Georgian Place-LR 990901 SEaD
RESULTS
C.bmd By
TYPE OF SYSTEM SAMPLE IS WATER SOURCE
f-'lSchool ~Vefxlecl r'lGlycol/SweatlChill Water Weg Oe~th '
LABORATOltY REPORT (OD no -~ TECll
MMI Membrane Filtratiol MMO-MUG
Most Probable NUldmr (MPliO
Collection Month Day Year TIME AM/PM
i . r-] Re,eat s~mples required Fecal CordopnsllO0 nl Eco/Z' MPN/I_.(~
whhin 30 ho~s o! col.ctioo .:-.~j. ~ Ix) nd. requiredl ....... ... ._ ... ...
i Oota
ciscrqm~cy
Of
form
[] h.qk roc.iv.d o. niday
[] Oumtity too greet to penrit IOitatioo []
TARRANT COUNTY PUBLIC HEALTH LABORATORY
WATER BACTERIOLOGY 1Bee uoivm~ or. FL Wo,h. TX 7S!07
Lab No. 48610 1117J671.7245
Date and T~me Rec'd.
Date
Do Not Mark J : t gMew ~ kAI3~OINT, PEI OR ·
~ ! Water System LO.. No.
NAME
RESUL?S $¥~:~ ADDRESS (P.O. Box)
TO:
Time of
Collection Month Day Year TIME AM/PM C~ By
TYPE OF SYSTEM SAMPLE IS WATER SOURCE
r~lk r-IO.~ i-]Obtamtion f-maw ~P. Aw
I--Jmdivid. l r-]Bo.kd C3X:omm~tion [-1Rest r-lWd
r-ISchool r-Iveflded [-IGlycd/SweetlChill Water Well Depth
Additional Information:
/ ' ~emb~ne Filtratbn mR , MilD'MUG
[] Unsuitable .. See below [] Unsu~dd. - See ?~'~.-.
UNSOITAeLE FOIl AIL4LYSlS-PLEASE RESOeMIT
within 30 ho~s of colKtim I100 mL ~luked)
r-] o.m ,iscr.p.q or loon im,,npm. []
[] Leaked in tramit
I-1
[] Oulntityt°°Plott°plngit"qitltim [] Otlm' "