Freeport NIP(7.9)-LR020806crl~ OF
- WATER BACTERIOLOGY
(Mo/Oay/Yr}
R®po~ing
^ddms~:
CITY
TELEPHONE(
Wate~ System I~nlifi~ion Numar
TYPE /~ Public [~ Individual
OF
SYSTEM: [] Other
SAMPLE
[] Dis~Hbution {~ Special ~'Conslruction
IS:
[] Repeat for sample it
[] Rechec~ for sample #
[] Other.
WATER [] Riv®; [~Lak, [] Well
SOURCE:
Well depth Chlorine Residual~
Unsuitable For Analysis: _
[] Fon'n IncomplMe (see oncirclod item)
I--] Sample ton old, not received within 30 hours of c~leclion
[] Exce~ive cha3dne ~eeanl in saml~
[] Heavy, non colifo fm bacleda/siit ixesent, poss~ly obscuring and compromising test results
[] Quamity Ion gmat 1o pm'mil agitation
[][] o..re"="~i'~"~n~f~a"a~/~¢°°m~r~'~"m). . . ~ {/~ ,
.
CITY OF LEWISVILLE LABORATOI~Y - WATER BACTERIOLOGY
/"--~/~ me of Waler Syslom ~ ,~. County
Po[hi ~f Come.ion Col~cted By Dale - Ti~
(Mo/Day~r)
Reposing
Addro~: STREET
CITY ~ e//~(~ TEXAS
Waler Syslem Idenlification Number
TYPE ,,~ Public [~ Ind~wdual
OF
SYSTEM: [] Other
SAMPLE
[] Dislribution [] Special ~Conslruction
Is:
[]Repeat for s~mple #
[] Recheck lor sample #
[] Other
WATER [] River [~Lake [] Well ~t~,
SOURCE:
Well depth Chlorine Re$iduat
ANALYTICAL METHOD & RESULTS:
(Colilert) E:Coli.
M.PN Total Co, liform
(ColiJed) E Coil.
Presenl ~bsen~
Presem Absenl
JUL 2 9
Unsuitable For Analysis: -_~--------- _ :":
[] Quanl~ insuffioent for anatys~s (100 ~ minmum) rh --
, c~w~-X~s~ ~ ~sop~ ~ WA~ SAC~OLO0~
Unsuitable F6f Armlysls: ·
r-] Folmlnc~e(aeeenckck~lilem) /
i-'1 oum~y Ir,~W,d"m ~ ~ 0 oo m~ m~rmm~) ' /