Huntington-LR 930504• rfl+ No G-19 (Rgfi"-.12/91) . ~. ~ -" i3br8au of Laboratories
--
Time Recd. --, Date
r.'..'aIJ.I i~C t1 n .,. ~ ~~ ~~r1~-.~: ; ~I~~~tB~l~ ._ w
not marls above thl4~~~~aseith pofgtpen or t~rpewraer.
~7cc?? ~ ~' ~`
i V_i f
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Water System LD. No. ' ~~ NAME OF W R SYSTEM ... '~
.~ Y ~ ITI ~;,.g 1, Y31C b~ ~-I 1~1 1 1 I. I I I I =Y~k~K-ILl~ls I I I I i
POINT OF COLLECTION COUNTY
Submitter 1.0. No.
SEND NAME
RESULTS I~ I~ ~ Is i Jd ICI 1`i,~ i l l l l l l l l l
STREET ADDRESS (P.O. Box1
TO: I_
V'f M'-W K V'I ~ le IL bli I I I I I I I I TX
CITY
;~
Date and
Time of
(:011@CtlOn MONTH DAY YEAR
f/ K Y.__F_I__1 L_I--L~
ZIP CODE
/~' LS L.J
TIME AMIPM
COLLECTED BY
TYPE OF SYSTEM SAMPLE IS WATER SOURCE ' .
(PubNc Systems Ogly? ,. .... ~~
[s~ublic ^ Dairy ^ Distribution ^ Raw {~ River ^ laki~ ~
g Individual ^ Bottled ~Construcction ^ Repeat ^ Well Welt Depth
Chlorine Residual '
~ ^ School ^ SP~~
Ownership or other information:
LABORATORY REIPORT (Do not write below)
Water of satisfacto bacteriological quality u t be free from Coliform organisms
CoNform Organisms of Found ~~~ ;
^ ound
^ Total Coliform group
^ Fecal Coliform group
^ Esci>chia soli {
_. ~ ,,.. ,k .,,. _ _ . ~ ....~-
^ Unsuitable..- See ~ehbw r i
-1M ~. I
UNSUITABLE FOR ANALYSIS -PLEASE RESU![<MIT
$ample;;oo old. Sample not received ^ Quantity insuffident for analysis
within 30 hours of collection (100 ml. required)
^ Date discrepancy or forrR incomplete ^ Heavy (sitt/bacterial growth) present, j
(See encirded item) possibly compromising test results
^ Leaked in transit `'
^ other
~~ I~~'~~~I ~r~~'t~
Water System I.D. No. NAME OF WAT `~
~~I?i y I I I~I~I~I~Ili4 I I I I I I I I
POINT OF COLLECTION
Submitter I.D. No.
SEND ~i I~ I ~/Iv W U ICI I IGk~ih Isl~•
NAME
RESULTS ~ ~~ / u~ ~5 t ~ v~ tT t I I I I i
STREET ADDRESS (P.O. Box)
TO:
I~la~ IS I~ / I ~~ ICI I I I I I I I I TX
CITY
I +Y41~f'LI~1 ~~1 I I I I '~
couNTY
7 0 ~ I I IJ
ZIP CODE
Date and ~ r ' ! / O
Time of ~ 9'""j S .Y
C0118Ct10 N7H DAY YEAR TIME AMIPM COLLECTED BY
~`""""}f SAMPLE IS
TYPE OF SYSTEM (public Systems Only) WATER SOURCE
C9'Public ^ Dairy ^ Distribution ^ Raw ^ River ^ Lake
^ Individual [~ Bottled [~~onstrucction ^ Repeat- ~ ^ Well ,Well Deptti~..,~~~
^ School ^ Spedal Chlorine Residual
Ownership or other informa~on:
LABORATORY REPORT (Do not write below) ~
Water of satisfactory etiological slily ~t be free from Coliform organisms ~
Coliform Organisms of Found a~ ~
^ ound l
_ ^ Total coliform group
^ Fecal coliform group
^ Escherichia roll
.. .. _ ^,p~eat sat~,les, required __.,~
^ Unsuitable -See below "
.,,:
,;,
~~..
iJNSUITABLE FOR ANALYSIS -PLEASE RESUi~MIT ~
mpie..too old. Sample not received ^ Quantity insuffident for analysis
~in 30 hours of collection (100 ml. required) i
^ Date discrepancy or form incomplete ^ Heavy {siitlbacterial growth) presets,
(See encirded item) possibly compromising test results
^ Leaked in transit
^ Other
FBrmTVo.,'C;-19 (Rev. 12/91) ~ ~ ~ ~'ureau of Laboratories
'Date an~me Recd. Date. s
`~°
WAT~Ii BACTERIOLOGIY Texas Department of fi~silll" °
`Form No,i~i-18 (Rev. 1/91) _ Bureau of Laboratories..: .
Date and Time Recd. y._ , , _ . r - ~• ~ • Date '
t'
Sample No. 'Reported
t,
Do not mark this; n9 - Pleaes prkrt tx~llpolnt pen or typewriter.
' ' ~ .s ..
F ~ ~ ~ ~ ~
Water System LD. No. NAME OF WAT R SYSTEM ,~
I ,,
L ~T ~ °~ I i/a~l~~I~IkI.;', I It`~alau•~l~I I I I I #`
POINT OF COLLECTION COUNTY ~ ~ ~ ~'~
SubmHter I.D. No. _
I_ .. ~ ^~ _
SEND
NAME
RESULTS I I -~ ~ „~ Ili f~ I S IT V I I I
STREET ADDRESS (P.O. Boxl
TO: I _ ,,
V'Ycd-!.f Si~~ I ~IGIo~ I I I I i i I I Tx
cITY
F'~
~,
Date and
Time of W ~ IL.11J ~~ 3 ~ ~ `~ .~..~-;
Collection MONTH DAY YEAR TIME AMIrM COLLECTi?D t - _~.
SAMPLE -
TYPE OF SYSTE~Nif ' ° • WATER SOURCE
may) ~ ,,~.:~..
[I]'fs~ublic ^ Dairy ^ Distribution ^ Raw ' ^ Rivs~ "" ^ Ealta ~;.,,;,;,t,,,
^ Individual ^ Bolded ~ .onstrud'an ^ Repeat ^ Well Well D@pttt
^ School ^ Special Chlorine Residual ~ ~'~°
~,
Ownership or other informatbn:
LABORATORY REPORT (Do not wrlto below) r
Water of satisfad ba I quaNty must be free from CoNform organisms ~ ~, .
Colttorm Organlems Not Found A-f r~
^ Found ', ` '~0
^ Total
^ Fecal
^ Repeat samples required
^ Unsuitable -See bebw
a
UNSUITABLE FOR ANALYSIS -PLEASE RESUBMIT - ~ _ "`a
^ Sample too old. Sampb not recehred ^ Q}fantity insufficient~for-~InaJysi; : '!
within 30 hours of coNedion (100 ml. required)
^ Date discrepancy or form incomplete ^ Heavy (silUbaderial growth) present, ,
(See encircled item) possibly compromising test resulEa '
^ Leaked in transit
I-I Other
,r
A
L~~,J L~J
ZiP CODE
Form No. G-19 (Rev. 12/91) + Bureau of Laboratories
s.
Date artc),Time Recd. i ~ _ : • _f ~ ... „ _ . ;~~ Date
'~ DO not marls abaVe'Mi8 ~rfe ~- Pleass;pntri.wrta;~ipom
~~N'nl ~ ~~~~~IM 1~~~1~51r
Water System I.D. No. NAME OF WATER S
I~igTi/I~ I I/~~ia~l~ I~I I I i l
POINT OF COLLECTION
Submitter I.D. No. ~ I I I I ~~
SEND i~ i--r i~~ -i-'=r ~-
NAME
RESULTS IL/IQ A /I~ IS/I
T
TO: ~ ~9'~1 ~ ~~ I Qi LI ~ l I I I I I l I TX
CITY
Date and
Time of
Collection
~ pen or typewriter.
I I I I ~li~~ d ~I 4
YSTEM
I~~t~i~i~I I I I I I j
couNTY
7 6 a d L_~_1_J_J
ZIP CODE
/ / 93
MONTH DAY YEAR
TYPE OF SYSTEM
[~ublic ^ Dairy
^ Individual [] Bottled
~'3°
TAME A~pM COLLECTED BY
SAMPLE IS
(Pubflc Systems Only) WATER SOURCE
^ Distribution ^ Raw ^ River ^ Lake
~
[~G~onstruction ^ Repeat '~ ~ Weli Depth
^ Well
^ School ^ Spep~ Chlorine Residual
Ownership or other information:
LABORATORY REPORT (Do not write below)
Water of satisfacto eriological quality must be free from Coliform organismsr
Coliform Organisms Not Found
^ Found
^ Total Coliform group
^ Fecal Coliform group
^ Eschenchia soli
^ Repeat samples required
^ Unsuitable -See below
UNSUITABLE FOR ANALYSIS -PLEASE RESUl~MIT
^ Sample too old. Sample not received ~] Quantity insufficient for analysis
within 30 hours of collection (100 ml. required)
^ Date discrepancy or forra~t incomplete ^ Heavy (silt/bacterial growth) present,
(See encirded item) possibly compromising test results
^ Leaked in transit
^ Other