Brighton Manor-LR040624Ci.]yOf'Lewisville Laboratory
Water Bacteriology
WATER [] R i,.,er [] Lake [] Well
SOURCE: ~
Well deplh Chlo~irm Residual
'~E~c~/,e~Ab)sent ;~;LCofi~m ? Present
{This unsuitable
[] Form incomplete (see a[tached f~em) ~ --;
[] Sample too old, n(X received wilhin 30 hours of coflecfion
[] Excessi~ chlo~ne present in sample
[] Unsuitable container
[] Hea~, no n - colif ~m t~t erie/silt present, p3ssibly obscuring and ~ising test
[] Qu antJ~y too~rea~o p~il agitattan '~ /~
[] Cu antity in~der~r~l~ysis (100 mi minimum t~ j
xl Analyzed by ~-- :
Water d satsfactory qua~t~ should be frae d C~iferm Organisms
WATER r~Ri~
SOURCE:
Wal deom
0 Recheck for sam~ ~
UNSUITABLE FOR ANALYSIS: (ThL~ unsuitable sample must be replaced ~tNn 24 hours.)
[] Form incomplete {see attached kern)
[] Sample too old, no* recei',~ed wi~in 30 houm
[] Excessive chlbene ~resent in sample
[] Ot~er
Analyzed by