YMCA-LR 980910 RECEIVED
SL' ].19! a 9
" TRI )AL Ltd
/' .~., '~r,? , ~.
· : ' ~ "~" l/ ' ~ ~ '1
..... '~ t ,..~
Na~ ol Waler ~slem County
..... " ~Y-/"~ ~--: /~":5~,~PM j "~
' -"' ' ' ' -
Poinl of Collemion Collected By Dale Ti~ m ~,
(Mo/Day/Yr) '
Billin~ NAME ' j ~ --~
RepoSing STREET ";" -' '-' (- -'~ ,:, ~:; (' ~. "'
Address: j. ~
TELEPHONE(~/ ; ) ~{.= ~ ~-C'-~-~. ,~. (ZipCo~) ...
Water System Identifi~tion Number
~PE ~
OF c C Individual
~ OlherI
SYSTEM:
J' ~
SAMPLE ~ Distribution ~ Special ruction
IS: ~ Repeat for ~mple ~
i
~ Recheck for sample ·
g O~h~, J ~-~ -'
WATER g R~er ~ake ~ Well
SOURCE:
Well depth Chlorine Residual
Present,Absent: Total Coliform PreseRt
(Colilert) E:Coli. Pres6nt · ~Ab~[,(
M.P.N. Total Coliform .-~OOML
~Co e~ E. Coil. .-IOOML "~
Membrane Filter:Fecal Colifo~: ls~ Dd ~.' ~1 2nd .-~ mi
Avg __ m~ -~
Unsuitable For Analysis:
~ Fo~ In~ele (~ ~rc~d ilem)
~ Samp~ t~ old, not r~ w~hin 30 houm of ~lle~ion
~ Ex~ve chlod~ print in ~mple
~ Unsu~ conl~ner
~ Heaw, non ~li~ bi, entail pre~nl, po~ibN ob~udng and compromi~ng tesl results
~ Qu~t~ t~ greal lo ~rm~ agitation
~ Quanti~ insuffident for anaN~s (1~ mi minmum)
~ Other
Analyz~ by {~
Wat~ cf sat~lacto~ ~rol~l qual~ sh~ld be free from Cohform Organ~.
RF"'EIVED
CITY OF LEWiSVILLE LABORATORY - WATER BACTERIOLOGY
' ' ..... / /
[~' ., ~,,' . /
~7. :., Name of Water Syslem Counly -
· ,. ~.., .., .~. ?-/~ .: /c~ ."~
'- .' ' , ' ~' AM/PM ' :' I m c
Point of Collection Collected By Date Time
(Uo/Day/Yr) '. ~ -~ "---- =O
Billing/ NAME / £ '~ ''~- ~- "'. ~ "
Repealing "
Address: STREET ;' ~'''': (.- . n..,. - .' ,: --'
~"~.
~_ '-~ ~ .~ -:~
CITY '::'- ~ ~1~ TEXAS ; - .....
(~p Code) ....
TELEPHONE(.__.)
Water System Identification Number
~-~ ~, g g
TYPE E~'~lic [] Individual -~
OF :-'--.' -
SYSTEM: [] Other . -,., _~ '~. '~.
z
SAMPLE I-I Dislribulion [] Special "~Conslruction
IS: ! ~.
[] Repeat for sample # i '~' - '~' :
Recheck for sample #.
[] Olher
WATER
[] River [~Lake [] Well C~.
SOURCE:
Well depth Chlorine Residual
ANALYTICAL METHOD & RESULTS: ~,
Present,~Absent: Total Coliform Present ~Absent
(Colilert) E:Coli. Present ,-:'
M.P.N. Total Coliform ::100ML --
(Colilert) E. Colt. :~00ML -- ..n.
,
Membrane Filter;Fecal Coliform. Ist Dil. __.' mi 2nd ...... ..__rn~ i.'? "'
Avg ......... -. m!
Unsuitable For Analysis:
[] Form Incomplete (see encircled item)
[] Sample too old. riel received within 30 hours of collection
[] Excessive chlodne pres,e, nt in sample
[] Unsuitable container
[] Heavy. non coliform bacteda/s~lt present, possibly obscuring and compromising lest results
..I--] Quantity leo great to permil agitation
[] Quantity insufficienl for analysis (100 mi minmum)
/
[] Other
Analyzed by
Wat~ of satisfactory bac:,.~ro~og~cal quaL'ty should be ~.ree from Co#form Organisms