Wynnpage North 1-LR030606
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CITY OF LEWISVlLLE LABORAT Y- WATER BACTERIOLOGY
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Point of Co"ection ol\eCted By Date Time III T- ~ i
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Reporting STREET \ II "'t. '1 ,)~t:t \ 1 Tf/, i )k '-
Address: :I IU)( i 0-.
ctTv r, 7SZl7
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Water System Identification Number .. .'
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TYPE ~l Public o Individual ;-
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o Other &. 0 .3
SYSTEM: "I ... -<
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SAMPLE li""Dislribution o Special ctbonstruction ,. 3 z
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o Repeat for sample ,. .
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o Recheck for sample ,. . i' CIl
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o Other ? !:
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WATER DRiver ~ Lake OWe" r:)
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SOURCE , L.)
Well depth Chlorine Residual
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ANALYTICAL METHOD & RESULTS.
~VA~sent: Total Colirorm.-/ I>>
Present G &.
(Colilert) E:Coli. Present . ent ... ~
.P.N. Total Coliform /l00ML ,. I
(Colilert) /100ML ! :D
E. Coli. ~
Membrane Filter/Fecal Coliform: '~D'.--'_;" ''''' _i_mI \ 0
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Avg,_I___ml " J
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Unsuitable For Analysis:
o Fonn Incomplete (see encircled item)
o Sample too old. not received within 30 hours of coIleet1on
o Excessive chlorine present in sample
o Unsuitable container
o Heavy. non coIifonn bacteria/silt present, possibly obsCuring and compromising test results
o Quantity too Q{9llt to permit agitation
o Quantity insufficient for analysis (100 ml minmum)
o Other . \'\j
Analyzed by 0\.
Waler 01 saliII~ bec:erological quality should be fr~ trom Colilorm Orll.nis.....
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CITY OF LEWISVlLLE LABORAT
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Point of Collection
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Collected By Date
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Time
Billing!
Reporting
Address:
NAME
STREET
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Water System Identification Number
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TYPE
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SAMPLE
IS
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W Repeat for sample # 7-
o Recheck for sample 1#
o Other
o Public 0 Individual
o Other
WATER .
SOURCE 0 RIVer ...zlLake 0 Well
Well depth Chlorine Residual
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Unsuitable For Analysis.
o Fonn Incomplete (see encircled item)
o sample too old, not received within 30 hours of collection
o Excessive chlorine present in sample
o Unsuitable container
o Heavy. non coliform bacteria/silt present. possibly obscuring and compromising test results
o Quantity too great to permit agitation
o Quantity insufficient for analysis (100 ml minmum);" ", ~
o Other
Analyzed by ,
Waler 01 salislac10ry bec:erological quality should be Iree from Coliform Organisms.
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