Four Seasons 2R-LR050405!,~. City ;f Lewisville £aboratory ' i
Water Bacteriology
~ ColieCed By Da~e Time
SYSTEM: L~JDther /~-/~'~'~'
SAMPLE [] Disldbu~ion [] Special E~ Cons[ruqtion
[] Repeat for sample #.
[] Recheck for sample # ',
WATER ~ River ~La~e
SOURCE:
Well depth Chlonne Resi~ua~
;. A LTS:
Present
! C? ~..~o~C. ol,fo, rm~ Present
MPN Total Cpeformi; /1(
UNSU TABLE FOR ANALY~ S (This unsugabie sample must b~ replaced wtthin 24 houn
[] Form Incomplete (see attached item)
[] Sample too old not ~eceived within 30 hours ol collection
[] Unsuitable container '
[] Quantity too great to permit agitati~
Analyzed by
Water of satisfac[¢ry quality should t~ free of colgolm (~rganlsms