SC-Coppell HS-LR000313CITY OF LEWISVILLE LABORATORY-
WATER ~ACTERIOEDGY CITY OF LEWISV1LLE LABORATORY - WATER BACTERIOLOGY
- . Name ~f Vj/ater System County
3' ° '
Point ol Collgction Collected By Date Ti~ ~
Reporting STREEI .~ ~o~ e '
Address:
C~TY ~T~ I~1~ TEXAS '7~ ~ ~
TEL~PHONE~ ~r~ ) q~f-Z~4 (~pC~)
Water System Idenlification Number
[] Individual
TYPE [~ubllo
OF
SYSTEM: [] Other
SAMPLE [] Distribution [] Special [~nstruction
[] Repeat lot sample #
[] Recheck for sample #
[] O her.
WATER
~ [~Lake [] Well
U River
~ deplh Chlorine Residual
'~cETHOD & RESULTS:
tal Coliform Present
oil Presenl
iai Coliform /1
~ E. COIL
Membrane Filter/Fecal Coliform: 1st Dil. / mi :
~fl
~'nple t
00 mi minmum)
Other
Analyzed
~ Name of Water System ---------~nl~'--'
~ ~ By Date
~o~ ~ ~ (Uo/Day~r)
TELEP~ONE~/~ )q~ ~' (~C~)
Water ~slem mdentifi~ Number ~
~vc~... ~ Other~
SOURCE: ~
-- :- W*ll ~plh __Chlorine Residual
~~ETHOD & RESULTS:
~ ~E:Ooli Present
MPN ' ' / 0ML
Membrane Filter/FecaIColi ~: 1st Dil. / mi 2nd
results
~ Qu~t~ insu~nt for ~a~s (1 ~ mi minmum)
~ Olher~
Analyzed by