Freeport NIP(7.3)-LR010509_OF LEWI=. ILLE - WATER BAC~,--JOLOGY
Address. STREE~/~ ,~ '~' ~ ~ ~
OF ~Public ~ Individual " ' m ~ '
SYSTEM: ~ O~her~
SAMPLE ~ D~ution ~ Special ~Construction
IS.'-
[] Repeat for sample # __
[] Recheck for sample #
[] Other
WATER [] River ~Lake [] Well
SOURCE:
. - Well deplh Chlorine Residual
RESULTS:
M.P.N. ~'"~oliform ' ' -
(Colilert) E. Coli. ,IOOML
Membratle Filter/Fecal Coliform: 1st Dil. ' / . -mi '-.2nd / mi
Avg r mi
unsuitable For Analysis: ~
~-] Form Incomplete (see encircled itemi
[] Sample too old, not received within 30 hours of COllection
[] Excessive chlorine ~esenl in sample
[] Unsuitable container. ~
[] Heavy, non colik)n~leda/sill present, possibly obscuring and compromising tesl results
[] Quantity I~ great.lo permit agitation
[] Quant~ insumcient for analysis (100 ~ minmurn)
[] OtherF' ~ '
Analyzed by
Water of satisfactory ba~erolagical quality should be free from ~oliform Orgamsms.
) & RESULTS:
~'~ _. Absent
Present /IOOM~
M.P.N. .~aform ~. I1QOML
.(c, om..e,) E.c.~.
.~ne~.__ ~'~ ' FiRerA~,,ecal Cot~m~: 1st Dil. / =~d 2nd __ / mi
Avg. /_ mi
?. unsuitable lys~s:
i:i~,' "0 ~ l~ ~,'~ ~ ~in 30 h~m of ~i~,
"O u~~
non celilorm ~sitt present, possibly Obscuring and compromising test results
~ inluflident for analysis (100 rnt rninmum)
~ of aaliltae~/~h=al quality should be free from Coliform Organisms.
"~'/Narne of Water System :~ County
STR/~E'ET '
RepOrling
Address:
~TELEPHONE
Waler Sysl~n Identification Number
'r:YPE [] Public J~J Individual
o~.
S~'STEM: [] Other .~¢-../'~,'~¢-~'
[] D~rib,,lio. [] Speci.~ ~structio.
SAMPLE
~- [] Repeal for sample #
WATER
[] River [~Lake [] Well
SOURCE:
Well depth Chlorine Residual
(Colilert) ~_____..~,' COl h~,~
(Colilert) E, Coli.
Coliform: 1st Dil. /. ~2nd ____/
M .e~lbrarm
Filter/Fecal
.- Avg. / mi
Unsuitable For Analysis: ~ ~ ·
[] Form Incomplele (see encircled item) ! , ~ ·
[] Sampm icc old, not received within 30 hours of collection
[] Excessive chlodrm present in sample
[] Unsuitable container 'x ~'
[] Heavy, non Coliform bacleria/s~4)msent, possibly ?bscuring and co ng test results
[] Quanlity too great to perm~ agitation ? ~
[] QuanlltY~nsufficient for analysis (100 mi minmum)~:: ~
[] Other ~,
Analyzed by .: ,.
Water of ~4i~actol~ bae';.er61ogical quality should be free Ir~rfl C~liform Organilml.