Verizon-LR 981201CITY OF LEWISVILLE LABORATO~RY - WATER BACTERIOLOGY
~-'Name of WMer System :~. County
Point M'Collection Collected By ~Date ~_ T~
(Mo/Day~r)
Addmss: ~ ~.- -
Water System Identilication Number
TYPE
~]'f>ub,c [] mc~v~dua~
OF ' '
-SYSTEM: [] Other
SAMPLE [] Dimribution [] Specia~ ,,.E~c~ructlon
[] Repeat for sample # .,
[::] Recheck for sample #.
WATER [] River ~'"LLake [] Well .
Well depth .Chlorine Residual
__JlOOML
__JlOOML
[
i, ANA~y~,ICAL METHOD & RESULTS:
~~-~ ~;bsent: Total Coliform~'~ Present
i {L;Oiii~),'~ 'F-.:~u.. ._ / Present
[' M.P,N. ' Total Coliform
i (~)' E. Coli.
Membrane Filter/Fecal Coliform: 1st Dil. __/__~'1 ~nd ~_ / _mi
r-J r. om~na3m~e(meenc~aed~em) - :- ~l
[] ~ too old, nol reoWed within 30 hours of c~ilec~ion
~ Hem~y, nonmltlbrm I~icleda/~lt pre~ent, ~t, ib~/'O, I~curing and compromising te~l results
El c er