Regional Recycled Water Soil Sampling and Site Audits 2012

• Prepared by

• Select date

  Date

Background Information

• Scheme

• Property Name

• Property Location/Address

• Property Contact

• Name/Number

• Contact

  Select Owner Operator Leasee

  • Owner
  • Operator
  • Leasee

Irrigation Practices

• Southern Water Metered/Estimate

• Irrigator Estimate

• Have irrigation areas changed in the last 12 months?

  Yes

  No

• Enter Details

• Crops/uses and application rates in last 12 months

• In general, has any of your recycled water management practices changed in the last 12 months?

  Yes

  No

• Enter Details

Compliance Audit

• Is there a site management plan (SMP)?

  Yes

  No

• Does the land owner/contact have a copy?

  Yes

  No

• Enter Details

• Does the contact have adequate understanding of SMP/reuse guidelines content?

  Yes

  No

• Does user implement adequate procedures when working with recycled water?

  Yes

  No

• Are buffer zones in plan or reuse guidelines being observed?

  Yes

  No

• Add media

  Media

• Does property have adequate signage?

• Front gate

  Yes

  No

• Add media

  Media

• Boundaries

  Yes

  No

• Add media

  Media

• Other

  Yes

  No

• Add media

  Media

• Are the appropriate withholding periods being implemented for livestock/crops?

  Yes

  No

• Other Comments

Soil Monitoring

• Property Name

• Site Number

• GPS

• General Comments

• Property Name

• Site Number

• GPS

• General Comments

• Property Name

• Site Number

• GPS

• General Comments

• Property Name

• Site Number

• GPS

• General Comments

• Property Name

• Site Number

• GPS

• General Comments

Lab Results

• can add tables etc. in when exported via word

• Other Results

• Any key changes from previous years?