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SLQA Results Submittal Form

Name of laboratory or district:
Lab ID#:
Analyst name:
Phone number (10-digits):
Email address:


Sample identification:
Total volume of water (mL):
Sample net weight (g):
Sediment net weight (g):
Sediment concentration (mg/L):
Date sample processing initiated:
Date analysis completed:

Sand/Fine Split

Sand (> 0.063 mm) (g):
Fines (< 0.063 mm) (g):

Particle Size Distribution

< 0.002 mm (%):
< 0.004 mm (%):
< 0.008 mm (%):
< 0.016 mm (%):
< 0.031 mm (%):
Comments

After submitting this form, you will be shown the values that you have entered. Please look them over to verify your entries. If a mistake was made, re-submit another form.

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