Freeport NIP(7.4)-LR000913 (2) CITY OF LEW~,V'ILLE LABORATORY - WATER BAC ,,..~IOLOOY
Poinl of ColleCtion Collecled By Dale Time
(Mo/Day/Yr)
Billin~ NAM~ ~ S~ ~
RepoSing ~ I ~ ~ ~[~ ~(L~
Address: STREET
CITY ~ [[~ TEXAS
TELEPHONE( ~ L ) ~- ~ (~c~)
Water System Identification Number
TYPE ~'r'"~/-ublic [] Individual
OF
SYSTEM: I-I Other
SAMPLE
[] Distribution [] Special E~construction
[] Re..t,or
~ R~heck for ~mple
~ Other
WATER
~ RNer ~ Lake ~ Well
SOURCE: Well ~plh Chlorine Residual
NAL~ICAL ~THOD & RESULTS:
resenFAbsent: Total Coliform
(Colile~) ~:~ol~. Present
M.P.N. Total Coliform /I~ML
/I~ML
(Co~i~e~) E. Cedi.
Membrane Filter/Fe~l Colito~: 1st Dil.
~v~ ....... .'_ .... mi
Unsuitable For A~lysis:
~ Fo~ I~e (~ endmbd ffem)
~ S~b t~ ~, ~ r~N~ ~hin 30 houm of ~l~ion
~ ~e ch~ ~nt in ~le
~ Heaw. n~ ~li~ ba~ed~ pre~nt, ~ibN o~uHng
~ Q~nl~ t~ ~t to ~r~ a~l~n
~ Qu~t~ i~uffi~ent for ~aN~s (1~
~ ~her
A~z~ by
Wal~ ~ ~fa~ ~erol~l qu~ ~h~ld