Freeport NIP(7.0)-LR030522OF LEWISVILLE LABoRATc]
WATER BACTERI~OLOGY
Point of Collection Collected By Date
M~Day~r)
TYPE "~ub#c
OF
SYSTEM: [] Other
[] Individual
SAMPLE [] Diaribution [] Special
IS: [~Repeat
[] Recheck for sample it
WATER
[] River ~Lake
SOURCE:
Well depth .
ANALYTICAL METHOD
(Cotilert)
M.PN.
(Colilert) E, COIL
Membrane Filter/Fecal Cohfo~ 1st Dil
Avg
Unsuitable For Analysis:
CITY OF L~WISVILLE LABORATORY - WATER BACTERIOLOGY
' Nam~o! W&tbr Syslem Coudl~/
Point of Collection Collecled By
Billing/ NAME
' DM'~ -- Time
(Mo/Day/Y0 "~
Address:
'CITY ~C'~/! 2(%`` TEXAS
~ater ~stem I~nti~tlon Number -
TYPE ~ Public [] Individual
OF
SYSTEM: [] Other /~ ! P_ ~ i,f
SAMPLE [] Distribution [] Special
IS: [] Repeat for sample it
[] Recheck for sample #
[] O~her
WATER [] River [] Lake [] Well
SOURCE:
Wail depth Chlorine Residual
ANALYTICAL METHOD & RESULTS:
~ Tota~fm Present ~
'.~)]~ ~ E:Coli.-----~ Present /100ML Absent
MP.N. ~ Total Coliform /IOOML
(Colile~l) E. Coll. ..,
Membrane Filter/Fecal Collie i'm;
Unsuitable For Analysis:
[] Fomn IncomMa (see encircled item)
[] Sample t(x) old, nol received within 30 hours o! collection
[] ExssS~Ve chlo~ne i~'Mem in sample
[] Unsuitable cenminM
[] Heavy, non coJJform bacleha/siit present, possibly obscuring and compromising llsl results
[] Quantity too great to permit agitation
[] Quantity inauff~ient for analysis (100 mi rninmum)
AruaJyzed by . ( ' ~.~
Warm o~ setifaclo~ t~C.~r ological ~uale/should be flee ?~m Colilor m Org&narm
(
C/aire Ca//aham
Lab showing ti~
tore Project.
e the sample. I hope
MESSAGE CONFIRMATION
05/30/200J 13:J4
IDzCITY OF COPPELL ENGR. DEPT.
DATE TIME S,R-TIME DISTANT STATION ID MODE PAGES RESULT
05/~0 1~:33 00~46- 9?28382299 CALLING 02 OK 0000