Northlake 635(7)-LR000607 CITY OF LE~...,~'ILLE LABORATORY - WATER BAC _-LRIOLOGY
..)(.~..,,) Name of Wator Syslem County
Billing/
NAME
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Reporting
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TELEPHONE(" t~ ) L./ ~!-7_~,~"(~ (ZipCode)
Water System Idenlification Number
TYPE [] Individual ..I
SYSTEM: [] Other ,
,SAMPLE [] Distributio~ ~ Special.' .'-~ Conslruction :~-..
[] Other
WATER [] River ~ [] we, "":
8OUFICE: :~']
Well deplh Chlorine Residual
ANALYTICAL METHOD & RESULTS: r--: 7---. ..... ,
Present;Absent: Total Coliform ~ Presen; '~
[Colilert", E:ColL Presem Abseqt
M.P.N. Total Coliform '~.OOML , : ~'! "!
MemDra~.e F:!te-.'Fecal Coliform: 15t Dil. -' mi 2nc!
Unsuitable For Analysis: '- r~:~
I~ Form Incornl)lele (see encircled ilem)
~.' Sample too old. nol received within 30 hours of collection
[] Excessive chlorine presenl in sample
[] Unsuitable conlain~'
~ Heavy. non colilon'n bacteria/silt present, possibly obscuring and compromising tesl results
l~ Quantify Ioo great Io permil agilalion
~ Other
Analyzed by ~ '
Water ol sahsfactory ba~erolog~cal qualn'y should be free from Coliform Orgamsms.