Sherrill L2B-LR030507CITY OF LEWISVILLE LABORATORY - WATER B ACTERIOLOGY
G . // De //A S
of wat system Count'
_
,r N a me o
/ 703 a /• SA s 7 y_o& M r
r' �
� -
Point of Collection Collected By Date Ti 6
6
(Maoaynr)
I "5 h -3 2 - ALL ) 114
BMMnp/ NAME I
Reporting
Address: STREET 7 s K `+
n
CITY n 11.. < TEXAS 7 T 2 - �t
Code
TELEPHONE VII `(bfi - A6G6 (m ) '
'
C7
Water System Identification Numbs
g „
„
i
TYPE g
OF
❑ Other ;
nor i
� F
F e
e
SAMPLE ❑ UWrlbution ❑ Special Constructbn
ANALYTICAL METHOD & RESULTS:
esenVAbesnt: Total Cdiform Present bsent a -+
Present Absent
�
o i. /100ML _
M.P.N. Tote) Cdifonn 1100ML
(Co ilert) E. Coll.
NNsmbrane FWer/Fecal Coebne: 1st
Avg. _ /— _ml .....
UnauftaWe For Analysis: Zb
❑ Form incortpate (ace encircled item)
❑ Sample too old, not received WkW 30 hours of cdlectbn
❑ Excessive chlorine preeaM in .ample
❑ Unsuheble container
❑ Heavy, non oo«lorm boderia/silt present. possibly obscuring end compromising test results
❑ Q too great t perm analysis (ton
❑ Ouenl«y irreulltcierN for ansysie (100 nY minmum)
❑
Cher
Analyzed by
wmw d ubhe" Eee:erdaeiral puary Should be free horn CeNlorrrm Organam.
UnauftaWe For Analysis: Zb
❑ Form incortpate (ace encircled item)
❑ Sample too old, not received WkW 30 hours of cdlectbn
❑ Excessive chlorine preeaM in .ample
❑ Unsuheble container
❑ Heavy, non oo«lorm boderia/silt present. possibly obscuring end compromising test results
❑ Q too great t perm analysis (ton
❑ Ouenl«y irreulltcierN for ansysie (100 nY minmum)
❑
Cher
Analyzed by
wmw d ubhe" Eee:erdaeiral puary Should be free horn CeNlorrrm Organam.