Groundwater Monitoring Sample Worksheet

Appendix I
Well (8 or less
characters)

Parameter

Date
(mm/dd/yyyy)

Units

Reported
Value
#

PQL

Flags
ND, U, NT, J, D

MDL

-

Ammonia

-

mg/l

- - - -
-

Antimony

-

ug/l

- - - -
-

Arsenic

-

ug/l

- - - -
-

Barium

-

ug/l

- - - -
-

Beryllium

-

ug/l

- - - -
-

Boron

-

ug/l

- - - -
-

Cadmium

-

ug/l

- - - -
-

Calcium

-

mg/l

- - - -
-

Chromium

-

ug/l

- - - -
-

Cobalt

-

ug/l

- - - -
-

Copper

-

ug/l

- - - -
-

Fluoride

-

mg/l

- - - -
-

Hardness

-

mg/l

- - - -
-

Lead

-

ug/l

- - - -
-

Magnesium

-

mg/l

- - - -
-

Manganese

-

ug/l

- - - -
-

Mercury

-

ug/l

- - - -
-

Nickel

-

mg/l

- - - -
-

Nitrate/Nitrite

-

mg/l

- - - -
-

Phosphorus

-

mg/l

- - - -
-

Selenium

-

ug/l

- - - -
-

Silver

-

ug/l

- - - -
-

Sodium

-

mg/l

- - - -
-

Sulfate

-

mg/l

- - - -
-

Thallium

-

ug/l

- - -
-

Total Organic Carbon

-

mg/l

- - -
-

Vanadium

-

ug/l

- - - -
-

Zinc

-

ug/l

- - - -
-

Acetone

-

ug/l

- - - -
-

Acrylonitrile

-

ug/l

- - - -
-

Benzene

-

ug/l

- - - -
-

Bromochloromethane

-

ug/l

- - - -
-

Bromodichloromethane

-

ug/l

- - - -
-

Bromoform

-

ug/l

- - - -
-

Carbon disulfide

-

ug/l

- - - -
-

Carbon tetrachloride

-

ug/l

- - - -
-

Chlorobenzene

-

ug/l

- - - -
-

Chloroethane

-

ug/l

- - - -
-

Chloroform

-

ug/l

- - - -
-

Dibromochloromethane

-

ug/l

- - - -
-

1,2-Dibromo-3-chloropropane

-

ug/l

- - - -
-

1,2-Dibromoethane

-

ug/l

- - - -
-

1,2-Dichlorobenzene

-

ug/l

- - - -
-

1,4-Dichlorobenzene

-

ug/l

- - - -
-

trans-1,4-Dichloro-2-butene

-

ug/l

- - - -
-

1,1-Dichloroethane

-

ug/l

- - - -
-

1,2-Dichloroethane

-

ug/l

- - - -
-

1,1-Dichloroethene

-

ug/l

- - - -

cis-1,2-Dichloroethene

-

ug/l

- - - -
-

trans-1,2-Dichloroethene

-

ug/l

- - - -
-

1,2-Dichloropropane

-

ug/l

- - - -
-

cis-1,3-Dichloropropene

-

ug/l

- - - -

-

trans-1,3-Dichloropropene

-

ug/l

- - - -
-

Ethylbenzene

-

ug/l

- - - -
-

2-Hexanone

-

ug/l

- - - -
-

Bromomethane

-

ug/l

- - - -
-

Chloromethane

-

ug/l

- - - -
-

Dibromomethane

-

ug/l

- - - -
-

Methylene chloride

-

ug/l

- - - -
-

Methyl ethyl ketone

-

ug/l

- - - -
-

Iodomethane

-

ug/l

- - - -
-

4-Methyl-2-pentanone

-

ug/l

- - - -
-

Styrene

-

ug/l

- - - -
-

1,1,1,2-Tetrachloroethane

-

ug/l

- - - -
-

1,1,2,2-Tetrachloroethane

-

ug/l

- - - -
-

Tetrachloroethene

-

ug/l

- - - -
-

Toluene

-

ug/l

- - - -
-

1,1,1-Trichloroethane

-

ug/l

- - - -
-

1,1,2-Trichloroethane

-

ug/l

- - - -
-

Trichloroethene

-

ug/l

- - - -
-

Trichlorofluoromethane

-

ug/l

- - - -
-

1,2,3-Trichloropropane

-

ug/l

- - - -
-

Vinyl acetate

-

ug/l

- - - -
-

Vinyl chloride

-

ug/l

- - - -
-

Xylenes

-

ug/l

- - - -
-

Chemical Oxygen Demand

-

mg/l

- - - -
-

Chloride

-

mg/l

- - - -
-

Iron

-

mg/l

- - - -
-

pH

-

S.U.

- - - -
-

Specific Conductance

-

umhos/cm

- - - -
-

Total Dissolved Solids

-

mg/l

- - - -
- - - - - - - -

Must be in a Separate File

Potassium

-

mg/l

- - - -
-

Alkalinity, Total

-

mg/l

- - - -
-

Water Level

-

feet

- - - -
-

Temperature

-

deg C

- - - -
-

Turbidity

-

NTU

- - - -
- - - - - - - -

Field Blanks, Trip Blanks, Equipment Blanks and Matrix Spikes Must be in a Different File

- - - - - - -