Vistas of C-LR 990224CITY OF LEW]SVILLE LABORAT~Y - WATER BACTERIOLOGY
Billing/
Reporting
Address:
CITY
TELEPHONE( ~/T ..... - ~' ~
Cede)
Water System Identification Number
[] Individual
TYPE ~Publlc
OF
SYSTEM: .It Omer.
SAM~PLE E~Di~ributiOn It Special
IS:
[~ Repeat for sample #
[~.~lleck for sample #
It Ot~er ,~
l~'Co~ruCt~on
WATER
[] River [~Lake It Well .- :
SOURCE: -- *
We~i depth ~ Chlorine Res'~uM ~-,,,
ANAL_Y"FICAL ME~.I,:JO_D & REsuLTs:
<~nt/Absent: Present
(Colilert) ;o..~ Present
M.P.N Total C(~li~.rm ,,4100ML
Membrane Filter/Fecal Collf~)r~! 1 st DIl.~ mi 2,nd /
Avg. / .mi
Unsuitable For Analysis:
[] Form IncenSe (~e~..,andmled item)
[] Sample Ion a~d, riel tanelved within 30 houm of
[] Ey,~,Ne thiamine preannt In san'~ole
~ Heavy, non onltform bacle~/~it present, possib¥'obscatng and compromising tes~ msuits
[] Ouamity ton gmal to poma agitation
[] Ouant~ isauflidont for analy~(10(~ mi minmum)
It o~r
CITY OF LEWISVILLE LABORAT( RY - WATER BACTERIOLOGY
Poinl of Oolli~Uo~ ' Collected By (Mo/Da+~/Yr)
Rep~l~g . ~TflEE~ .~ ,,'~."~ .~ '
~ ~tJ~J~ k:l~l~fle~ion Nureber
OF [] Other
[] S~clal Construction
I$: ..
/., ~ I-'] Repeat fo~ sample #
[] Recheck for sample # - ·
[] Other
WATER :~::~ myer D'L~aLake [] We,
SoLiRcE: '
Well depth Chlorin~ Residual
RESUkTS:
M.P.N. Total Coliform -,/1OOML
(Coliler~ E.=ColL
Avg. ~ ,~.
~- · ~ For Analysis: [] Fom~ ~ (see encircled
[] Sampla~too oki, not received within 30 hour~ ol ~?lon
r-I una~aeco.ta~ ~ .
[:::] HeaW, ~ mafon~ baclerla/sl~ ixesent, possi~ol~-'uring and compromising tea results
[::] Quaallty too gmat fo pema agltalio~
F"l (3~alt'~y tns~lIJ3/~ant f{x &rlalyl~s (100 mi minmum)
Water ~em I~nlifi~tion Number
OF
SYS~M: ~ ~her
SAMPLE ~D~ution D Special ~ C0ns;~t~n
IS:
~ Repeat for ~mp~ ~
~ R~e~ for ~mple ~
WATER~ I-I River ~Lake i'-I Well '
SOURCE:
Well depth Chlorine Residual
ANAL'(~r,iCAL METHOD & RESULTS:
M.P.N, Total Coliform
/IOOML
(Coliler~) E. COIL ·
Mem~ne~t~11tedFecal Coliform: 1 st Dit. / mi 2nd / mi
Unsuitable For Anal~'sls:
[] Formll~mnplete (see ancircled item)
[] SamPle t~x~ old, no~ received wilhin 30 hours of colorlon
[] Excessive chlodne plasent in sample
[] Unsuitable
[] Heaw, eou coliform banlerm/siit present, possibly;~bs~J~tng and compromi~ng tea msuits
[] Quanlity too gmal to pem~ agltaiou
r-] Qounlity i~sulllde~t tot analysis (1 O0 mi minmum)
[] Other Analyzed
CITY OF LEWISVILLE LABORATORY - WATER BAC, TERIOLOGY
~ ,. ~a~ye e~ Warm System ~oumy
ll.' : '/
Billing/
Reporting
Address:
Water System Identification Number
TYPE [~blic D individual
OF
SYSTEM: F-I Other
SAMPL~ ["~r~fibutiou D,Special ~Construction
IS: ,,~ [] Repeat for sample #
D Recheck for sample # ,i '
[] Other
WATER I'~ River [~;ke [] Well
SOURCE:
Well depth Chlorine R~Sldual
ANALYTICAL METHOD & RESULTS: .~,
~esent/Abs;nt: Total Colifor.,,~
(Colilert) E:Oolk
M.RN. Total Coliform
(Colilert) E. CoIL
Membrane Fil~le#Fecst Coliform: 1st Dil.
Avg.
Unsuitable For Analysis: ~
Present
[] Folm Incor~e (see encircled item)
/100ML
/100ML
~ni 2nd
[] San~le IOO old, ~ received within 30 hours of ~on
[] Ex~ chlod~e pre,eot in sample
[] Unsuital~ contaner
[] Heavy. nou coliform b~mta/stl~ present, possibly ~baeuring and compromising l~ results
[] Ouantityteoomaltol~milagilation _~ ·
[] Quantity insuffidect ~ anaNais (100 mi minmum)~ .
w.~ o~ ~ ~:.~,~i.~,u.ay ~:~ ~,, ~ ~