Trinity Shores-LR021024Name of Waler System
Point of ~i~ Col~t~ By
(M~Day~r)
B~lin~ N~E ~
Re~ing
A~: STREET
CITY ~/~ ~
~ TELEPHONE~
Water ~ I~nlia~ion Numar
ublic ~
SYSTEM ~
SAMPLE ~D~bution
IS:
~ R~e~ for ~mple
WA~R ~ R~er ~La~
SOURCE:
~NAL~ICAL METHOD & RESULTS:
~ent: To~l Coli~ Present
Colile~) E. Coli.
Unsuitable For Analysis:
[] Form Inc~e (see e~lcircled Rem)
[] Sample Ioo ok:l, nol received within 30 hours of collection
I-'1Exoessive chk~ne Ix~em in sarmle
~ Unsuitable container
[] Heavy, non oolifolrn bacleria/silt present, possibly obscuring and compromising test results
· [] Quantlly too great to permil agitation
[] Quanlityinsufflcieflt forarlalysis(lOOmlminmum) ,
Analyzed by ~ J~ ~ ;'