Forest Cove 2-LR 980427 Name of Waler'System
Point of Collection Collected By
(Mo/Day/Yr)
Billing/ N~ME .~'/7~- ~'O~JC,(-~.?~--' ~ I~ C ·
Reporting STREET _.~'~-
Address:
Water System Identification Number
SAMPLE
tY - WATER BAcTERIOLOGY'i
mi
County
/
TYPE
~ublic [] Indb~ual
OF
SYSTEM: [] other
[] D~r~ien [] Special ~nstru~n
IS:
[] Repeat for sample #
'~ [] Recheck for sample # ' '
[] Other
WATER
~ · .l~lL'~aLake [] We,
~Sr~sent/At~sent:
Total Coliform~ Present
(Colilert) E:Coli. Present
__ fl00ML
M. P.N. Total Coliform /~ 00ML
(Colile~) E. Coli~ -- ~r
Membrane Filter/Fecal Coliform: 1st Dil. / -.~11 2nd /
Avg. /. mi
Unsuitable For Analysis: :
[] Form Income (see encircled item)
[] Sample too old, not received within 30 hours of~
[] Excessive ~ presenl in sample
[] Unsuilable container
[] Heavy, non coliform bacteria/silt present, poSSl~ng and compromising test results
[] Quantity too great to perma agitation
[] Quarry insuffic~ fo~ ana~s (100 n~ ninmu.m..:'
[] Other
Anaiyzed by '"',4-.,
Water of satisfactory ba~rologicat quality sh~d be ire~ fi'om Colifomt Organi~n'l~.
CITY OF LEWISVILLE LABORATC
Billing/ NAME 5~/7~--~'
Reporting
Address:
CITY
TELEPHONE{~?"'L ) ~'~_'~-O;~. (Z3pCode)
Waler System Identification. Number~'
TYPE [~ublic [] Individual
OF
SYSTEM: [] Other -
SAMPLE [] Dislribution
IS:
[] Repeal for sample #
[] Recheck for sample #
[] Other.
~Y - WATER BACTERIOLOGY
[] Special ~"~oonStruction
mi
WATER
[] River ~"~e [] Well
SOURCE: '
Wall depth- Chlorine Residual
ANALY'[ICAL METI~IOD & RESULTS:
~Present/Absent: Total ,~.,oliform~ Present
(L;Olllert) E:C(~li, Present
/100ML
M.P.N. Total Coliform
. ~,/IOOML
(Colilert) E. Coli.
Membrane Filter/Fecal C~l~!~ml~ 1st Dil. *¢: ~ mi_ ~2nd /
Avg,
Unsuitable For Analysis: ~ ~
[] Form Incompl~e (see encircled item) ~ ~,
[] Sample too old, not recaived within 30 hours of collection
[] Excessive chlodne present in sample
[] Unsultai~ container
[] Heavy, no~ coliform bacleria/sill present, poss~ly,obscuring and compromiang lest results
[] Quantity too great to permil agitation '~
[] Quantily insulficient for analysis (100 rnl minmum~,
Other
Water of satisfactoP/ba~erologJcal quality sh~d be free ~l'o~n Coliform Organisms.
Name o! Water System -:~ .... Courtly
Poinl of C~ldaJon ,/ Collecled By ~ - Ti~
Billin~ NAME ~ ~O~:~ /~ ~
Repo.ing STREET~ ~ ~ ~ :: ~
A~re~: -
Water System Identification Number
(
TYPE
[:~ubtic [] Individual
OF
SYSTEM: [] Other
SAMPLE [] Distribution [] Special
IS:
~ [] Repeal for sample it
[:~ck for sample ii
[] Other F
V~TER [] River [:~ake [] Well ,
SOURCE:
Well depth Chlorine ReSidual
ANALYTICAL METHOD & RESULTS:
~'~e~ent/Absent: Total Coliform~
(u01ilert) ' E:COli.
M.RN. Total Coliform
(Colilert) E. Coll.
Membrane Filter/Fecal Coliform: 1st Dil.
Avg,
Present"
Present
__./~100ML
-/100ML
ml~2nd
/ mi,
Unsuitable For Analysis: r"
[] Form Incomplele (see encimled item) ~
[] Sample loo old, nol received within 30 hours ofc~le~ion
[] Excessive chlo~ne present in sample '
[] Unsu~abte container
[] Heavy, non coliform bacleria/sill presenl, possibly obscuring and compromising lest resulls
[] Quantity too great to perrnit agilation
[] Quantity insufficient for analysis (170 mi
[] Other .............. "
Water of satisfacto~/bacl, erological qua/ity $ d'be free om Coliform Org&ni~ms