DEP Form FD 9000-3 Physical/Chemical Characterization Field Sheet
SAMPLE ID ______________________
ORG ID ___________________________
LATITUDE _______________________________________
COUNTY ________________________
STORET #_________________________
LONGITUDE
DATE ___________________________
TIME______________________________
SAMPLING AGENCY _______________________________
___________________________________
SITE NAME ______________________________________________________________________________________
FIELD ID/NAME ___________________________________________ RECEIVING BODY OF WATER ____________________________________________
RIPARIAN ZONE / STREAM FEATURES
Landscape Development
Intensity Index (LDI)
PREDOMINANT LAND-USE IN WATERSHED (specify relative percent in each category) :
Forest/Natural
Silviculture
Field/Pasture
Local Watershed Erosion (select one) :
Local Watershed NPS Pollution :
Agricultural
Residential
Commercial
Industry
None
Slight
Moderate
Heavy
Typical Width (m) Depth (m)/Velocity (m/sec) Transect
No evidence
Slight
Moderate
Heavy
m wide
-----------------------------------------------------------------------------
Width
of RiparianNPS
Vegetation
Each
Buffer SideSlightHydrologic
Modification
Score
Local Watershed
Pollution(m)
: onNo
evidence
Moderate
Heavy
(per FT 3101)
Left Bank :
Right Bank :
High Water Mark:
(m)
+
( above present water level )
Other (Specify)
Artificially Impounded
=
( present depth )
Artificially
NO
Artificially Impounded
Channelized :
Some recovery
Yes
No
Yes
( above bed )
Mostly recovered, more sinuous
m/s
m/s
m/s
m deep
m deep
m deep
No
Canopy Cover %
Recent, severe
Open
Lightly Shaded (11-45%)
Heavily Shaded
Moderate Shaded (46-80%)
SEDIMENT / SUBSTRATE
Sediment Oils
Sediment Odors
Absent
Slight
Moderate
Profuse
Normal
Smothering of Substrates
Sewage
Petroleum
Sand Smothering:
None
Slight
Moderate
Severe
Chemical
Anaerobic
Silt Smothering:
None
Slight
Moderate
Severe
Algae Smothering: None
Slight
Moderate
Severe
Other (Specify) :
SUBSTRATE TYPE
Assessment Tool:
LCI
SCI
RPS
BioRecon
%
Coverage
LVS
INVERT
PERI
# Times # Times
Sampled Sampled
WATER
QUALITY Depth
(M)
Undercut Banks / Roots
Meter ID:
Rock or Shell Rubble..
Sand…………………...
Mud / Muck / Silt ……..
Other ………….……….
Other …………….…….
____________________________________________
ABUNDANCE
Periphyton:
Not Obs. Rare Common Abundant
D.O.
(MG/L)
D.O. Sat
(%)
Cond.
(UMHO/CM)
Salinity
(PPT)
SECCHI (M)
Mid:
Bottom
Aquatic Vegetation …..
pH
(SU)
Top :
Woody Debris (Snags)
Leaf Packs or Mat ……
:
Temp.
(°C)
VOB
TOTAL DEPTH
Water Odors Normal
Sewage
Chemical
Water
Sample Taken?
:
Sample Preserved?
Petroleum
Water Surface Oils Normal
Other
Globs
Slick
Color Tannic
Other (Specify)
Yes
No
Yes
No
Clear
Yes
No
Sample Preserved?
Yes
No
Other
Green (Algae)
Other (Specify)
___________________________
Lot Number:_____________ Exp:_________
Algae Sample Taken?
Sheen
Clarity Clear
Turbid
Slightly Turbid
Opaque
Lot Number:_____________ Exp:_________
System Type: Stream
Lake
Wetland
Estuary
Other(Specify)
_____________
AMBIENT FIELD CONDITIONS / NOTES:
Fish:
Aquatic Plants:
Iron/Sulfur Bacteria:
SAMPLING TEAM
62-160.800, F.A.C.
The antecedent hydrologic conditions have been met to my best knowledge.
SIGNATURE :
DATE :
Revision Date: March 1, 2014