Jack In The Box-LR010112WATER B~CTERIOLOGY DENTON MUN)CIPAL LABORATORY
Water Syst~ LD. No. NonCe ~f Wa~er Syst~
LAe #48130
{Put'it Systems Onty]
Chlorine Re. ual m~,l
LA. TORY REPORT {0o not write
Water of~b?tmiological quaffiy mus l be free from C~nr~ mgan,srr~.
MPN __ MF."FC __ HPC
per I mi
per JO0 nd
WATER BACTERIOLOGY DENTON MUNICIPAL LABORATORY
1 I03 ~da¥ hill fl~e.d, Denton. TX 76208
LAB ~4a 13~
Results
To:
t (PuU~c Syslems Onty)
UF~suitable - See 8ek~w
Unsuitable for analysis - Please n
Sample too old.
HPC
perlOO ml
and
11~ M~ Road' DeNon,
Send
Results
To:
Oate and
Mon[h
WATER BACTERK
Date &T~me Rec'd
DENTON MUNICIP~,L ~I~BQI~ATORY LAB *ij48130
1100 Mayhill F~ad, Den n, TX 76208
Send
Results
To:
Do Ill~t~ -fl~ark aJ{i~Lt ~ ~ioe,-- ple~e pdnt with balipblnt pen or ~p~ter.
Street A~re~ or P. O. Box /
City "~' Zip Code
Date and ~ . -
Month Day Year 33me AM PM
TYPE OF SYSTEM SAMPLE IS
(Public Systems Only)
Public Bottled Distribution
Individual School ~, Construction
Special
WATER SOURCE
Raw River -- Lake
Repeat Well
Well Depth
Chlorine Residual -- mg/I
LA~,RATORY REPOWF [Do not writebelow} -
Water of satisfac~ b~ctertolo~l quality must be free from Colifomt organisms.
. Repeat Samples required
Unsuitable- See Bo~ow Repeat Samples suggested
Colilert MF/TC ~IPN ~MF/FC , .~,, HPC .-% per 100 r~l
Unsuitable for analysis -Plesse res~J~mit
Sample too old. Sample not ~ceived ~h~ to ~t~e wi~in 30 ~0.~ of~lleclion.
Date dis c r epa n cy/O~-~le~'~s e e.~l~n ci rc~ct ~/~ )~ % '~-~///~
~ LAB t481~0
WATER BACTERIa. ~-JY DENTON MUNI(~I3~-
- 1100 Mayhi~l Rd~d, Dent~n, T~ 76208 --
Date &.~me Rec'd '
Do n~t.tylark above this line-- Please print with bailpmnt pen or typ~ewfltar. ·
Wat~J~tam LB, No: ' Na~Wat~JY~m '
Point of Collection County
Stmet'Address or P~O. Box
City I / Zip Code
Chlorine Residual __ ~
LABORATORY REPORT (Do not write below)
Water of sa~actariological quality must be free from Coliform organisms.
Coliform Organisms "'Not Found
Found
Unsuitable - See Below
Total Coliform group
Eschedchia coli
Repeat Samples required
Repeat Samples suggested
Meth~ per 1 mi
per 100 mi
Colilert MF/TC/~ MPN MF/FC HPC
Unsuitable for analysis- Please res~j~mit .-.
Sam le too old Sample not eived ~ to analyze within 30 t-.~urs of..~:~llectiop~'i /