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City of lewisville laboratonr4.
Water Bacteriology
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Water System Identification Number:
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(MoIDaylYr)
Billing
NAME} J.l} .t~/J L L
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STREET c ':" '~-1 1'"<1('" vI e
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CllY S(~'.:..' r It ! (: I-) c
TEXAS
7 6 [.~l/-
(ZIp ode)
Reporting
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Address
TELEPHONE
(07) -). JO C / 1./ ;l,
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TYPE OF
SYSTEM:
~ Public
D Other
D Individual,.
SAMPLE
IS:
D Distribution
D Special
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Construction
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D Repeal for sample #
D Recheck for sample #
DOther
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WATER
SOURCE:
DRiver
rVJ Lake
DWell
Well depth
ChlOrine ReSidual
ANALYTICAL METHOD & RESULTS:
PresenVAbsent ,TolafC<l1Ifomr "' Presenl
(CoIiiert) .-..- f:corr:----- Present
MPN Tolal Coliform
(Colilert) EColi.
(1i~; .'
A15sent/
1100ML
1100ML
MembraneFilterlFecalColiform lslDil _1_ ml 2nd _1_ ml
Avg _1_ ml
UNSUITABLE FOR ANALYSIS: (This unsuitable sample must be replaced w#hin 24 hours.)
D Form Incomplete (see attached item) (:;.~
D Sample too old, not received within 30 hours of collection
D Excessive chlorine present In sample
D Unsuitable container
D Heavy. non.coIiform bacteria/silt presenl, possibly obscunng and compromising lest results
D Quantily 100 great to permit agilabon
D Quantily Insufficient for analysis (100 ml minimum)
DOlher
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Analyzed by
Water of satisfactory quality should be free of Coliform .Organisms
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City of Lewisville Laboratory +
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Water Bacteriolo~y .
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P'/i-\ \as
County
Water System Identification Number:
1::.0 -/' I f t P1. rJ R b-~'Jfl- r:~ q, .25.
jOint ~C&Ulcbon ~ Date TIm, (II~' PM
(Mo/DaylYr) ,-
Billing NAMftTi;J \ I) 1'].1 ; "Ii)
Reporting STREET Si1D ("c t.VJ/..'V/ f? Yf -e <:---\:
Address
CITY {.::.'(/. J.{ hL::rke.
TEXAS ;7t5l:J92
(ZIp Code)
TELEPHONE
TYPE OF
SYSTEM:
;;
~AMPlE
IS:
i;I1'"ublic 0 IndiVidual
D Other
D Distribution D Special ~ Construc1ron
o Repeat for sample #
D Recheck for sample #
D Other
WATER
SOURCE:
DRiver
rp(ake
DWell
Chlorine Residual
Well depth
ANALYTICAL METHOD & RESULTS:
"Presen\JA~nf ~:~T01a1(;0l.1l~) Prese~t
(Colilert) E:COIi. .. Present
M.P.N. Total Coliform
(Colilert) EColi
(Ab~~t\
Absent
1100ML
/100ML
MembraneF.llerlfecalCoillorm 'stDil _,_ ml 2nd _,_ ml
Avg. _1_ ml
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UNSUlfABLE FOR ANALYSIS: (This unsudable sample must be replaced wdh;n 24 hours.) C)
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D Form InGlllTlplete (see attached item) ,
D Sample'taQold. not received within 30 hours of collection
o Excessive ~orirtl present in sample
D Unsuilabie co-ntainer
D Heavy. non-coliform bacteria/sill present. possibly obscuring and cOnlpromiSlng test results
D Quantity too greal to permit agitation
D Quantity insuffICient for analYSIS (100 ml minimum)
D Other
-r-\
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Analyzed by . : '
Water of satisfactory Quality should be free of Coliform Orgamsms