Deer Run-LR000120CITY OF LEWISVILLE LABORATORY WATER BACTERIOLOGY
C.T aF c_ OALLA
County
Nerve of Water System
r ENP
t.J as g 1-(q ni: t I -1 2
AM/PM
r l _f 12 7 Cd yBleoFed Data Tuna
Point of Gollecttart (Ho/Day/Ye)
e' t.a Q d Cu 'I C 0,
Billing/
NAME D MO
Reporting STREET g o x b
Address: c U LQ S TEXAS 6 7
CITY v D 'Z$ (gyp Code)
TELEPHONE! g lL l Z t
Water System Identification Number
TYPE LY Public Individual
OF 0 other
SYSTEM:
SAMPLE Special ,Construction
Disl r i butlon
IS:
Repeat lor sample tl
Recheck for sample 1
Other
WATER River Lake well
SOURCE: Well depth Chlorine Residual
ANALYTICAL METHOD RESULTS:
Present Absent
resent/Absent: Total Califon) Preeern
(Colifert) E:�oii 11U0ML
M.P.N. Total Colifonm 1100ML
(Cotiletl) E. Coll.
Membrane Fitter /Fecal Colilorm: 1st DO._
MI 2nd 1
A vg r ml
%Li
Unsuitable For Analysis:
Form Incomplete (see encircled lern)
Sample loo old, nol received within 30 hours of collection
Excessive chlorine present in sample
0 Unsuitable container obscuring and compromising lest results Heavy, non wGform bacteria/silt present, possibly
Ouantlty loo great to permit agitation
0 Quantify insufficient lot analysis (100 ml minmum)
Other
Analyzed by
wow o1 sarsiatbry baa:sroloeresl 4vWty s id be tree from ColtlamOrganerre
0;
hZ• CD I L
1165 L-4Z-C14* uJ t[
rk. \t\.m-) wsdrk-ca-f 4tAiv\uc( 19—v1
g ekk 5/ tea
Dale and Time Sample Racelved:
2011 JMI (I 9: 20
i
i
Sample Number.
35 5
Date and T 'me Analysis Began
7fE0 Fi f 12
Laboralory ID Numbor. 4374E
Laboratory Name City or Lewisville
ale and Time Repotted:
20 J,U 25
ommeMs�
-2000 15:37
CITY OF LEWISVILLE LABORATORY WATER BACTERIOLOGY
0 PPE Li- 00141-1) s
1 Name of Water System County
i4 4 yr kt.I, 0 R,
c. 8 a. Lt.. RA H h n g: 1,: Cr... t- v.{ Z y O Iv PM
Point of Collection Collected By Date Time
(MoiOay/Yr)
Billing/ NAME LE Ci E J L Cs,-INS r. 1 NI C.
Reporting STREET e" C fo x t d c
Address:
CITY Gu LE-SS TEXAS 7 Gc3Y
TELEPHONE(F t 1 z4, C gzg la0 Cotsel
Water System Identification Number
TYPE XPublic O Individual
OF LJ Outer
SYSTEM:
SAMPLE
IS:
Distribution Special XConstruction
Repeat for sample X
Recheck for sample a
Other
WATER 0 R,v r Lake Well
SOURCE:
Weil depth Chlorine Residual
ANALYTICAL METHOD RESULTS:
Present
Present
(Colilert) E:Coli.
M.PA. Total Coliform
(Colirert) E. Coli.
CITY OF LEWISUILLE /ECS WW 9722193506 P.03
/100 ML
100ML
Mcmprene Filter/Fec21 Coldorm 15t 011. _f m! 2n0 mi
Avg ml
Unsuitable For Analysis:
Form Incomplete (see encircled item)
Sample too old, not received within 30 hours of collection
Excessive chlorine present in sample
Unsuitable container
Heavy, non oollforrn bactena/silt present, possibly obscuring and compromising test results
Quantity 10o great to permit agitation
❑I Quantity insufficient tor analysis (too mt minmum)
O+ other
Analyzed by
Absent
Witt of sateslectory bao'trological quality sh Id be !roe horn Coliform Organdms
N
TOTAL P.03