Project Manager Signature:: Title and Approval Page
Project Manager Signature:: Title and Approval Page
Project Manager Signature:: Title and Approval Page
Project Name:
Responsible Agency:
Date:
Project Manager signature:
Name/Date:
Project QA Officer signature:
Name/Date:
USEPA Project Manager signature:
Name/Date:
USEPA QA Officer signature:
Name/Date:
Names of other organizations involved in project (such as field operations manager, laboratory
managers, State and other Federal agency officials etc.): , , , , ,
, .
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Section Number ___________________
Revision Number ___________________
Date_________________
TABLE OF CONTENTS
Section 1: Distribution List
Section 2: Project/Task Organization
Section 3: Problem Definition/Background
Section 4: Project/Task Description
Section 5: Measurement Quality Objectives
Section 6: Training Requirements and Certification
Section 7: Documentation and Records
Section 8: Sampling Process Design
Section 9: Sampling Method Requirements
Section 10: Sample Handling and Custody Procedures
Section 11: Analytical Methods Requirements
Section 12: Quality Control Requirements
Section 13: Instrument/Equipment Testing, Inspection
and Maintenance Requirements
Section 14: Instrument Calibration and Frequency
Section 15: Inspection/Acceptance Requirements
Section 16: Data Acquisition Requirements
Section 17: Data Management
Section 18: Assessment and Response Actions
Section 19: Reports
Section 20: Data Review, Validation and Verification
Section 21: Validation and Verification Methods
Section 22: Reconciliation with DQOs
page 3
page 4
page 5
page 6
page 7
page 8
page 9
page 10
page 11
page 12
page 13
page 14
page 15
page 16
page 17
page 18
page 19
page 20
page 21
page 22
page 23
page 24
(List of figures)
(List of tables)
(List of appendices)
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Section Number ___________________
Revision Number ___________________
Date_________________
DISTRIBUTION LIST
1. Name:
2. Name:
3. Name:
4. Name:
5. Name:
6. Name:
7. Name:
8. Name:
9. Name:
10. Name:
11. Name:
12. Name:
13. Name:
14. Name:
15. Name:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Phone Number:
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
Project Mgr?
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Section Number ___________________
Revision Number ___________________
Date_________________
PROJECT/TASK ORGANIZATION*
V o lu n t e e r M o n ito r in g P ro je c t
D e c i s io n M a k e r s
N JD E P
D a n i e l le D o n k e r s l o o t
P r o je c t M a n a g e r
N JD E P
D iv is io n o f W a t e rs h e d M g m t
J u lie H a jd u s e k
A s s is t a n t C o o r d in a t o r
N JD E P
A d v is o ry P a n e l
Q A O f f ic e r
C h r is t in e H ir t
A m e r iC o r p s P r o g r a m D ir e c t o r
N JD E P
D iv is io n o f W a te rs h e d M g m t
D a n D i L o l lo
A s s is t a n t C o o r d in a t o r
N JD E P
F ie ld / S a m p lin g L e a d e r
L a b o r a t o r y M a n a g e r/
Leader
D a ta U s e rs
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Revision Number ___________________
Date_________________
PROBLEM DEFINITION/BACKGROUND
In a narrative, briefly state the problem your monitoring project is designed to address. Include
any background information such as previous studies (that indicate why this project is needed)
and historical/scientific/regulatory perspective. Identify how your data will be used and who will
use it.
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Section Number ___________________
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PROJECT/TASK DESCRIPTION
A. In a narrative, give a general overview of the project. Identify the work that your volunteers
will perform and where it will take place. What kinds of samples will be taken? What will they
measure? Which conditions are critical that they measure? Which are of secondary performance?
Indicate how you will evaluate your results. Include maps and tables showing geographic
locations of sampling stations.
(This narrative should explain how the project will resolve the problem that you stated in the
previous section Problem Definition/Background.
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B. Project timetable
Activity
Anticipated Date of
Completion
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Parameter
Measurement
Range
Accuracy
Precision
B. Data Representativeness
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C. Data Comparability
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D. Data Completeness
Parameter
No. Valid
Samples
Ancicipated
No. Valid
Samples
Collected &
Analyzed
Percent
Complete
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Frequency of
Training/Certification
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Date_________________
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Number of
Samples
Sampling
Frequency
Sampling
Period
Biological
Biological
Biological
Physical
Physical
Physical
Chemical
Chemical
Chemical
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Sampling
Equipment
Sample
Holding
Container
Model Sample
Preservative
Maximum
Holding Time
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Inspection
Frequency
Type of Inspection
Acceptance
Testing
Standards
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Date_________________
Calibration Frequency
Standard or Calibration
Instrument Used
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Section Number ___________________
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Date_________________
INSPECTION/ACCEPTANCE REQUIREMENTS
Describe how you determine if supplies such as sample bottles, nets and reagents are adequate
for your programs needs.
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DATA MANAGEMENT
Trace the path your data take, from field collection and lab analysis to data storage and use.
Discuss how you check for accuracy and completeness of field and lab forms, and how you
minimize and correct errors in calculations, data entry to forms and databases, and report writing.
Provide examples of forms and checklists. Identify the computer hardware and software you use
to manage your data.
Also include the process for assuring that applicable EPA information resource management
requirements are satisfied (see EPA Directive 2100). Other EPA standards may apply; all must be
satisfied and described in the plan.
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REPORTS
Identify the frequency, content and distribution of reports issued to management (EPA or
otherwise) or any other data users.
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