Riverview Estates-LR 970527 (2)._. -' TA, J~ANT COUNTY PUBLIC HEALTH LABORATO~
~. t,.%8~lp~?n~e~)r~Ft. Worth, TX 76107
! ~.~Jb~N%. ~0~'~J ~' (817)871-724~
WATER BAC, ER~Qi ? ~_ ; _
' ' ~v ~ ~ ; I
Sample ,o. '~ l ~ 75' , .Re~,ed ' ,
NAME , ,
~go ~.0. ~X 4~8
RESULTS STREET ADDRESS (P.O. Box) ~ '
TO: COP~ELL , TX 75019 ,., ._
~TY (Zip
9~2-4~2-0022
PHONE g CO~
TYPE OF SYSTEM SAMPLE IS , WATER SOURCE.
~ublic ~Dairy ~Distribution ~Raw e ~River ~L~e
~lndividual ~Bottled ~onstruct~n ~R~at ~'
~ScRool ~Ve~ed ~6lycoitSw~tlChill Water Well D~th
Chlori~ Resi~al
~Other
Coliform Organisms
~ Not Found ~
'1--~ Found
Coliform OrganismS
Not Found
[-'1 Found
Total Colife~m/,lO0 mi
Coliform Orgaqisms ':~
['-I Not Found . ~-_ -
[] Found ~',
· [] Total Coliform group
::...: ,.?,..:· .... ,,,-
, r_] R~eat samPie~>,~quired ,:: ' ~!i;, Fecal ColffQrmsl100 mi
UNSUITABLE FOR ANALYSIS-PLEASE RESUBMit
[] Quantity insufficient for analysis
[] Sample too old. Sample nol received
within 30 hours of collection
[] Date discrepancy or form incomplete
(See encircled item)
[] Leaked in transit
[] Quantity too great to permit agitation
[] Excessive chlorine residual: ....... mglL
H-219 GPC-2190
(100 mi. required)
[] Heavy (silt/bacterial growth) presem,
possibly compromising rest results
[] ~ Sample received on Friday
[] i Other
~ *' T~ANT COUNTY PUBLIC HEALTH LABORATJ~Y
WATER BAG, ERIOLOGY ~:'~?i![~8[~o~'~''Ft'w°rth'
TX 76107
(817)871-7245
Sample ~ ~ '- ~ep~ted
CITY OF COPPELL i-
MAME ATTN: TARRY DAVIS
SmD P.O. BOX 478
RESULTS STREET ADDRESS (P.O. Box)
TO: COPPELL, ~
CITY &
972-462-0022
PHONE # COLIN
..0, folql=l?,ll.l?'l I,f lq !
Collection Month Day YeaT~ -'TIME
TYPE OF SYSTEM
[~T,,° u blic F-IOairy
r--llndividual j-']Bottled
I--ISchool I~Vended
Additional Information:
'" ' LABOR,
Pre~e~Abelence
~i Coliform Organisms ,
E] Total Coliform group
.- [] RePoat$~mpfes'req~uired
- ~' ...... : .....~*' UNSUITAI
· -[] Sample too old. Sample not received
within 30 hours of collection
[] Date discrepancy or form incomplete
ISee encircled item)
[] Leaked in lransit
[] Ouaetity too 9rea! to permit agitation
[] Excessive chlorine residual: ..... mg/L
H-2]O
SAMPLE IS ..~
[]Di. stribut~, ..... l--IR, aw
. [~Co.n~r~q~.tien l'-t I~epeat
[] GlycollSweetlChill Warei
[--]Other ~
TX 75019
~': {Zip CQde}
AM/PM Collected By ·
WATER SOURCE
[]River (~i~] t~[ke
[]Well ~'
Well Depth
Chlorine Residual
' 'M~mbr~""!~!t~ati°n (ME) I " MMO-MUG.:
Coliform Organism . : ' 'i Coliform org,~
~ NotFound / ~ Not Found
I
........ · ', ,~-~1~ I: Coliform:
U ~i~e~;,See;~, v,~:~
E'F~"~A~.:P[~A'~E RESUBMIT ..........
Ouantil~ in~fticint for aflalys~s
(100 ~. r~edl
H~y Isttlbacteial 9rowthl pfesul,
~ssibl~ colorsin9 test results
~ Saqle received on Friday
_~~ Oth~
WATER
Dat..n~ Tim. ~', ~' ~ ~ '~
Do Not Mar~ Above This Line ---.-Please Pri.~-~low with ~ALLPOINT PEN OR TYPEWRITER:
of 3
cI?Y
~,~ POINT OF COLLECTION Water System I.D.
CITY OF COPPELL
NAM[ ATTN: LARRY DAVIS ~ --
SEND - p, O.. B~X 478 '- I .
RESULTS STREET ADDRESS IP.O. Box} I
TO:
Tx
COPPELL,
75019
tZip Cod~l
CITY
972-462-0022 D~T,
Time of
C'dllection Month Day Year TiME A%PM Collected By
TYPE OF SYSTEM SAMPLE IS WATER SOURCE
(~Public r'"'l Dairy r-loistribution [-]Raw [--]Rive/ f~i~&ake
I']lndividual J-)Bottled r]~] construct~'~ [--I Repe~t,,~~' I--]Weft
[::]School E~Vended [--IG[ycollSweetlChill Water ~ Well Depth .
F-'] Other ! Chlorine Residual
Additional Information:
LABORATORY REPORT (Do no write belowl TECH
MMO-MUG I Membrane Filtr'ation{UF) i I' MMO-MUG
Presence/Absence I i I Most Probable Number (MPN)
Coliform Organisms IColiform Organisms i I Coliform Organisms
~,J~Not Found ~ ! [] Not Found i i ! [] Not Found
.... ~ ...... T~- -~ , ~y-~.:~.~-~l.-~ ....... : ....
/. ~ Total Coliform gro~ , r'I ' Total C~o ~ I T°tal
~.... .- :, ,.. ~., . . --. .,. . ~.: ::, .,
' '"' '"~"' '" '~' 'I ';' '' '~' ' '"~' ' '~ ' ' ' ~' ' ' ' "';'&~
.... ..: :~-,,,, ~ . . .-, ~ . ,~.-., ~, ', .... ~,,~. . ._ ...... . . : ,,
[] Sample too old. Sample not received
within 30 hours of cullec~,lon
[] Date discrepancy or form incomplete
(See encircled iteml
[] Leaked in transit
i'--I Quantity too greal to permit agitation
[] Excessive chlorine residual: ..... mglL
H-219 GPC-2190
I I gill ir II ri I ~ - r
[] Ouantity insufficient for enalysis~
-, (100 mi. required)
, [], Heavy (silt/bacterial growth) present,
possibly compromising test results
[] Sample received on Friday
[] omer