Mansions Phase 1-LR 980219 TAr~NT COUNTY PUBLIC HEALTH LABORATO"
'e~ ~ ~ 1800 Un vQr,T~y-~r.;T'~..Worth, TX 76107
WATER BACT~RIQ~OG~ Lob .~4~010 ' (8~7)8~':7245
Date and Ti~ Rec'd. Date
TER:
'" NAME OF WATER SYSTEM
COLLE~IOWSAMPLE ~$CRIPTION Wa~r Systm I.D. No.
NAME
RESULTS STRE~ ADDRESS (P.O. Bex)
TO:
~/~
CI~ r (Zip Code)
;: PHONE~ COUmn
T~PE OF S~STEM SAffiPLE IS W~TER SOURCE
~Ol~r '~ Chlorine Residual
;':; ~No, Found ~ ~ Not F~d ~ Not.Found
~Fomd ~ Found ~ Found
~. ~ Total Coliform group Total Colifo~llO0 mi Total
~ Es~h~'c~i ~c~100 mi Coliform: MPNIIO~I
~ Rpeat saqles rqu~ = ' ~ F~aLCofi~msllO0~l ' ~c~L- MPNIIO~I
~ Unsuit~le -- S~ below ~ Unsuitable -- S~ ~1~ . ~ Unsuitabh -- See below
L UaSUITABLE FOR ANALYSIS-PLEASE RESUBMIT
~ ~ Saqle too old. Sa~e not rec~ ~ Ouantity insufficient for analy~s
. ~. Pth~ 30 hours of c~t~. (100
~ Date discr~ancy or form i~oqlete
~. {See encircled it~) poshly coqro~sing test results
~ Leaked in transit ; ~ Sample rec~v~ on Friday
~ Ouantity too greM to~t agitation
[ ~ Excessive c~ri~ residual: .mg~