TriesAI Field Survey Form — TRIESAI-FSF-001

⚠ Important: This form must be filled during or immediately after field acquisition. Do not complete from memory. Submissions without this form will not be processed.

1 — Client & Project Information

Client / Company Name

Contact Number

Email Address

Date of Field Acquisition

Site Location — Barangay

Municipality

Province

Purpose of Survey (groundwater / anomaly mapping / geohazard / other)

2 — Instrument & Target Depth

Instrument Used

PQWT S500 ADMT Golden Rod AIDU 500 HT2 Other:

Set Target Depth (configured during acquisition)

50m 100m 150m 200m Other: m

File Format to Submit

.csv (PQWT) .dat (ADMT)

Number of Survey Lines

CMP Points Per Line

3 — Survey Line GPS Data (2 GPS Points Required Per Line)

Line	Line Label	Direction / Orientation	GPS Point 1 — Start (Lat, Lng)	GPS Last Point — End (Lat, Lng)	No. of CMP Points
L1
L2
L3
L4
L5

GPS format: decimal degrees only (e.g. 9.654321, 124.123456). Do not use degrees/minutes/seconds format.

4 — Site & Terrain Description

Terrain Type

Flat Sloped Rocky Vegetated Agricultural Construction site

Surface Condition

Dry Wet / after rain Concrete / paved Bare soil

Geology (if known)

Limestone Volcanic Alluvial Unknown

Additional Site Notes / Observations

5 — Photo Documentation Checklist

Line 001 electrode setup photo

Line 002 electrode setup photo

Line 003 electrode setup photo

Line 004 electrode setup photo

Line 005 electrode setup photo

Instrument display (showing depth setting)

Site overview / wide shot

Additional site photos (optional)

All photos must retain original EXIF metadata. Do not screenshot or re-export photos before submitting.

6 — Data Package Submission Checklist

Raw data files included (.csv or .dat)

One file per survey line

Files named by line (e.g. Line001.csv)

Site photos included (min. 1 per line)

This form completed and included

GPS coordinates verified and correct

Surveyor Declaration: I confirm that the data submitted was collected in accordance with the TriesAI Field Acquisition Protocol. All GPS coordinates, instrument settings, and field observations recorded in this form are accurate and were recorded during the field acquisition. I understand that inaccurate submissions may affect the quality of the analysis and final report.

Field Survey Form — Remote Data Submission