Prestwick-LR010820 CITY OF LI ,SVILLE LABORATORY - WATER B. FERIOLOGY
Name of Water System County ; ? * ' ~' ~
~,~, ~,,~'~-~,~,,.,,:~.. ,~ c ~':-~.~v u ~
Poinl of C~llection Collecled By Date
(Mo/Day/W) ~ -~
Repo~ling '-
Address: STREET .~0 j/'" /~4.~.,'.~,,/ _5"~/"~, ~
C~TYZ~¢ Z~/14.'~ TEXAS ?¥~5-" ",',' '~'
TELEPHONE~ ~'~O ) '~ I - 5'15 ~' (~,p CoUe) ,...,
Water System Idenlificalion Number
OF ~
SYSTEM: [] Other
SAMPLE [] Dislribution [] Special truction
IS: ' ',
[] Repeat for sample #
[] Recheck for sample # '
[] Other "
Lak '" '""
WATER [] River e [] Well .
- SOURCE: Well depth Chl~ine Residual ,-~-
ANALYTICAL METHOD & RESULTS: ..'
CPresent/Absent: Total Colifor_.~ Present ~
--(L;o eR) [-:Coli. Present ADSenT
MEN. Total Coliform .'100ML ' -'
(Colilert) E. Coli. .:100ML ..-- -n
Membrane Filter/Fecal Co~form: 1st Dil. ..' m! 2nd .'__mi
A',,g. .' mi
Unsuitable For Analysis:
[] Form Incomplete (see encircled ilem)
[] Sample too old, riel received within 30 hours of colleclion
[] Excessive chlodne present in sample
[] Unsuitable conlainer
[] Heavy. non coliform bacleria/silt present, possibly obscuring and compromising tes~ results
[] Quantity too greal Io permit agitalion
~] Quantily insufficient for analysis (100 mi minmum) ..~,.//
[] Olher
! r
Analyzed by
Water of sat,sfac'tory bac:s, rolog~cal quality should be free ~rom Co#form Orgamsms.