Water Sample Collection

• Document No.

• Part No.

• Revision No.

• Client Name

• Project Name

• Sampling Started

  Date

• Prepared by

• Location
  Address

• Water Sample Analysis to be Completed by

  Symbio Alliance Labratory

  GCCC Smart Water Research Centre

  SAS Laboratory

• Drawings Supplied

  Yes

  No

  N/A

• Drawing Number

• Drawing Revision

• Drawing Date

  Date

• Drawing Approval RPEQ

• Disinfection Completed?

  Yes

  No

  N/A

• Disinfection Method WSA03-2011 Appendix I, Clause 15
  Complete method, recording the following parameters

• Date of Completion

  Date

• Volume of Main Disinfected (kL)

• Dilution Ratio Cl:H20 (ppm)

• Volume of Disinfectant Used (L)

• Contact Time (Hours)

• Free Chlorine Residual (FCR) on Completion of Disinfection (mg/L)

• Free Chlorine Residual (FCR) on Completion of Contact Time (mg/L)

• Free Chlorine Residual (FCR) on Discharge (mg/L)

• Dechlorination Method Used

  Sodium Thiosulphate Dosing

  Dissipation

• Containment Period (Hours)

• Flushing Completed?

  Yes

  No

  N/A

• Date of Completion

  Date

• Volume of Flushing Water (kL)

• Sample Collected?

  Yes

  No

  N/A

• Date of Collection

  Date

• Sample Location Layout

  Media

• Water Vessel Type

  Select Potable Water Main Recycled Water Main Potable Internal Plumbing Recycled Internal Plumbing Standing Water Reservoir River / Creek / Stream Dam / Lake Other

  • Potable Water Main
  • Recycled Water Main
  • Potable Internal Plumbing
  • Recycled Internal Plumbing
  • Standing Water
  • Reservoir
  • River / Creek / Stream
  • Dam / Lake
  • Other

• Samples to be Collected

Sample

• Source Identification

  Select Inlet 1 Inlet 2 Inlet 3 Inlet 4 Inlet 5 Outlet 1 Outlet 2 Outlet 3 Outlet 4 Outlet 5 Outlet 6 Outlet 7 Outlet 8 Outlet 9 Outlet 10 Outlet 11 Outlet 12 Outlet 13 Outlet 14 Outlet 15 Outlet 16 Outlet 17 Outlet 18 Outlet 19 Outlet 20 Other

  • Inlet 1
  • Inlet 2
  • Inlet 3
  • Inlet 4
  • Inlet 5
  • Outlet 1
  • Outlet 2
  • Outlet 3
  • Outlet 4
  • Outlet 5
  • Outlet 6
  • Outlet 7
  • Outlet 8
  • Outlet 9
  • Outlet 10
  • Outlet 11
  • Outlet 12
  • Outlet 13
  • Outlet 14
  • Outlet 15
  • Outlet 16
  • Outlet 17
  • Outlet 18
  • Outlet 19
  • Outlet 20
  • Other

• Source Location Details

• Analysis Required

  Select Heterotrophic Plate Count Coliforms E. Coli Total Chlorine Free Chlorine Turbidity True Colour Electrical Conductivity pH Other

  • Heterotrophic Plate Count
  • Coliforms
  • E. Coli
  • Total Chlorine
  • Free Chlorine
  • Turbidity
  • True Colour
  • Electrical Conductivity
  • pH
  • Other

• Analysis Required?

• Photo of sample location

  Media

Confirm Project Information

• Sample locations and their details

• Sample analysis requirements

Initial Work Area Inspection

• Is sample area barricaded off or sufficiently delineated?

  Yes

  No

  N/A

• Is traffic control established?

  Yes

  No

  N/A

• Has a Safe Work Method Statement been completed and all control measures followed?

  Yes

  No

  N/A

• Environmental controls installed as and if required

• Collection Type

  Water Main or Internal Plumbing

  Standing Water

Sampling Setup Steps

• Equipment checked and in good working order

  Yes

  No

  N/A

• Ensure correct sample containers are obtained

• Adhere to the instructions on the label of the sample container

• Wash hands before collecting the samples

Sample Collection Steps

• Remove the cap of the sample container without touching the neck of the container and keep cap inverted

• If possible, hold the sample container by the base and plunge it downward approximately 300mm below the surface. If the standing water is not deep enough use suitable syringe and take water from under the surface so surface contamination is eliminated.

• Turn the sample container until the neck points slightly upwards

• Replace cap and tighten

• Wash hands after sample collection

Sampling Setup Steps

• Ensure correct sample containers are obtained and follow instructions on label

• Remove all external fittings such as splash devises and hoses

• Ensure tap does not leak between spindle and the gland at the top of the tap

• Wash hands before collecting the samples

Sample Collection Steps

• Turn on the tap as rapidly as possible and immediately turn off to dislodge any debris

• Turn on the tap and allow to run for (2) minutes to ensure the sample collected is from the supplying main

• Ensure the tap is running to flush the standpipe and produces a continuous stream

• Remove the cap of the sample container without touching neck and keep cap inverted

• Introduce sample container to water and fill to the top without leaving an air gap

• Replace cap, tighten and wash hands once complete

Transport Sample

• Mix by inverting sample container to distribute the sample and any reagents in the container

• Keep sample cold and deliver to the laboratory as soon as possible

Disassemble Steps

• Disconnect any fittings, remove barricading and return all items to test unit

Final Demobilisation

• Notify client samples have been taken and to contact TestX office to arrange further sampling or reports

• Inspector's remarks

• I declare that the sampling procedure was followed in accordance with the nominated specifications

  Sign

• Sampling Completed

  Date

• Sample Analysis Report No.

• Report Issue Date

Report Approval - Cam Reid