Northpoint Dr-LR020425Water System Identification Number
-TYPE ~ Public [] Individual
OF
SYSTEM: [] Other_
SAMPLE [] Distribution [] Special
[~] Repeat for sample #
[] Recheck for sample ~
[] Other__
WATER [] River [~ Lake
SOURCE:
Well depth
ANALYTICAL METHOD
~Pres~n--'f/~Sent: '~tai Colifo~__.~
"[Coh~'r~ .... 'E:Co~i.
M,P.N. Total Coliform
(Colile~l) E. Coli.
Membrane Fi~ter/Fecal Colilorm: 1st
[] Well
Chlorine
[~onst ruction
/100ML
·/IOOML
Avg._ .-/. mi .:
Unsuitable For Analysis:
[] Form Incom~o (sae e~cimled item) . .,
[] Sample IOO old, ~ received within 30 hours of ~
[] Unsuitable cor, tainer
[] Heavy. non coliform baclede/silt present, possibly Obscuring and compromising tea results
[] ouantm/too gmat to poma agitaion
[] Quantb/insuffidemt for analysis (100 mi rninmum).: -
APR 3 0 200Z
Point o! Co~ecUo~
Billing/
Reporting
Address:
~RY - W~TE.R BACTERIOLOGY
County ·
Collec,~d By Dale Time
(Mo/DaY/Yr)
NAME .}J),': ~ ~
STREET ~'~"~'? .~'~--~ ~'~"~ ~('d_~ Q
TELEPHO~E~) ~d~ ~ q~)
Water System IdentilicalJon Number
[] Individual
TYPE [~d~tJblic
OF
SYSTEM: ]-] Other
SAMPLE [] Distribution [] Special
IS:
['"] Repeat for sample #
[] Recheck for sample if
[] Other
WATER River [~-Eake
SOURCE: []
Well depth __
ANALYTICAL METHOD LTS:
~_Present/Absent: Total C~
,,', 73
__./IOOML
~100ML
(Colilert) E:Coli.
M.P.N. Total Coliform
(Colilert) E. CoIL
Membrane Filter/Fecal Coliform:
','¥~ Avg __
Absent
/ mi.,.
APR 3 0 2002
BY____.___
Unsuitable For Analysis:
[] Form Incomplele (see eflcircled ilem)
r-) Sample too old, ne{ recek, ed within 30 hours of collectioa
['-J Excessive chlo~ne p~esenl in sample -
[] Unsuilable cofaaJnm
[] Heavy, nog coliform bacleda/sill present, possibly obscuring and compromising lest results
~] Quantity too great Io permil agilation
[] Quantity insulficient for analysis (100 mi minmum)
[]Other .
Analyzed by ~ '- '
CITY OF LEWlSVILLE LABORATORY - WATER BACTERIOLOGY
Na,,fle of Waller System
Point of Collection Collecfed By Time
(M~Day~r)
TELEPHONE~q ~) ~ 9~ O~ ~)
Water Sy~em Ide~tlfl~tion N~r ' '
SAMPLE ~ D~ribution ~ Special ~nslruction
IS: ~ Repeat for ~mp~ ~
WATER ~ R~er ~ake ~ Well '
SOURCE:
ANALYTICAL METHOD & RESULTS:
(Colile~) E:Coli. Present
G.RN. Total Coliform ~
Membrane Fi~er/F~l Colifo~: 1st Dil. / mi 2nd __~/
Unsui~e For ~lysis: ~
Unsuil~ble ~onlainer
[] Heavy, non colilorm b~leri~/~ll present, pos~ib~ ob~cuflng ~rld compromi~ng tes~ results
r~J Quanl~ to~ gmal to permil agi~ion
[] Qu~nl~ insufficienl fo~ eJ'~lysis (tO0 mi minmum)
[] Other ~¥~'
.J N