UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
REGION VIII
1 860 LINCOLN STREET
DENVER, COLORADO 80295
SURVEILLANCE AND ANALYSIS DIVISION
A GUIDE FDR FIELD SAMPLERS
EPA Region VI! t
Denver, Colorado
EPA - REGION VIII
DENVER, COLORADO
September 1980
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(L%
l)( t nb
TABLE OF CONTENTS
Page
No.
I. General Information 1
II. Sampling Survey Design Plan 1-4
III. Sampling Procedures 4-10
A. Collection, Handling, Preservation 4-6
1. Collection 4-5
2. Handling 5
3. Preservation 6
B. Instrumentation Calibration 6
C. Sample Identification 7-8
D. Chain-of-Custody Procedures 8-10
1. Sample Custody 8
2. Field Custody Procedures 9
3. Transfer of Custody and Shipment 9-10
E. Field Forms 10
F. Exhibits
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I. GENERAL INFORMATION
Although there are many references available on the proper methodology for
performing laboratory procedures, few such "guides" are available for planning
and conducting field investigations to obtain environmental samples. The same
amount of care must be exercised in the design and implementation of field
sampling as is exercised in the analysis of the samples. No analytical result
is better than the sample from which it was obtained.
The following guide has been prepared to assist people who conduct field
sampling. This guidance will make the sampler aware of the factors affecting
sampling so he or she can plan, correct or adjust a program to assure an
accurate representation of existing conditions.
This guide has been developed to cover samples collected and returned to a
laboratory for analysis. It does not cover automatic in-situ monitoring (such
as continuous gaseous air quality monitors) or inspection procedures (such as
auditing continuous emission monitoring activities, SPCC inspections, visible
emission observations, etc.).
II. SAMPLING SURVEY DESIGN PLAN
Every field investigation must have a survey design (plan). Compiling a
complete listing of all items to be considered when designing all types of
field surveys would result in a document of overwhelming proportions.
Therefore each investigation must be evaluated on an individual basis. With
this approach in mind, a discussion of several areas common to all field
investigations should assure that the best approach to a particular study is
followed and that the samples obtained are a true representation of the
existing conditions. These items apply equally well to stream and lake
studies, municipal and industrial effluent sampling, hazardous waste samples
and air samples.
Items which are common to most studies:
1. Determine why samples are being taken. The basic survey design is dic-
tated by the reason for sampling. Several reasons for sampling are:
a. Compliance with discharge permit conditions (routine compliance
monitoring or case preparation studies).
b. Air compliance.
c. Baseline information studies.
d. Hazardous waste disposal site studies.
e. Intensive cause and effect studies.
f. Emergency spill and response needs.
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2. Review existing information. This would include such information sources
as:
a. Existing investigation files (permit files, SIP files).
b. Reports of previous studies (Federal, state, universities, etc.).
c. Correspondence files.
d. Personal communications.
Care must be exercised to assure that investigative files and one-of-a-
kind reports are not misplaced or inadvertently destroyed. Removal from
the office should be discouraged. If the material is to be taken into the
field, copies should be made.
3. Obtain adequate maps and/or diagrams to define the study area.
4. Condxt a reconnaissance of the proposed study area if possible. A
reconnaissance can save much time and energy by eliminating unsatisfactory
study areas. Some analytical work may be useful during the reconnaissance
to assist the laboratory in its analysis by establishing ranges of values
or by surfacing unknown interferences. This allows the laboratory to
adjust procedures if necessary.
Sometimes a reconnaissance may not be possible due to lack of time, money,
people, etc.
5. Make a list of proposed sampling locations, sampling frequency, and sample
analyses. In some instances these items will be predetermined such as for
NPDES or RCRA permit compliance monitoring or case preparation studies.
Stream and lake studies, on the other hand, must be designed with flexi-
bility in mind. In both cases, however, unpredictability is the rule
rather than the exception.
In preparing this list, close coordination must be maintained with the
Chemistry and Biology Sections. This is to assure that the laboratory
will be prepared to handle the samples or make other arrangements for
analyses. Laboratory Services Request (LSR) forms (Form R8 EPA-012
Exhibit A) must be filled out indicating source of sample and parameters
of interest. A copy of the LSR must be submitted to the laboratory to
indicate the anticipated sample load. The sampler must retain the
original LSR and complete filling it out when the sample is collected,
making any changes or remarks that will assist the laboratory in its
work. The original LSR then accompanies the samples to the laboratory.
6. Safety must be considered. List appropriate safety precautions.
Determine need for special safety gear; for example, protective clothing,
breathing apparatus, first aid equipment, etc.
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7. Make a list of all necessary equipment and supplies. This list should be
prepared in cooperation with all personnel involved in the study. Items
should be checked and rechecked against the list prior to departure so
nothing will be forgotten. The list should include:
a. portable analytical equipment
b. sample preservatives
c. analytical reagents
d. glassware
e. appropriate sampling gear (e.g., Kemmerer samplers, DO samplers,
buckets, air samplers, etc.)
f. sanple containers
g. shipping and sample storage containers (ice chests)
h. photographic equipment
i. Travel Status Accident Report Forms
This list is by no means complete! Special requirements such as motor
boats and/or mobile laboratories require a separate equipment list.
8. Check the mechanical operation of all equipment prior to departure. This
includes replacing or recharging batteries as necessary.
9. Obtain all necessary approvals. Develop a schedule for the shipment of
samples back to the Region VIII laboratory if necessary to assure arrival,
pick-up and set-ip of the sample within prescribed holding times and
custody requirements. Make other appropriate arrangements if samples are
shipped to contract laboratories.
References:
1. USDI, FWPCA:
A Practical Guide to Water Quality Studies of Streams.
2. Environmental Protection Agency Manual:
Biological Field and Laboratory Methods for Measuring the Quality of
Surface Waters and Effluents.
3. Environmental Protection Agency Manual:
Handbook for Sampling and Sample Preservation of Water and Wastewater.
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4. Environmental Protection Agency:
Wastewater Sampling Methodologies and Flow Measurement Techniques.
5. Samples and Sampling Procedures for Hazardous Waste Streams, EPA-600/
2-30-018, January, 1980.
6. Quality Assurance Handbook for Air Pollution Measurement Systems, Vol. II,
Ambient Air Specific Methods, EPA-600/4-77-027a.
III. SAMPLING PROCEDURES
A. Collection, Handling, Preservation
1. Collection
Collection of the sample can be divided into basically three types or
methods. These are:
a. the grab or discrete sample (water, soil, leachate, etc.)
b. the composite sample (water, soil, leachate, etc.)
c. the continuous sample (usually automatic collection devices, air
samplers, etc.).
The grab or discrete sample is an instantaneous collection of a
single amount of sample.
There are two types of composite samples:
a. the simple composite, and
b. the proportioned composite.
The simple composite is a fixed amount of sample collected at a fixed
time interval and combined to make a single sample for analysis.
This procedure is valid only if flow properties are relatively
constant.
The proportioned composite can be further divided into two basic
types where:
a. the amount of sanple collected is varied with flow, and
b. frequency of collection is varied with flow.
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Proportioned composite samples can be obtained either manually or by
using automated devices. The choice of collection method is usually
dictated by the circumstances surrounding the sample site such as:
a. The site must yield samples representative of the parameters
being considered.
b. The site must have good mixing horizontally, vertically and
longitudinally.
c. The site must be accessible and safe. The site and procedures
used to collect the sample must conform to regulations set forth
in the Health and Safety Manual for Field and Laboratory
Activities, EPA Region VfiTi
2. Handling
Sample quality assurance starts when the sample is initially
collected. This requires some basic handling procedures. These are:
a. If several locations are to be sampled during one sample run
which include both clean and polluted sites, use separate
collection equipment (buckets, automatic sampler, shovels, etc.)
at each location. Where this is not possible or practical,
sanpling should progress from the clean areas to the polluted
areas. This lessens the chance of the unintentional contamina-
tion of cleaner sanples through the use of contaminated sampling
equipment.
b. Sanpling equipment (buckets, funnels, graduated cylinders, etc.)
should be rinsed with the stream water to be sampled. Automated
equipment should be properly cleaned and new intake hose used if
appropriate.
c. The sample container must be appropriate to the sampled
parameter. Use special cleaning procedures if necessary.
d. Air sarrples collected and returned to a laboratory are usually
hi-vol (particulate) or bubbler (24 hour gaseous) samples.
These sampling procedures are defined in EPA manuals. Refer to
Quality Assurance Handbook for Air Pollution Measurement
Systems, Vol II, Ambient Air Specific Methods EPA-600/4-77-027a.
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3. Preservation
Since few analyses will take place at the sampling site, samples may
have to be preserved until they are returned to the laboratory
(mobile or Denver laboratory) for analyses. The proper preservative,
the required amount per sample volume, and appropriate container and
holding times are given in the sample preservation section and Table
1 of the EPA manual Methods for Chemical Analysis of Water and Wastes
(Exhibit B).
When grab sampling, preservation must be performed immediately. When
composite sampling, ample preservative must be available at the time
the initial portion of sample is obtained and available for all
subsequent proportional parts.
When working with preservatives in the field, be careful not to
contaminate other samples with preservatives intended for a specific
sample.
B. Instrumentation Calibration
All instrumentation used in field activities must be calibrated prior to
field use and periodically thereafter. Where required, field instru-
mentation must be calibrated at the beginning and end of each sampling day.
Continuous sampling devices must be calibrated according to manufacturer's
specifications at the time of field set-up and checked as often as
necessary. Sample lines for continuous devices must be clean.
Bring a logbook for each instrument requiring calibration prior to and
during use. These logbooks should accompany the instruments at all
times. Log all calibration information. Information must include the
date and time of calibration, method of calibration, person or persons
performing the calibration and any comments. Also include any recom-
mendations regarding needed equipment maintenance and repair. All
instrumentation and logbooks returned from the field will be examined for
maintenance/repair recommendations and checked for proper operation by the
team leader. Any necessary maintenance will be performed immediately to
assure instrumentation is in operating condition prior to the next use.
All maintenance and repairs performed will be logged with the name of the
individual(s) doing the work.
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C. Sample Identification
A sanple* is physical evidence collected from a facility or from the
environment. An essential part of all enforcement investigations is that
evidence gathered be controlled. To accomplish this, the following sample
identification and Chain-of-Custody procedures have been established.
The method of identification of a sample depends on the type of measure-
ment or analyses performed. When in-situ measurements are made, the data
are recorded directly in logbooks or Field Data Records (FDRs), with
identifying information (project code, station numbers, station location,
date, time, samplers), field observations and remarks. Examples of
in-situ measurements are pH, temperature, conductivity, flow measurement,
continuous air monitoring, and stack gas analysis.
Samples, other than in-situ measurements, are identified by a sample tag
(Exhibits C and D) or other appropriate identification (hereinafter
referred to as a sample tag).
These samples are removed from the sample location and transported to a
laboratory or other location for analysis. Before removal, however, a
sanple is often separated into portions depending upon the analyses to be
performed. Each portion is preserved in accordance with applicable
procedures and the sanple container is identified by a sample tag. Sample
tags shall be completed for each sample, using waterproof ink unless
prohibited by weather conditions. For example, a logbook notation would
explain that a pencil was used to fill out the sample tag because a
ballpoint pen would not function in freezing weather. The information
recorded on the sample tag includes:
Project code - A number assigned by S&A.
Station Number - A number assigned by the Project Coordinator
and listed in the project plan or the NPDES
permit number if used for NPDES inspections.
Date - A six-digit number indicating the year, month,
and day of collection.
*For purposes of this manual, the term 'sample' includes remote sensing
imagery.
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Time
A four-digit number indicating the military
time of collection - for example: 0954
Station Location
Samplers
Tag Number
- The sampling station description as specified
in the project plan.
- Each sampler is identified.
- A unique serial number is stamped on each tag
that identifies Region with consecutive
number i.e., 8-1239
Remarks
- The samplers record pertinent observations.
The tag used for water samples (also soil, sediment and biotic samples)
contains an appropriate place for designating the sample as a grab or a
composite, and identifying the type of sample collected for analyses and
preservative if any. The tag used for air samples requires the sampler to
designate the sequence number and identify the sample type. The Project
Coordinator will detail procedures for completing tags used for soil,
water, sediment and biotic samples. The sample tags are attached to or
folded around each sample.
After collection, separation, identification, and preservation, the sample
is maintained under Chain-of-Custody procedures discussed below. If the
composite or grab sample is to be split, it is aliquoted into similar
sample containers. Identical sample tags are completed and attached to
each split and marked " Split". The tag identifies the split
sample for the appropriate government agency, facility, laboratory, or
company. In a similar fashion, all tags on blank or duplicate samples
will be marked "Blank" or "Duplicate" respectively.
Chain-of-Custody Procedures
Due to the evidentiary nature of samples collected during enforcement
investigations, possession must be traceable from the time the samples are
collected until they are introduced as evidence in legal proceedings. To
maintain and document sample possession, chain-of-custody procedures are
followed.
1. Sample Custody
A sample 1s under custody if:
a. It is in your possession, or
b. It is in your view, after being in your possession, or
c. It was in your possession and then you locked it up to prevent
tampering, or
d. It is in a designated secure area.
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2. Field Custody Procedures
a. In collecting samples for evidence, collect only that number
which provides a good representation of the media being
sampled. To the extent possible, the quantity and types of
samples and sample locations are determined prior to the actual
field work. As few people as possible should handle samples.
b. The field sampler is personally responsible for the care and
custody of the samples collected until they are transferred or
dispatched properly.
c. The Project Coordinator determines whether proper custody
procedures were followed during the field work and decides if
additional samples are required.
3. Transfer of Custody and Shipment
a. Samples are accompanied by a Chain-of-Custody Record (see
Exhibit E). When transferring the possession of samples, the
individuals relinquishing and receiving will sign, date, and
note the time on the record. This record documents sample
custody transfer from the sampler, often through another person,
to the analyst in a mobile laboratory, or at the laboratory.
b. Samples will be packaged properly for shipment and dispatched to
the appropriate laboratory for analysis, with a separate custody
record accompanying each shipment (e.g., one for each field
laboratory, one for samples driven to laboratory). Shipping
containers will be padlocked or sealed for shipment to the
laboratory. The method of shipment, courier name(s) and other
pertinent information are entered in the "Remarks" box.
c. Whenever samples are split with a source or government agency,
it is noted in the remarks section. The note indicates with
whom the samples are being split and signed by both the sampler
and recipient. If split refused this will be noted and signed
by both parties. The person relinquishing the samples to the
facility or agency should request the signature of a representa-
tive of the appropriate party, acknowledging receipt of the
samples. If a representative is unavailable or refuses to sign,
this is noted in the "Remarks" space. When appropriate, as in
the case where the representative is unavailable, the custody
record should contain a statement that the samples were
delivered to the designated location at the designated time.
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d. All shipments will be accompanied by the Chain-of-Custody Record
identifying its contents. The original record will accompany
the shipment, and a copy will be retained by the Project
Coordinator.
e. If sent by mail, the package will be registered with return
receipt requested. If sent by common carrier, a Government Bill
of Lading will be used. Air freight shipments are sent
collect. Freight bills, Post Office receipts and Bills of
Lading will be retained as part of the permanent documentation.
E. Field Forms
Appropriate field sheets must be completed at the time of sample
collection. These would include NPDES Compliance Inspection Report
forms (EPA Form 3560-3, Exhibit F) and Region VIII Record of Sample
Collection forms (Exhibit G).
In addition to sample tags and field sheets, a bound field notebook
must be maintained by the survey leader to provide a daily record of
significant events. All entries must be signed and dated. Keep the
notebook as a permanent record. In a legal proceeding, notes, if
referred to, are subject to cross-examination and admissible as
evidence.
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VlKWI^/VtLl^liKL rKUIb^llUII MULhW I
REGION VIII. DENVER, COLORADO
LABORATORY HVICES REQUEST
PROJECT NAME PROJECT CODE SAMPLES COLL. BY DATE
SAMPLES RECEIVED AT LABORATORY BY DATE DATA REVIEWED BY
MAX. HOLD TIME
TAG COLOR SYMBOL
STATION CODE
SAMPLE COLL. TIME
STATION DESCRIPTION
AND REMARKS
CODE
PARAMETER
All results In mg/l unless otherwise Indicated, pH in units, turbidity In JTU, specific conductance ln/j,mhot/cm* os per STORET. * GPO* 1979-680 -570
EXHIBIT A
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SAMPLE PRESERVATION
Complete and unequivocal preservation of samples, either domestic sewage, industrial wastes, or
natural waters, is a practical impossibility. Regardless of the nature of the sample, complete stability
for every constituent can never be achieved. At best, preservation techniques can only retard the
chemical and biological changes that inevitably continue after the sample is removed from the parent
source. The changes that take place in a sample are either chemical or biological. In the former case,
certain changes occur in the chemical structure of the constituents that are a function of physical
conditions. Metal cations may precipitate as hydroxides or form complexes with other constituents;
cations or anions may change valence states under certain reducing or oxidizing conditions; other
constituents may dissolve or volatilize with the passage of time. Metal cations may also adsorb onto
surfaces (glass, plastic, quartz, etc.), such as, iron and lead. Biological changes taking place in a
sample may change the valence of an element or a radical to a different valence. Soluble constituents
may be converted to organically bound materials in cell structures, or cell lysis may result in release
of cellular material into solution. The well known nitrogen and phosphorus cycles are examples of
biological influence on sample composition. Therefore, as a general rule, it is best to analyze the
samples as soon as possible after collection. This is especially true when the analyte concentration is
expected to be in the low ug/1 range.
Methods of preservation are relatively limited and are intended generally to (1) retard biological
action, (2) retard hydrolysis of chemical compounds and complexes, (3) reduce volatility of
constituents, and (4) reduce absorption effects. Preservation methods are generally limited to pH
control, chemical addition, refrigeration, and freezing.
The recommended preservative for various constituents is given in Table 1. These choices are based
on the accompanying references and on information supplied by various Quality Assurance
Coordinators. As more data become available, these recommended holding times will be adjusted to
reflect new information. Other information provided in the table is an estimation of the volume of
sample required for the analysis, the suggested type of container, and the maximum recommended
holding times for samples properly preserved.
xv
EXHIBIT B
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TABLE 1
RECOMMENDATION FOR SAMPLING AND PRESERVATION
OF SAMPLES ACCORDING TO MEASUREMENT*0
Vol.
Req. Holding
Measurement (ml) Container"' Preservative Time(I)
100 Physical Properties
Color 50 P,G
Conductance 100 P,G
Hardness 100 P,G
Odor 200 G only
pH 25 P,G
Residue
Filterable 100 P,G
Non-
Filterable 100 P,G
Total 100 P,G
Volatile 100 P,G
Settleable Matter 1000 P,G
Temperature 1000 P,G
Turbidity 100 P,G
200 Metals
Dissolved 200 P,G
Suspended 200
Total 100 P,G
Cool, 4°C
Cool, 4°C
Cool, 4°C
HNOj to pH<2
Cool, 4°C
Det. on site
Cool, 4'C
Cool, 4"C
Cool, 4°C
Cool, 4'C
None Req.
Det. on site
Cool, 4'C
Filter on site
HN03 to pH<2
Filter on site
HNOj to pH<2
24 Hrs.
24 Hrs."4'
6 Mos. ,t5)
24 Hrs.
6 Hrs.
7 Days
7 Days
7 Days
7 Days
24 Hrs.
No Holding
7 Days
6 Mos.(5)
6 Mos.
6 Mos.
XVI
EXHIBIT B (CONT)
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TABLE 1 (CONT)
Measurement
Mercury
Dissolved
Vol.
Req.
(ml) Container'® Preservative
100
Total
300 Inorganics, Non-Metallics
Acidity 100
Alkalinity 100
Bromide 100
Chloride 50
Chlorine 200
Cyanides 500
Fluoride 300
Iodide 100
Nitrogen
Ammonia 400
Kjeldahl, Total 500
Nitrate plus Nitrite 100
Nitrate 100
Nitrite 50
P.G
100 P,G
P.G
P.G
P.G
P.G
P.G
P.G
P.G
P.G
P.G
P.G
P.G
P.G
P.G
Filter on site
HN03 to pH<2
HN03 to pH<2
None Req
Cool, 4°C
Cool, 4"C
None Req.
Det. on site
Cool, 4°C
NaOH to pH 12
None Req.
Cool, 4°C
Cool,4°C
H2S04 to pH<2
Cool, 4"C
H2S04 to pH<2
Cool, 4°C
H2S04 to pH<2
Cool, 4'C
Cool, 4'C
Holding
Time<3)
38 Days
(Glass)
13 Days
(Hard
Plastic)
38 Days
(Glass)
13' Days
(Hard
Plastic)
24 Hrs.
24 Hrs.
24 Hrs.
7 Days
No Holding
24 Hrs.
7 Days
24 Hrs.
24 Hrs.
24 Hrs.w
24 Hrs.
<«>
24 Hrs.
48 Hrs.
xvii
EXHIBIT B (CONT)
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Measurement
Dissolved Oxygen
Probe
Winkler
Phosphorus
Ortho-
phosphate,
Dissolved
Hydrolyzable
Total
Total,
Dissolved
Silica
Sulfate
Sulfide
Sulfite
400 Organics
BOD
COD
Oil & Grease
Organic carbon
Phenolics
MBAS
TABLE 1 (CONT)
Vol.
Req.
(ml)
Container'2' Preservative
Holding
Time(3)
300
300
G only
G only
Det. on site
Fix on site
No Holding
4-8 Hours
50
50
50
50
50
50
500
50
P.G
P,G
P.G
P.G
P only
P.G
P.G
P.G
Filter on site
Cool, 4°C
Cool, 4°C
H2S04 to pH < 2
Cool, 4*C
H2S04 to pH < 2
Filter on site
Cool, 4°C
H2S04 to pH<2
Cool, 4"C
Cool, 4°C
2 ml zinc
acetate
Det. on site
24 Hrs.
24 Hrs/"
24 Hrs.w
24 Hrs.(t>
7 Days
7 Days
24 Hrs.
No Holding
1000
50
1000
25
500
P.G
P.G
G only
P.G
G only
Cool, 4*C
H2S04 to pH<2
Cool, 4°C
H2S04 or HC1 to pH<2
Cool, 4°C
H2S04 or HC1 to pH<2
Cool, 4°C
H3P04 to pH<4
1.0 g CuSO,/!
24 Hrs.
7 Days'"
24 Hrs.
24 Hrs.
24 Hrs.
250
P.G
Cool, 4°C
24 Hrs.
xviii
EXHIBIT B (CONT)
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TABLE 1 (CONT)
Vol.
Req.
Measurement (ml) Container*2* Preservative
Holding
Time<3)
NT A
50 P,G
Cool, 4°C
24 Hrs.
"1. More specific instructions for preservation and sampling are found with each procedure as
detailed in this manual. A general discussion on sampling water and industrial wastewater may
be found in ASTM, Part 31, p. 72-82 (1976) Method D-3370.
2. Plastic (P) or Glass (G). For metals, polyethylene with a polypropylene cap (no liner) is
preferred.
3. It should be pointed out that holding times listed above are recommended for properly
preserved samples based on currently available data. It is recognized that for some sample
types, extension of these times may be possible while for other types, these times may be too
long. Where shipping regulations prevent the use of the proper preservation technique or the
holding time is exceeded, such as the case of a 24-hour composite, the final reported data for
these samples should indicate the specific variance.
4. If the sample is stabilized by cooling, it should be warmed to 25°C for reading, or temperature
correction made and results reported at 25°C.
5. Where HNOj cannot be used because of shipping restrictions, the sample may be initially
preserved by icing and immediately shipped to the laboratory. Upon receipt in the laboratory,
the sample must be acidified to a pH <2 with. HN03 (normally 3 ml 1:1 HNOj/liter is
sufficient). At the time of analysis, the sample container should be thoroughly rinsed with 1:1
HNOj and the washings added to the sample (volume correction may be required).
6. Data obtained from National Enforcement Investigations Center-Denver, Colorado, support a
four-week holding time for this parameter in Sewerage Systems. (SIC 4952).
xix
EXHIBIT B (CONT)
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8°
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CO W O
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o O 5
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0>
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HI-VOL DATA RECORD
(Continued)
PARTICULATE DATA-For Lob Use Only
Filter-Gross Wgt grams
Filter-Tare Wgt grams
Net Particulate Wgt grams
Initial CFM
m Finol CFM
x
nz
DO Air Volume
»—t
1
a Particulate Concentration /xg/m3
Total Sampling Time
houri minutes
HI-VOL DATA RECORD
EPA, REGION VIII
BLDG. 53-E5
DENVER FEDERAL CENTER
DENVER, COLORADO 80225
STATION LOCATION
CITY & STATE
OPERATOR SITE NO
SAMPLER IDENTIFICATION NO
FILTER NUMBER
START SAMPLING
mo day yr hr min CFM
STOP SAMPLING
mo day yr hr min CFM
WIND: calm, light, gusty
VISIBILITY: dear, haiy
SKY: clear, scattered, overcast
HUMIDITY: dry, moderate, humid, rain
TEMPERATURE °F: <20, 20-40, 41-60, 61-80
>80
REMARKS:
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ENVIRONMENTAL protection agency ^"^ion 8
Of nforcement 1l| coin Street
CHAIN OF CI _ iY RECORD Denv lorado 80203
PROJ. NO.
PROJECT NAME
NO.
OF
CON-
TAINERS
/////// REMARKS
SAMPLERS: (Signature)
STA. NO.
DATE
TIME
COMP.
GRAB
STATION LOCATION
Relinquished by: (Signature)
Date
'Time
Received by: (Signature)
Relinquished by: (Signature)
Date
'Time
Received by: (Signature)
Relinquished by: (Signature)
Date ,
Time
Received by: (Signature)
Relinquished by: (Signature)
Date
'Time
Received by: (Signature)
Relinquished by: (Signature)
Date
'Time
Received for Laboratory by:
1Signature)
Date /Time
Remarks
Distribution: Original Accompanies Shipment; Copy to Coordinator Field Files
EXHTBTT F
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NPDES COMPLIANCE INSPECTION REPORT (Coding Instructions on hack of last page)
TRANSACTION
CODE
NPDES
YR
MO OA
U l£j
_J 2—
I L
n
_12.
_LZ_
INSPEC- FAC
TYPE TOR TYPE
u u u
IS 12 20
TIME
REMARKS
I I I I I
2.
-£4
65
70
ADDITIONAL
SECTION A ¦ Permit Summary
NAME AND ADDRESS OF FACILITY (Include County, State and ZIP code)
EXPIRATION DATE
ISSUANCE DATE
RESPONSIBLE OFFICIAL
TITLE
PHONE
FACILITY REPRESENTATIVE
TITLE
PHONE
SECTION B - Effluent Characteristics (Additional sheets attached.
PARAMETER/
OUTFALL
MINIMUM
AVERAGE
MAXIMUM
ADDITIONAL
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
-
SECTION C - Facility Evaluation (S = Satisfactory. U = Unsatisfactory, N/A = Not applicable)
EFFLUENT WITHIN PERMIT REQUIREMENTS
OPERATION AND MAINTENANCE
SAMPLING PROCEDURES
RECORDS AND REPORTS
COMPLIANCE SCHEDULE
LABORATORY PRACTICES
PERMIT VERIFICATION
FLOW MEASUREMENTS
OTHER:
SECTION D - Comments
SECTION E - Inspection/Review
EIVFORCBMENT
DIVISION
USE ONLY
SIGNATURES
AGENCY
DATE
INSPECTED BY
COMPLIANCE STATUS.-
~ COMPLIANCE
~ **OMCOM*U A MCE
INSPECTED BY
1 IED BY
EPA FORM 3560-3 (9-77)
REPLACES EPA FORM T-51 (9-76) WHICH IS OBSOLETE.
EXHIBIT F
PAGE 1 OF 4
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Sections F thru L: Complete on all inspections, as appropriate. N/A
= Not Applicable
PERMIT NO.
SECTION F - Facility and Permit Background
ADDRESS OF PERMITTEE IF DIFFERENT FROM FACILITY
(Including dry, County and ZIP code)
DATE OF LAST PREVIOUS INVESTIGATION BY EPA/STATE
FINDINGS
SECTION G - Records and Reports
RECORDS AND REPORTS MAINTAINED AS REQUIRED BY PERMIT.
DETAILS:
~ YES Dno ~ N/A (Further explanation attached .
)
(a) ADEQUATE RECORDS MAINTAINED OF:
(1) SAMPLING DATE, TIME, EXACT LOCATION
0
YES
~ NO
~ n/a
(II) ANALYSES DATES, TIMES
~
YES
~ NO
~ n/a
(lil) INDIVIDUAL PERFORMING ANALYSIS
~
YES
~ NO
~ n/a
(Iv) ANALYTICAL METHODS/TECHNIQUES USED
~
YES
~ NO
~ n/a
(v) analytical RESULTS (e.g., consistent with self-monitoring report data)
~
YES
~ NO
~ n/a
(b) MONITORING RECORDS (e.g.,flow, pH, D.O., etc.) MAINTAINED FOR A MINIMUM OF THREE YEARS
INCLUDING ALL ORIGINAL STRIP CHART RECORDINGS (e.g. continuous monitoring instrumentation,
calibration and maintenance records).
~
YES
~ NO
~ n/a
(c) LAB EQUIPMENT CALIBRATION AND MAINTENANCE RECORDS KEPT.
~ YES
~ NO
~ n/a
(d) FACILITY OPERATING RECORDS KEPT INCLUDING OPERATING LOGS FOR EACH TREATMENT UNIT.
o
YES
~ NO
~ n/a
(a) QUALITY ASSURANCE RECORDS KEPT.
a
YES
~ NO
~ n/a
(f) records maintained of major contributing INDUSTRIES (and their compliance status) USING
PUBLICLY OWNED TREATMENT WORKS.
~
YES
~ NO
~ n/a
SECTION H - Permit Verification
INSPECTION OBSERVATIONS VERIFY THE PERMIT. Dyes Dno ~ N/A (Further explanation attached
DETAILS:
J
(a) CORRECT NAME AND MAILING ADDRESS OF PERMITTEE.
~ YES
~ NO
~ n/a
(t'"~~"LITY IS AS DESCRIBED IN PERMIT.
~
YES
~ NO
~ n/a
(| CIPAL PRODUCT(S) AND PRODUCTION RATES CONFORM WITH THOSE SET FORTH IN PERMIT
ICATION.
~
YES
~ NO
~ n/a
(d) TREATMENT PROCESSES ARE AS DESCRIBED IN PERMIT APPLICATION.
~
YES
~ NO
~ n/a
(of NOTIFICATION GIVEN TO EPA/STATE OF NEW, DIFFERENT OR INCREASED DISCHARGES.
~
YES
~ NO
~ n/a
(f) ACCURATE RECORDS OF RAW WATER VOLUME MAINTAINED.
~
YES
~ NO
~ n/a
(g) NUMBER AND LOCATION OF DISCHARGE POINTS ARE AS DESCRIBED IN PERMIT.
~
YES .
~ NO
~ n/a
(h> CORRECT NAME AND LOCATION OF RECEIVING WATERS.
~
YES
~ NO
~ n/a
(i) ALL DISCHARGES ARE PERMITTED.
~
YES
~ NO
~ n/a
SECTION 1 - Operation and Maintenance
TREATMENT FACILITY PROPERLY OPERATED AND MAINTAINED. Dyes ~ no . ~ N/A (Further explanation attached
DETAILS:
J
(a) STANDBY POWER OR OTHER EQUIVALENT PROVISIONS PROVIDED.
~ YES
~ NO
~ n/a
(b) ADEQUATE ALARM SYSTEM FOR POWER OR EQUIPMENT FAILURES AVAILABLE.
~
YES
~ NO
~ n/a
(c) REPORTS ONiALTERNATE SOURCE OF POWER SENT TO EPA^TATE AS REQUIRED BY PERMIT.
~
YES
~ NO
~ n/a
(d) SLUDGES AND SOLIDS ADEQUATELY DISPOSED.
~
YES
~ NO
~ n/a
(e) ALL TREATMENT UNITS IN SERVICE.
~
YES
~ NO
~ n/a
(f) CONSULTING ENGINEER RETAINED OR AVAILABLE FOR CONSULTATION ON OPERATION AND
MAINTENANCE PROBLEMS.
~
YES
~ NO
~ n/a
(fl) QUALIFIED OPERATING STAFF PROVIDED.
~
YES
~ NO
~ n/a
Ih) ESTABLISHED PROCEDURES AVAILABLE FOR TRAINING NEW OPERATORS.
~
YES
~ NO
~ n/a
II) FILES MAINTAINED ON SPARE PARTS INVENTORY, MAJOR EQUIPMENT SPECIFICATIONS, AND
PARTS AND EQUIPMENT SUPPLIERS.
~ YES
~ NO
~ n/a
(]) INSTRUCTIONS FILES KEPT FOR OPERATION AND MAINTENANCE OF EACH ITEM OF MAJOR
EQUIPMENT.
~
YES
~ NO
~ n/a
Ik) OPERATION AND MAINTENANCE MANUAL MAINTAINED.
~
YES
~ NO
~ n/a
[1 'LAN AVAILABLE.
~
YES
~ NO
~ n/a
(f JLATORY AGENCY NOTIFIED OF BY PASSING. (Dates
1
~
YES
~ NO
~ n/a
In) ANY BY-PASSING SINCE LAST INSPECTION.
~
YES
~ NO
~ n/a
(o) ANY HYDRAULIC AND/OR ORGANIC OVERLOADS EXPERIENCED.
~
YES
~ NO
~ n/a
EPA FORM 3560-3 (9-77) PAGE 2 OF 4
EXHIBIT F (CONT)
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OMB No. 1S8-R0073
PERMIT NO.
1
SECTION J - Compliance Schedule*
PERMITTEE IS MEETING COMPLIANCE SCHEDULE. ~ YES Dno Dn/A (Further explanation attached
flMECK APPROPRIATE PHASE(S):
THE PERMITTEE HAS OBTAINED THE NECESSARY APPROVALS FROM THE APPROPRIATE
AUTHORITIES TO BEGIN CONSTRUCTION.
LJ (b) PROPER ARRANGEMENT HAS BEEN MADE FOR FINANCING (mortgage commitments, grants, etc.).
~ (c) CONTRACTS FOR ENGINEERING SERVICES HAVE BEEN EXECUTED.
~ (0) DESIGN PLANS AND SPECIFICATIONS HAVE BEEN COMPLETED.
~ (e> CONSTRUCTION HAS COMMENCED.
~ If) CONSTRUCTION AND/OR EQUIPMENT ACQUISITION IS ON SCHEDULE.
~ (a) CONSTRUCTION HAS BEEN COMPLETED.
~ th) START-UP HAS COMMENCED.
~ (i) THE PERMITTEE HAS REQUESTED AN EXTENSION OF TIME.
—J
SECTION K - Self-Monitoring Program
Part 1 — Flnw measurement (Further explanation attached 1
PERMITTEE FLOW MEASUREMENT MEETS THE REQUIREMENTS AND INTENT OF THE PERMIT.
DETAILS.
~
YES
~
NO
~ n/a
(a) PRIMARY MEASURING DEVICE PROPERLY INSTALLED.
~
YES
~
NO
•~n/a
TYPE OF DEVICE: ~ WEIR ~ PARSHALL FLUME DmaGMETER ~ VENTURI METER ~ OTHER (Specify.
1
(b) CALIBRATION FREQUENCY ADEQUATE. (Date of last calibration 1
~
YES
~
NO
~ n/a
SAMPLE COLLECTION PROCEDURES ARE ADEQUATE.
~
YES
~
NO
~ n/a
(i) SAMPLES REFRIGERATED DURING COMPOSITING
~ YES
~ NO
~ n/a
(il) PROPER PRESERVATION TECHNIQUES USED
~
YES
~
NO
~ n/a
(iii) FLOW PROPORTIONED SAMPLES OBTAINED WHERE REQUIRED BY PERMIT
~
YES
~
NO
~ n/a
(iv) SAMPLE HOLDING TIMES PRIOR TO ANALYSES IN CONFORMANCE WITH 40 CFR 136.3
~
YES
~
NO
~ n/a
[•) MONITORING AND ANALYSES BEING PERFORMED MORE FREQUENTLY THAN REQUIRED BY
PERMIT.
~
YES
~
NO
~ n/a
If) IF (e) IS YES. RESULTS ARE REPORTED IN PERMITTEE'S SELF-MONITORING REPORT.
~
YES
~
NO
~ n/a
Part 3 — Laboratory (Further explanetinn attached 1
PERMITTEE LABORATORY PROCEDURES MEET THE REQUIREMENTS AND INTENT OF THE PERMIT.
DETAILS:
~
YES
~
NO
~ n/a
(a) EPA APPROVED ANALYTICAL TESTING PROCEDURES USED. (40 CFR 136.3)
~
YES
~
NO
~ n/a
(b) IF ALTERNATE ANALYTICAL PROCEDURES ARE USED. PROPER APPROVAL HAS BEEN OBTAINED. ~
YES
~
NO
~ n/a
(e) PARAMETERS OTHER THAN THOSE REQUIRED BY THE PERMIT ARE ANALYZED.
~
YES
~
NO
~ n/a
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OMB No. 15S-R0073
PERMIT NO.
SECTION L - Effluent/Receiving Water Obfwvationi (Further explanation attached )
OUIEALL NO.
OILSHEEN
GREASE
TURBIDITY
VISIBLE
FOAM
VISIBLE
FLOAT SOL
COLOR
OTHER
(Sections M and N: Complete as appropriate for sampling inspections)
SECTION M - Sampling Impaction Procedures and Observation* (Further explanation attcched )
~ GRAB SAMPLES OBTAINED
~ COMPOSITE OBTAINED
~ FLOW PROPORTIONED SAMPLE
~ AUTOMATIC SAMPLER USED
~ SAMPLE SPLIT WITH PERMITTEE
~ CHAIN OF CUSTODY EMPLOYED
~ SAMPLE OBTAINED FROM FACILITY SAMPLING DEVICE
COMPOSITING FREQUENCY PRESERVATION
SAUA1.E REFRIGERATED DURING COMPOSITING: DYES Ono
S REPRESENTATIVE OF VOLUME AND NATURE OF DISCHARGE
SECTION N - Analytical Results (Attach report if necessary)
EPA Form 3560-3 (9-77)
EXHIBIT F (CONT)
PAGE 4 OF A
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FIELD SAMPLE RECORD
I. Company/Facility
Samplers
Application #_
Lat-Long
Date
STORET Station Designation
II.
Discharge
Description &
Pipe #
FIELD MEASUREMENTS
Sample Type
& Time
Flow (cont or
Intermit) in GPM-
Est. or Act.
Temperature of
pH
D.O.
mg/1
Baro
press
rrvn
hq
Water
Air
Analyze for
Bottle No.
Treatment Code(s) &
Quantity Added
Remarks
TREATMENT CODE
UU - Unf1ltered Unpreserved UP - Unflltered & Preserved
FU - Filtered Unpreserved FP - Filtered & Preserved
C - Chilled HNO3 - Nitric Acid HC1 - Hydrochloric Acid H2SO4 - Sulfuric Add
HGC12 - Mercuric Chloride NaOH - Sodium Hydroxide 0 - Other (Specify 1n Remarks)
IV. OTHER OBSERVATIONS (Circle as appropriate)
Type Discharge: pipe, culvert, ditch, weir, and/or
Appearance of
Discharge: clean, colored, oil, floating debris, algae, bubbles, and/or
Odor of
Discharge: none, acrid, H2S, rotten, (strong), and/or
(slight)
Appearance
of Bed: clean, algae, mucky, debris, ooze, and/or
Appearance
of Bank: clean, rubble, eroded, sludge, algae, and/or
Other Comnents:
EXHIBIT G
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