"Manhole"
Bootstrap 3.3.0 Snippet by zvoice

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<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<div class="container">
<div class="row">
<div class="no-more-tables">
<table class="col-md-12 table-bordered table-striped table-condensed cf" style="width:100%;">
<thead class="cf">
<tr>
<th colspan="3" style="text-align:center; color: white; background-color:#295f89;">General Information</th>
</tr>
</thead>
<tbody>
<tr>
<td>Quarter Section: <input class="form-control transparent-input" type='text' name='quarterSection' required></td>
<td colspan="2" >Manhole #: <input class="form-control transparent-input" type='text' name='manhole' required></td>
</tr>
<tr>
<td style="width:50%"></td>
<td style="text-align:center;" colspan="2">Purpose of Inspection:</td>
</tr>
<tr>
<td rowspan="2" style="vertical-align:top;">Depth:<input class="form-control transparent-input" type='text' name='depth' required></td>
<td>Odor Compliant <input type="checkbox" style="display:inline;width:20px" name='odorcompilant'/></td>
<td>Cover Issue <input type="checkbox" style="display:inline;width:20px" name='coverissue'/></td>
</tr>
<tr>
<td>Scheduled Cleaning <input type="checkbox" style="display:inline;width:20px" name='scheduledcleaning'/></td>
<td>Other <input type="checkbox" style="display:inline;width:20px" name='other1'/></td>
</tr>
<tr>
<td>Weather Conditions:
Dry <input type="radio" style="display:inline;width:20px" name='weatherConditions'>
Wet <input type="radio" style="display:inline;width:20px" name='weatherConditions'>
</td>
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@media only screen and (max-width: 800px) {
/* Force table to not be like tables anymore */
.no-more-tables table,
.no-more-tables thead,
.no-more-tables tbody,
.no-more-tables th,
.no-more-tables td,
.no-more-tables tr {
display: block;
}
/* Hide table headers (but not display: none;, for accessibility) */
.no-more-tables thead tr {
position: absolute;
top: -9999px;
left: -9999px;
}
.no-more-tables tr { border: 1px solid #ccc; }
.no-more-tables td {
/* Behave like a "row" */
border: none;
border-bottom: 1px solid #eee;
position: relative;
padding-left: 50%;
white-space: normal;
text-align:left;
}
.no-more-tables td:before {
/* Now like a table header */
position: absolute;
/* Top/left values mimic padding */
top: 6px;
left: 6px;
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