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Freeport NIP(6)-LR 980428 (2)
TARRANT COUNTY PUBLIC. HEALTH LABORATORY WATER BACTERIOLOGY ~800 University Dr.. Ft. Worth, TX 76107 Lab No. 48010 (817)871-7245 Date and Time Rec'd. Date Sample No. Reported , z~"~olo. El, par. jr"'':Au q:';ov'la.~sd" Line-----Please Print '"~ ~ r © ' ~ '~ ~ Be ow with BALLPOINT PENneR .TYPE'W~IT~R: NAME OF WATER SYSTEM POINT OF COLLECTION RESULTS TO: Water System I.D. No. CIfY (Zip Code) PHONE # COUN~ Date and Time of Collection Month Day TYPE OF SYSTEM [~Public [--IDairy [] Individual [] Bottled []School []Vended Year TIME AM/PM Collected By SAMPLE IS WATER SOURCE [] Distribution [] Raw [] River [] Lake ~Constmction []Repeat []Well [~]Glycol/SweetlChill Water Well Depth [] Other Chlorine Residual Additional Information: LABORATORY REPORT {Do no write belmN) TECH MMO-MUG Presence/Absence Coliform Organisms /~Not Found ,~..~ Found ~-~ Total Coliform group [] Esc~erichia col~ [] Repeat samples required [] Unsuitable -- See below Membrane Filtration (MF} Coliform Organisms [] Not Found [] Found Total Coliformll00 mi E. co/i/ l O0 mi Fecal Coliforms1100 mi [] Unsuitable -- See below MMO-MUG Most Probable Number (MPN) Coliform Organisms [] Not Found [] Found Total Coliform: MPN/100ml E. co/h MPNI10Oml [] Unsuitable -- See below UNSUITABLE FOR ANALYSIS-.PLEASE RESUBMIT [] Sample too old. Sample not received within 30 hours of collection [] Date discrepancy or form incomplete (See encircled item) [] Leaked in transit [] Ouantity too great to permit agitation [] Excessive chlorine residual:__.mglL H-220 GPC-2190 Quantity insufficient for analysis (100 mi. required) [] Heavy (silt/bacterial growth) present, possibly compromising test results [] Sample received on Friday [] Other NAME OF WATER SYSTEM RESULTS TO: TARRANT COUNTY PUBLIC HEALTH LABORATORY 1800 University Dr., Ft. Worth, TX WATER BACTERIOLOGY Lab No. 48010 (817)871-n46 Oate and Time Rec'd. Date Sample No. Reported Od}jot-MO i.~i~ T~ Line ..--Please Print Below v~tki I~Ai~l~l~r'I~ENIOR ,TY~EIA~ER: '" IIIIIII1:! POINT OF COLLECTION Water System I.D. No. NAME //,/7 ~ /-/, c,/, ,...~ ? ~.3 STREET MN)RESS (P.O. Be~ (Zip Code} PHONE # COUNTY Collection Month Da~ Year TIME AM/PM Coilectml TYPE OF SYSTEM SAMPLE IS WATER SOURCE C~Public i"']Oaiq, [-'lDistributien I--IRaw I'-] Rivm' C~lLake I--Ilndividual [--J Bottled C~Constmction I-"l Repeat r--lWell r-ISchooi i--]Vended r--IGIycolISweet/Chili Water Well Depth [] Other Chlorine Residual · ~~ ~-~_. LABORATORY REPORT (Do no write below) .~lr~ Membrane Filtration {MF) ~r ~r PresencelAbsence ~ / Coliform Organisms i Coliform Organisms /'lg]'Not Found ~ ! [] Not Fo..d //[]'Found rr / I-'] Found ~ [] Total Coliform gro~ Total ColiformllO0 mi ~.. [] Esc~erithia c~ -. -E. co///lOOml ........... ...... ...~:i! ....... !i ....... ~iiii!i::i:.: :.i:!.:-i ~[~/~es required "Fecal CalilormsH O0 nd [--1 Unsuitable -- See below [] Unsuitable -- See below UNSUITABLE FOR ANALYSIS-PLEASE RESUBMIT [] Sample too old. Sampde not received [] ~thin 30 hours of colection [] Date discrepancy or fo~n incomplete [] (Son encircled item) [] Leaked.in tronsit r-'] I'-'10uantity too greet to pmmit agitation [] [] Excessive cMorine resi:iual: nlWL H-220 GPC-2190 TECH MMO-MUG Mest Probable Number {MPg) Coliform Organisms ~ [] Not Found [] Found Total Coliform: MPN/IOOnd Ecolk MPNIIOOnd ::: . [] Unsuitable -- See below~ Quantity insufficient for analysis (1 O0 mi. required) Heavy {siltroact~al growth) present, possibly com~omising test results Sample received on Friday Other