xvEPA

United States
Environmental Protection
Agency

^ Marine Routine Sanitary Survey for Recreational Waters

EPA 820-F-23-005
April 2023

INTRO: BASIC LOCATION INFORMATION

Name of beach:

Date(s) of survey:

Beach ID:

Time(s) of survey:

Name of waterbody:

Name(s) of surveyor(s):

Sampling station(s)/ID:

Surveyor affiliation:

WQX organizational ID:

Sampling location

Latitude:

Longitude:

Dates of swim season

Start:

End:

QUALITY ASSURANCE

M the data collected use an approved Quality Assurance Project Plan (QAPP)? yes

no

PART 1: WEATHER AND GENERAL BEACH CONDITIONS

Weather Conditions

Survey the weather using the method of your choice. You may use the National Weather Service as your source.

Air temperature: °C or °F

Method for air temperature: (check one) ~ Liquid-in-glass therm. ~ Electronic thermometer
~ Weather app ~ Weather report: from airport or weather station? ~ Other:

Dewpoint temperature: °C or °F

Method for air temperature: (check one) ~ Weather app ~ Weather report: from airport or
weather station? ~ Other:

Relative Humiditv (%): °Cor°F

Method for relative humidity: (check one) ~ Weather app ~ Weather report: from airport or
weather station? ~ Other:

Barometric Pressure: units:

Method for temperature: (check one) ~ Weather app ~ Weather report: from airport or weather
station? ~ Other:

Wind speed: units:

Wind aust speed: units:

Method for wind speed: (check ail that apply) ~ Wind vane for direction ~ Weather app

~	Wind sock for direction/speed ~ Anemometer for wind speed

~	Beaufort scale for wind speed ~ Aerovane for wind direction/speed

~	Weather report: from airport or weather station? ~ Other (specify):

Wind direction:

Is the wind: (circle one) Onshore or Offshore

If you collected wind speed from a local weather station, how far were you from the station:

mi or km

How recent was the last rain event: (check one)
~ 0-24 hrs ~ 24-48 hrs ~ 48-72 hrs

~ 72+ hrs

Rain intensity: (check one) ~ Misting ~ Light rain
~ Moderate rain ~ Heavy rain ~ Other:

Total measured rainfall: in or cm

Distance to the aauae/station when recordina rainfall amount: mi or km

Method for rainfall: (check one) ~ Rain gauge ~ Weather report

~ Weather app

~ Other (specify):.

Sky condition/amount of

Sunny/

Mostly sunny/

Partly sunny/

Mostly cloudy/

Cloudy/

cloud cover: (circle one)

No clouds

1/8 to 2/8

3/8 to 1/2

5/8 to 7/8

Total coverage

Method for weather conditions: (check one) ~ Visual observations

~ Weather app

~ Other (specify):

Beach Conditions

What are the waves like right now: (estimated, check one)

~ Calm (no waves)	~ Normal (1-2 ft high, estimated)

~ Rough (>2 ft high, estimated)

How tall are the waves:

ftorm

Is the wave height measured or estimated?(check one) ~ Measured ~ Estimated

Method for measuring wave height: (check one) ~ Visual examination of wave height
~ Other:	

~ Graduated stick and ranging pole

Tidal Phase: (check all that apply)

~ High Tide-the ~ Low Tide-the
highest level of the tide lowest level of the
(high water)	tide (trough)

~ Spring Tide - observed high tides are higher

and low tides are lower than average
(occurs when moon is at new phase and full phase)

~ Neap Tide- observed high tides are a little lower
and low tides a little higher than average

(occurs during the 1st and 3rd quarter moon, when the moon
appears "half full")

Tidal Currents: (check one) ~ Ebb current (an outgoing tide) ~ Flood current (an incoming tide)

~ Other:

Describe the reference point Ce a time rhoursi since last hiah tidei: Orientation of tide to the beach:

Current longshore speed: (see user manual on how to estimate lonashore speed) units:

Lonashore direction:

Method for longshore speed: (check one) ~ Stick with fishing reel with water balloon on end ~ Ball and tether

~ Other (specify):	

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Marine Routine Sanitary Survey for Recreational Waters EPA 82°Aprn32023

United States
Environmental Protection
Agency

Are there rip currents present: yes no If yes, describe:

Additional comments or observations

PART 2: WATER QUALITY	

List bacteria samples collected at the beach. Potential pollution sources, if applicable, can be recorded in Part 4.

Sample Point

Sample
Number

Location
(lat/long)

Date & Time

Parameter
(enterococci, E. coli, etc.)

Comments





























































General Water Quality

Water temperature:	°C or °F

Water color: (circle one) Clear Blue Brown Green Red Other:_

Method for water temperature: (check one) ~ Multiprobe ~ Electronic meter ~ Graduated thermometer
~ Report from local radio station ~ Report from NOAA weather band radio	~ Other (specify):

Has the water color changed since the last visit? yes no don't know If yes, describe:

Select the best description of the water smell: (circle one) None Septic Algae Sulfur Other:

pH:

Method for measurina pH: (check one) ~ Handheld electronic meters (specify)
~ pH strips ~ Field test kits ~ Other:

Oxidation Reduction Potential(ORP): units:

Method for ORP(specifv):

Total Dissolved Solids(TDS): units:

Method for TDS(specifv):

How did you measure turbidity?	~ Observed: (check one) ~ Clear ~ Slightly Turbid ~ Opaque

	(check one)	~ Measured: NTU value:	Secchi disc depth:

What method was used to measure the turbidity of the water: (check one) ~ Simple visual observation ~ Visual test kit

~ Titrimetric test kit	~ Nephelometer/Turbidimeter	~ Other (specify):.

Salinity: (check one) ~ 0-5 ppt

~ 5-15 ppt

~ 15-40 ppt

Conductivity:

units:

Total Suspended Solids(TSS):

units:



Method of TSS(sDecifv):









Dissolved Oxvaen(DO):

units:



Method of DO(specifv):

Dissolved Organic Carbon(DOC):

units:



Method of DO(specifv):

Describe other measurements taken and report values:

Document water quality with photographs and detailed descriptions

Additional water quality observations

2


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xvEPA

United States
Environmental Protection
Agency

^ Marine Routine Sanitary Survey for Recreational Waters

EPA 820-F-23-005
April 2023

PART 3: PEOPLE (number of beach users)

Are there bathers or recreators (swimmers, boaters, waders, etc.) present at the beach or waterbody? yes

no

Total people in water: _
Total number of boats:

Total people out of water:.

Total people at the beach:.

Report activities observed on the beach and in the water. Take photographs, if possible.

Activity (swimming, fishing, etc.)













Approximate # of people participating













Add any comments and observations about the activities above

Describe notable bather activities that could affect water quality (Example: babies in disposable diapers in the water):

Method for numbers of people participating in various activities:(check one) ~ Counting by surveyor

	~ Counting by lifeguard	~ Photos	~ Turnstiles	~ Other:		

PART 4: POTENTIAL POLLUTION SOURCES	

Identify visible sources of pollutants up to 500 feet from the beach or waterbody boundary. Quantify sources and take photos if possible.

Type of Source

Discharge
Source Name

Discharge Source
Amount (H, m, l)

Discharge
Flow Rate

Discharge Volume

Discharge Source Characteristics

River











Wetland drainage











Pond











Outfall/Pipe (e.g., stormwater)











Septic (e.g., leaking pit latrine)











Runoff (impervious surfaces)











Homeless encampments











Other (specify):











Did you collect samples and complete the Bacteria Samples section in Part 2? yes no If no, describe why not:

How did you identify the source of discharge? (check one) ~ Visual observation ~ WWTP Notification/Report

~ Other (specify):	

How did you measure flow/velocity or volume? (check one) ~ Mechanical flow meter ~ Electric flow meter

~ USGS gauging station ~ WWTP notification/report ~ Orange (float) and stopwatch ~ Other:
Are tidal pools present? yes no If yes, how many:	What is their average size:	units:

Are floatables present in the water? yes no	If yes, select all types of floatables found:(check ail that apply)

~	Street litter (e.g., cigarette filters)	~ Building materials (e.g., wood/siding)

~	Food-related litter (e.g., packaging/containers)	~ Fishing-related (e.g., fishing line, nets, lures)

~	Medical items (e.g., syringes)	~ Household waste (e.g., household trash, plastic bags)

~	Sewage-related (e.g., tampons, condoms)	~ Other:	

Method for determining floatables presence: (check one) ~ Visual observation nCleanup event results ~ Other:	

Is there debris or litter present on the beach? yes no
Select the amount (%) of beach debris on the beach: (check one)

	~ None	~ Low (1% - 20%)	~ Moderate (21%- 50%)	~ High (>50%)

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Marine Routine Sanitary Survey for Recreational Waters EPA 82°Aprn32023

United States
Environmental Protection
Agency

Select the types of debris found: (check ail that apply)

~	Street litter (e.g., cigarette filters)

~	Food-related litter (e.g., packaging/containers)

~	Medical items (e.g., syringes)

~	Sewage-related (e.g., tampons, condoms)

~	Natural debris (e.g., driftwood, algae)

~	Building materials (e.g., wood/siding)

~	Fishing-related (e.g., fishing line, nets, lures)

~	Household waste (e.g., household trash, plastic bags)

~	Tar/Oil (e.g., tar balls)

~	Oil/Grease (e.g., oil slick)

~	Other:	

Method for determining debris presence: (check one) ~ Visual observation ~ Cleanup event results ~ Other:.

Algae

Is algae present in the nearshore water and/or beach? yes no don't know

Select the amount (%) of algae in nearshore water: (check one)

~	None	~ Low (1 %-20%)	~ Moderate (21%-50%)	~ High (> 50%)

Select the amount (%) of algae on the beach: (check one)

~	None	~ Low (1 %—20%)	~ Moderate (21%-50%)	~ High (> 50%)

Method for determining amount and color of algae in nearshore water and beach:(check one)

~	Visual observation ~ Other:	

Circle the types Of algae found: (check all that apply) ~ Periphyton (attached to rocks, stringy) ~ Globular (blobs of floating material)

~ Free floating (no obvious mass of materials) ~ Other:	

Algae colors: (check ail that apply) ~ Light green ~ Bright green ~ Dark green ~ Yellow ~ Brown ~ Other:.

Is the nearshore water discolored? yes no don't know

If yes, specify the color: (check ail that apply) ~ Clear ~ Green ~ Dark Red ~ Brown ~ Yellowish nOther:_

Harmful Algae Blooms

Is there presence of harmful algal blooms? yes no If yes, photograph and describe:

Method for identifying harmful algal blooms in nearshore water and beach:(check one)

~ Field guide or internet site for taxonomic identification	~ Other:		

Are there mats or scum in nearshore waters? (check ail that apply) ~ Mats-floating ~ Foam ~ Scum ~ None
Are there dead fish or other dead wildlife present with bloom? yes no

Have any illnesses (e.g., itchy throat, cough, gastrointestinal) been reported by local or state health departments? yes no
If yes, describe:

Is algal toxin monitoring conducted? yes no don't know If yes, have algal toxins been detected?
Have algal species been identified? yes no don't know If yes, specify the species:	

Presence of Wildlife and Domestic Animals

Are wildlife and domestic animals present? yes no	If yes, document presence with photographs.

Type

in Air

in Water

at Beach

Type

in Water

at Beach

Geese







Dogs





Gulls







Horses





Shorebirds







Iguanas





Ducks







Mongooses





Pigeons







Rodents(scecifv):





Other:







Turtles





Other:







Other:





Other:







Other:





Method for determining presence of wildlife and domestic animals: (check one)

~ Counting using hand-held counter and if necessary, binoculars	~ Other:.

4


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xvEPA

United States
Environmental Protection
Agency

^ Marine Routine Sanitary Survey for Recreational Waters

EPA 820-F-23-005
April 2023

Are dead birds found on the beach?

yes no

If yes, specify the number and species of dead birds

Type

Common
loon

Herring
gulls

Ring-billed
gulls

Double crested
cormorants

Long-tailed
ducks

White-winged
scoter

Horned
grebes

Red-necked
grebes

Other:

Number Dead



















Method for determining the number of dead birds: (check one)

~ Counting using hand-held counter and if necessary, binoculars	~ Other:

Method for identifying dead birds: (check one) ~ Field guide or internet site for taxonomic identification ~ Other:	

Are dead fish found in the waterbody or at the beach? yes no

If yes, document with photographs and specify the number of dead fish found on the beach or in/at the waterbody

Method for determining the number of dead fish: (check one): ~ Visual observation ~ Other:.

Additional comments or observations on pollution sources, algae, or animals. Describe any photos taken.

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