School 

First   Last 

email 

City  State 

Latitude 

Longitude 

Altitude 

Date of Experiment 

Exact time of Experiment (hour and minutes) 

Exact length of exposure (minutes and seconds) 

Weather conditions at time of experiment:




Other notes:


RECORD THE NUMBER OF COLONIES ON EXPERIMENTAL AND CONTROL PLATES.
We want the raw data as well as your calculation of surviving fraction.

GROUP OR CLASS  EXPERIMENTAL PLATE  CONTROL PLATE  SURVIVING FRACTION

1.REPLICATE 1	     	        

  REPLICATE 2	    	        

  REPLICATE 3	    	        

2.REPLICATE 1	                

  REPLICATE 2	                

  REPLICATE 3	                
                          
3.REPLICATE 1	                

  REPLICATE 2	                

  REPLICATE 3	                

4.REPLICATE 1	                

  REPLICATE 2	                

  REPLICATE 3	                

5.REPLICATE 1	                

  REPLICATE 2	                

  REPLICATE 3	                





If you need to start over, 
clear the form using the button below.