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Freeport NIP(2.3)-LR061031City of Lewisville Laboratory Water Bacteriology r yy Name of Water System County Water stem Identification Number Point of Collection oll e d By — Date Time AM I PM (MoiDaylYr) Billing NAME i ( - L ,/ Reporting STREET f f !r I , 4 t) Address clTV i �� � / 1 � f" TEXAS � t: ? `� � ^ Z (Zip Code) TELEPHONE Lf TYPE OF 'Public ❑Individual SYSTEM: ❑ Other SAMPLE ❑ Distribution ❑ Special ❑ " Construction IS: ❑ Repeat for sample # ❑ Recheck for sample # ❑ Other WATER ❑ River Lake ❑ Well SOURCE: Well depth Chlorine Residual AN ALYTICA & RESULTS: 'PrresentlAbsent Total Coliform Present - -- (Cdilert) E. k. Present Absent M.P.N. Total Coliform /100ML (Colilen) E:Coli. 1100ML Membrane Filter/Fecal Cohform. 1st Dil —/— ml 2nd Avg _I _ ml h m o 5 Z n ti Z C t I—` 3 M --- m PO W _ � 0 m m m r ,' ° ? � r m $ g �{ D y Z 3 3 3 1 0 � 4` ✓_��:J UD m t--` � r m m o 3 a F 3 3 � n m � rl 1 �. t _ n G. t�-- t-": UNSUITABLE FOR ANALYSIS: (This unsuitable sample must be replaced within 24 hours,) ❑ Form Incomplete (see attached Rem) ❑ Sample too old, not received within 30 hours of collection ❑ Excessive chlorine present in sample ❑ Unsuitable container ❑ Heavy, non- coliform bactenalsilt present, possibly obscuring and compromising test results ❑ Quantity too great to permit agitation ❑ Quantity insufficient for analysis (100 ml minimum) ❑ Other l� Analyzed by Water of satisfactory quality should be free of Coliform Organisms City of Lewisville Laboratory Water Bacteriology bt Name of Water System County Water System Identification Number: oint of Collection Collected 13y Date Time ` AMMM) PM (MolDayNr) L_ Billing NAME f r A j Reporting STREET ) j Address CITY r` �t (`• .i_ TEXAS (Zip Code) TELEPHONE TYPE OF 0 Public ❑ Individual SYSTEM: ❑ Other SAMPLE ❑ Distribution ❑ Special © Construction IS: ❑ Repeat for sample # ❑ Recheck for sample # ❑ Other WATER ❑ River QLake ❑ Well SOURCE: Well depth Chlorne Residual ANALYTICAL M OIIBSULTS: - - -� rem: Total Coliform Present / Absent Present ' s�l M.P.N. Total Coliform 1100ML (Colilert) E:Coli. 1100ML Membrane Fllterffecal Coliform: tsl Dil. —I— ml 2nd _ 1 _ ml Avg —I— ml 1 ": O c 3 n I—` 3 M --- ,' ° ? � r m $ g d ° 3 ? N � t--` � r m m o 3 n m � 3 A m U7 C.7'? UNSUITABLE FOR ANALYSIS: (This unsuitable sample must be replaced within 24 hours.) ❑ Form Incomplete (see attached item) ❑ Sample too old, not received within 30 hours of collection ❑ Excessive present in sample ❑ Unsuitable container ❑ Heavy, non- colifonn bacteria/silt {resent, possibly obscuring and compromising test results ❑ Quantity too great to permit agitation ❑ Quantity insufficient for analysis It 00 ml minimum) ❑ Other Analyzed by Water of satisfactory quality should be free of Coliform Organisms