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Description form

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Silesian University of Technology
Institute of Physics
Gliwice Radiocarbon Laboratory
Konarskiego 22B
PL-44-100 Gliwice, Poland
tel./fax : (+48 32) 2372254
www.carbon14.pl
E-mail: Anna.Pazdur@polsl.pl


RADIOCARBON SAMPLE

INFORMATION

THIS SPACE IS FILLED IN BY RADIOCARBON LABORATORY

Sample No:

Date of report:

Gd-

Submitted (date):

Report No:

Age BP:

1. SUBMITTER:

Name:...............................................................................................................................................................

Institution:.........................................................................................................................................................

Address:...........................................................................................................................................................

Telephone.............................................Fax.......................................................................................................

Telex.......................................................E-mail................................................................................................

2. COLLECTOR:

Name:...............................................................................................................................................................

Date of collection:..............................................................................................................................................

3. SAMPLE DESCRIPTION:

Sample name:...................................................................................................................................................

Material of sample:

o charcoal

o wood

o peat

o organic sediment

o mud

o soil

o gyttja

o grain(s)

o terrestrial shell

o fresh-water shell

o marine shell

o speleothem

o bone(s)

o humus

o plant remains

o detritus

o tufa

o other.............



Additional information about material of sample:
(botanical or lithological identification, species etc.)

.......................................................................................................................................................................

.......................................................................................................................................................................

.................................................................................................Carbon content (approx. %):.............................

Contamination:

o none

o probable

o roottlets

o carbonate

o organic detritus

o humic

o organic preservatives

o other......

4. SAMPLE LOCATION:

Name of Site..........................................................................................................................................................

Country..............................................................................................................................................................

Province/district..................................................................................................................................................

Town.................................................................................................................................................................

Region...............................................................................................................................................................

Geographical coordinates vs. Greenwich:

Lat...................................................N/S Long.....................................................................E/W

Altitude ....................................................m a. s. l.

Short geographical description of the environment of site (the nearest lake, mountain etc.):

........................................................................................................................................................................

........................................................................................................................................................................

5. CONTEXT OF SAMPLE: Depht below surface:.................................m

Short description of the geomorphological and stratigraphical context of sample, details about position of sample within site:..............................................................................................................................................

........................................................................................................................................................................

........................................................................................................................................................................

Type of site:

o exposure

o museum

o other

o trench

o finding

o excavation

o core

6. EXPECTED AGE /PERIOD/ PHASE:

.........................................................................................................................................................................

7. FIELD OF STUDY:

o geography

o oceanography

o limnology

o archeology

o geomorphology

o history

o calibration

o geology

o geochemistry

o botany

8. SIGNIFICANCE OF PROBLEM TO THE SOLVING OF WHICH THE DATING OF SAMPLE SHOULD CONTRIBUTE:

..........................................................................................................................................................................

..........................................................................................................................................................................

..........................................................................................................................................................................

9. OTHER EXISTING DATES OF THIS SITE, LAYER, OBJECT (lab. code and age):

..........................................................................................................................................................................

..........................................................................................................................................................................

..........................................................................................................................................................................

10. REFERENCES TO LITERATURE (please provide reprints if available):

..........................................................................................................................................................................

..........................................................................................................................................................................

..........................................................................................................................................................................

11. Please provide the sketch with scale and position of sample within site, pollen diagram (use additional sheet if necessary ).