Stratford Manor-LR 990617 (2) ,~
CiTY OF LEWIS~ _~LE LABORATORY - WATER BACTL ..OLOGY
(Mo/Day/Yr)
Billing/ NAME ~:3,t~"O' ~ ~ ~ L~, "r'k,~'..~
Reporting STREET /-'~'"~ J /~,~trJ ~--~.""~,
Address:
CITY '~'-,'~:' ' ~.C.~:::' TEXAS-'~'-~ ~ ~"
TELEPHONE(C~7.7_. ) ~_C/'~iO (ZipCode)
Water System Idenlification Number
SYSTEM: [] Other --
SAMPLE [] D~ribution [] Special ~Construction
IS: [] Repeat for sample #
[] Recheck for sample #
[] Other
WATER [] River [] Lake [] Well
SOURCE:
Well depth Chlorine Residual
ANALYTICAL METHOD & RESULTS:
~PresentJAbsent: Total Coliforr~ Present ~
(Colilert) E:(.,oll. Present Absent
M.P.N. ~'otal Coliform /IOOML
(Colilert) E. Coll. /IOOML
Membrane Filter/Fecal Coliform: 1st Dil. / mi 2nd / mi
Avg ..... . mi
Un~uita~ For ^nal¥~i$: .~.
[] Form Incomplele (see encimled item)
[] Sample too old, not received wilhin 30 hours of colleclion
[] Excessive chlo~ne presenl in sample
[] Unsuitable container
[] Heavy, non coliform bacteria/sill present, possibly obscuring and compromising test results
[] Quanlity too great to permit agitation
[] Quantity insufficient for analysis (100 mi minmum)
[] Other
AnaJyzed by~'k~ ,"~ !
Water of salisfacto~ ba~erologicat quality $1~ld be free Eom Coliform Organisms.