Freeport NIP(7.9)-LR020725 (5),Date and Time Sengle Received:
1 06
T
Sample Number:
Laboratory ID Number: 48146
Laboratory Name: City of Lewisville
Analysis Began
f..-
)ate and TIITIS. ie
S7 aaa W
lomments:
0- 6- Zogz.
ris, fibegma
luvo wale
Co oe Ito
Witt GoKlvcT
CITY OF LEWISVILLE LABORATO Y WATER BACTERIOLOGY
CA
of Water System.
A County
M
erof*
Point of Co action Collected By Date Time
(Mo/Day/Yr)
Bfiyng/ NAME CN t>ypi2 �0 S
Reporting
NC2
STREET 213g CAC NH/L 1) r �`i `t
CITY TEXAS 7 1 M
TELEPHONE( j! 2. 7ir c4
Water System Identification Number
Cr Individual
TYPE Public
OF Other
SYSTEM:
SAMPLE Distribution Special onstruction
IS:
Repeat for sample it
Recheck for sample I
Other
WATER r
River
SOURCE:
Well depth
E;Coli.
otaralitorrtl
(Colder* E. Coll'`
Membrane Filter /Fecal Colilorm: let Dii.
Lake Well c'7' of 1
Chlorine Resid(ral
HOD_& RESULTS<
Avg. ml
Analyzed by
Present /1lbnt
Present Absent
ml
JUL 2 9
Unsuitable For Analysis:
Form Incomplete (see eneirded item)
Sample too old, not received within 30 hours of collection
Excessive chlorine present in sample
Unsuitable container
Heavy, non colibnn baderia/sih present, possibly obscuring and compromising test results
Quantity too great to permit agitation
Quantity insufficient for analysis (100 ml minmum)
Other
Water al seShclay bac.arolo ieal quality should b& Ira* tern Coibrm Oryanamo.
t
I LA/
-2) m County
z of Water Syste
fif#, 113;42 /0
Poipt of Collodi Collected By Date T
(MolDay(Y
BiIIingI
attleporting
Address:
NAME
STRE
CITY
C Pi C.
TELEPHONE
Water System Identification Number
TYPE 2ublic 0 Individual
OF
SYSTEM: 0 Other
WATER 0 River [1:44e
SOUR
at.
M.P.N. Total Goldoni!
(Colilert) E. Cob.
Membrane Filter/Fecal Coliform: 1st DN.
Avg. ml
Jo*
zip Code),
/100ML
7•■•t
NAAgr vie--
CITY OF LEWIEV/ILLE tABORATORY WATER BACTERIOLOGY
N
t
P
SAMPLE
0 Distribution p e ctaI onstructiop
0 .Repeat for samplei
b Recheck for 41
0 Other
0
a
4
t1
ANA' YTICA u EThOD& RESULTS: ...4./......An zi
iforrn Present E.
Present
1
ml 2nd
-4
f'^
Unsuitable For Analysis:
0 Form Incornpletelsee encircled item) •4,
0 Sample too old, not received within 30 h2ursfirollection
0 Excessive chlorine present in sample
0 Unitaitable container
O Heiciy, non collbrm bacteria/silt present, obscuring and compromising test results
0 Quantify too great to permit agitation
)2
0 Other %t
0 Quantity insufficient for analysis (100 ml ntinmum) Ai
Analyzed by
Water ol satidaclory bactsrologual quality ,hold ba Ins front Colton Organisms.
3/4
0
z
2
5