Securelock-LR040511Water Bacteriology "~ ~, ~ tp ~ ~.~ City of Lewisville. I gyl~ab°rat°ry ~',~
Water Bacter~o o
City of Lewisville Laboratory -~ ~?
. C~,a~ I! /~ t~ ~
Name ef~wal'er S~tera ' County
Water System Iden~fi~tion Numar: ' ~ Water System Iden~fi~fion Numar'
Pomn~f C~llection Collec~d By / Date Time AM~ Point of Co,~ C~lect~d By Oa~ ~me
Billing .AME-~)3 ~'~)~//~ /:~ ¢~ Billi~ N~E ~ ~ {
~ddress ~ ...... T,~' Address o ~ ~/~ ?'~
SYSTEM: ~er ~ , ~ SYSTE~: D~her
SAMPLE ~ Distribution ~ Special ~ .Cons~on ~ ~.~ SAMPLE ~ Dis~b~i~ ~ S~cial ~ C~s~on
IS: IS: ~¢~,~.
WATER ~ River ~ Well WATER ~ River ~a~ ~ Well
SOURCE: ' { [ SOURCE:
~Presen~*nb~, CO, fo~ Present ~¢~ ' ~:.~sent:
~1 Colifo~ Pre~nt
UNSUI~BLE FOR ANALYSIS: (This unsuitable sample must be replamd within 24 hou~ UNSUI~BLE FOR ANA~SIS: ( ~¢s unsu~able sample must be mplaced w~hin 24 hour)
Analyzed by Anal~ed by