Forest Cove 2-LR 980331; :., ~ * IVED APR
~:~?~ I~ .Na~Water~tem : County
~ ~a?e . r~ ~- -. Ti~
j Po nt of Coll~ ' uol~ctea uy u~e
. (Mo/Day~r)
~ Bil~n~ NAME ~ ~'~ ~ ~o ~C&~' ~ t ~ '
, oy '
W~er ~aem ~ntifi~lio~ Number
c Indiv~ual
SYSTEM:
SAMPLE
IS:
WATER
SOURCE:
r--i Other
[] Distribution [] Special [~on~;ruction
[] Repeat for sample #
[] Recheck for sample #
[] Other._.~-'
[] River ~'take [] Well
Well depth Chlorine Residual
ANALYTICAL METHOD & RESULTS:
(~esen~JAb~ent: Total Coliform_,} Present
Present
(Colilert) E:~oli.::
M.P.N. T(~ C~liform
(Colilert) E: Coil.
Membrane Filter/Fec~ Coliform: 1st DiL __
~' ¢100ML
/100ML
./. .mi, 2nd
/_ mi
Avg.
/ mi
Unsuitable For Analysis: '
[] Form Incomptele (see encircled item)
~___.;;,~1~ too old, not received within 30 hours of a;dlectlon
[] Hea~_ on c~ilorm bacteria/sa present, possibly obscuring and compromising test results
[] aua~a~ too gmat lo pern'a agitalion
j.. x--'- Analyzed by
CITY OF LEWISVILLE LABORATORY - WATER BACTERIOLOGY
~'oinl of Collection ' Colloclod By Date Time
(M°/Day/Yr) ~
Baling/ NAME .~' t7 ~' Co U~'/[ ~-~' I M C.
Reporting STREET /[o~ O/[t~
Address:
TELEPHONE(~'~IT~ ) :~J.~-(~7'~ (ZlpCode)
Water System Idenlificalion Number
TYPE [~'uPublic
OF
SYSTEM: I-I Other
[] Individual'
SAMPLE
r-I Dislribufion [] Special [~"-Construction
IS:
[] Repeat for sample #
[] Recheck for sample #
[] O~her.
WATER
[] River [;~Lake [] Well
SOURCE:
Well depth Chlorine Residual
ANALYTICAL METHOD & RESULTS:
~5-rese. ntJAbsentfi Total Co~form~2 Present --
(Colilert) E:Coli. Present -
M.RN. Total Coliform __/1OOML
/100ML
(Colilert) E. Coli,
Membrane Fiiter/Feca~ Colifor~' 1st Dil.__ / -~nl 2nd
mi
Avg. /. mi
-Unsuitable For Analysis:
[] Form Incomplele (see encircled item)
[] Sample too old. nol received within 30 hours of collection
[] Excessive chlodne present in sample
[] Unsuitable conlatner
[] Heavy, non colifoml bacleria/silt present, possibl~ obscuring and compromising tesl results
[] Quantity too greal to permil agitation
[] Quantily insufficient for anatysis (100 mi minmum)
[] Other
Analyzed by ~. "~,
water of sati~faofo~y ba~erological quality sh ~q~lU be free from Coiform Organisms.
RAT~ WATER
CITY OF LEWISV1LLE LABO -
Iflarrte/of Waler System '
~:/~ ~ County
'Point of Col~on Collect~ By ~ Ti~
Rep~ing
A~r~: STREET 53~
TELEP~NE(~ ~ ~ )
Water ~Nem ~ntifi~tion Number
TYPE ~'[~Public
OF
S~STEM: E] Other
[] Individual
SAMPLE [] Distribution [] Special -[:~Onslruction
IS:
[] Repeat for sample it ,~.
[] Recheck for sample it
[] Othm:
WATER
[] River [::~ake [] Well
SOURCE:
Well depth Chlorine Re~'id~al
ANALYTICAL METHOD & RESULTS:
Lflsr~ent/~b~ent: Total Coliform,,) Present- ~
(Col[lert) E:Coli. ~ Present._~ - sent
M.P.N. Total Coliform __/IOOML
(~olitert) E. Coil. __/IOOML
Membrane Filter/Fecal Coliform: 1st Dil. , mi 2nd __/
Avg. ~ 4 mi
BA ~JOLOGY,
mi
Unsuitable For Analysis:
[] Form intF~e (see encimled item)
[] san~le too old, not received wilhin 30 hours of collection
r-] Exeeesive chlorine present in sample
[] Unsui~b~e container
[] H...vy, .or, co o., b e. J it presa.t, P°Aro 'ob u.ng ;.d comprom, .g tea res.,
C] Quantity too great to permit agitmf6n ~-
I::] Quar~insumcient for ana~/~ (lO0 ~ minmum)
Analyzed byq~,
Water of sati~facto~/ba~erological quality sh~JId be free from Coliform Organisms.