Vista Point II-LR051004· City of Lewisville Laboratory
Water Bacteriology
~ ?PF L L
Re~ing
Addm~
SYSTEM: [--I other
SAMPLE
IS:
[] Distribution [] Speoal
[] Repeat for sample #
[] Other_
WATER [] River E~ ~a~ke [] Well
SOURCE:
WOtl depth. Cffi°nn
..............
~ ................. [ .EE.,.S~ L S.
Presen[/Abeen~: Tgtal Cotiform · Present
UNSUITABLE FOR ANALYSIS: (This unsuitable sampe mu~ be repl~de~ within 24 hours.)
[] Form Incomplete (see attached hem)
[] Sample too old. not recen~ed ~,,ithin 30 ho~rs of co~ection
[] Excessive chfoflne present in sample
[] Unsuitable container .
[] H ear-/, non~iform bscteflaJsilt p~esent, possibly obscuring anS compr~ising ~est,results
[] Quanlriy too great to pa'm~t agi[a~o~
[] O~antity insufficient for analysis (100 mi minimum)
[] Other
Analyzed by
Watel o~ satisfoctap/quality ~ould be free ol Colifc<m Organisms