Coppell Industrial-LR010509 (2) TARRANT COUNTY PUBLIC HEALTH-_ ,~.~QR. ~TORY
1806 University Dr., Ft. Worth, TX 76107
WATER BACTERIOLOGY 14.b No. 48.010 (817)!171:7245
Sample No. ;-..,,, .,., Repaired
De Not M,.rk Above Thi~'Li~e ---~i~a~4)riot Below with BALLPbmT PEg Qq ]?PEWRITER:
k
NAME OF wATER S¥STfM
~ POINT OF COL[ECTION/SAMPLE DESCRIPTION Water System LD. Ne. ·
NAME ,/
RESULTS STREET ADORESS IP.O. Bed
Cdleoti,.a Mooth I),.I Year TIMI: AM/PM Collected By
TYpI: OF $¥gTI:M SAMPLi: I$ WATER ~OURCI:
[]Individual []Bottled [] Construction [] Repeat []Well
i-]School []Vended r'TGIycoUSweetlCIdfl Water Weft 0epth
[]Other Chlorine Resklual -"
Additional Information:
LABORATORY REPORT (Do ne vita IldinJv) TECH
MMI)-MUG Membrane Filtration (&IF) MMO-MUG
Presence/Absence Most Prolmblo Number {MPN)
~: · ,.,:.ColHlrm Orga#ilml ~ Coliform Organisms CIliform Organisms
~' [~ Net Found [] Net Found [] Not Found
,¥
[] Fom~d [] Fou.d [] Found
[] Total Coliform group Total Coliform/100 fig" Total
[] ;$c/~rid~b;o/i £c0/~/100 mi Coliform: MPNI100ml
~-:': f~l Repea{ samples:required '¢, Facal Coli~.sl.lOO mi ~ £ci)//: , MPNIIOOmi
[] Unsuitable -- See below [] Unsuitabk -. See below [] IJnsUitable .. See bela~
UlJSUITABLE FOR AflALYSlS-PLEASE RESUBMIT
[] s..ple too ou. ~.ot ~..~ed [] O...~'~m~f'7'k,..t fo, andy~
~,~: .:., ...... s~ within 30 hours of cogection (100 mL required)
[] 0.i' c~.cr'~
(sag e~ch'cled item) possibly comproolishlg test results
[] Leaked in transit [] Sample received an F~ay
[] (]uantity too ~reat to po,mit agitation [] Other
[] Excessiv,. cldorioe residual:~.mg/L