Discharge Sampling Report Sampler’s Name: _____________________________ Date: ________________________ Type of Sampling Rain Event Non-Stormwater (Circle One): *Non Visible Pollutant Sampling Event? Yes No (Circle One) *Note: Non-visible pollutant sampling is only required if there is potential for non-visible pollutants to discharge from the site. See Section 8.3.2 of the SWPPP for additional guidance and requirements for non-visible pollutant sampling. Analysis Sampling Location Parameter Performed Time of % of Result By Sample Site (Consult SWPPP Map (pH, Turbidity, or Collection Discharge for Name and Location Specific (Include units) (List Laboratory of Sampling Points) Pollutant) or Person)
Discharge Sampling Report Sampler’s Name: _____________________________ Date: ________________________ Type of Sampling (Circle One): Rain Event Non-Stormwater *Non Visible Pollutant Sampling Event? (Circle One) Yes No *Note: Non-visible pollutant sampling is only required if there is potential for non-visible pollutants to discharge from the site. See Section 8.3.2 of the SWPPP for additional guidance and requirements for non-visible pollutant sampling. Sampling Location (Consult SWPPP Map for Name and Location of Sampling Points) Time of Sample Collection Parameter (pH, Turbidity, or Specific Pollutant) Analysis Performed By (List Laboratory or Person) Result (Include units) % of Site Discharge
Risk-Level-2-and-3-SWPPP-Template_June2014.docx