Dynasty Cleaners-LR020715W~TERi~;TERIOLOGY DENTON MUNICIPAL LABORATORY LAB #48130
t t 00 Mayhill Road, Denton, TX 76208
Z~p ~
Month ~ Year Time AM PM Collected By
OF SYSTEM SAMPLE IS WATER SOURCE
(Public Systems Onry)
~Puolic Bothed ~..~D~tflb~on Raw River ~Lake
Individual School Constructio~ Repeat Well
Special Well Depffi
Ovme~sh~o or other information: Chlorine Resid~Jal mg/I
I~ABORATORY REPORT (Do no~ write below)
Found
/ Unsuitable- See Bek~v
M F/I'C MPN MFJFC __
Tota~ C~liform group
Escher~chia co~i
Redeat Samples required
Repeat Samples suggested
,pe~ lml
HPC per 100
Urlsutiab~ for aneJysis - Please re.mit
~lmpie too old. Sample n~ceive~n
Date discrepancy or.form ~ofnpl.e~e (eae/enol~ed tie~)
_-- .>..,.
W'ATER~TERIOLOGY DENTON MUNJCIPAL LABORATORY
t 100 Mayhill Road, Denton, TX 76208
Date & Time Rec'd Date
SampleNo. iS.J~U !1:37 22i859
LAB #48130
Do not mark above this fine-- Please print with baflpoint pen or typewriter..
· Water System LD. No. Name of Water System
Point of Coflecrion
Send
Results
county
Street A~_~.ms$ or P O. Box
/-/( <
Oity
Zip Cbde
Date and
Month D. ay Year Time AM
TYPE OF SYSTEM SAMPLE IS
(Public Systefns Only)
Individual __ School __ Constru~on
__ Special
Well Depth
~BORATORY REPORT (Do not write below)
/
Water~ilEtory bec ~- , .
__Found ~k ~ L.-
-- Unsuitable - _ ..... nepem =~arnHee ~ggested
,pert mi
MF/'FC MPN MF~FC HPC per 100 mi
Unsuitable lor analysis - Please re.~bmit
· -
Month ~ Year Time AM PM
TYPE Of: SYSTEId
SAMPLE
- t'"'"'-'~#c aomed (Put~ 8ymm= Oray) WAT-~
~ ~ - _...~DtsI~au~ Rmv __ River --. ~" Lake
_FOu~
_ :=.
4