SC-Coppell HS-LR000313~iTY OF LE SVILLE LABORAT~Y - WATER BA~ ~T:.RIOLOGY
/,[ .# Name~aler System County
Point ol Collgclion Collecled By Date Time
R~po~no STR~T
Address:
CITY
TELEPHONE( ~'f~ ) ~/ -'~ (~C~)
Water System I~ntifi~tion Number
TYPE [~u b"~lic
OF
SYSTEM: [] Other
[] Individual
SAMPLE
[] Dislribution [] Special [~'~nstruction
IS:
[] Repeat for sample #
[] Recheck for sample #
[] Other.
WATER [] River [~ake [] Well ._
SOURCE:
Well depth Chlorine Residual
EMoETHOD & RESULTS:
tal Coliform Present
:Coli. Present
/IOOML
M.P.H. Total Coliform /100ML
(Colilert) E. Coll.
Membrane Filter/Fecal Coliform: 1st Dil. /.__:.mi 2nd____/ mi
Avg. / mi
Unsuitable For Analysis: -
[] Form Incomplate (see encimled item)
[] Sample 1oo old, not received within 30 houm of ~!leClion
[] Excessive chlodne presenl in sample
RECEIVED
[] Uneu~leco.t~n~ MAR 1 $ 2000
[] Heavy, non colilorm bacteria/silt present, possibly 0bscudng and compromising lest results
[] Quantity too great to permit agitation . . -
[][-'J Quantity insufficient for analysis (10O mt minmUm)OlherAnalyzed by
.. ~, .~t . ~fli UAL, Ltd
Wate~ of satisfactory bac',srological quality should be free from Corlform Organisms.
Name ofW~r Syslem
Point of Collectioa Collected By D~t'e Ti~
,i~ o~'~'~ ~ '~t'a (ao/D~y/Yr)
BI, ling/ NAME 7~;;~t~ '//~
Reporting
AddreSS: STREET
CITY-- ~' '" ~'5°~''~4 f-'~' TEXAS
TELEPHONEI~! '~ )~/'~ ~' (ZlpCode)
Water System I~7 Number
7FPEsAMPLE ~Public I--]Individual
SYSTEM: [] Other.
[] Distribution [] Special
IS: [] Repeat for sample ft
[] Recheck for sample fl
[] Other
WATER
[] River ~ke [] Well
SOURCE:
Well depth Chlorine Residual
ANALYTICAL METHOD & RESULTS:
~tal Coliform Presen!
{UI~'F-'-- E:Coli. ~resent _ - Absen!
M.P.N. Total Coliform /IOOML
/IOOML
(Colilert) E. Coll.
Membrane Filter/Fecal Coliform: 1st Dil. . / mi 2nd _
Avg / mi
Unsuitable For Analysis:
[] Form Incomplele (see encircled item)
~ ~,oo o~...~.~..~,. ~o ~o. o,c~,.,o. RECEIVED
[] Excessive chlorine present in sample
[] Unsuitable container ~ L
[] Quantity Ioo great to permit agitation
[] Quantity insuffiden! f~ enalys~s (100 mi minrnum)
[]Other _~ ,~, ~ n~ UAL, Ltd
Analyzed by
Water of satisfactory bac~,erological quality should be free from Co~form Organisms.
~ ii i I Ill I Ir I Il I IIIII llll I Il I I lll .~ I Ill