5900-24 Radnet Air And Precipitation Report

OMB Control No. 2060-0015

Approval Expires XX/XX/XX

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY NATIONAL AIR AND RADIATION ENVIRONMENTAL LABORATORY 540 SOUTH MORRIS AVENUE MONTGOMERY, AL 36115-2601 PHONE: (334) 270-3400 FAX: (334) 270-3454

RADNET AIR AND PRECIPITATION REPORT

SAMPLE ID: RAN- ­FIRST COUNT: / / :

Year Month Day Hour

DATE RECEIVED: / / Year Month Day Length (Min) Gross Counts System

COMMENTS: SECOND COUNT: / / :

Year Month Day Hour

Length (Min) Gross Counts System

(Above For Use by NAREL Personnel Only)

1. STATlON NUMBER

2. LOCATION: 5. AIR FLOW START m³/hr STOP m³/hr

3. TIME ZONE: SD/DST 6. DURATION OF SAMPLING

4. DATE OF COLLECTION / / / / / /

Year Month Day Month Day Hour Month Day Hour

7. AIR VOLUME CALCULATION

X X =

Average Sampling Duty Cycle Air

A ir Flow Period On Time Volume

(m³hr) (Hours) Sample Period (m³)

8. FIELD ESTIMATE (AIR)

X Hours TO 1^st F.E. STANDARD READING SAMPLE READING

Sample NET CPM Standard Activity (pCi)

/ Gross Gross

Day Hour CPM CPM

X Bkgd Bkgd

Air Volume (m³) Standard NET CPM CPM CPM

NET NET

FIELD ESTIMATE (pCi/ m³) CPM CPM

This Report Prepared By: __________________________________ Date:

The public reporting and recordkeeping burden for this collection of information is estimated to average 5 minutes per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed [form or survey] to this address.

EPA Form 5900-24