I L E S
Sampling sheet to fill out on site
SAMPLE IDENTIFICATION
date: __. __. 2009
location: ________________________________________
kind: * __
geogr. co-ordinates: eastings: _________northings_________
sampler: _
time: __:__
adress-no: |_________|
*(1 = household sewage; 2 =
industrial waste water; 3 = deposit drain water; 4 = river water;
5 = lakes; 6 = sea water; 7 = rain/ground/drinking water; 8 =
deposits/sediment; 9 = food;
10 = air; 11 = others)
curr-no: |_______|
DESCRIPTION OF THE SAMPLE
color: __
(0 = colorless; 1 = white; 2 = gray; 3 = black; 4 = violet; 5 =
blue; 6 = green; 7 = yellow; 8 =
brown; 9 = red)
odor - intensity and quality: __ __ __
(0 = without; 1 = weak; 2 = middle; 3 = strong, intense.
00 = odorless; 01 = aromatic; 02 = earthy; 03 = rotheny; 04 = fishy;
05 = liquid manure; 06 = musty smell; 07 = train oil; 08 =
seasoning; 09 = chlorine; 10 = feces; 11 = urine; 12 = mineral oil;
13 = hydrogen sulfide; 14 = .............; 15 = other)
water turbidity: __ (0
= without; 1 = weak; 2 = middle; 3 = strong, intense)
(description of sediment,
soil or waste samples:)
deposit consistence: __ (1 = hard; 2 = paste; 3 =
soft; 4 = liquid)
deposit particle size: __ (1 = clay; 2 = silt or mixed; 3 = sand; 4
= gravel)
composition/content as far as known:
________________________________________________
WEATHER CONDITIONS
rain before or during sampling: __
(0 = no; 1 = weak;
shadow/cloud cover: __
wind stress: __
2 = medium;3 = strong)
LOCAL INVESTIGATION
rivers: width: ___ m
depth: ___ m
estimated flow: ___ , __ m/s
depth of sample: ___ , __ m
growth of water plants: ___*
foam formation: ___*
*(0 = no; 1 = weak; 2 = medium; 3 =
dominant)
IN-SITU MEASUREMENTS
WT: ___ , __ oC;
O2: ___ , __ mg/L
pH: ___ , __
EC: ______ mS/m
Eh: _____ + Factor
NO2 ___ , __ mg/L
Cl2 ___ , __ mg/L other: _____…..
visibility (Secchi) : ____ cm
velocity: ___ cm/s
REMARKS
______________________________________________________________________________
hints for data bank management:
(N = no; Y = yes):
water sampled for organics: ____
metals: ___ ?
pretreatment: ___ ?
vertical profiles: ___ ?
sample from sediment: ___ ?
sediment sample no.: ______________
remarks or drawing on backside: ___
