Asbury Manor-LR 971215 (2)CITY OF LEWI~. ILLE LABORATOI~Y - WATER BACTI:~iOLOGY
Name df Water System - County ~,.~
Poinl of Colleclion Collecled By D~te Time "-.'~--, ~
Reporting
Water Syslem Identifi~tion Number
~PE ~ Public ~ Individual
SAMPLE ~ Distribution ~ Special ~onslruction
~ Repeat for ~mple ¢
~ Recheck for ~mple ~
WATER ~ R~er ~ Lake ~ Well
SOURCE: Well deplh Chlorine Residual
ANALYTICAL METHOD & RESULTS:
PresenL.'Absent: Total Coliform Present Absent
Fecal Coliform Presenl '~~
M.PN. Total Coliform JI~ML
Fecal Coliform /I~ML
Membrane Filter/Fecal Coliform: 1st Dil.__~__ml 2nd i__ml '-~
Avg __,' mi
Unsuitable For Analysis:
~ Fo~ In~lete (~ en~m~d ~em)
~ Samp~ t~ old, nol r~ w~hin 30 houm of ~ll~ti~
~ Ex~ve chlo~ne pr~nl in ~mple
~ Unsu~ ~nlainer
~ HeaW. non ~li~ baaed~all pre~nl, ~ibN ob~ufing and compromi~ng te~ results
~ Quant~ t~ g~l to ~rm~ agilation
~ OlherQUant~ insuffident for ~aN~s (1 ~ mi minmum) ['
wat~ cf s~fa~o~ ~erol~l qua~ sh~ld be fr~ fr~ Coiform Organ~.