Brighton Manor-LR040625City of Lewisville Laboratory
Water Bacteriology
ol Water System ~ Courtly
Water System Idenbfication Number:
~ /
TELEPHONE
TYPE gF ~
SYSTE¥: I--IO~her
SAMPLE I'-I Disldbutio~ [] Seecist
IS:
I"-I Other
WATER [] River [] La~e [] ~lm
SOURCE:
Well deplh_
UNSUITABLE FOR ANALYSIS: (This unsuitable sample must be replaced within 24 hoursj
[] Fona Incon~otete (see attached ~tem)
[] Other,(~/