Rozas Addn-LR050622Water Bacteriology
Water System Identificatio~ Numar:
SYSTEM: [] Other
SAMPLE [] Distnbuti~ [] Special ~ ~ Co~tmc~on
IS:
[] Repeat for sample #.
~ ~er /
WATER ~ ~v~ ~ Lake ~ Wel~
SOURCE: ' ~
Ai~YTI~^L METH~3D ,~ RERULTS: ~
(~resent/Ab~ent; Ttaol C~iform,,) Present
{C~itar[) E:C~i. Present
M.P.N. Total Coliform __ II~OML
UNSUITABLE FOR ANALYSIS: (This unsuitable sample must be replaced within 24 hours.)
[] Form Incomplete (see attached item)
[] Sample ,co old, not rec~eived wdhin 30 hours of collection
[] Excessive chtchne present in sample
[] Unsuitable container
[] Heaw, non-coliform bataeda/sil{ i~esent, posably obscuring and con~r~mising test results
[] OuantJty t~o great to permit agi~lon
[] Ouanti~y insuffiolent for ana~wis (100 mi minimum)
Analyzed by
Wate~ ol satisfacto~/quality should be free of Col~rm Or~amsms