Coppell Pro-LR 970312 TE~,-.No .2142356377
TAhnANT COUNTY PUOLIC HEALTH LABORATORY
' WATER BACTERIOLOGY ,
Do Not Mark Above This Line ~..,Ptfl~e Print Below wltk BALLPUMT PEN OR TYPEWRITER:
C,.,.--II "
I ' NAME OF WATF. h I¥OTTM , i
:~° ~ '~ I i I I I I 1]
POINT OF COLLECTION WotRr System 1.0. lie.
~_.: IN,,~ (-~.~s~',",'c~'.~,.,;
NAME
IESULTS Olltll lOllllS
t.. C11~
PHONE # COUIITY
, ,
TYPE OF SYSTEM SAMPLE tS WAIER SOURCE
~'ublic [~Dairy ~Distribul~n (--)Row F"lRiver [--ILaka
I-]Individual r-]Ootded ~'Co~st~(im I-'lRe~eat i--lWell
J"'-lSchool [~Veaded f--) G lycollOWeetIChill WRier Well Depth
I--~Othef , Chk)fifl~ Residual
Additional Infomation:
LAIOflATORY NEPQRT aa aa write b~lov~ TECH
MMOMUG' Memhrlf Filtrltien (MF) MMDMUO
Pee,uncelAhsoRee,,. MOOt Probable Number (MPN)
Nol
F(xJr, d
~ [~ Not Po~ [--I Not Found
0 Feu.d n Foe.d E3 Fo,md
E] Total Colitan'n groop Fatal COhfor~llO0 mi Total
[] ~¥¢A~'A'//~ ¢~/ ,~'o#/I00 mi Coliform: MPNIIOOmi
[~ Repeal samples ;equired Fecal ~o[fefm$1100 mi £.tOA:' -"' MPNIIOOm?
[] Unsuifdde .- See below ,~. UMuitlbb.. Sec below
UNOUIY
E~] $un~etoodd 8em~isnotrt
Poet-It' Fax Note 7671
Ma~.,...17,97 14:09 No.007 P.01