Duke Lesley-LR070426
Citll of L~wis~iIIe LaboratorY ],'
Water Bacterloloi!Y !
(]ot>PelL ~tiA<;.
I Name of Water System County
tem Identification Number;
e2 L
Wled By
q.jzt/07'/O: ys-rA:i.
Date . Time ~I"M
(Mo/DayNr)
1
~
Billing
NAME S"A-N~A&1
tSTREET 31 ~ :t;D8EM>>KF &'1-
CITY p~ TEXAS' I ~D7 s;-
(lip Code)
-,~ C' 7-S
Reporting
Add ress
; TELEPHONlk I j T;7 I L-/ <: 1/ --
, t'\ -J
TYPE OF
SYSTEM:
~ubliC
D Other
Dlndividual
SAMPl.EOl
IS: .
D Distribution
Construction
D Special
o Repeat for sample #
D Recheck for sample #
DOther
WATeR DRiver
SOURCE:
~
DWell dil ~/'rr
Ie
Chlonne Residual, ~/I Ii
Well depth
ANALYTICAL METHOD & RESULTS:
hsen~~~sent ~mJ~
~l.OIll .. r
MPN tform
(Colilert) E:Coli.
Absent
~
/100ML
/100ML
Membrane FIlter/Fecal Coliform 1 sl 011 _ f -"-- ml 2nd _1_ Im1
Avg _1_ ml
'-,..,..,..
'"
._1
"
...;a
......
,....
e'i
iI,::.,:::"t
-.....:a
-"',-'
:;::'i...l
1"", -,
c.:o
::n
~.:)
:.-,
.,
..
o
'"
a;
'"
=>
a.
-i
3
(1)
;0
(1)
"
o
::>
(1)
Cl.
UNSUITABLE FOR ANALYSIS: (This unsuitable sample must belreplaced within 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-cohform bacteria/silt present, pOSSibly obSCUring and comPromising test results
D Quantity too great to permit agitation ;
D Quanlity InsuffiCient for analysis (100 101 mlmmum) ,
DOther
'J"'"
.". '"
~. ;
,., \
't.'o:>.~
...~
Analyzed by
Water of satisfactory quallly should be free of Coliform Organisms
(')
o
3
3
(1)
~
Cit~ of Lewisville LaboritorYr
Water Bacterioloi!Y i
CcP~
. Name of Water System
~
County
Water System Idenlification Number E
6i " /$01 ~.Bet--rtIAJ
(Wn~lIection f.{{C.*
~'.
q/J&/tll /0.'sS-
Date ~ <!FJPM
(Mo/DayNr) .
Billing
NAME ~ ~A&4
"""~ ~/6I~ p~y
llTY ~D TEXAS 7 60 7~
(ZIp Code)
TELEPHONE tI VI <JSt./ '357:{ ~
Reporting
Address
TYPE OF ~ubliC o IndiVidual
SYSTEM: D Other
SAMPLE D Distribution D Special
IS:
D Repeat for sample #
o Recheck for sample #
o Other
WATER DRiver ~ake DWell
SOURCE:
..)- Well depth
(
Construction
~rP
se~ '
/100ML
/100ML
I.
Total Cohform
E:Coh
Membrane Flier/Fecal Coliform 1st 011 _ / _ ml 2nd _,_ ml
Avg _1_ ml
;.jI""
"',
-:5 0 :, (f) -n
__~:1 '" '" Q
a; 3 r
'" "0 w
::::: => '" a
cJ a. Z i:]
-i 3
::w 3 0
C' -<
(1) ~
r.,=, en t)h Si
C', 3 (1)
" '!2. ~ 0
(1) =>
;0 -<
---~ (1) r
g
""-' " ;C' 1:~
-, (1)
Cl.
f-1
~
-r:
..r::
....,.
:':';
,""" 0 , r :;
'" '" <:r
:n a; <:r 0
'" 0 iil
U ;J iil
=> 5' 5'
:':~:J a.
-i -< -<
r'. " 3 z (5
(1) '" z
G~: )> 3 c:
" (1) 3
'" Q <:r
-< ~
'" '"
~" in S<. ....
OJ "'l
- (1) ....
<0 (1) ~
-- '" :E
? in
1-' ~
-._~ iO
8
, 0 (')
. .., '" 0
'--.;> a; 3
'" 3
f" "'--.., => (1)
a. =>
_.,~ , -i u;
_. :3
(1)
~~ i
-.. g
,
~'-.
_._~
.-.
..-' "
(""r'1
COO
':'st~ptaced with17l"24 hours)
- l '"
.~
, UNSUITABLE FOR ANALYSIS: (This unsuitable sam
D Form Incomplete (see attached item)
D Sample too old, not received wlthm 30 hours ofcollecUon
D ExceSSive chlorine present in sample
D Unsuitable container
D Heavy, non-coliform bacteria/silt present, pOSSibly obSCUring and compromising test results
D Quantity too g~t to permit agitatrdli'
D Quantity msufficlent for analysIs (100 ml mlilimum)
D Other .,11'
,.-",,'
~
.~
~
~.
-~,,~
Analyzed by
Water of satisfactory quality should be free of Coliform Orgamsms
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