Stoneleigh P1-LR001025-cTi~O~ LL~S~m ~ ~ L~BO~tO~V - WA~ SAc~OLO~V
Name of Water S~stem County
Point of ~i~ Col~l~ By ~te Ti~
(M~Day~r)
Water System klenllflcatlon Number
OF
sYSTEM:
~ANALYTICAL METHOD & RESULTS:
.. r~t/Absent: Total CoJiform~.,~ Present
Present
(Cotilert) E:got~.
M.P.N. Total Coliform
(Cotilert) E. CoIL
' '
Unsuitable For Analysis:
[-] Fon~ Incomplele (see encinY~l ilem)
J'-J Sample too eld. anl ranelved wilhin 30 hours of mltectk~
[] Heavy, no~ colilonn bacteda/silt prese~l, poss~ly obscuring and compromising test results
[-I Quant~ mo great to perma
Fl Quanlity insulflcie~ lot analysts (1 O0 m/minmum)
.. ~ OF LEWISVll ~F LABORAT ~O~ Y - WAI~,R BACTERIOLOGY
Reporting
Adckene:
TYPE
OF
SYSTEM:
County
' Name of W~ef System
Point of Colectlon Collected By Dale Time
(Mo/Day/Yr)
STR~T ~/~,'~ .% ,,~
T£LEPHONEL/~_Z~ .2,~. ~.¥/"0 (Z~Cede)
Water System Ide~tll~atlon Number ~-:~ ¢'~'"~ '
[] Public Q Individual
SAMPLE [::] D~dbuilon I-3 S"pe~al ~°nstructlon
0 Recheck fo~ sample #
WATER [] River I--I Lake [:] we, '
SOURCE: Well depth Chlorine Restduat
A METHOD & RESULTS:
M.P.N. Total Coliform IIOOML
(Colilert) E. Co#.
Avg. I____ml
Unsuitable For Analysis:
~ Fomt Incomplele (ene er~rded
r-] sample too old, anl received w#hlo 30 hnem of col~cttoh
[-I une~u~ c,xma~
[] Heav'/, no~ coliform bacle~a/silt presenl, poss~ly obsc~ and compromising tesl resurls
F} Quantity too gmat 1o pe~rnll agilatlon
[] o~r . L/v,
Analyzed by,
., -/OF LE~I, SVILLE LABORATO~RY - WATER BACTERIOLOGY
Name of Water System County
Point of Collector
Billing/
ne~on~g
Addmes:
warm b-~/etem Idefltiltcation Num~: [
Collected By Date Time
(Mo/Dayr~r)
Cl~o ~ /~ T~~
TELEPH~E~22 ~ ~ ~(0~ (~)
SYSTEM: [] Other
SAMPLE I-1 Dialribution ~],~.p~Al_~al ' ~'~nstmctlon
m R...
WATER [] Rlwr [] [a~e [] well
SOURCE: Well de~, Chlorine Residual
A~ RESULTS: .
M.P.N. Total Coliform ItO~ML
(Colilert) E. CoIL
Avg, /____mi
Unsuitable For Analysis: ,, - -- ~,o ·
[] Fom~ incaenl~e (~ee ~ item)
[] Sample too ok:l, nol received within 30 ho~rs of , ,ce~infl...
[] Heavy. non coliform baele~a/a~ pmsenl, possibly obscu~ng and compro~ng tes~ msu~s
[] Ouanlily too gmal to permt agitalinn ~
[] Quanlily b~cle~l tot analysis (1 O0 mi minmum)
/~,l~: , ? ~' / ' ' '
Point of Coflection Collecled By Dale Ti~ ~"
(Mo/Day/Yr)
Address: STREET z/,~ ~. , '
ClTY~,,...~ t~?(~' . TEXAS
Water System Idenllflcalion Numbe~! ! i * ~
TYPE ~t'P.bllc D ~ · :
OF
i'-I O~her
SYSTEM:
SAMPLE [] Om~uflo. []Sp~al [~r. Construc~.
IS:
WATER ~ R~ve~ [] LaVa` ' [] We,
SOURCE: = ~
L~cTICAL METHOD & RESULTS:
M.P,N. Total Coliform __J100ML
(Colilert) E. Coil __J10OML
X'
Unsuitable For Analysis: ' - "
[] Form Inc~mxx)~e (see efl,.~,.~d i/em)
[] Sampb too oki. nol recebed within 30 houm of
[] Excesaive chlo~ne ix~ent in sample
[] Heavy, nmi ceitlOml bactada/s~l pmsefll, poss~ly obscudng and comlxom~ng lest msU~s
I-'1 Ouamily too great to p~-r'~t agitation
[] Ouam~y i~sufficiem f(x m~alysis (100 ~ na~m~m)
Ana~yz~ by