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Dry Clean & Donut-LR020204cITY OF LEW1SVILLE LABORATO~¥ ' WATER BACTERIOLOGY Reporting STREET ~'~"~ ['~JHIr'FC~i:" -'- '- Il ?. ~l II -YSTEM~' [] other~ a SYSI tM: -- ~ SAMPLE [] Distribution [] Special /~'COnstructi°n ~= IS: [] Repeat for sample # _ ' [] Recheck for sample # [] Other. ~ WATE~R I-I River [~Lake [] Well SOURCE: Well Chlorine Residual METHOD & ILTS: Total Coliform Present _ , AbSent M.P.N, -- Unsuitable For Analysis. C] Form Incol~lx~le (~ee encircled #em) [] Sample too okL n~ received within 30 hours el (~ Excessiw chio~e pmsem in san~le [] Unsuitable conlainm' . . --~.*. -~,.u,-n and compromising tes~ results [] Heavy, non oo~lon~ b~,clef~/~l~ present, po~/ ..... · i--~ Quantity too gmal to pmmlt agitation . : ~.~ [] aua~y in~umde~ fo~ ana~J~ (t oo r~,mmmum) , [] other ^naiyz~L,.by _