JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
E. Coli Testing Data Entry Form
Please enter your sample information below.
Sign in to Google
to save your progress.
Learn more
Stream Steward #1 First Name
Your answer
Stream Steward #1 Last Name
Your answer
Stream Steward #2 First Name
Your answer
Stream Steward #2 Last Name
Your answer
Sampling Date
Date
Time
:
AM
PM
Stream Name
If other, select Other and put stream name in Other Notes below.
Choose
Boise Creek
Beaver
Neuwaukum
Watercress
Pussyfoot
Stonequarry
Second
Other
Thermometer #
Your answer
Air Temperature in °C
Your answer
Weather conditions in during sampling
Clear
Cloudy
Overcast
Showers (intermittent)
Rain (steady)
Storm (heavy rain)
Other:
Weather conditions in past 24 hours
Clear
Overcast
Showers (intermittent)
Rain (steady)
Storm (heavy rain/snow)
Other:
Date/Time petri dishes were put into the incubator
Date
Time
:
AM
PM
Other notes:
Your answer
Documentation of Inoculated Petri Dish for Sample
Sample Number
Your answer
Site Number
Your answer
Sampling Date
Date
Time
:
AM
PM
Water Temperature
Your answer
Site Description
Your answer
Qualitative Water Quality
Water Appearance
Clear
Brown
Muddy
Milky
Foam
Scum
Oily Sheen
Other:
Stream Bed Coating
None
Yellowish
Orange to red
Brown
Black
Other:
Water Odor
None
Musky
Acrid
Chlorine
Fishy
Manure
Rotten egg
Other:
Date/Time Petri Dishes Were Photographed? (MM/DD/YY)
Date
Time
:
AM
PM
Count of Purple-Blue E-coli Colonies?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
