Castlebury-LR 990329 TA~B~NT COUNTY PUBLIC HEALTH LABORATQR~
1600 Universit~ ....Ft. Worth, TX 76107
WATER BAC, ,:RIOLOGY Lab No. 48010 {817)871-7246
Date
Oa""n~ T"e"~7'Os..,,n ,o. ¥76 7 ~9 M~,~_ ~ ~.~' ..~:. ~__
De ~t Mark Above This Line -----Pl~se Print Bel~ with BALLPOINT PEN OR ~P~ITER:
NAME
RESULTS STREET ADDRESS (P.O.
T0:
TX
"'"'"' ! ,l lld,,ll ,l,l I l,l:ldd IXll
Timeot
Collantion Month Day Year TIME AM/PM
TYPE OF SYSTEM SAMi~LE IS
~C~Public [-1Dairy E~]Distribution r-]Raw
r-'hndividual [--I Bottled I~L1 Construction [~Repeat
F-lSchool I--lVended i--161ycoltSweetlChill Water
r-lother
Additional Information:
Collected By
WATER SOURCE
i--IRiver r"lLake
r-lWell
Well Depth
Chlorine Residual
LABORATORY REPORT (Do no write below)
TECH
MMO-MUG
PresencelAbsence
Coliform Organisms
,/j~ Not Found
[] Total Coliform group
[] EscAerichia coil
[] Repeat samples required
[] Unsuitable -- See below
Membrane Filtration (MF)
Coliform Organisms
[] Not Found
[] Found
Total Coliformil00 mi
E. co///'lO0 mi
Fecal Coliforms/100 mi
[] Unsuitable -- See below
UNSUITABLE FOR ANALYSIS-PLEASE RESUBMIT~,
[] Sample tOO old. Sample nat received
within 30 h°U~ of collection
[] Date discrepancy ar form incomplete
(See encircled item)
[] Leaked in transit
[] Ouantity too great to pemlit agitation
[] Excessive chler'me residual: mg/L
MMO-MUG
Most Probable Number (MPN)
Coliform Organisms
[] Not Found
[] Found
Total
Coliform: MPNI100ml
E. co/i: MPNIIO(~I
[] Unsuitable -- See bebw '
[] Ouantity~nsufficiant for analysis
(100 mi. required)
[] Heavy (silt/bacterial growth) present,
possibly compromising test results
[] Oth~
H-220 GPC-2190 REV. 6-97