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DM ~ ~-~~~ 9 X530 ~ <br />• CALC.1ftAD0 DEPAHIt~1T OF HF.I~I •LAB. NUh <br />Water Quality Control Division Ff~17 IYATQUALITY DATA SIIT;ET <br />r`~a~fZi;;1.Il:'~1' ':Ui•iiP~N1P,i~ : ''.:: :;:~.i,: <br />1. Name of Entity: SFi/3 (.LLi <br />3. Date of ~ntact~G¢Jy <br />5. Person contacted (name & ti <br />• <br />_ 2. Permit #f: K-g'~-1I a <br />4. Time of Cpntact: /p;¢~' <br />6. Phone No. where he can be reached: •7(9- b•7~^`Pld~a <br />S. Date of Scheduled Sailing: ~z~erti13eR~~y l4~1 <br />9. Does Representative of Entity Wish to be Present?~ <br />10. If so, ~.vhat is his _,ainc, t'_tic a.,d ,,:~:e mntti>„" <br />11. Do they wish to split sa7g>les? ~iHPL2 SPLIr ~'u..: <br />12. If so, will they provide container? Ce aNA~a1~E2 PR.e <br />13. What arran~~nents have then node to meet rerresentati~;e <br />facilities: ~ <br />bv: <br />or ~-ai~i entrance to the <br /> <br /> <br /> <br />14. <br /> <br /> <br />15. Parameters to be monitored: EOD Suspended Solids D.O. pH <br />Fecal Co orm Tariperature Turbidity Chlorine Re idual <br />Oil & Grey e (717iII~.S (list) : Wq~D C, l3l ~_~ L /q~CTIDe ft6 <br />Type of sample (grab or composite, describe)? CR~I~ ~4lyPL~. <br /> <br />16. Special containers or preservatives? !-7 ~2!/ <br />~U C4CoT uS 14c~e <br />, .V PG <br /> <br />17. Persons present during smrmling (names & titles) : <br /> uhf e. S ~ ! Ll.i e_ F' lRt.,l ST <br /> <br />18 <br />19 <br />20 <br />Who received or <br />REMARKS <br />