Verizon-LR 981113 (2)CITY OF LEWlSVILLE LABORAT(
Name of Water System
Polm of C~olleclion
WATER BACTERIOLOGY
Baling/
Reporting
Address:
': Courtly
///~ F~ ~-~ '".? ~-'
Collected By ~ i Ti~~
~) (Mo/~ ~r)
STREET
cnY D~//~ T~AS
W~erj~"ya~em IdealiZation Number
TYPE
~u~e [] ~ndiv~ua~
SYSTEM: [] Other
SAMPLE [] DiStr!buUon [] Special
IS:
[] RePea1 for sample #
[] Recheck for sample # .
[] Other
~Onstructlon
[] Well
Chlorine R~id~al
-JIOOML
mi 2ncl%~__/ mi
WATER [] myer [] Lake
SOURCE:
Well depth
AN.~ICAL METHOD & RESULTS:
PreenS/Absent: :TOtal COliform Present
(Colilert) . .'~E:Coli. Present
M.P.N Total Coliform
(Colilert) E. CoIL
Membrane Filter/Fecal Colifo~Tn: 1st Dil. /
Avg. / mi
Unsuitable For
[] Form Incompleta (see mcircled ilem) ' ' "
[] Sample too old, nol reoeived within 30 hours of
E] Heavy, non ~ baeleria/sill pmsenl, possibly .o~sr.,u~'~g and compromising test results
r'-I Otmntily too great m penni agllatlon
[] Quake/insuflcte~ for anak/sis (lO0 ~ rrinmum)
[] Other
^na~yzed by
Water cd ~ac, toey bac:~'ologieal quality should be free from CMform Ofganisn~.
CITY OF LEWISVILLE LABORAT~
WATER BACTERIOLOGY
· Name of Water System County
Point ol ColleCtion Collecled By Dat~ Ti~e
Reporting STREET /11~ 7~*dy
TELEPHONE( 9~2
Water ~em I~t~flon Number
TYPE {~l~blic [] Individual
OF
SYSTEM: [] Other
SAMPLE [] Distribution [] Special [~'~struction
IS:
[] Repeat for sample #
[] Recheck for sample #
[] Other__ ~
WATER [] River [-'] Lake [] Well
SOURCE:
Well depth _Chlorine Residual
/100ML
/100ML
ANALYTICAL METHOD & RESULTS:
Present/Absent: Total Coliform Present
(Colilert) E:Coli. Present
M.RN. Total Coliform
(Colilert) E. Coli.
Membrane Filter/Fecal Coliform: ls~ Dil. _/
Avg. / mi
Unsuitable For Analysis:
[] Form Inc~e (~ee encircled ilem)
[] Sample too old, nol received within 30 houm of co~ection
[] Excessive chkxine present in sample
[] Unsuitable container
[] Heaw, non ~lilorm bactaria/silt present, possibly~'.l~cUring and compromising test results
[] Quantity too greal to permit agitation
[] Quantity insufficient for analysis (100 mi minmum)
[] Other
Analyzed by
Wat~ of satbfacto~ bad'.erologi~al quaJity should be free from Coliform Organisms.
CITY OF LEWISVILLE LABORAT ~C~RY. , - WATER BACTERIOLOGY
,~". Count/ ~
Name of Waler System
P~ of Co~n Co~led By Ti~~M
OF '
SYSTEM:
SABLE ~ D~ ~ S~I ~,struclion
WA~R ~ R~r ~ La~ D Well
S~RCE:
We~ ~pth ChHrine R~es~
ANALYTICAL METHOD & RESt'
PresenVAbsent: Total Coliform ~~ \. ~
(Colilert) E:Coli,
M,P.N. Total Coliform /IOOML
(Colilert) E. Coti. /100ME
Membrane Filter/Fecal Coliform: 1st Dil. ./ mi 2nd __/ mi
Avg. /
~ble For Ar~lySis:
[] Form I~e (see encircled Jlem)
[] Sample 1oo aid, r.X received within 30 I~oms of ccdlecllon
Quanti~ too gmatto pema agilatlon
tes~ results
CITY OF LEWISVILLE LABORATORy. WATER BACTERIOLOGY
Name of Waler System County
Point o~C~n'--- ~~y ~ --~ ~ ....
~ (~ ,~ (M~r)
A~: STREET
C~TY ~/A~ T~S
TELEPHONE( ~ ) ,~V3- E ~t~-- (~ ~)
Walar Syslem Identilication N!~nber
TYPE [[~l~ublic
O~: [] Other.
SYSTEM:
[] Individual
SAMPLE [] Dialribution [] Special [~C~nstruclion
IS:
[] Repeat for sample #
[] Recheck for sample #.
[] Other.
WATER r"l River [] Lake [] Well
SOURCE:
Well depth Chlorine Residual
ANALYTICAL METHOD & RESULTS:
Present/Absent: Total Coliform Present ~"~Absent3)
(Colilert) E:Coli. Present
M.EN. Total Coliform ~., -:/10OML
(Coliiert) E. Coli. /100ML
Membrane Filter/Fecal Coliform: lst'~i~.__/ mi 2nd /
mi
Avg. __ / mi
%
Unsuitable For Analysis:
[] Form Income (see encircled ilem)
1'"] Sample Ice old, n~ re¢~ed within 30 hours of cellection
[] Excessive ~ present in sample
[] Unsuitable container
[~ H.eavy, non coliform bacle~a/sill present, possibly~obscuring,~J3d compromising test results
,Qu~ttty t~o great to pema agitation
[] Quant~yinsufrmienlfo~anslysts(lO0mlminmum)[ ,
^naJyzed by
Water of ~ati~lacto~ baCmlogical quality should be free Eom Coliform Org&ni~ms.
CITY OF LEWISVILLE LABORAT~
' ' Name of Water Syslem County
Poinl of Collection Collected By
~(~, ~, \ (Mo/Day/Yr)
Reporling
CITY ~)~11 }~., ~ TEXAS
TELEPHONE~) .~3,,/~.5-~2-S- (23p Code)
Water System Identification Nu~nber
TYPE [~'l~ublic [] IndNidual
OF
SYSTEM: [] Other
SAMI~LE [] Distribution [] Special [~onslruction
IS:
[] Repeat for sample #
[] Recheck for sample #.
[] Other. -
WATER [] River [] Lake [] Well
SOURCE:
Well depth. Chlorine Residual
ANALYTICAL METHOD & RESU;U~.T.S~' ~
Present/Absent: Total Coliform ~!"~ '
(Colilert) E:Coli. ,-~=,- ~
M.RN. Total Coliform ~ /100ML
(Colilert) E. Coli. Jl00ML
Membrane Filter/Fecal Coliform: 1st Dil.__/ mi 2nd / mi
Avg. / rnt
Ry. WATER BACTERIOLOGY
Unsuitable For Analysis:
[] Fon~ Incomplste (see encircled item)
[] Sample too old, riel reealved within 30 hours of colleeli°n
[] Unsuitable container
[] _Heavy, non ~:)ltfomn bacleda/sill presenl, possib~ob~uring and~compromising lest resulls
[] Quantity !oo great to permit agilation
[] QuenlitY insufficlenl for analysis (100 mi minmu~
'~' Analyz~ by .
Wat~' ol ~ati~actory bac~erologi~al quality should be free;Eom CoOl'tm Organisms.