Sherrill L2A-LR030507CITY OF LE*.NSVILLE LABORATORY - WATER BACTERIOLOGY
UnsuftWe For Analysis: '
❑ Form Incomplete (we ended Nam)
E) Sample too old, not received sAhm 30 hours of collection
❑ Excessive chloride Pra°M In sanple
❑ Unsull le cOnts obscudng and compromising test results
❑ Heavy, non ooNbrm badwWsiN prase possibly
❑ Quantity two greet to or analysis (I n � J
C] Quantity � for ruraNeis (1 00 rN minmum)
❑ Other Andyzed by
Ws°r d"How"l e.woloela qua*' sh.1d MIrsa hors CeiMm Orasnsrre.
_ Dt / /.es
CaoPC�� county
ern of Water System �
°
�
�i moo— Collected BY Date Time
PoIM of CoNection
(Mo/DayNf)
A .3 ✓L f /A- G
BNNripr NAME
Reporting STREET 7 OW q Se )L 11 L (
Addreaa: TEXAS L 7 f z zl
'
CITY I )1� < — (zip ('.cols)
c 3
N!c- 4L
TELEPHONEI�7. Z) s - �=�—
Water System IdanllNcation Number --
6
TYPE ❑ Individual
[,��ublic
}
° d
_..
,
OF El Other
SYSTEM:
t
SAMPLE ❑ DWributlon ❑ Special CI.Censtruction
V
IS: ❑ Repeat for sample N
❑ Rechedt for sample Z
j
❑ Other
-
WATER ❑ River iCake ❑ Well
SOURCE: Well depth Chlorine Residual
ANALYTICAL METHOD 8 RESULTS:
v.Y O
'-
r senUAb T tot CiO Present bsent
Present
-
(Coble E:Coli. /10DML
M.P.N. Total Coliform 11001VIL
t
(Colilert) E. Coll.
/
CZ
Membrane FlherlFeCe1 ColNorm: 1st DII.__ / -- ml 2nd__ —mll
-
.... $.
Avg._ - --
UnsuftWe For Analysis: '
❑ Form Incomplete (we ended Nam)
E) Sample too old, not received sAhm 30 hours of collection
❑ Excessive chloride Pra°M In sanple
❑ Unsull le cOnts obscudng and compromising test results
❑ Heavy, non ooNbrm badwWsiN prase possibly
❑ Quantity two greet to or analysis (I n � J
C] Quantity � for ruraNeis (1 00 rN minmum)
❑ Other Andyzed by
Ws°r d"How"l e.woloela qua*' sh.1d MIrsa hors CeiMm Orasnsrre.