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The SeaCrest Group Fathead AJlinnow Acute Benchsheet Form #: 104a <br />Louisville, CO Effective: July 2002 <br />Permittee: (Ji°` l (;~ ~ Site: (,~ ~ ~~~n I I~ 11~. Lab #: ,~jQ~ <br />IWC%: Templatej\~ Sample Date: (;~ L5'(~~OilutionH,O: ('K(~-}-{~~~-(~ _~S'V'~ <br />species Info• ~ ~iQ~ c Test Started: t~~iGlc;©~f = ".) y-S Test Ended: U~"3L7L`~`'1"~) (J ~l-S <br />test Conditions: <br />Hard 'Z4 + N R I 4 3 Chlor CO . a~ <br />Alk ~c ~ /~ toN b Amm 1 LI,o <br />M! : Z33i MGS'~.I/`~ I Amm 2 1 ~-- I " ~ I ( I ~ 1 ~ ~ <br />~ <br />1. Exposure Chamber ~ ~~ : 3 ~ ~ i.e <br />Total Capacity: 270 ml Test Solution Volume: 200 ml <br />Test Solution Surface Area: cmZ Water Depth (constant): cm <br /> (cyclic): cm <br />2. Feeding Schedule <br />Not Fed: Fed Daily: <br />Fed Irregularly: X Food Used: < 24 hr artemia <br />(describe): 0 & 48 hrs <br />3. Aeration <br />None: <br />Before Use: ( minutes @ -100 bubbles/min) <br />Slow: (-30 bubbles or mUmin) <br />Moderate: (-60 bubbles or mUmin) <br />Vigorous: (-100 bubbles or mL/min) <br />From: AM/PM (Date) <br />To: AM/PM (Date) <br />4. Screened Animal Enclosures <br />Not Used: X Used: cm diameter <br />5. C4nditionlappearance of surviving organisms at end of test (i.e., alive but immobile, loss of orientation, erratic movement, etc.): <br />, .:~ <br />