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Water Report
MAY-20-2008 TUE 03: 24 Pv1 VI�LLBORN SUD FAX No. 97' 690 1260 P. 001 DUCK HAVEN — PNAYE i w• WATER BACTERIOLOGY '� ., Brazos County Health Department • • • 201 North.Texas Avenue•Bryan,Texas 778(134{.979)361-4440 SAMPLE IDENTIFICATION • LAB ID 48006 Sample Number 91Submitted�. ,- ,-- MMAY/Yr13' • • PUBLIC WATER SYSTEM ID� /qof 4 Resulted i • '.'" ,Seven digits(REQUIRED) MO/DAY/YR A,. -.PUBLIC WATER SYSTEM NAMEEi. Ai s -_,,A/ /..1.4,•/. -y,":13.s..#: • Send COUNTY r Sample Namea- Results Street Address .4 t.,40X a, 0 To: City, State, Zip 2/e-iiki r., .�s'T 27J?V+ • Phone /p • �..4; .� .. SAMPLE SITEJCOLLECTION.DATE and TIME • Date/Time Collected: ybs IO.O.ti-- 6' • 8t1� le$Ite: M nth pay Year Time of Day n pm Semple a/ow • W' &Cress Or other description(not sample site number) • .i arr►pler Narne/Phone: c,,., r.ct Q....dit., ••TYPE SAMPLE TYPE `' WATERSOURCE • udrublie (Public Systems only) �x;�r•,::-: 0 Private/Individual 0 Distribution E Raw: well# roundtvat ix` �.Conetruetion E Special (Well) +; 0 Other . O'Repeat for sample# . D Surface water Prother.�r/s.✓c �..Ls0-Ps.,&tf�M (Lake,River) +M• DISINFECTANT RESIDUAL(Mandatory) 1 5" mg/L [ ree Chlorine •• Public distribution samples must have a disinfectant Residual.' 0 Chloramine(Total Chlorine) ' , Number of samples collected on this date . LAB,BRATORYREPORT(Do Not Write Blow) f Please Indicate.Test Method Used:Colllert-Presence/Absence • -4--..COLIFORM ORGANISMS: • 14.,,,-. ' TOTAL COLIFORM Q Found • NOT Found • FECAL COLIFORM/Escherichia c" .0 Found [.OT Found REPEATS(required for distribution samples only)• Unsuitable for analysis(see below) Analyst Initials: jiCi.• ..... .,.,of SAMPLE UNSUITABLE FOR ANAL IS(rhes unsuitable sample must de replaced within mire) !,,C3.Semple too old.Not received within 30 hours of collection © Heavy SILT/EACTERIA TURBIDITY PRESENT(circle). 0 Querrtily inoufk en]for Analysis(100 ml.required) 0 Sample leaked In transit 0 Form Incomplete/date ceacrepency(CIRCLE agora) 0 Chlorinere&leual •0 Other reason;(DESCRIBE) • • • V. • %