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Test Type: <br />Acute <br />TOXICITY DATA PACKAGE COVER SHEET <br />Test Substance: Effluent <br />U#Q 'hvl ) <br />Dilution Water Type: Mod Hard <br />Concurrent Control Water Type: _ NIA <br />Date and Time Test Began: -(IskS il ngs <br />Protocol Number: <br />Background Information <br />Type of Test: <br />Test Temperature: <br />Test Solution Vol.: <br />Length of Test: <br />USEPA 2002 method 2021.0 <br />Static -renewal <br />20i 1 °C <br />25 ml <br />48 h <br />Project Number: <br />Page 1 of <br />FCETL QA Form No. 051 <br />Revision 4 <br />Effective 1/98 <br />14001-436-011 AA., AW401 IS <br />Species: Daphnia magna <br />Organism Lot r et umber. Monts <br />Age: 1944 (< 24 hr) Supplier. TRE <br />Date and Time Test Ended-W41irr a 1440 <br />Investigator(s): <br />—T <br />pH control?: Yes No <br />If yes, give % CO2: WA <br />Env. ChmbIS) <br />ath 1 Test Chmbrs mIcups <br />Number of Replicates per Treatment: 4 <br />Number of Organisms per Replicate: <br />Photoperiod: 16 h light:8 h dark Light Intensity: 50-100 ft: c. <br />Type of Food and Quantity per Chamber. NONE Feeding Frequency: WA <br />Test Substance Characterization Parameters and Frequency: <br />Hardness: Sx Recelot Alkalinity: Sx Receipt NH3: Sx Receipt TRC: Sx Receiot <br />pH: Daily Conductivity: Daily <br />Test Concentrations (Volume:Volume): 0 and 100% <br />Agency Summary Sheet(s)?: <br />None <br />5 <br />S ectal Procedures and Considerations: <br />D.O. maintained z 4.0 m /L <br />Conductivity measured in control and 100% at test termination <br />Study Director Initials: Date: <br />wwLiis r <br />CD (>MaI %a It's r. <br />