SC-Coppell HS-LR000125CITY OF LE~k. ~/ILLE LABORAT RY - WATER BAC. -URIOLOGY
-- Name of ~Nater SyStem County
Point of Collection Collected By Dale
Repo.ing STREET ~qO dO~r~: ~
Address:
TELEPHONE(~~ ) ~_~ (~C~)
Water System Identifl~tion Number ; ;. . ~. ~. ,:~.~
SAMPLE D Dislribution ~ Special ~struction
IS:
~ Repeat for sample ~
~ Recheck for sample ~
~ Other
WATER
[] River [~L'~ke [] Well ~
SOURCE:
Well depth Chlorine Residual
ANALYTICAL METHOD & RESULTS:
<'l=Yesel~t/Absent Total Colifor~n~ Present
(Colilert) E:Coli. Present ,
M.P.N. Total Coliform __/IOOML
/100ML
(Colilert) E. Coli.
Membrane Filter/Fecal Coliform: 1st Dil. /__ mi 2nd____
Avg / mi
I mi
Unsuitable For Analysis: '.
[] Form Incomplete (see encircled item)
[] Sample ,oo old, not received within 30 houm of collection RECEIVED
[] Excessive chlodne present in sample
[] Unsuitable container
[] Heavy, non coliform bacteria/silt present, possibly ol:~curing and compJ~e~ r~
[] Quantity too great to permil agitation
[] Quantity insufficient for analysis (100 mi minmum)
TSI DAL, Ltd
Water of satisfactory bact_~rological quality sh~i~ld be free from Coliform O~lanisms.