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Volume Liter Bottle
Outfall ID:472
Today's Date:8/16/2012 Time:
Investigators:Form Completed By:Z
Temp: ( F): Rainfall (in.) Last 24 Hours:Last 48 hours:
Lat:Long:GPS Unit:GPS LMK #:
Camera:Photo #s:
Industrial
Ultra-Urban Residential
Suburban Residential
Commercial
Open Space
Institutional
Other Desc.
Known Industries
Notes (e.g., origin of outfall if known):
Closed Pipe
PVC
If Other, Please Describe
Circular
If Other, Please Describe
Single
If Other, Please Describe
Diameter/Dimensions:
12
In Water
With Sediment:
Open Drainage If Other, Please Describe If Other, Please Describe
Depth:
Top Width:
Bottom Width:
In-Stream
Flow Description
(If Present)
Flow #1
Section 1: Background Dat
0
Land use in drainage Area (check all that apply):
Section 2: Outfall Descriptio
LOCATION MATERIAL SHAPE DIMENSIONS (in.)SUBMERGED
If No, leave blank and skip to section 5
(applicable when collecting samples)
Section 3: Quantitative Characterizati
FIELD DATA FOR FLOWING OUTFALLS
PARAMETER RESULT UNIT EQUIPMENT
Time to Fill
Flow Depth
Measured Length
Time of Travel
Temperature
pH
Ammonia
sec.
in.
Ft., In.
Ft., In.
sec.
F0
pH Units
mg/L
Flow Width
Tape Measure
Tape Measure
Tape Measure
Stop Watch
Thermometer
Test Strip
Test Strip
Flow #2
"'
"'
Flow Present
0 '"0 "'
Subwatershed:DITCH