Document pmBDbND4GB40wB3LL93QrpOqj
date
f city or industry namc ano location
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START SAMPLING
END S*Mf*LINO
OUTFALL NO
0)0....... sample no
CREW A CREW B CREW C
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FIELD DATA
PRESERVATIVES
/ 2 3 4 5 6 7 8 9 10 // 12
time (hours) EIOW unit* TEMPERATURE ___ -/Vft p A/o
DISSOLVED 0* mq/i.
RESIDUAL CHLORINE
SAMPLES BOD-SOLIDS-COLOR-TURBIDITY SULFATE-FLUORIDE-CHLORIDE OIL and GREASE - On* grob sompie per shift
COO
TOC ' metals
Ciz
COLIFORM - On* grab sample per shift
PHENOL
Sulfide CYANIDE NUTRlENTS-nitrogen ond phosphorus PESTICIDES
BlOASSAY-lmtiot t*st sompl* BIOASSAY-Full sue sompl*
'' MASS SPEC SAMPLE
SUPERVISOR-initial each bloch
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SAMPLE ON WET ICE 2ml concentrated H2S04 per liter ond place on ice
2 ml. concentrated H2S04 per liter
2 ml concentrated H2 S04 per liter
5ml concentrated HNOj per liter
Return to lob. In prepared container on ice 1.0 grom. CuS04 per liter H3P04 to pH 4.0 a ice 2ml onemolor ZnAc per liter
NoOH to pH 10 (approK.2ml per liter)
40 mg HgClj per liter a place on ice Return to lab. in prepored container on tee Crew A return to lab
on collection___________ Crew C collect lost hour ond return to lab
Return to lab. in container provided
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END SAMPLING
OUTFALL NO : o/_8
SAMPLE NO;__ ____________
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SAMPLING CR'n SUPERVISOR 3 SIGNATURE Si
CREW A
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CREW B
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CREW C KgjVQL^fL^ ;
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FIELD DATA
TIME (hour*)
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TEMPERATURE0___
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DISSOLVED 0, mg/l
RESIDUAL CHLORINE
SAMPL ES ffcOO -SOLIDS*-COLOR-TURBIDITY SULFATE- FLUORIDE-CHLORIDE OIL and GREASE - On* grob lompi* per ihift
COD
TOC
metals
COLIFORM-On* grob lompi* per shift PHENOL
SULFIDE CYANIDE NUTRIENTS- nitrogen ond phoiphorut PESTICIDES
BlOASSAY-lmtiol Hit lomple BIOASSAY-Full me sample
MASS SPEC SAMPLE SUPERVISOR-mitiol eoch. block
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PRESERVATIVES
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SAMPLE ON WET ICE
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2 ml concentrated HjSO* per liter ond place on ce
2 ml concentrated H*S04
MSM||per liter
2 ml. concentrated
per liter
H&t-
5ml. concentrated HNOj per liter
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Return to lob. In prepared container on Ice
1.0 grom- CuS04 per titer 4 ftH,P04 to pH 0 ice
2 ml. one motor ZnAc per liter
* /
No OH to pH 10 (opproK. 2ml. per liter)
__40 mg HgClj per
liter a place on Ice
Return to lab. in prepared container on Ice
____Crew A return to lab.
on collection
C'(* C collect lost hour
and return to lob. Return to lab. in
170*1
container provided
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date OUTFALL
. cnt oh Industry n*i no location
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------------------------------------------------------- A L l O U 0 T S------------------------------------------------------------------------
field data TIME (hour*)
FLOW &Pm TEMPERATURE 0____
OISSOLVED 0! mg/j.
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RESIDUAL CHLORINE
SAMPL ES " CBOO-SOLI05>COLOR-TURBIDITY
SULFATE-FLUORIDE-CHLORIOE OIL ond GREASE - One grab sample per shitt COD / TOC^* See Cab^
metals
COLIFORM-One grab sample per shift PHENOL
S^lFIDE
CTANIDE NUT Rl ENTS-nitrogen ond phosphorus PESTICIDES
BlO ASSAY-lmtial 1*s1 sample
BIOASSAY-Full sue sompie
V MASS SPEC SAMPLE
SUPERVISOR-initial each bloc*
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SAMPLE ON
..WT ICE _____
2ml concentrated HjSOe per liter and place on ice
2ml. concentrated H1SO4 per liter
2 ml concentrated
per liter
iSc, i-
5ml concentrated HNOs per titer
Return to lab. In prepared container on ice
1.0 gram- CUSO4 per liter
H,P04 to pH 4.0 8 ice
2 ml. one molar ZnAc per liter
NoOH to pH 10 (appro* 2ml. per liter)
40 mg Hg Clj per
liter a otoct on ice_______
Return to lob. in prepared container on ice
Crew A return to lob.
on collection Crew C collect lost hour and return to lob.
Return to lob. in container provided
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SAMPLE LOCATION
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OBSERVATIONS a REMARKS FOR PERIOD BEGINNINGhr, ON 3/3C
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OUTFALL NO.:
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SAMPLE NO
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SHIFT SUPERVISOR:
SIGN YOUR REMARKS!'.'
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