Valley R Baptist 2-LR030305OF LEWISVILLE
-WATER BACTERIOLOGY'- ,.
Name of W System ounry
�Gj�
,ry � 1 , ,ir 2 ABM'
Point of Collection Collected By DOG Tinto
(Mo/Dey /Yr) 0.4 HOt
�`' Boling/ NAME . 1 "+
Reporting nps s4y F +�ffre� �Y
CITY T7WS
TELEPHONE(_)
Wa te r Sys Iden ti fi cation Number
TYPE ❑ Public ❑ Individdat. '.
OF
SY STEM: ❑ Other
S AMPLE ❑ Distribution ❑ �cial ®Construction
❑ Repeat for sample
❑ Recheck for sample Y
+i
❑ Other
WATER ❑ River -] Lake ❑ Well Ia f A`«
SOURCE: Well depth _Chlorine Residual �.
ANALYTICAL METHOD & RESULTS:
Present
ese riT —. Total 1 !; i
(Collie — '- "E!f3ri. Present A
M.P.N. Total Coliform /100ML
(Coolant) E. Coll. 1ObML
Membrane Finer /Fecal Colitorm: 1st Dil. /ml 2nd _Jml
Avg._ /___ml
!.'.d
Unsuitable For Analysis:
❑ Form Inconplate (see encircled item)
❑ Sample too aid, not received within 30 hours of collection
❑ Excessive chorine present in sample
❑ Unstable container
❑ Heavy, non wMrm bacleria/sit prowl, possibly obscuring and compromising test results
❑ Ouvtiy too great to permit agitation
❑ Quantity insufficisal for analysis (too ml minmum)
❑ Other
Analyzed by
WNW M wmahc y weC.mdopiW q"*y sh.M W IrM kam Cowbrm Oq�nbrn..
y
CgZ
1
4
IF
v
i9
s
$
"a
°J
iP
'n
LZ t..i
!.'.d
Unsuitable For Analysis:
❑ Form Inconplate (see encircled item)
❑ Sample too aid, not received within 30 hours of collection
❑ Excessive chorine present in sample
❑ Unstable container
❑ Heavy, non wMrm bacleria/sit prowl, possibly obscuring and compromising test results
❑ Ouvtiy too great to permit agitation
❑ Quantity insufficisal for analysis (too ml minmum)
❑ Other
Analyzed by
WNW M wmahc y weC.mdopiW q"*y sh.M W IrM kam Cowbrm Oq�nbrn..