SC-CFBISD Riverchase-LR 990824i~ c~ ~ ~s~u~ Ud~R~TOR.Y~_ ws~ aAC'mmO£OG¥
Water System Identif~r, ation Number
TYPE
OF
SYSTEM:
Individual
SAMPLE
IS:
[] Distribution [] Special
[] Repeat for sample #
[] Recheck for sample #
[] Other__
[~on~rucllon
WATER [] River [] Lake [] Well
SOURCE:
W~ depth.
.Chlorine Residual
ANALYTICAL METHOD & RESULTS:
~--~nt/Absent: Total C,~ifOr~l,.~ Present
(Colilert) E :COli; -- Present
M.P.N. Total Coliform
(Colilert) E. Coli.
Membrane Filter/Fecal Coliform: 1st Dil. _/ ._
Avg. / mi
Absent
__./100ML
.J 100ML
mi 2nd ~/
mi
Unsuitable For Analysis:
[] Form Incon~e (see encircled ilem)
[] Sample too old., ,~[j~eived within 30 hours of oollecaon
[] Quanta/too gmat to petrol agitatien
[] Quamay k~sutra~ma for anak/sis (lO0 ~ ~nmum)
Wat~ of sa~sfactmy bac-'.mologieal qualtly sl~ be tree ~ Co,dorm Organbma.
' Name ofwalef- System Count/
oim of Co#ect~' Collected ~y Date Time
(Mo/Day/Yr)
Repor~ STREET~
Water Sy~4em Id~nflflcation Nun~
TYPE ~,~ubr~ [~ ~n~
S~LE ~ o~n ~ S~al
IS: ~ R~ for ~ ~
WA~R ~ R~r ~ La~ ~ W~
S~RCE:
ANAk ,,~,~ri~CAL METED_& RESULTS:
~r~...,~*/A~,em~t' Tats! Colif~[ff~l-~'- Present ~t
(~) ~:~, .Pre~nt _/1~
M.RN; T~I ~ iI~ML
(C~) E. ~.
Me~m~ FaerE~l ~o~: 1st Bit. .J mi 2~ ' / , ~
Avg. /
Unsuitable For Analysis:
[3 Fow. ~e (i ~ ~em) ~'._,
~ ~hsnple too, old, nol received w#hin ~0 hours of oolleclion
[] Heavy, non ocdik)m'i b~~l)~e,sero, possi~k/ol:)scu~ng and compromising lest resulls
[:::] Quality too gmat to pema ~itaUO~-
I--1: (;mmaay ~.~m ~ a~ysis (lOO m~ mimnum)