SC-Coppell MSW-LR020509 x':8/15 20E12 11: 32 9728382299 CALHAR CONSTRUCTION PAGE 82
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Water System Identification Number? ' l
TYPE 4 i a F
OF t�'Publlc ❑ Individual. ' _ 1 ,
SYST Other
SAMPLE -- ` 5
U Distribution ❑Special `It tCgnstructlon R
IS:
r i • '
❑ Repeat for sample# _ ,'kl
0 Recheck for sample ,t /
t]Other �"
WATER
i SOURC : Li River Ni; Lake U Well ' 'V.
Well depth Chlorine t� eidual '(
ANAL'YTI THOO & RESULTS
($Sent/ohs nt tnta( Present
(Collie/1) E:Coli. Present Ab9tlnt
KR N. Total Coliform .: /100ML CZ i
(ColJ9rt) E.Colt. • /IO6ML'
,Membrane Filter/Fecal Colil0mt 1st DII.,__ / rhl 2nd M_ a '
•
Avg. /---ml '.
Unsultable For Analysts: .
'I U Form incomplete(eee endreled Item)
LI Sample too old,not received within 30 hours of lection
❑ Excrissive chlorine present In sample k� ats,
U Unsuitable container
•
• 0 Heavy,non ooliform badena/s&h present,possibly tybscuring and compromising test results
U Quantity too great to permit agitation `
El Quantity insufficient for analysis(100 mi minmuo
❑ Other '.;.._,......1L1.7.____________
Analyzed by
Water or satbfaatory bae.arolcaMce,gushy should be tree aeon corro oreanetre
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