Laserfiche WebLink
Field Parameter Sample Form — Hock Hocking Mine <br />Person Taking Sample: <br />Sample Date and Time: <br />Location of Sample: <br />Sample ID: <br />Sample tests to be performed: pH Conductivity Settleable Solids <br />Flow <br />Visual Appearance of Water sample: (clear- very muddy- muddy - slightly muddy -very slight <br />color) <br />Comparison Table of Sample vs Baseline <br />Field Test <br />Baseline Avg <br />Baseline Avg +20 % <br />Comments <br />pH <br />Settleable solids (mg) <br />Conductivity <br />Flow <br />All parameters are required to be within 20% of the baseline average. For any parameter above this range, <br />investigation of the cause must be undertaken immediately. <br />Any parameter over 20% variation from baseline: <br />Notes of Investigation: <br />Reason for Exceedance: <br />Actions Taken to resolve issue: <br />Signature of responsible individual for this sample and date <br />