WA9801-LR000106City of Lewisville Laboratory-Water Bacteriology
Sample #3394
Tim~
' ' (Mo/,I~.Z~3)
~ In~ual ....
IS: ~ D~o. ~ s~i.~
~ R~em for ~mp~ ~
~ R~ for ~mple ~
~ ~ ~her
WAER ~ RNer ~ Weft :-
S~:
'W~ ~ .Ch~rine
. METHOD & RESULTS:~ '
~ml ~rm Present: '
{~lied) ' E:~. Present Absent
M.P.N. TO~ ~iform ,/I~ML
(~) E. C~, -,'/I~ML
~F~~s:
~ FO~m(m ~ e~) -,
~" ~ ~~r~N~h~hou~o(~n
., udng
CITY OF LEWISVILLE LABORAT( ~Y~- WATER BACTERIOLOGY
Sample Number 3395
~::',;': '; ~: ;"'l~m of'Water Syslem '~ County
Collected By
, ": (Mo/D~ ~"fr)
" : TELEPHONE('~q° ) f~J.l'SL.~'.~ (ZipCode)
o
: ': 'm:' "'
:.: ,.%: DR__t ~r __~ t
DRNer e D Well
":: ":'~: ' "':-:' ":'" HOD & RESULTS: '
:-,'. - M,P,~ T~ ~iform '/I~ML
~.'-: .(~) E, ~, .
~m~ Fa~Fe~I ~lffo~: I st DH. / ,_~ ~nd / ml
Avg. ml
CITY OF LEWISVILLE LABORATq~Y - WATER BACTERIOLOGY
sample number 3396
me 'of Wate ~ County
ollection Collected By Oate~ '
(Mo/Day/Yr) I
Repoffing ' '
Add,e.:sTREET
CITy/,..,z~tL P~41h3 TEXAS 75 O
TELEPHONE( ~ ) y21,$1~fip co~
Waler ~em Idenlifi~tion Number
~PE
OF ic Q Individual ')
SYSTEM: r flr~ C~N~flC~,'a;
SAMPLE Q Dislribution Q Special nstruction
IS:
D Repeat lor ~mple ~
~ Roehack for sample ~ ; .;
WATER ~ R~er e ~ Well
SOURCE: Well depth Chlor ne Residual ~ -~
A~bCAL METHOD & RESULTS: ....
sent: Total Coilform Present Absen
~1
( ile~) E:Coli. Present
M.RN. Total Coilform ___/100ML
(Colile~) E. Coil. /I~ML
Membrane Filter/Fecat Colifo~: 1st Dil. / ml 2nd / ml
Avg / m
Unsui~e For Analysis:
~ Fo~ I~l~e (~ ~drc~ ~em)
~ S~pb ~ o~, not r~ ~hin 30 houm of ~ll~ion
~ Ex~e chlodne prent in ~le
~ Unsu~ ~nliner
~ HeaW, non ~lib~ ba~ed~ pre~nl, ~ib~ o~udng ~d compromi~ng !e~ re~lts
~ Qu~t~ t~ g~! to ~r~ a~ion
Q Other ' ~,~
Anlyz~ by ~ ~:'~
CITY OF LEWISVILLE LABORAT~ RY - WATER BACTERIOLOGY
sample number 3397
x_ >+v D-t IZ
' ' f Nan~ of Water Sysle County
Poinl of Collection ' Collected By D
(Mo/D~,.rYr)
Biting/ NAME
Reporting
Address:
CITY i ,//'(A,/J,,4f'/jt ~ T~ ~-~ O~, ~"
.Water Syllem klentl~ca/ion NmTtber
TYPE ~ubtic [] In(Ivldual
SYSTEM:
SAMPLE
I'] D~rtbution [] Spec~a~
IS:
I'1 Repeal for sample I
[] Recheck for sample 1
WATER [] River 'DWell ,_ ','
I.~SOURGE:
E~oF'HOD & RESULTS:
I Coilform Present
li.E Present
M.P.N. 'Total Coliform '/
(Colilert) E. CoIL
Membrane Filt~r/Fecal Coliform: 1 st Dil. / ~ml 2nd - ' / ml
Avg.. /. ml
Unsuitable For Analysis:
[] Fon'nktco~e(eeeencirdeditem) ,'
F'] Smq~ ton old. nol received wilhi~ 30 hours of cQgection
[] Quantity too gnml to permit agitation
[] Quantity tns.mciem for analysis (1
[]
We of satMactoff bectsrological quality should
~TARRANT COUNTY PUBLIC HEALTH LABORATORY
WATER BACTERIOLOGY 1600 University Or.. Ft. Worth, TX76107 'i
· Lab No. 48610 (817)871-7245
H&W Utility Contractors
NiTS STNEETABOIESSIP.Llead
cn'Y (zip
" IA
Ce~Ntlee Mo~th Day Year' lIME AM/PM Celleeted By
PE OF SY~STEM SAMPLE I$ WATER SOURCE
l~..rdjmdud I"lDairy I"lOistribetio~ ['lRaw r'lRivef
I']Bottled C,~lymruction[::]Repeat ['lWd
[] School riVetided col/Sweet/Ca ,Water We Depth
!! Additional information: [] Ok Chlorine Residual
~" ~ Meat Prebdde glintbar
Cegferm 6rpnisms 'Ce~ferm 6fpabim
/~/..~Foufd r [] NotFould DNetFound
DFound D Found
i,. [] Lr~/mr/d;/f ~W E. cddrl00 mi CoBform: MPN/100nd
[] RlipeatsafnpiesrtKluiraJ FecdCoifomull00ml E. cel- MPN/100ml
"~; '---' UISUITA4 LE FOI ANALYSIS'-i~LEASE NSIIIMIT
:C] s-.d,, t. dd, ~ ,,or rane,.d E] ~ km, fr. dmt re,
(See encircled item) possibly cantpromising test results
:,. [] Leaked in transit [] Sample received on Friday
[] 0uantity ton great to pofmit agitation [] Other
[] Excessive chlorine residual: .mg/L
H-220 GPC-2190 RKV. 6-97
CITY OF LEWISVILLE LABORATO_'RY - WATER BACTERIOLOGY
{~PMoint of Collection ~ Co~ By ~ Time ~ ' ~ ~ z
Billing/ ' ' ' "
Reporting STREET.~iI5-/kl4,././ ~/~.F~,et,-
Adclress: .
TELEpHONE, ~I/,fO ) 3ji;;.515c~ (2]p. Code)
W~t~r Sy~llem Identil~atlon Number
SAMPLE I'1 Dtelributlon [] Special [:~on~ructlon
IS: PI Repeat for sample It :
o
PI Recheck for samfde I "
[] Other ./"
WATER [] River ~//Lake [] Well ~. ';
SOURCE: Wall cbpth Chlorine Residual
REs ., , ,
M.P.N. Total Ooliform .!100ML
(Colilert) E. COIL /100ML
;" ':' ..... '!"i ' v~ ~ _.
Unsuitable For Analysis:
D Form Incompl~e (eee endrcled item)
[] Sample too old, real received w~thin 30 houPs ol,~olectlon
[] Excemchlorinepresenlinsarnp~ t
[] Unsuitable conINner -T,
[] Heavy. non ~:oilion'n bac:lerta/sill pm~nt. poui~ :abecuring and comlxornistng test remits
Dauanlilytoogmallopelvdlagitalkxi .,L- ;
F'lQuantlyb.mm6mtforanal,/~(~oordmi
E3 Other
I
~PE ~ liC g Ind~u~ ~' e
SAMPLE D D~fibution ~ S~i~ ~n~mct~n
18:.
g ~her "
WA~R g R~r ~ D We/~,.
S~RCE: Well/~ ChbrJ~e ~
oFHOD & RESULTS:
I ~ifo~ Present
M.RN. Toll ~rm /I~ML
(~llle~) E, C~I. /I~ML
Avg. / ml
, ~,-,,,,-
Unsuitable For Analysis:
[] Fo.n mcornplae
r"l Sampb too old. nolrq~ek'edwllhin3Ohoursofedlklcllon
["'l Exu~lve chlodne prmm~nt in sarnp~
I"] Heavy, non colllormbaclerta/siltpm~ent, po ._ ngandcomprornlsingtestmsults
E~ Quantity too
Mo/DayNr ~ ~ ~
"' c~ ~ ~/~ ' T~ 75p ~ ~ .'
Water ~em I~nti~tion Number ~ ~ ~ ~
SYSTEM: - j ~
SAMPLE D D~dbution D s~.l ~onstructbn ~ } ~ ~
IS: D Ream br ~mpb t ; ~
CITY OF LEWISVILLE LABORAT+Y - WAlTeR BACTERIOLOGY
[] Reeheck for sample # ~'~/
[] Other
WATER [] River ~Lake [] ~;ell'
SOURCE: Well depth ,Chlorine I~e$idual
A ICAL, METHOD& RESULTS: --'
M,P.N. Toil Coliform °'/IOOML
(Colitert) E. COIL IIOOML "-,I
Membrane Filter/Fecal Cotiforn: 1st Dil. / ml
Unsuitable For Analysis:
[] Sample fee old, nol received within 30 hours of ~ollocti~m
[] Exeessive chlorine i~esent in sample
[] Unsuitable container
[] Heavy, non coilform bacteria/silt Fesent, possibl~bsL-udng and comForristng tesl results
[] Quantity ton great to perml agitation ! /
[] Quantityinsuffidemf~*analysis(lOOmlrnin )~'
Other r-
cz v wmwL wA R
P' ~Narne°fWaterSYster~/ M i~-rCountY
TELIEPHONE~ ,. ,~Code) ,'~ '- ·
Water System Identificatidn Number
TYPE E~Publle [] Individual
SYSTEM:
SAMPLE [] Qtstributidn [] Spedal
IS:
[] Repeat for sample #
[] Recheck for sample I
[] Other ~Lake
WATER [] River E3 Well .L
SOURCE: Well depth Chlorine ResidUal
A ETHOD &RESULTS: __
Cotiform Present
IL . Present ~ -I =
M.P.N. Total Coliform /I00 .~,
' tIOOML I :D -
(Colilert) E. CoIL
MembraneFilter/FecalColiform: lstDil.
/ ml 2nd
Unsuitable For Analysis:
I'1 Form Incom~e (see endrcled item)
[] Sample too oid, Pal received within 30 hours of ~
I"] Ex~es,sive chlorine prmmnt in sample : ,
i'1 Unsuitable conlather :
[:~'on/stonstructidn ::-)c:;;i'" ~
[] HeaW noo Colifomn bacleda/siit present, pessbly'obecu~n~ and cornpromising test resulls
[] Quantity too feat to ~ agilatlon .
[] Quantity Jrmul~ for analyale (100 ml ~ ' .~: :t%~'~L.be~ :~ .: '
[] - ,
~,~,,TARRANT COUNTY PUBLIC HEALTH LABORATORY
WATER BACTERIOLOGY 186eUHv~Dr.,FLWOrd:,TX7S107
Lab lie. 48610 f817)871-7245
Do get Mark Aben 11b Uns --b Print Bdew vetel BALLPOINT PGi OR TYPEWIUI~k
lAME
STREET ADOi~ F.O. Bed
SiSliD
RE~ILTS
CITY
PH~IiF # COUITY
"'"''
~ll~en M~ O~ ~ A~
P~ OF SYS~M aPLE iS
al ~hU~
Celbetmlh
WATER SOURCE
[:3Sch~ r~Vaded
Additiomd InfmtTmtion:
MM0-MU6
PiMIa=~~' r~w
Cellfonn4~nl~ CeIM Orgaldun
[] EsWier~go~
[] Repeataofnpkmreqeked
[] Unsuitable - b below
' - URSUITABLE FOR ANALYSIS-PLEASE RESUBORT
. LABORATORY REPORT Sie ns write beard *'TE~ll
Membrane Filtratbn NF) MMO,MU6
Melt Prebafde lumber NPfl)
(:)kFomd
E.~i/lOOml Co6fetm: MPWlOOrnl
Fecal CoGfmn,~100 nd ~..ce//: MPNIIOOml
[] Unsuitabb--Snsbdow [] UnsuitdM-Seebdew
OjmtityiluefriietfofmdYib
HeW (itro.cteial Wowth) ~t,
pout~y comWmTi~,g tm
Smepkrecdved~Fridly
Othw
[] Data dimopenLy Of fofm ilcompletl []
(See e~cled item)
[] Leaked k transit []
[] Ouaetjty toe gfnst tO permit a~tatieo []
[] Excessive ch~ rejdud: nlg~L