Magnolia Park-LR 980703CITY OF LEWISVILLE LAB Y ~ WATER BACTE RIOLOGY
/"l~me-of Water System?'~~,.~: County
Point of Collection Collected By Tirne~ ~ mm .~
(Mo/DaY/Yr) I -~ (~
Repo,,ng /5/?0 ~£ ;~ ?/7_
Address: STREET
TELEP,O.E~ E,~) .Y.-~7 ~i~¢/.t~ C°~)
Water System ,~.nt,,c.t,o..um~er -~.~ .....
TYPE [~'~ublic I--[ Individual '.:.: '
OF '~ ~.=
SYSTEM: [] Olher. -
SAMPLE [] Distribution [] Special ~.~0nstruction
IS: [] Repeat for sample #
[] Recheck for sample #
[] Other.
WATER [] River [~,~e [] Well
SOURCE: Well depth Chlorine Resl*dual
ANALYq'ICAL METHOD & RESULTS: ~, , ~
Present/Absent: Total Coliform Present
(Colilert) E:Coli. Present'~ !
__/100ML
M.P.N. Total Coliform -/100ML
(Colilert)~ ,, E. Coll. '
Membrane Filter/Fecal Coliform: 1st Dil. / mi 2~nd / mi
Avg __/ mi ~
UnSuitable For Analysis: '
[] Form Incomplete (see eocircled item) -~
[] Sample too old, not received wflhin 30[fi0urs of collection
[] Excessive chlorine present in sample i
[] Unsuitable container
[] Hea,31[. non COliform bacteria/sill present, possibly pbsc[Jring and compromising
[] Quantity too great to permit agitation
[][] OtherOUanlity insufficient for analysis (100 mi rnin,~m)~
Water of safisfacto~/ba~srAo~o,g~iYca~ q~u:~Y should be f~ Col~..jrm Orgams~,