.
HIDPEor polypropylene
caps
Unlined polypropylene caps
WaterproofTeflon-lined
or resistant rain gear
Gazebo tent that is only touched or moved prior to
. following sampling
Water from an on -site well
Bottled water and hydration fluids (i.e, GatoradeO
All food and drink, with exceptions noted on right
and PoweradeO) to be brought and consumed only
in the staging areas
DEQ-CFW 00023087