COASTAL REGION
GEORGIA ADOPT-A-STREAM
Physical/Chemical Data Survey
| Date ___________ Time _____________ QA/QC volunteer present? _____________ |
| Name of Group or Individual ________________________________________________ |
| Name of Stream
________________________________ County ________________ |
| Exact location of monitoring
_________________________________________________ |
| Members present _________________________________________________________ |
| _______________________________________________________________________ |
Weather Conditions
| ___Clear
___Cloudy ___Rain |
| Rain within last 48 hours? ___Yes ___No If yes, When? _____________________ |
| If rain within last 48 hours, was rain: ___Brief, heavy downpour ___Lengthy shower |
| ___Sprinkles ___Intermittent showers ___Other - describe
_______________________ |
| Amount of rain, if known _____________________ |
| Is waterway influenced by tides? ___Yes
___No |
|
If
tidally influenced:
Tide was:
___Rising
___Falling |
| Tide was: ___High ___Mid-range ___Low |
| TEST | SAMPLE 1 | SAMPLE 2 |
| Air Temperature | _________ | _________ oC |
| Water Temperature | _________ | _________ oC |
| Secchi Disk Depth | _________ | _________ cm |
| Settleable Solids | _________ | _________ ml/l |
| pH | _________ | _________ |
| Dissolved Oxygen | _________ | _________ ppm |
| Nitrate (NO3-N x 4.4) | _________ | _________ ppm |
| Ortho-phosphate | _________ | _________ ppm |
| Salinity | _________ | _________ ppt |
| Comments, observations, notes
______________________________________________ |
| ______________________________________________________________________ |