WA9601B-LR 990830. ,-, ~,.._~ --T..a. RRANT COUNTY PUBLIC HEALTH LABORJ,TJ;)RY
' $800 Un. ,ity Dr.. Ft Worth, TX 76107
WATER BACTERIOLOGY ., :; Labmo. 4801e (817)e71'7245.
Date and Teme~qpc,'d. ~ ·
De Not Mark Akeve This Line :--Pile, Print Bdev whl: BALLPOINT PEN OR TYPEWRITER:
POINT OF COLLECTIOI/SAliilPLE DES~RIPTIOI Water System I.D. He.
Fo/(O-, 2a'
To:/' ,~ y'.~O *?d ' ../~ ,,, PrO O /:::
CITY (Zip Cede)
PHOIE # : COOIf?
,.,.., ..
,,..., 17 1/121: W! -P
CdleetiH Menth ' Dey Yer TIME AM/PM Coile=tml By
.TYPE OF SYSTEM SAMPLE I$ WATER $OU~
I';1Publi~ I'lOalry PlOist~ution I'lRow DRive e
['15c1~i ['lVonded []61y~llSweetIChill ~ater Wall Depth
..... DOther Ch~ine Residual
Additional Information:
LANIIIATOIW RF.P~OT IOe ~e write bdm~) TECH
MMO-MU6 ~ Membrone Fil~retien'{lIF) :. MMO-MU6
Pre~on=olAl~on~ M~t Prohaldo Numbor (MPII|
Cdif~rm Or6enbm~ ~lif,,rm Or6enbms I;diferm Or6~nim
[] Nat F~und [] Not Found [] Not Found
F~/~nd ~ I'! Fmmd [] F6und
htal Calif~rm grm~p Total Calif~rmllO0 ml Total
[] ,~$det~/~b ~ ' ' Ex~rY'lO0 ml Calif~rm: MPNll OOml
[] Repeat maples rml~ired. Fecal ColiformsHO0 ml Ex~/~' MPNIIOOml
[] Unsuit,hlo -- See b~ [] Unsuitable -- 8on below [] Unsuitable -- See bal~w
[] Semple ten/. S~mple o~t received [] Q~etity insuffic~t for
within 36 boors ~f cdlectien [100 ml. rmWired)
[] Dete discrepancy or fenn ~omplete [] HHvy (siltbectorial gmv~h) present,
(See encircled item) pessibly ~ompremising test results
[] Leeted in transit [] ,~emple received on Friday
[] Ou~ntity too great te pmmit ~it~tim~ [] Otbe
[] E~cessi~e chbrioe re~lud: m~l.
. . ;~..;., .~ .,T, IRRANT COUNTY PUBLIC HEALTH LABOR~RY
WATER BACTERIOLOGY ,coo u,. __,itv D,.. Ft. Wo,h. TX 76~07
~b No. ~10 {817)871-7245 ,
Date ~d ~m RK'd. -~ Date "~,
S~e No. . R~
" NAME OF WA ~ ~ 4 ~,
POINT OF COLLE~NAWLE DE~I~IH Waar S~ I.D. No.
r n/. .,,,, ,. .
PIE I COU~
"""' I/ l:
The of
Coll~6on ~ bey 'Ym' T~E A~PM ' ~l~d By
~PE OF SYSTEM ~MPLE IS WATER SOURCE
~c ~Oa~ ~r~m ~Raw ~R~ ~ke
~lnd~al ~B~ ~st~ ~Rmt ~Wd
~;,. ~V~ ~6~collS~lChill Wate W~ ~
~' D0t~ Chld~ Resi~al
Additi~al Infomtm:
.. _~ ~- -'" ': .........~ ~T~Y R~ORT [De e ~',i) TECH
-.~ ....... --. % ...... ~" Met Probal Number (MPN)
Colifom 0rganbm hlif~ Organira Colif~ 0rDanism
t ~ ( D it Found ~ Not F~
- ~ F~ ~ Fo~d
Total Co~ ~ __Total Co~/100 ~ Totd
[~hb cl E.c~100 ~ Colffo~: MPNI10~
D Reeat s~es rli~ F~d Co~mll~ ml E.c~Z' MPNI10~1
D Unfitlie -- Se ~w D U~uitabk -- Se ~w D U~ui~le -- See hbw
ISUffABLE FOR AIALYSIS-~LEASE RESUBMIT
D Sa~le too i. SIm ~ D ~mtity insufficimt fl ~sb
~thin 30 hours of H~ {100 ~. r~ir~}
D Date discreHcy ~ ~ ~le D HeaW (~tlbact~ ;o~h} pres~t,
(Se ecir~ itm) possi~ co~o~g test re~lts
D Lek~ in tran~ D S~e r~ved on Friday
D ~antity too gret to pint ~tation D 0the
D ExcHsive chlmke r~ iL
g-2~ G~-21~ ~. 6-~
· - :: e- o ,aTdLRRANT COUNTY PUBLIC HEALTH LABOFIJ~RY
:; 1800 Uf~,,.~|ty Dr.. Ft. Worth, TX 76107
WATER B TERIOLOGY Lab Na. 48010 (817}87!-7,245
Date and Tnea Ree'd. Date ~: ,
Sample No. Reported
· / POINT OF COLLECdI~S~tMPLE DESCRIPTION Water System I.D. He.
RESULTS :~TRE ET AD~DftES$ {F~,O. Bed
CITY / (Zip Code)
PHONE # COUNT~
Date and
Time of
Co..an." ,e.,, O.y- V~ ~ME AM/PM
TYPE OF SYSTEM SAMPLE IS RW.:eTER SO~Lak
17iPublic !"IDaby []Diotrilatio. I, IRaw -[] e
r'hndividua~!'lBottled JZTComtmcdon ['IRepeat rlWen
I'lSchunq~ EZ]Vencled i'tGlycollSweetlChill Water Well Depth
~"'~ " I'JOther Chlorine Residual
Additional Information: "' , 1
. ..........-s,.-~ .~-.~. LABORATORY REPORT {hwe'wH!m bdm~._) TECH
~..~...,.'' , ~ ' _ ...._ ....'. :. ,, . ~f'. r,'.:'-;
Most Probable
Co iform Organisms Cogform Organ~m ' ";'~ ' Coliferm Organisms
[] Not Found ~ [] Not Found [] Not Found
ai r"l.Found [] Found
Coilform group Total ColifonnllO0 ml Total
[] LrsdmYc/l/m carl ~.co///100 ml Colfform: MPNtl OOml
[] Repeat sanqstes required Fecal ColifonnsllO0 ml E. cofi: MPN/100ml
[] Unsuitable -- See below I"q Unsuitable -- See below [] Unsuitable -- See below
UNSUITA! LE FOR ANALYSIS-PLEASE RESUBMIT
[] Sample ten old. SamIda eat received [] Quantity insufficient for analysis
within 30 hours of colectian MOO ml.
[] Data discrepancy or form inenmplete [] HeeW (silt/bacterial ;'owth) preseet.
{See encircled itsre) possibly compromising test results
[] Leaked in transit [] Sample received on Friday
[] Quantity too great to permit agitation [] Other
[] Excessive chlorine resided: mg]L
9-220 G!'C-2190 REY.
., Ft. Worth, TX 76107
WATER ;Y Lab No. 48010 (817)871-7245
Date end Tune Rec'd. Date ~'J~-
Sample No. ~ ~ t ~ t'~ Reported
~ee l~t tkirl~A~ Line---Please Print Dalo~kKPeliT PEN OIl TY,PE.~,ITER:
POINT OF COLLECTIONSAMPLE DESCRIPTION Water System LD. No.
lEND C7 ~" /
TO:
PHONE · COUNTY
Cellection Month ;Day ear TIME AM/PM C~llected By
Y
~TYPE OF SYSTEM SAMPLE IS WATER SOURCE
Dlndividual DBottled ~:]Constmction ['llt !"lWdl
I'lsc~L I'lVeded DS~coUSweetlChm Ware Wel~ Depth
:'~ ' DOther Cldorine Residual
Additional Information:
'~ LAmm~TORY DEPORT (De ~ewdtelidew) TECH
...... Most Probabb aurabet (MPN)
Col'form Organisms CoHferm Organism Celiferm Organisms
~nd .~ [] Not Found [] Not Found
Total ColiformllO0 ml Total
[] ~sc~wr/ch/~ c~ E.C, di'lO0 ml Conform: MI'NIIOOml
[] Repeat samples require- Fecal ColiformsllO0 nd Ecd/: MPNIIOOml
[] Unsuitable -- See bebw f'l .Unsuitable - See bebw . [] Unsuitable -- See bebw
' Ue__LJ~T, ABLE FOR ANALYSIS-PLEASE RESUBMIT
[] Sample too old. Senqde notlacdved [] Quantity insufficient for analysis
wiffiin 36 hours of cehction (I00 fnl. reed)
[] Date discrepancy or ferm incmnpkte [] Heavy (silt/bacterial growth) present,
(Sen encircled item} possibly cornpromising test results
[] Leaked in trensit [] Sample received on Friday
[] Quantity too great to permit agitation [] Other
[] Excessive chlurine resided: mg/L
8-220 GPC-2190 REV. 6-97
WATER TERIOLOGY L.b No. 48010 (817)871-72.
Date and Tane k'i ~ ~ ,-,, ~ Die
S~pI. No. U; ,'~JO ct'~t-.~--~Ja: "' "' ~7
De Mot Mark Abewe rids Line ---Please Print Mew with NALLPOIIIT PER OR TYPEWRITER:
NAME OF WATER SYSTEM
/ ' POINT OF COLL~C~OIA~ILE DEICRIPTIOI Water S~tem I.D. !lo.
NAME~ . *,--=., , ,% k,--
RESUtTR ST~ ADDR~'Lr$ 6F.O. [exi
To:
CITY (Zip Code)
~!1 PHOIE~ COUPflY
Tim of
Cellectiea Mooth DRy Yser TIME AM/PM Collected By
TYPE OF SYSTEM SAMPLE IS WATER SOURCE
r'lP~bk Dory nm,t,ktk.
I'llndividualI'ieottled [:~Conatruction Deepeat DWeg
r'lSchool r~Vended []Gh/coltSweet#m~ Water Wit Depth
"~' DOther Chkrm Res~ud
Add~nal Information:
· "': ' LABIRATORY REPORT (Dane
Lielifarm Orlanisms Moll Probable Number {MPN)
C Colitorm Organisms
Oound,,K" [] Not Found [] Not Found
[] to{~l Colfform group [] Found [] Found
~ot~d C~iform/100 ml Total
[] Escl/w~Aic~li E. co/i/lO0~ Cd~orm: MPNtl00ml
[] Repeat samp~s req~red Fecd Co~fornatl00 ml E. celi' MPNI100nd
lilTABLE FOR ANALYSIS/PLEASE' RESUBMIT '
[] Sample toe old, Sample not received [] Quantity insufficient for analysis
within 30 hews of colection (100 rid. requited)
[] Date discrepancy or foma incomplete [] Heavy (silt/bacterial growth) present,
(See encircled item} possibly cornpromising test results
[] Leaked in transit [] Sample received on Friday
[] Quantity too great to pemit agitation [] Other
[] Excessive chlorine residual: mg/L
H-220 GPC-2190 REV. 6-97
~ , .~ ,,,-* , aTJRRANT COUNTY PUBLIC HEALTH LABOITJQRY
. 1806 U~,,,~{ty Dr., Ft. Worth, TX 76107
WATER TERIOLOGY bb No. 48e10 (817)871-72.
Date ~ Tn R~'d. Date
, , ,
d~oI ~k i *~ Pdnt Sd, ~ BAL~OIT PEn OR ,~.ER:
POINT OF eOff~~E H~l Wear S~tm LD. Ne.
~ESULTS S~E~ AHa~ l:0. e~
PHil I C~
C~en ~ · ~ Y~ tiME A~PM ~ By
~PE OF SYSTEM S~PLE; ~ER
~ln~v~al ~h~ ~st~ ~Rmt ~W~
~Sc~.~ ~V~ ~6Nc~m Wate Wd Dee
.~ ~ 0~ ChiMe Res~l
Addhml IHoatm:
~ ~TO~ REPORT (Do n ~ia ~) * TECH *
"eliform Orpe~ ~ CaRI~
~~ El D ~ Fo~d D Not FI
D ~ D FOU~
CO ~ Tot~ C~1~ ml Total
~ [~c~ ~c~100~ ~om: MPNII~
~ Un~/k -- ~ ~ ~ Un~b -- ~ b~w
~j ~E F~ ANALYSIS-PLEASE RE~BMIT
~ 3e hws of ~ (100 ~. r~uir~)
~ Date ~scr~mcy ~ f~ m~ ~ H~q (silt~twial ~o~h) pre~nt
(~ ~circl~ ~ pos~ly confusing test m~ts
~ Leak~ ~ trait ~ S~ rK~v~ on F~ay
~ O~ntity t~ ~ul to W~ ~ation ~ Other
~ Ex~ssive c~ r~