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Villages of CC 4-LR 93051906 -01 -93 10:36 L D CONATSER CONTRAC 819 S34 4SS6 824 P02 ...,._. .. , .,..,,• �..�...- ... -�•� GMs WATER 'F=orm No. 0-19 (Rev. 12MI) sureau of Laboratod" Daft ertd T1me Recd. 1a' V / ^ V 3 I .. ,, Do M nwk *Wvo 20 IMF =- " PW WM DERPMt prn Or WPOOR _ IAN 1 ti I i01r 1 IC id k ). I I I I I I I I I 1 WiWr SysMm I.D. No. NAME OF WATER SYS [OR 11 _ " r r h ] 1 AIC L & . PONT OF COLLECTION ' , COUNTY SubmNlor I.D. W now P11MLT8 TO: IFI VIII II Tx CITY ZIP 000E Dow ww MOKM DAY YEAR TIM AWPM Cg47bCt��► E OF $YS'fFJA (Public � IS WATER WATFA 80U1aDCE ft Dwry ❑ DWbAon ❑Flaw ❑ Alwr �alte © 14 row ❑ Battled i2'Cwwkucdon ❑ Repass Q wal wed Deplh _ ❑ sdw4 ❑ Sped Ctdodm Ftseld Nd owrorsltlp or other irdormadon: LAMDOPATORY REPORT (Do not write below) water of satWadory quality must be tree tram CdHorm orpau+Iww Oollfontt Organisms Not Found ~.. Q Taal od*xm omw ❑ Feoal aoOmm amp r ❑ EsOwk fe wau t ❑ Repwtt samples requlnd UwA" — Ses below UN.SUITABL.E F OA ANALYSIS - PU ❑ Sample bo aid. Sample not rooaived wiMtkt 90 hotue of ood odd ❑ Da* disaspwq or form bloompleta (See twvbclod Nam) ❑ L*Wwd In transit ❑ Otlwr EASE RESUBMIT (] Quantity Ineuwwd for ww1y e (100 ml. requlrso Heavy ❑ fly toet results