Vista Point 2R-LR061114
Billing
Address
CITY ~t r ;'1-. 0
f.).... ' \,
TELEPHONE (%1 335 -'-\ SiO
TYPE OF
SYSTEM:
o Public _ DlndiYidual
OOther r;(C!~ ll\\e
SAMPLE
IS:
o Distribution
o Special [9'"'"""" Construction
o Repeat for sample #
o Recheck for sample #
OOlher
WATER 0 River
SOURCE:
l!'Gke 0 WeN
/
Well depth
Chlorine Residual--
~~'_L1S
::'PIeMl 0I8l CoIifonn -:> Present
rI) E:CoIi. Present
M.P.N. Total Coliform
(CoIiIerl) E:CoIi.
l- ~t:>
Absent
/100Ml
/100ML
MernbrlneFllerlFecalColiIonn: 151llil. _1_ rnI 2nd _/~ rnI
Avg. _1_ ml
~
""'
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CD
UNSUITABLE FOR ANALYSIS: (This unsuitable sample must be replaced within 24 hours.)
o Form Incomplete (see atlached iIem)
o Sample 100 old. not received within 30 hours ri collection
o Excessive chlorine pmMt in sample
o Unsuitable container
o Heavy. non-alliform baaeriaIsII present, possibly obscuring and compron'ising test results
o Quantity 100 great to permillQIation "
o QuanIi\y insuIficient for analysis (100 mI mininun)
DOIher
. tv-
Analyzed by
Water of salisfacIory quality should be free of Coliform Organisms
~i - City of LewIsvlllelaboratol'l/ - t ; J ID-.
i Water BacterioloSY .. ~ V 6. rlt:
! I . ·
~ I ~,\l'-, Cc'lVlt I luA ( \).1,,-li \:},\\c'
~ Name of Waler ystem County
Water system Identification Number:
('v~t~CoI~~ G.~~~y'
7'. \
NAME "t\ :. \ v
i Reporting STREET 19 ~ ?) \
I Address CITY F, ;--'( :)
!
i
I
,
BiRing
1\1~ -'-\.,. u:\~)
Date Tme
(MoIDaylYr)
\ \ \ '
\'---'1 \ \ ;~ \ '
A' -- I
Jh~ )T
TEXAS
-., ')() ~\, I
(Zip Code)
j.
TELEPHONE
r-r-I', ~J" _ \, I ;::-, f ' .....
( -, ...... I ~:;) J 1 ~ \,.J
I ; TYPE OF
~ 1
; i SYSTEM:
SAMPLE
: IS:
i
\
I. ~
)........
> QfGiIlic
o Other
o Individual
o Distribution
o Special 9" Construction
o Repeat for sample), J .
o Racheck for sample # .
DOlher
~ke
OWeN
I WATER
'i' SOURCE:
Well depth
I
I
~;I:~ M7~O::~~
: () :. PTesent
! M.P.N. Total Coliform
. (CoIiler1) E:Coli.
DRiver
Chlorine Residual
.~
/100ML"
/100ML
MemIllIneFiIlllrIFecalColiform: 151llil. _1_ rnI 2nd _1_ ml
i
I
I
i UNSUITABLE FOR ANALYSIS: (This unsuitable sample must be replaced within 24 hours.)
I 0 Form Incomplete (see attached iIem)
i 0 Sample too. old. not received within 30 hours of collection
r . 0 Ex~ chlorine llrelI4KIt in.sample
· O~iIabIe~ .',
I 0 Heavy, non-Qlfiform baclerialsilt present, possibly obscJring and compromising test results
o Quantity 100 great to _ agitation
r 0 Quantity insuIIk:ient for analYsiS (100 mI minimum)
\ 0 Other ,,,"
Avg_ _1_ rnI
riW PM
-
I--~
l'--A
, ,-,
-.) ,
-.J
r'
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Ol
is. S
::t
i i a
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c:
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fir a ..
l lO ~
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;=! or
~
15"
a'
lit
...
::>
0-
::t
i
(iJ
"8
s-
~
~
I
',' ~-:,
~J
-".
.::'..
(,::
'--l
..c.
~j
Analyzed by
Water of satisfaclory quality should be free of Coliform Organisms
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