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Surface Water Sampling Worksheet Redwood City Water Quality Monitoring Program Plan © 2014 DKF Solutions Group, LLC Page 37 of 41 Sample Date: Sample Time: ☐AM ☐PM Sample Location: Sampler(s)’ Name(s): Sampler(s)’ Signature(s): What is being sampled? ☐Stream ☐Pond ☐Lake ☐Lagoon ☐Bay/Estuary ☐Ocean ☐River ☐Other: If the SSO was not actively entering the surface water during sampling: A. Stream Velocity: CFS B. How Long Has the SSO NOT Been Entering the Surface Water? minutes X 60sec/min = seconds C. How Far Downstream Did You Travel To Collect The SOURCE Sample? (A X C = Feet): feet D. Explain why you travelled a different distance, if you did, to collect the source sample: Weather at time of sampling: ☐Sunny ☐Overcast ☐Sprinkling ☐Raining ☐Snowing Was the SSO actively entering the surface water during Sampling? ☐YES ☐NO If no, complete A-D in the gray box to the right  NOTE: Calibrate equipment prior to use and record in the Equipment Calibration/Maintenance Log Sample Location # of Samples* pH Temp. (°C) DO (mg/l) Photo ID# of Sample Location Visual Observations and/or Interferences Upstream Source Downstream Field Blank * Minimum of 2 per location FINISH CHECKLIST NOTES / OBSERVATIONS  All Samples Labeled with:  Date: a six-digit number indicating the year, month, day of collection  Time: a four-digit number indicating military time of collection. e.g. 0954  Sample Location: Upstream, Source, or Downstream  Samplers: each sampler is identified  Parameter/preservative: analysis to be conducted for sample/sample preservation  Chain of Custody Completed  Samples on Ice in Cooler  Pictures Taken of Each Sample Location and the Photo ID/# Noted Above  All Sampling Equipment Collected 6.2.A. - Page 203