SAMPLE O ZN A N

INFORMATION A D IO C A R B O N
A BO RATO RY
SHEET
ul. Rubież 46, PL-61-612 Poznań,
Poland
tel. : (+48 61) 8279782; fax : (+48 61) 8279781
E-mail: c.fourteen@radiocarbon.pl

The orders for 14C dating directed to:

Foundation of the Adam Mickiewicz University
ul. Rubież 46
61-612 Poznań, Poland
should be sent to:
Tomasz Goslar
Poznań Radiocarbon Laboratory
ul. Rubież 46, 61-612 Poznań, Poland

1. Submitter:
Name:............................................................................................................................................
Institution:....................................................................................................................................
Address:........................................................................................................................................
Telephone.............................................Fax..................................................................................
E-mail................................................................................................

2. Sample description: (in case where several sample come from the same site, please
describe them all in one sheet, and insert an appropriate sample list in the “sample
name” box)

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

Date of collection:.........................................................................................................................
Material of sample:
charcoal  gyttja bone(s)
wood grain(s) humus
peat terrestrial shell plant remains
organic sediment  fresh-water shell detritus
mud marine shell tufa
soil speleothem other.............
Additional information about material of sample:
(botanical or lithological identification, species etc.)
......................................................................................................................................................
......................................................................................................................................................
Contamination:
none organic detritus
probable humic
roottlets organic preservatives (impregnants)
carbonate other......

3. Sample location:
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.):
.......................................................................................................................................................
.......................................................................................................................................................

4. Context of sample:
Depth below surface:.................................m
Short description of the geomorphological and stratigraphical context of sample, details
about position of sample within site..............................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
Type of site:
 exposure  trench  core
 museum  finding  excavation  other

5. Expected age / period / phase:

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

6. Field of study:
 archeology  geology
 geography  geomorphology  geochemistry
 oceanography  history  botany
 limnology  calibration

7. Significance of problem to be solved by date:

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

8. Other existing dates of this site, layer, object (lab. code and age):
.......................................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
9. References to literature (please provide reprints if available):
.......................................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................

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