Nash Manor-LR020320CITY OF IF-WISVILI.I~ LABORAT~
MAR 3 a)O
¥ - WATER BACTERIOLOGY
Na~ of WAter System ' ~ ' County
~L9 ' 1~ ~ :
~ Collec~By ~ Ti~
RepoSing STREET~
Wat~ Sy~m I~ntifi~t~('~ ~
~ Public ~ Indiv~ual ~
SYSTEM' ~ O~r~~ ~
~. SAMPLE ~ Di~l~ ~ ~pecial slruction
IS: ~ Re.at for ~mpte ~ ~"
~ Other
[] Well
WATER [] River
SOURCE:
Well depth
/t
/'"~bs ent--~
Absent
mi
ANALYTICAL MFTHO[') & RESULTS:
:t'~r~-q~nt/Ah~ni' Tntal Coli~orm~ Present
(Colilert) E:Coli. ' ' Present
M.P.N. Total Coliform
(Colilert,) E. Colt.
Membrane Filter/Fecal Coliform: 1st Dil. /
Avg t mi
Unsuitable For Analysis:
[] Form Incom~e (~ee encircled item) ::~
[] Sample too old, nol received wilhin 30 houD
[] Ex__~e~_Nve chlodne present in sample
[] Unsuitable comainer '
[] Heavy, non coliform bacteria/silt present, possibly
[] Quantity too great to perrnil agilafion :
[] Quanlily insufficienl for analysis (100 mi minmum)
[] Other
Analyzed by
Wate~ of satisfacto~/ba¢9¢ological quatily sh(~ld be Iree froth ~O~form Orgamsms.
results