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• <br /> ATTACHMENT D <br /> THE CITY OF <br /> pLE ASANTONO <br /> Stream Monitoring Program Report Form for a Major Spill Event <br /> Date Spill Occurred: Samples Collected By: <br /> Spill Amount: <br /> Date Spill Reported to EOS: <br /> Spill Location(*)Attach Map <br /> Name of Receiving Stream/Channel Affected: <br /> Upstream Sampling Location(100 Ft.Upstream-"Above Spill Description") <br /> Above Spill Sample Data <br /> Date DO(mg/I)Temp(deg C) Ammonia (mg/1) Enterococcus(#/100m1 Fecal Coliform (#/100 ml) <br /> 1- <br /> 2 <br /> 3- <br /> 4- <br /> 5- <br /> 6- <br /> 7 <br /> 8- _ <br /> 9- <br /> 10- <br /> Downstream Sampling Location(100 Ft.Downstream-"Below Spill Description") <br /> Below Spill Sample Data <br /> Date DO(mg/I)Temp(deg C) Ammonia (mg/I) Enterococcus (#/100m1 Fecal Coliform (#/100 ml) <br /> 1- <br /> 2- <br /> 3- <br /> 4- <br /> 5 <br /> 6- <br /> 7 <br /> 8- <br /> 9- <br /> 10- <br /> 53JPage <br />