CF-Coppell Rd SC-LR020207 TARRANT COUNT~UBLIC HEALTH LABORATORY
WATER BACTERIOLOGY Lab No. 4eOtO
' NAME OF WATE~ S~STEM ~/ ' ] ........
NAME ~
RESELLS STRE~ ADDRESS (P.O.
TO: ~ ' r I w TX
TYPE OF SYSTEM SAMPLE IS ' WATER SOURCE
~1~ ~Oelfy OO~tr~t~n ~Raw ~R~f OL~e
~l~vi~el ~Bott~ OC~structi~ :~- ~R~at OWen
~Sc~ol ~V~ ~ GIycol~Sweet~C~il Water Weft
OOther Chledne Res~
Addit~al Information:
/ LABORATORY REPORT too no write ~lo~ TECH
ogp MMO'MUO
Prasanos~Aboseos
fm Dr llflisnlo
at Found
~ [] Re, eel samples required
~ [] Unsuitable .. See below
Membrane Filtration (MF}
[] Not Found
[] Found
Total Coliform/100 mi
Fecal, Coliforl~ns! 1 OD, mi
"'1 Unsuitable -. See below
MMO.MUG '
Most Probable Number (MPN)
Coliform grllnlsm
[] Not Found
[] Found
Total
Coliform: MPNIIOOml
~'.co/i' MPNIIOOml
[] Unsuitable .- See bdeW
UNSUITABLE FOR ARALY_SIS-PLEASE RESUBMIT
[] San~le too oki. Sampk not r~e~ved
with~ 3O41~urs al cabctiml
[] Oat i ~$crl~eccy m' I~m iecemOMt l
ISec encircled ileml
[] Loaked in Iran~
[] Excessive chlo~ne rip, dud: mg/L
Date aRd
Tim of
TARRANT COUNTY PUBLIC HEALTH LABORATORY
tgO0 University Ur.. rt Worth, TX 76107
WATER BACTERIOLOGY Lab .0.48010 1817~8n.7245
Date and Time flec'd~
Sam~eNo. ~
De Not Mark Above This Line ..-Plaase Print w~ BALLPOINT PEN OR TYREWRITER:
POINT O~ COLLE~O
RESULTS S~E~ A~RESS ~.0. Bed
PHONE ~ COUN~
Ll_dl',ldlola I Id:lqq kid
Collection Month Oaf Yea~ TIME AMIPM Collected By
TYPE OF SYSTEM SAMPLE IS WATER SOURCE
O~blic I--IOairy r'loistributio. I-'lnaw C~River ~
r~individual [--)9ottled [~'~structinn r-]Repeat I--IWdl
i'-'lSchoet r-lvended J--I Giycol/$ weet/C hill Water Well Depth
[] Other Chlorine Residual*'~'~"'- ~
Additional Information: "~ ~
LABORATORY REPORT (Do .-o write kilned
Coliform O f illflim
[] Nol Fm~
[] Found
Total Coliform/lOg nd
£.ea/i/lO0 nd -
Fecal Coliformsll O0 nd
[] Unsuitable -. See below
TECH
MMO-MUG ~
Most Probable Number (MPN]
MMO-MUS Membrane Filtration (MF)
rnsencelAbsenco
Orfflni~ms
Not
~oNform group
[] Repeat samPles required
[] Unsuitable -- Sos below
UNSUITABLE FOR ANALYSIS.PLEASE RESUBMIT
I'-'] Sam~ too oki.
with~ 3~hems ef cegectiofl
[]Data ~screpmtcy or focm incomplete
(See eflckckd iteml
[]Leakedin trinet
[]Oumltity too grout to Pefi~t agitation
[]E scar sirs chindmt residud:
CeUfmm Orllnltms
[] Not Fou.d
Total
Coliform:
E. co~:'
[] Unsuitable -- Sos bebw
MPNIIOOml
MPN/IOOml