Stratford Manor-LR 990617 (3) ~'ITY OF LEWlS'v _-LE LABORATORY - WATER BACTL~OLOGY
Point of Collection Collected By Dale Time -
(Mo/Day/Yr)
Reporling
Address: STREET ~'~--t~'.'~ ~ i~.~4~ ~,"'r
C~TY F-~ ~ ~.C-(Z::> TEXAS ---)
TELEPHONE(~,,~/~-~,Z...) .~ ..~._.~i (;~Code) ~,~
Water Syslem Idenli§calion Number
TYPE [:~l~ublic [-] Individual
OF
[-'] Recheck for sample #
[] O~hor
WATER r:'l River [] Lake [] Well
SOURCE:
Well depth Chlorine Residual
ANALY'DICAL METHOD & RESULTS:
<: ~'resent/Absent: Total Coliforn~ Present
(Colilert) E:Coli. Present /100ML Absent --
M.P.N. Total Coliform
(Colilert) E. Coli. /100ME
Membrane Filter/Fecal Coliform: 1st Dil. __/__ mi 2nd /__ mi
Avg. __; mi
Un~u~t~ For Analy.~: .~'
[] Ex__~-___~ve chlorine present in sample
[] Unsuitable comainer
[] Heavy, non colilom'l bacleria/silt present, possibly obscuring and compromising
[] Quantity too great to permit agitation
[] Quantity insufficient for analysis (100 mi minmum)
Analyzed by
Water of satisfactory ba~ological qual~ly =ll~uld be free Irom Coliform Organiam=.