Freeport NIP(7.4)-LR000829 (2) CI'I~ OF LEWI~ ,,ILLE LABORATORY - WATER
ater Syslem Counlv
NAME~
RepoSing
CITY I ~Co ~ TEXAS
Waler Syslem I~ntifi~tion Number
SYSTEM: ~ ~her
SAMPLE ~ D~ribulion ~ Special ~nslruction
~ Repeat for ~mple ~
~ Recheck for ~mple ~
WATER ~ n~er ke ~ We~
SOURCE: Well ~pth Chlorine Residual
ANALYTICAL METHOD & RESULTS:
~Presen~Absent: Total Coliform ~ Present ~Absent
(Colile~) E:~o~. Present Absent
M.P.N. Total Coliform II~ML
Membrane Filter/Fecal Colifo~: 1st Dil. :~ mi 2nd
UnsuitaMe For A~ sis:
~ S~b t~ ~, ~ r~N~ ~hin 30 houm of ~ll~ion
~ Heaw, non ~li~ ba~ed~ pre~nt, ~N ob~uHng and compromi~ng
~ Qu~t~ t~ ~t to ~rma a~n
An~yz~ by
CITY OF LEWL. ILLE LABORATORY
o ll.'
Point of Col~'ction Collected By Ti~--
Billing/ NAME(f ~-~'~ /,- ,~0,,~,-~--
Reporting
Address: STREE r' .
TELEPHONE~~' ) ,~'"'-~ ~;~V~ (ZipCode) tJ1.
Water System Identification Number
TYPE blic [] Individual
SYSTEM:
SAMPLE [] Dislfibution [] Special ~Conslfuction
IS: [] Repeat for sample #
[] Recheck for sample #
[] Other
WATER [] River ke [] Well
SOURCE:
Well deplh Chlorine Residual
ANALYTICAL METHOD & RESULTS:
r~resent/Absent: Total Coliform "~ Present ~ ~.
(Colilert) I:::L,o~. Present .'~
M.P.N. Total Coliform ,"100ML
(Colilert) E. Coli. ____ .:'100ML
Membrane Filter/Fecal Coliform: 1st Dil. ~ mi 2nd ;'__mi ;,, J .-,
Avg ; mi
Unsuitable For Analysis: ._.
[] Form Incomplele (see encircled item) ~ ,
[] Sample IOO old, riel received within 30 hours of colleclion [NO,
[] Excessive chlorine present in sample
[] Unsuitable container
[] Heaw, non coliiorm bacleda/sill present, possibly obscuring and compromising tesl results
[] Quantity IOO greal Io permit agitation
[]r-] ouanlily insufficient for analysis ( 100 mi minmum) .,~,~? Other
Analyzed by ,
Watet' of satisfactory ba~_-rolog~cal qualn'y should be free from Coliform Organisms.
CITY OF LEWIt~. ~LLE LABORATORY - WATER
.,Name of Watl~r System County
Point of ~llo~ion Col~cted By
(M~Day/Yr)
Repofling 2 I~ ~ C~-['/~ r ~
STREE~ '
Address:
wate~ System I~nli~tion Numbe~
~PE ~ublic ~ Indiv~ual
Of
SYSTEM: ~ Oher
SAMPLE ~ Di~Hbution ~ Special ~onstruction
IS:
~ Re.at for ~mple ~
~ R~heck for ~mple ~
WATER ~ Rber ake ~ Well
SOURCE:
Well ~pt~ Chlorine Residual
ANALYTIOAI MFTHOD & RESULTS:
~PresenVAbsent: Total Coliform ~ Present
(Colile~) E:Coli. Present Absent
M.P.N. Total Coliform :I~ML
(Colile~) E. Coll. il~ML
Membrane Filte[/Fecal Colifo~: 1st Dil. /~ mi 2nd /
Avg ~: mi
Unsui~ble For ~lysis:
~ Unsu~ ~nl~
~ HeaW, non ~li~ ba~e~ pre~nl, ~ib~ o~u~ng ~d c~promi~ng
~ Qu~I~ insuffi~nt f~ ~aN~s (1~ ~ minmum)
~ ~her
AnNy~ by
CITY OF LEWlb ~ ILLE LABOR~,=TORY - WATER
/-') _iMo/Day/Yr)
TELEPHONE(~./~7'~._ ) ~ ~ ~ ~) (Zip
Waler Syslem Idenlia~lion Number
~PE ic ~ Indiv~ual
SYSTEM: ~ ~her
IS: ~ Repeat for ~mple ~
~ Recheck for ~mple ~
WATER ~ R~er e ~
SOURCE: Well ~pth/ t Chlorine Residual
ANAL~ICAL METHOD & RESULTS:
. ~esenFAbsent Total Coliform ~ Present
(Colile~) E:Coli. Present ~bsent
M.P.N. Total Coliform ~I~ML
,'I~ML
(CollieR) E. Coll.
Membrane Filter/Fecal Colifo~: 1el Dil.~/~ mi 2nd ;~ml
Avg : mi
Unsuitable For A~lysis:
~ FO~ In~e (~ ~m~d ~)
~ S~ I~ ~, ~ r~b~ ~hin 30 houm of ~l~ion
~ ~e ch~ ~nl in ~
D Unsu~
~ Heaw, non ~li~ b~ed~N~ pm~nt. ~ibN o~udng ~d compro~ng
~ Ou~t~ t~ ~t to ~ a~ion
~ OtherQUa~ insuffi~l for ~N~ (1~ ~ ~nmum)~ ~ I
An~yz~ by '
Wat~ ~ ~o~ ~erol~i~l qu~ sh~ld ~ fr~ ~ Co~ ~an~.
CITY OF LEWiSVILLE I.~BO~TORY - WATER BACTERIOLOGY
me of Water~S~stem County
Point of Coll~clion Collected By Date Time"'"'
. p/.~ (Mo/Day/Yr) ,
^ddmss: STREET '
TELEPHONE('""i ) [ g (a= co )
Water System Identification Number
TYPE ~}'l~ublic [] individual
OF ~ ~= o
SYSTEM: [] Other '~ ~z
SAMPLE [] D~ribufion [] Special [~"~onstruction
IS: [] Repeat for sample #
[] Recheck for sample # ~'")CO
[] Other ~, -'
.T-'?
WATER r-I River ake [] Well ~.~
SOURCE: Well dept Chlorine Residual
ANALYTICAL METHOD & RESULTS:
/~T:~resent./Ah-~nt: Total Coliform ~ Present ,,.,~
(Colilert) E:Coli. Present Absent
M.P.N. Total Coliform /IOOML
(Co~i~ert) E. Coli. ,'~OOML i~,..} ~
Membrane Filter/Fecal Coliform: 1st Dil. __/__mi 2nd /__ mi ~:',- :3,
Avg __/ mi
Unsuitable For Analysis:
[] Form Incomplele (see endrcled item) ';'7
[] Sample too old, nol received wilhin 30 houm of collection
[] Excessive chlodne present in sample
[] Unsuitable conlalner
[] Heavy, non coliform bacteria/silt present, possibly obscuring and compromising tea results
[] Quanlity Ioo greal Io permil agilation
[] Quanlily insufficient for analysis (100 rnl minmum) I/~ __
[] Other
Analyzed by .
Water of sat~faofory ba~erological qualily should be free from Coiform Organisms,
: