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'~ • Illlllllll1111111 • I' <br />CAI>~tADO DEPARiI~'Nr OF BFALTH LAB..Nfk~R: <br />Water Quality ~ntrol Division FROM WA7i'R QUALITY DATA SfII~T <br />~vi~:e;,::,1 ~~a~irxtnu racr S}iliir <br />1. <br />3. <br />5. <br />Name of Eatity:_ <br />Date of Contact: <br />Person contacted <br />6. Phone No. where he can be reached: 714-L,7~-4~ <br />8. Date of Scheduled Sampling: 1 -~.~ -~i"7 <br />9. Does Representative of F~tity S4ish to be Present? <br />10. If so, what is his :>a>~, titi:- ...._ t:r::• ,. _'y':r?_ <br />Pern~it ~: ~-g$ lea <br />Time of ~GOntact: O Y3 <br />Ii. Do they wish to split samples? YA ~ <br />12. If so, will they provide container? <br />13. What arraagenents have been made to meet representative and/or in entrance to the <br />facilities: <br />14. Parameters to be monitored: BQD Suspended Solids D.O. PR <br />Fecal Wliform Temperature Turbidity Chlorine )!tesidual <br />Oil & (prase QJHi'1tS (list): Trnrnn ~~A1JfZ~Cy (.~AA~T ey. ~o1sTU~ <br />15. Type of sample (grab or composite, <br />16. Special containers or preservatives? L C ~ <br />17. Persons present during sampling (names & titles): ~ <br />~AA3 /l.~P~2~17~.~ Mvw2 Yt;4nSA~2~p F <br />18, Was sample spli <br />19. Who received ca' <br />20. <br />rt~aauxs- <br />,~l. <br />- i r ~ye~u i ~ - <br />if laboratory analy. <br />itv Control Act." thes <br />