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HomeMy WebLinkAboutWater Bacteriology._.) WATER BAC ERIOLOGY Brazos County Health Department 201 North Texas Avenue• Bryan, Texas 77803 • (979) 361-4440 SAMPLE IDENTIFICATION lf/15'(5 Rf ,,,-H-OA4 / / LABID 48006 SampleNuniberAJ.or&&.-s ubmitted //-/)-c.JZ MO/DAY/YR PUBLIC WATER SYSTEM ID 021oooz__ Resulted ·--------Seven cij9ds (REQUIRED) MO/DAY/YR PUBLIC WATER SYSTEM NAME {_: '?\, {) f ~ L tc: { .Jmvv ' Send cou TY __ ~--~~'=-"'-""--------~- Sample Name ____ ~::.L.L.l,.f"=~~~.t;..,;J.~;._------- Results Street Address·----sr-=......:..LJ;L-=-_,':--£-=-=--=----=-- To: City, State, Zip [; '!/z- Phone __ __,~7~>---;;4~~~c~f-~Y~~f%=~~6~Jo.L-__ · ____ _ -JH-Owner/PWS f ~ 0 ~ Operator ' O Other -. SAMPLE SITE/COLLECTION DATE and TIME Date!Time Coilected: //~/) 07 //')8 SYSTEM TYPE SAMPLE TYPE (Public Systems Only) WATER SOURCE 0-Public 0 Private/Individual 0 Distribution D Raw: well# __ _ ~C:Sroundwater (Well) ~Construction 0 Special ____ _ OOther __ _ D Repeat for sample# _______ _ D Other: __________ _ D Surface water (Lake, River) DISINFECTANT RESIDUAL (Mandatory) ,((.. -Z: mg/L Public distribution samples must have a disinfeci:t Residual Number of samples collected on this date Z-=- ·" LABORATORY REPORT (Do Not Write Below) ~~Chlorine D Chloramine ( Total Chlorine) Please lndicat::: Test Method Used : Colilert -Presence/Absence COLIFORM ORGANISMS: TOTAL COLIFORM D Found ®NOT Found FECAL COLIFORM/Escherichia coli · D Found C)J NOT Found REPEATS (required for distribution samples only) Unsuitable for analysis (see below) SAMPLE UNSUITABLE FOR ANALYSIS (This unsuitable sample m t be replaced within 24hrs) 0 Sample too old. Not received within 30 hours of collection 0 Heavy SILT/BACTERrNTURBIDITY PRESENT (circle). 0 Quantity insufficier.t for analysis ( 100 ml. required) D Sample leaked in transit 0 Form incomplete I date discrepancy (CIRCLE errors) 0 Other reason· (DESCRIBE) 0 Chlorine residual j ~ I I . WATER BACtERIOLOGY I()' I ~t}'V\__ Brazos County Health Department ·. 201 North Texas Avenue• Bryan, Texas 77803 • (979) 361-44 0 SAMPLE IDENTIFICATION /)1 !>14~ Vi")( <:htx-, LABID 48006 SampleNumber6 o :ao. Submitted //;r-oz ~ MO/DAY/YR PUB LIC WATER SYSTEM ID C/g-'OQCZ-:Resulted. _____ _ Seven digits (REQUIRE~ MO/DAY/YR PUBLIC WATER SYSTEM NAME 4~ o-< <-0.ut-t..~ J m-ZkJJ Send . COUNT ---~~~~,,u....:_7~8~?.o=-"'$-------~ Sample Name _____ ~~~c:;,._..:::z..c.~1"«-'=-------- Resu Its Street Add ress. _ __.s,;<-t;..£.-;,-...._-L.,..,__,..,,_,=---~..----=-==-= To: City, State, ZiP...,..-'-e..?4-~::c-c:'--..J-.~'1:CP.'-1.l.J'-S-~=-~:...J..JL_J Phone '/7 3tzt::...f • . ~wner/PWS, D .Operator D OthE;lr ~ ' SAMPLE SITEICOLLECTION DATE and TIME Date!Time Collected: /// [-O 7 /0 ·c;() ~[J ~ Month)Jay Year Time of Dal 1 ,,,am pm Sample Site: /n i/f L Cl & } Zii:;;&JthM!J s1'0..J /-?"bte ,-(;n4'./ ~ Address o 'ther description (not sample site number) Sampler Name/Phone: _ __,~~/,.-4-..._,.;;-....__,HI-.~'------------- SYSTEM TYPE ffi'P'U6i i c D Private/Individual 00ther __ _ SAMPLE TYPE (Public Systems Only) D Distrib!,Jtion D Raw: well# __ _ ~uction D Special ____ _ D Repeat for sample# _______ _ D Other: ___________ _ WATER SOURCE ~ r0undwater (Well) D Surface water (Lake, River) DISINFECTANT RESIDUAL (Mandatory) /. SZo mg/L ~ree Chlorine Public distribution samples must have a disinfe~ Residual Number of samples collected on this date _ .... ~....-='-'--- l LABORATORY REPORT (Do Not Write Below) D Chloramine (Total Chlorine) Please Indicate Test Method Used : Colilert -Presence/Absence COLIFORM ORGANISMS: TOTAL COLIFORM D Found NOT Found FECAL COLIFORM/Escherichia coli D Found r;&_NOT Found REPEATS (required for distribution samples only) Unsuitable for analysis (see below) SAMPLE UNSUITABLE FOR ANALYSIS (This unsuitable sample must be replaced within 24hrs) 0 Sample too old. Not received within 30 hours of collection 0 Heavy SILT/BACTERINTURBIDITY PRESENT (circle). 0 Quantity insufficient for analysis (100 ml. required) D Sample leaked in transit 0 Form incomplete I date discrepancy (CIRCLE errors) 0 Othar reason· (DESCRIBE) D Chlorine residual WATER BACTERIOLOGY Brazos County Health Department 201 North Texas Avenue • Bryan, Texas 77803 • (979) 361-4440 SAMPLE IDENTIFICATION 2 1 - LAB ID 48006 Sample Number 11' ? .. ') Submitted J -/if~! ;'/ I MOIDAYIYtJ._ PUBLIC WATER SYSTEM ID 0 2 f C>Do .' Resulted -/ S ( · J Seven d191ts (REQUIRED) MO/DAY/YR PUBLIC WATER SYSTEM NAME I -), Gil( I /f. Send COUNTY -,-'-:-,~~-~~,-'-'-'-'-~..:...:...!.-______ _ Sample Name r,:, rri, (,1j1 (I Res~lts Street Address fo~o.r 094'(,o To. City, State, Zip-Cl7s"":~::::t'l£~""7~'/~ll..5.<"Ll·.L~.--------- Phone c, 7'i · /(,,ti -1&? 1 0 Owner/P,WS C}-eJperator O Other SAMPLE SITE/COLLECTION DATE and TIME Dateffime Collected: TA tU It/ ?Cb R · MoR(h bay Year Sample Site: "-1 r11-._.11/k"' 1 ill' 0 am pm Time of Day ~h . _7 Addres5tofol/)er de,scription (notpa SamplerName/Phone: u"? .:..1./ ?""" ~ /tt>Jr\l/(;f1./ l SYSTEM TYPE 0Public 0 Private/Individual O Other __ _ SAMPLE TYPE (Public Systems Only) D Distribution D Raw: well# Gfrconstruction D Special --- 0 Repeat for sample# 0 Other: ------- pjt}s1te numbo/) ~ l(...Jc~ Hµ'1... WATER SOURCE [J"Groundwater (Well) D Surface water (Lake, River) DISINFECTANT RESIDUAL (Mandatory) ! tl ; mg/L Public distribution samples must have a disinfectant Residual Q ree Chlorine Number of samples collected on this date _ _,,.., ___ _ 0 Chloramine (Total Chlorine) I LABORATORY REPORT (Do Not Write Below) Please Indicate Test Method Used : Colilert -Presence/Absence COLIFORM ORGAN ISMS: TOTAL COLIFORM 0 Found NOT Found FECAL COLIFORM/Escherichia coli 0 Found NOT Found REPEATS (required for distributfon samples only) Unsuitable for analysis (see below) Analyst Initials: ~ SAMPLE UNSUITABLE FOR ANALYSIS (This unsuitable sample :?ust be replaced within 24hrs) 0 Sample too old. Not received within 30 hours of collection 0 Heavy SILT/BACTERIAfTURBIDITY PRESENT (circle). 0 Quantity insufficient for analysis ( 100 ml. required) 0 Sample leaked in transit 0 Form incomplete I date discrepancy (CIRCLE errors) 0 Chlorine residual 0 Other reason: (DESCRIBE) ll I WATEFiBACTERIOLOGY (}. 1 Brazos County Health Department ~ .:;l1(J ik-- 201 North Texas Avenue• Bryan, Texas 77803 • (979) 361 -4440 SAMPLE IDENTIFICATION -1...1 ( (J LAB ID 48006 Sample Number '_A O,''J Submitted / /'-J.J.J9 I MOIDAYIYRO PUBLIC WATER SYSTEM ID OZ./()002 Resulted ·/ $.{)} Sevendigits(REOUIR D) ___ M_O_VD_A_Y.,,.'/Y"-R__._ PUBLIC WATER SYSTEM NAME 0t'1 't ,.,{' (!~ 5!11Tla.J Send ·~ CO,UNTY_f?A~A~2o~S ________ _ Sample Name Vvfb'! {;A/l_O.iJ Results Street Add ress_.._P_,D"----"P,ll .... i'-'--_,_99~fo0£...L..<D'---------- To: City, Sta~._ Zip _es f)' -71 zv - Phone . .; JCJ • Z l. l/ i {, t ? O Owner/PWS D Operator 0 Other SAMPLE SITE/COLLECTION DATE and TIME Date/Time Collected: 11t.AJ ) i . 'lob 1 IL· to "" D JJ Montf>.pay_Year , / Sample Site: f'-{tkA. U'1K S 1-t"/D Time of Day am pm 1 · . , A . Address O{ ofller description (not sample· site number) Sampler Name/Phone: 1 ID 1i.,. . s4 ; -1 ""'· . I - SYSTEM TYPE EtP'ublic 0 Pri vate/Individual 00ther __ _ SAMPLE TYPE (Public Systems Only) 0 Distribution D Raw: well# __ _ Q onstruction 0 Special. ___ _ 0 Repeat for sample# ______ _ 0 Other: ___________ _ WATER SOURCE 0 Groundwater (Well) 0 Surface water (Lake, River) DISINFECTANT RES IDUAL (Mandatory) £. '/ L mg/L Public distribution samples must have a disinfectant Residual G;r ree Chlorine 0 Chloramine ( Total Chlorine) Number of samples collected on this date __ 7 ____ _ LABORATORY REPORT (Do Not Write Below) Please Indicate Test Method Used : Colilert -Presence/Absence COLIFORM ORGANISMS: TOTAL COLIFORM D Found NOT Found FECAL COLIFORM/Escherichia coli 0 Found OT Found REPEATS (required for distribution amples only) Unsuitable for analysis (see below) SAMPLE UNSUITA BLE FOR ANALYSIS (This unsuitable sample must be replaced within 24hrs) 0 Sample too old. Not received within 30 hours of collection 0 Heavy SILTIBACTERIAfTURBIDITY PRESENT (circle). 0 Quantity insufficient for analysis ( 100 ml. required) 0 Sample leaked in transit 0 Form incomplete I date discrepancy (CIRCLE errors) 0 Chlorine residual 0 Other.reason: (DESCRIBE)