Survey 
Drainage : . Coll. No.. 
1.00^] h y ' 
County Quadrangle Elevation 
Water Flo w Width 
Vegetation ^ , ___^______ 
Bottom : ' i cj#^ii ; 
Shore 
Temperature: Air Water 
Depth of Capture_ 
Method of Capture 
Collected h y 
Orig. preserv 
General notes: 
—Current 
Distance from shore 
Time. Weather 
Depth of Water. 
Date 
Time 
