Magnolia Village-LR010828$~N-03-1900 21:59 P.0~
LABORATORY- WATER BACTI~, OLOGY
/ lllime of Wmm' Sy~em ¢oumy
'tValm SyMem J~nlWcallon Number
TYPE r-I Individual
OF
*SYSTEM: [-I O~h~r
SAMPLE O Dis{n'blJfion [] Specie{
IS;
[] Recheck/or sample it
F'~ Olher
WATER
SOURCE:
Well d~plh Chlorine Residual
.I