Freeport NIP(7.3)-LR010511 (2) CITY OF LEWISVILLE LABORATORY - WATER BACTERIOLOGY
~1 N~me of Water Syslem County
Point et Collection Collected By ~ D~te Time
(Mo/DaylYr) =O
Reporting STREE/ - '
Address:
TELEPHONE ) _~'/__¢//_ ~,.~/(Zip Code)
Water System Identification Number
TYPE [] Public [] Individual
OF
SYSTEM:
SAMPLE [] Distributi°n i--I Special ~°nstructi°n
IS: o
[] Repeat for sample #
[] Recheck for sample ~t
[] Other
WATER [] River [] Lake [] Well
SOURCE:
Well depth Chlorine Residual
AN. ,ALYTICAL METHOD & RESULTS:
~ Total Coliform Present ~
(Colilert) E:Coli. Present .~.
M.R N. Total Coliform ./100M L
(Colilert) E. Ocli. /IOOML
Membrane Filter/Fecal Coliform: 1st Del.__/ mi 2nd____/ mi
Avg / m I
Unsuitable For Analysis:
[] Form Incomplele (see encircled item)
[] Sample too old, nol received wilhin 30 hours of collection
[] Excessive chlorine present in sample
[] Unsuilable container
[] Heavy, non coliform bacteria/silt present, possibly obscuring and compromising lest results
[] Quantity Ioo great to permit agitation
[] Quantity insufficient for analysis (1 O0 mi minmum)
[] Other ~ ~.~
AnaJyzed by __
Water of satisfacfory bact,~rolcgical quality should be free from Coliform Orgamsrns
CITY OF LEWISVILLE LABORATORY- WATER BACTERIOLOGY
Name of Water System County
Z
Point of Colleclion Collected By
(Mo/Day/Yr)
Billing/ N^UE .j~~ [ _~TL~.?I~I~
Reporting
Address: STREET
TELEPHONE(__~_7_.~) _,~'o ¢/-- ;7¢,'~/Z'~ Code)
Water System Identification Number
TYPE [] Public [] Individual
SYSTE M:
SAMPLE
Dislribution [] Special ~onstruction
IS:
[] Repeat for sample #
[] Recheck for sample # ~"
[] Other
WATER
[] River [~ake [--I Well
SOURCE:
Well depth Chlorine Residual
~METHOD & RESULTS:
~otal Coliform Present ~
(Colilert) E:Coli. Present ~ .~.
M.P.N. Total Coliform /IOOML
(Colilert) E. Coli. ./IOOML
Membrane Filter/Fecal Coliform: 1st Dil. __/__ mi 2nd _ / __mi
Avg. / mi
Unsuitable For Analysis: c3~._ 1
[] Form Incomplete (see encircled item)
[] Sample Ioo old, not received within 30 hours of collection
[] Excessive chlorine present in sample
~ Unsuitable container
[] Heavy, non coliform bacteria/s~it present, possibly obscuring and compromising lest results
[] Quantity too great to perrnil agit~lion
[] Quantity insufficient for analysis (1 O0 mi min~,~) ~~,.,~
[] Other
Analyzed by ~ _
Water el satisfactory bac..erological quality should be free Eom Coliform Organisms.
CITY OF LEWISVILLE LABORATORY- WATER BACTERIOLOGY
I I~me of Water System County
Point of Collection ollected By Date Time
(Mo/Day/Yr)
Reporting
Address: STREET
TELEPHONE~ ~ ~'L--~:~ l(~° Code)
Water System Identification Number
TYPE [] Public [] Individual
OF
SYSTEM: [] Other~ ~,.J;T~~.~
SAMPLE [] Distribution [-1 Special C[~onstruction
IS:
[] Repeat for sample #
[] Recheck for sample #
[] Other
WATER
[] River [~e []
SOURCE:
Well depth __ __ Chlorine Residual
ANALYTICAL METHOD & RESULTS:
~Total Coliform Presenl
(Colilert) - E:Coli. Present
M.P.N. Total Coliform __/100ML
(Colilert) E. Coli. /100ML
Membrane Filter/Fecal Coliform: 1st Dil. /__mi 2nd /.__mi
CD'
Unsuitable For Analysis: ~
[] Form Incomplele (see encircled item)
[] Sample too old, not received within 30 hours of colleclion
[] Excessive chlorine present in sample ~-~
[] Unsuitable container
[] Heavy, non coliform bacteria/silt present, lest results
[] Quantity too great to permit agitation
[] Quantity insufficient for analysis (
[] Other
Analyzed by
Wate~ of satisfac~oi7 ba~rological quality