Magnolia Park-LR 980702TYPE [~ublic [] Individual
SYSTEM: [] Other
SAMPLE
IS:
[] Distribution [] Special
[] Repeal for sample #
[] Recheck for sample #
[] Other
[~,'Construction
WATER [] River [~l'ako [] Well
SOURCE:
Well depth Chlorine Resl'dual
ANALYTICAL METHOD & RESULTS:
Present/Absent: Total Coliform Present
Fecal Coliform Present
M.P.N. Total Coliform
Fecal Coliform
Membrane Filter/Fecal Coliform: 1st Dil. /
/IOOML
__./1OOML
mi~ 2~d _ /__.mi
Avg.__/_ ml.~ ~..
Unsuitable For Analysis:
[] Form Incomplele (see encircled ilem)
[] Sample IOO old, not received within 30 hours of c°lll~lien
[] Excessive chlorine present in sample
[] Unsuitable container
[] Heavy, non coliform baCleria/silt present, possibly obscuring and compromising to.,
~ Quantily too great to permit agitation
[] Quantity insufficient for analysis (100 mi m~-
[] Other
Analyzed by
Wate~ of satisfacto~ ba~erological quality should be free fr~m Coliform Organisms.
results