Northlake 635(3)-LR 980422 .,T.&,RRANT COUNTY PUBLIC HEALTH LAB.OR~;~.QRY
WA"I'ER ,ago .ni. .,, .r. F,. ,,.,
ACTERIOLOGY ~ - Lab No.,016 117)871-72"'
Date and Time~c~ . " Date
S~pleNo. ~ U ~ ,
Do Not Mark Above This Li.e ---LPi~ Pd~.hl~ ~th gALLPOINT PEN OR ~PEWRITER:
~ POINT dF COLLE~ION Wa~r Syst~ I.I I. Ne.
RESULTS ",
STREET ~DDRESS (P.O. Bex)
Time of
Collection Month Day Year TIME - AMtPM Col e~
~blic ~Dai~ ~ribution ~Raw ~River ~ Lake
~lndivi~al ~Bottled ~Constructi~ ~R~t . '~ ~11
~School ~Vended . ~GlycollSw~t/Chill Water Well ~h
~Other ,- Chlorine Resi~al
Additional Information: . , ,,
'"O"'"'"'O"''"°n°wr"e"'"' .C.
MMO-MUG Membrane Filtration ~FJ MMO-MU~
PresencetAbsence Mo~ Probable Nu~ ,r (MP~
Coliform Organisms C~iform Organisms ColifQ[~Or~ni~
~ Not Found ~ ~ Not F~d ,, ~ mot F~
~ Found ~ Found · ~ Found '-. ~ _
~ Total Coliform group Total ColiformJlO0 mi Total
~ Esc~e~c~ia co/i ~c~¢100 mi Col~orm: M~tlOOml
~ Repeat samples required ' Fecal Colfforms/lO0 mi E.c~/~' MPNHO0~
~ Unsuitable -- See bdow ~ Unsuitable -- S~ ~w ~ Unsuitable -- See I~w
UNSUITARLE FOR ANALYSIS--PLEASE RES~MIT
~ Sample too old. Sa~e not r~ved ~ Ou~tity ~suff~ient for analysis
~thin 30 bows of collation (100 ~. ~uired)
~ Date discrepancy or fo~ inc~plete ~ Heavy (silt/bacterial gro~h) preset,
(See encircled item) pessib~ compromising test r~ults
~ Leaked in tran~ ~ S~le receiv~ on F~day
~ Quantity too great to p~t a~at~n ~ Other
~ Excessive chlodne re~: , ~IL
' i~' ~ "~RRANT COUNTY PUBLIC HEALTH [ABOR~t,T~I~Y
i! ,,wA~~T~E i 1800 Un~"'~'*~Dr" Ft' V ~°rth' TX 7610'
'"RiOLOGy. ~ LabNo. 4,~' (817)871-724S
~- ~ ' Do N~Mark Abo~TMs Line -----~ea~rlnt~w wi~ BALLPOINT PEN OR ~PEWRITEI I:
~" Water S~t~ .D. No.
~: RESULTS STREET ADD~ESS ~O.po~ . ~
~, PHONE~ . .- . ~: COUN~ /;
Time of
~( Collection Month Day Year 'TIME AM~PM Co lected By
~ TYPE OF SYSTEM ~ :'~- SAMPLE IS WATER SOU~ ICE
~ ~Public ~Daiw ' ~Distributidn '. ~Raw ~ ~River. E~kake
.~ ~ Individual ~B0tt~ ~ Constmcti~ ~R~at' ~ ~Well
~School ~Ve~ed .~G~llS~etlChiH Water ~. Well Depth
~ ~0ther ~ Chlorine Residual '
Additional Infor~tion: -, *~ ~ ~
LAB~ATg~ REPOR (Do ne write ~lo~ TECH
MMO.MUG ' . Mem~a~ Filtration (MF); MMO-MUG
, Presence/Absence { Mo~ Probable Numb ~r (MPN)
'~ ;oliform Organi~ . C~ifo~.Or~ni~ Coliform 0rgani~
,o,n, .o, .o, - :
~ound ' ~' ~ Found ' ~ Found '
~ Tot~ Cp~form gro~ ' Total Coliformll00 mi Total
.~ ~ Esc~eric~ia co/i '~ ~.cd¢100 mi Coliform: , MPNII00ml
~ Repeat samples r~ired '~Fecal Col/forms/100,~ E. co/~' MPN1100mi
~ Unsuitable -- S~ below , i ~ Unsuit~ -- ~*~ ~ Unsuitable *- S~I elow
UNSUITABLE FOR ANAL~S~SE RESUBMff .., "~
~: ~ Sample too old. Sample not received '" ~ Ouantity insufficient for an~y~s
' within 30 hours of collect~ ~ (100 mi. required)
~; ~ Date discrepancy or form incompl~e ~ Heavy (silt~acterial growth) ~es~t,
~, (See encircl~ item) .-. possibly co,rom/sing test results
~. ~ Leaked iff tr~sit . ~ Sam~e r~eived on Friday
~,- ~ ~antity too great to pw~t ~ation ~ Other
~. ~ Exces~e chlori~ r~: .q/L
~I~T ~lll nD 'rVDclJ.'DIT[:D.
c,4
VI.E OF WAT~
POINT OF COLLE~ION
RESULTS STREET ~
Cl ' :--
PHONE ~ '- ' - ' COUN~
/ ..' ,
T~e'~ . . ' d c~d By
~PE OF SYSTEM SAMPLE IS WATER SOURCE
~Public ~Dairy ~Distribut on ~ Raw , ~River ~ .ake
~lndividual ~B~t~ ~Constructiofl ~Repeat' ~Well
~Sc~ol ~V~d~ ~GiycoJlSweet/Chill Wat~ Well Depth
~Other Chlori~ Residual'
I~ ' 1800 Un~Ty~Dr., Ft. V~orth, TX 76107
rERIOLOGY' ~ -~ LabNo. 4801~ .-~ 1(817)871.7245
Additional Information:
MMO-MUG
PresencelAbsenc~
rm Organisms
or.nd
~ [] Tota! Co!dEform group
~-I Escher/Ch/a co// '
[] UnsuitaMe .. See below
TECH
Membrane Filtration {MF} MMO-MUG
Cai/form Organisms
Not, Found
Fmmd
Total Coliform/1 O0 mi
£coli/100 mi
["1 ~Fecal ColiformsllOO mi
Unsbitable .. See belo~
UNSUITABLE'F~OR ANALYSIS-PLEASE RESUBMIT
Sample too old. Sample net received j'-'[
Most Probable Number
ColiformOrganisms
[] Not Found -
I-'] Found
Total
Coliform: MI
£co/~'
[] Unsuitable -- See beio
Ouantity insufficieflt for analys~s
Water Systeln I. ). No.
MPN)
NIlOOnd
NIlOOml
within 30 hours of collection (100 mi. required)
[] Date discrepancy or form incomPlete [] Heavy (silt/bacterial growth) present,
(See encircled iremJ possibly compromising test results
[] LeBked in transit [] Sample received on Friday
[] Ouantity too Drear to permi~agitatioh [] Other
[] Excessive chlorine residual: ~mg/L
H-220 GPC-2190 ~: ~
~ /T,d~qRAmT COUNTY PUBLIC HEALTH LABORA.T, QFIY
' ~~,,,~R~ t '.:. ! 18oo uo~,~ Dr.. Ft. IA orth. TX 76107
W I0 OGY: :~ Lab No. 48010 (8171871.7248
D~ and Time Rec'd. -~ - '~ . -'~ Date
Samp,e ,o. Lq t't q ,q ;'1 9 ' s~ '~; ~j:.~ ~ ~
~ . h Not Mark Abo~ This'Lhe:--~ Pri~elow ~ith BALLPOINT PEN OR ~JTEI
_ _ ~AME OF WATM SY~E~ ·
PJ!NT O~,~KE;OI Wil~r S;t~m I.D.
NA E . .
SEND ~ ':' ~ ~
RESULTS -
P~ONE~ · COYN~
Time of
Colle~ion Month Day 'Y~r TIME AM/PM Col lected By
,~ ~Da~ ' ~ribution Raw~ ~Rivm E ]Lake
~lndividual ~ ~Bott~d .~ . .~Construction ~Repea~ ~ ~Well
~School ~Ven~~ ~ GlycoltS~t/Chill Wamr Well Depth
~ - ~Other Chlorine Residual
Addit~nal Information: :: . ~:
"~AB~ATOBY REPORT (Bo:no write bel~} TECH
PresencelAbse~-- Most Probable NumM r {MPN)
Coliform Organisms. "C~iform Organi~ ,,~Coliform Organis~
~o~ Found ~ ~ No~ Fo..d , ~ No~ Fou.d
~Found, ~ Found : ~ Fo~d
~ Total Coliform gro~ To~l Coliform/l~ ~1 Total
~ Escher/c~ col~ ", ~c~/~1~ mi Coliform: MPNIIOOml
~ R~eat samples re~ir~ ~ Fecal Col~orms/lO0 ~ ~c~ MPNIIOOml
~ Unsuitable -- See ~low ~, ~ Unsuhable -- S~ below ~ Unsu~ab~ -- See b ~low
~UITABLE FOR ANALYSIS-~L~SE RESUBMIT
~ Sample too old. Sample not ~e~ived ~ Ouantity insufficient for analysis
within 30 hours of coflection (100 ~. r~uired)
~ Date discrepancy or form inco~te'
Heavy
(silt/bacterial
growth)
present,
(See ~c~cled it~) possibly compromising test results
~ Leaked in tr~, ~ Saqle r~ed on Friday
~ Ou~tity too great to ~t ~ -' ~ Othm
~ Exces~e cMori~ resMud: ' qlL.
r ~ ;,'I~RRANT COUNTY PUBLIC HEALTH LABORj~Y
ERIOLOGY ~_~Lab "o.,~ 1817~871-7245
D~t~ and Time Re~ t~ ~ ~ -- . ~ Date
Do Not Mark Above This Line .....Please P~i~ Below ~th BALL~N~E~ d~ ~EI ',:
[NAME OF W~T~ S~TEM
IIII III
' P~T OF COLLECTION Water S~ I,D. Ne.
STREET AD~S~.O. B~x)
RE~TS
%~ollemion Mont~ Day : Col!~d By
~ ~E OF SYSTEM ~. SAMPLE IS WATER SOUF CE
~c ' ~ Dairy ~is tristan - ~ Raw ~,~, ~ ]Lake
~lndividual ~Bottled ~Co~str~ctio~ , ~R~eat ~Well
~Ot~er Char]ne R~idual
LABORATORY I EPORT (Do no write below} TECH
MMO-MUG Me ~brane Filtration (MF) MMO-MbG
PresencelAb~e ~ M~t Probable Numbe r (MPN)
~form Organis~ '~ ~Colif~m Oran]~s CeHfo~ Org~
~Not Found ~ '~ '
~t Found ~ Not Found
Found ~ ~ F~nd ~ Fou~
~ Total Coliform group Total Coliformll00 mi Total
~ Est~r/c~b to/i ~o/~100 mi Col~orm: ~PN[100ml
~ R~eat sables r~i~ed Focal Coliformsll00 mi ~c~f ~_ ~PNI100ml
Unsuitable -- See below ~ Unsuitable -- See below ~ Unsuitable -. See b~ ~w
* UNSUITABLE FOR ANALYSIS-PLEASE RESUBMIT
~ Sample too old. Sadie not rec~ved " ~ Ouantity insufficient f~ a~ysis
within 30 hours of collection (100 mi. r~uired)
~ Date discrepancy o; form inco~lete ~ Heavy (siitlbactetial growth) ~esent,
{See encircled item) possibly compro~sing test ~sults
~ Leaked in tran.t ~ ~le ,ecdV~ on Friday
~ Ouant~y too gr~t to ~t dCa[ion ~ Other
~ ExcesSive c~fine res~: ~L
H-220 O~-2t ~