Creekview II L3-CS010321CITY OF LEWlSV1LLE LABORATORY - WATER BACTERIOLOGY
~ Nafn~ of Water System County
TELEPHONE[~) ~ ~(~)
Billing/
Reporting
Address:
Water System Identification Number
TYPE [~u blic [] Individual
OF
SYSTEM: her
SAMPLE I-'1 Distribution [] Special
IS:
[] Repeal for sample #
[] Recheck for sample #
[] Other.
WATER [] Rive, [~Lal~e [] Well
SOURCE:
Well depth
Chlorine Residual
ESULTS:
Present
(Colilert) E:ColL Presen~
M.P,N. Total Coliform
(Colilert) E. Ocli.
Membrane Filter/Fecal Coliform: 1st Dil. /
/100ML
/100ML
Avg / mi
Unsuitable For Analysis: T:'.
[] Form Incon'tptele (see ancircled item)
[] Sample t~x) old, not received within 30 hours of c~lecfion
[] ExCeSSwe chlodne p~esent in sample
[] Unsuitable container
[] Heavy. non coliform bacteria/silt present, possibly obscuring and com~.omising tea resuits
[] Ouanll'/ineuffi~t fo* ~'~al~s {t O0 mi minmun~l
[] Other
Analyzed by