Mansions Phase 1-LR 980217TARRANT COUNTY PUBLIC HEALTH LABORATORY
1600 U niversJ~r Or;~T~ Worth, TX 76107
WATER BACTERIQL. OGY .
· ' ~ ' C ~ tabNo, ReOlO ,' {a17)S'7~246
Rate and T~'d. ~ Rate
O~ ~t ~ar~A~his Line Jlll. ~int 6~ ~1~ PEN OR ~TER:
NAME OF WATER SYSTEM
POIIk~' OF COLLECTION/SAMPLE DESCRIPTI0N .
NAME '
RESULTS ~h~t ~ ADDRESS ~.0. Bo~ ;
CI~' '
PHONE I COU~
Coll~an M~ O~ Yew TIME
~PE OF SYS~M S~PLE IS
~ ~O~ ~Di~d~t~ ~Raw
~l~al ~Bo~ ~tmct~n ~R~t.
~1 DV~ ~G~CoUSw~IChUI W~
LABORATORY REPORT (Do ,o
MMO-MUG Membrane Filtration (M~
~lffo~ Organim
~ N~ Fou~
~ F~
Tet~ C~o~ ~ Total Cofifo~tl~
~k~Ui~ABLE FOR ANAlYSIS--PLEASE RESUBMI
~ 30 ~ms of
~ Date ~sc~ncy of f~ ~lete
Wam~ System I.O. No.
(Zip Code)
AM/PM r411ectml Ny
WATER SOURCE
[--[Rivm r"lLake
I--/Wdl
Weg Depth
Chlorine R.idual
TECN
MMO-MUO
Most Probable Nund~or {MPN)
Coliform Organisms
[] Not Found
[]Found
Total
Coliform: MPNIIOOml
', £ ca/~. , MPNIIOOml
[] .. s. Mw
[] Quantity iflsulficiett lot analysis
(100 mi. required)
[] Heavy (silttb~ctefid growth) presmlt,
~oss~ly comwoll~9 test ;estJItS
[] Sample received oD Friday
I'-J
TARRANT COUNTY PUBLIC HEALTH LABORATORY
~ wATr-D DA~-,,.rCDiA~k/n~,~V 1800 University Or, Ft. Worth. TX76107
~.- wwn.~.l U~Vl~l~Ql ) ~ ~ LIbNQ. 48010 ' (81~871.7245
Do Not Mark Abo~ ~i. Line---Please Print B~
NAME OF WATER SYSTEM
POINT~ COLLECTIONiSAMPLE DESCRIPTIOD
DAME
RESULTS ~iK~kl AD'ESS P.O.
TO: doppe I
CI~
PHONEI
Coll~o~ M~ Day
~PE OF SYS~M
Additieosl info~[~h:
MMO-MUG
PrmncelAbosnce
Coliform Organisms
f'-I Total Coliform group
[] ~'s~rk/~ ca//
[] Re~eat samples requked
Water System 1.0. No.
(z~ Cod,) ~,
~//~ T
COU~
TIME AM/PM Coiled By
SAMPLE IS WATER SOURCE
~Oistri~ion ~Raw ~R~
~onst~tion ~R~t ~Wdl
~G~collSw~tlChifl Wat~ Weft D~h
~0t~ ' Chlor~e R~I
~90~T0~ REPORT (Do no ~te belin)
Membrane Filtration (Fdic)
Coliform Organisms ; ~
[] Not Fmmd
[] Fomd
Total Cofifom~/1 O0 nd
£co/~/100 nd
· Fecal. Col~fon~?ll O0.nd
-1 Unsu tabb -- See I~w
TECH
MMO-MUG ~
Most Probable Number gldlPN)
Coliform Organism~
[] Not Found
[] Found
Total
Coliform: MPNIIOOnd
; E. cel/:' __MPNIIO~nl
[] Unsuitalde -- S~ be4ew
UNSUITABLE FOR ADALYSIS-PLEASE RESUBMIT
[] Sample too old. Sample not received
withi~ 30 hours of cedectio~
[] Date discrepancy or from ~omplote
{S~ mackclecl iteml
[] Leaked k tr~t
[] Coantity too greot to p~ agitation
[] Ouantity hlsufficldnt lm analysis
IlO0 mi. required)
[] Hesvy (silt/bacterial growth) i~esmlt,
possl~y compmmishlg test results
[] Sampie received on Friday
[] Olhe~
TARRANT COUNTY PUBLIC HEALTH LABORATORY ' .~ ~.''
'~ '"'~"'~' , 1800Ufll}mrsityOr. Ft. Worth. TX76107 ·
WATER BACTE, RIOL, OG¥ , , t.hNo, qO~O ; (817}e71,7245
Do Not Mlrk Above This Line --Please Print Balm with BALLPOINT PEN OR I~PEWRITER:
NAME OF WATER SYSTEM
POINT OF COLLECTIONISAMPLE DESCRIPTION Wate~ System I.D. No.
NESULTS STREET ADDRESS (p.o. Box) ' ,
TO: ~no~, / :TX
PHONE · COUNTY
UITI and ,. · . ~ '
...... LI I:I- r I,'L_/LI
· T,ME C.,,...a
By
,- TYPE OF SYSTEM ' SAMPLE IS WATER SOURCE
[~ublic r-lDabTi r-loistributlen I--iRaw I'--JRiver r-lLake
I'-~ Indh~leal r'-I Bottled ~.Cunstmction DRepeat r-lwell
r-lScheal r-Jveaded E] GlycellSwuntlChill Warm Wdl Depth
[] Other Chlorine Resideal
Addhional Infommtion: "i
LABOBATORY REPORT ldo no writs below) TECH
MMO-MUG
PrunenceJAbsenea
Cndfmm Orgeabm~
~,~Not Fmmd
r-] Total Coliform grmq)
[] Repeat samples re~irep
[] ur.~eple .- s. bekw
Membrane Filtration (MF)
MMO.MUG
Munt Probable Number (MPN}
Coliform Organisms
[] Not Found
r-I Found
Total ~
Coliform: MPNllOOnd
E. co/h MPN/IOOnd
Coliform Organisms
[] Not Found
[] Fea~
Total Colifoml/100 nd
E. co/~ l OO nd
Fecal C~formsllO0 nd
UNSUITABLE FOR ANALYSIS-PLEASE RESUBMIT
[] Sample tnb eld. Sample not received
withb 30 hours of coflnotion
[] Date dinorepmlcy or from innomplete
(See ,nckclmi hem)
[] Leaked in transit
[] Quantity too great to permit ~itatim
[] Exnoss~ve chlo~ residual: I~L
TARRANT COUNTY PI~LIC HEALTH LABORATORY
wATER BACTERIOLOGY L.~ .•.4toro 18171871-7245
NAME OF WATJ:R SYSTEM
/~¢,,,'/~/ ,~ ~
POINT OF COLLECTTONISAMFLE OESGRiP I iON Water Systmm I.O. No.
R~LTS ~TRE~ AD~RE~S ~.0. Box) '
~ ~ · ~ ~ C~)
PflOgE ~ ~ COU~
C~on M~h D~ Y~ [ TIME
',
~PE OF SYSTEM SAMPLE IS
~ Distn~ ~Raw ~ ~R~ ~bke
~l ~V~ ~G~coll~hm~Chifl WMm Weft D~th
: ~Ot~ ~; Ch~r~
~BORATORY REPORT (Do ee vim bM~ TECH
Collected By
WATER SOURCE
MMO.MUG Membrane Filtration (MF) MM&MUG
Most Probable Number [MPN)
proseoseiAbsence
Colifeaen Organisms Coliform Organisms Coliform Organisms
~..Not Found -~ [] Not Found Not Found
'1:] Found -- [] Found '0 Found
[] Total Coliform group ~al Total
[] Esc6~J~coli E. oo/~lO0 nd Coliform: MPNIIOOml
[] Re, eat samples required Fecal ColiformsllO0 nd E. co/~' MPN/lOOrtd
[] p.e,,it~hk~ .. See below [] Unsuitable .. See bebw -- See bebw
UNSUITABLE FOR ANALYSIS-PLEASE RESUBMIT
[] Sample too old. Sample ~t received
w~thin 30 hems of cogemion
[] Date d~screpancy or form incomplete
(See encircled item)
[] Leaked in transit
~--10uentity too great to permit agitation
[] Exceeaive cid•fine r eaidual: mg~L
[] Ouentity insufficient 1or analysis
(100 mi. requi~ed)
[] Heavy (~t~enctmisi g~owth) present,
possibly cor~omising test results
[] Sample received on Friday
[] Oth~
8-220 GPC-2lgO