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~' <br />lJ <br />FIGURE B-1 <br />SURFACE-WATER SAMPLING RECORD <br />SAMPLING LOCATION: <br />SAMPLING DATE: <br />REASON FOR SAMPLING: REGULAR SAMPLING <br />SPECIAL SAMPLING <br />TIME AND DATE OF SAMPLING: am / pm <br />SAMPLE COLLECTED BY: <br />WEATHER: <br />DATUM FOR WATER LEVEL MEASUREMENT (describe): <br />EQUIPMENT CLEANING MATERIALS (list): <br />WATER SURFACE (ABOVE/BELOW) DATUM: <br />SAMPLING METHOD: <br />OBSERVATIONS OF WATER: <br />Appearance: <br />Odor: <br />Other Comments: <br />Depth: <br />ON-SITE MEASUREMENTS: <br />Temperoture <br />pH <br />Conductivity <br />Other <br />SAMPLE CONTAINERS (materiol, number, size) <br />ON-SITE HANDLING <br />20 <br />aF °r Measured with <br />Measured with <br />Measured with <br />Filtration: Method No. of Containers <br /> Method No. of Containers <br /> Method No. of Containers <br />Preservatives: Method No. of Containers <br /> Method No. of Containers <br /> Method No. of Containers <br /> Method No, of Containers <br />CONTAINER HANDLING: Sides Labeled <br /> Lids Taped <br /> Samples Packed in Ice <br />OTHER COMMENTS: <br />SAMPLERS SIGNATURE: DATE: <br />22314-0001 <br />