HomeMy WebLinkAbout5.5 Standard Bacteriological Water Test- Snowmass Water & Sanitation District 2015.12.10STANDARD BACTERIOLOGICAL WATER TEST
SNOWMASS WATER & SANITATION DISTRICT n �q
P.O. BOX 5700 — SNOWMASS VILLAGE, CO B1615U1
f 7RE.SS1� �AI"cc,
PWS ID# Sample Location
SAMPLE TAKEN
DATE I ck I V ' 15 TIMET' ''',, /��NAME OF SUPPLY
COUNTY SAMPLER CHLORINE RESIDUAL MGFL
( ) COMMUNITY SUPPLY (} ROUTINE DISTRIBUTION SYSTEM SUPPLY
( ) OTTHER PUBLINON C (•,) RAW CHECK SAA( ) E GROUND ( ) PROCESS WATER
SURFACE
PRIVATE ( ) SPECIAL PURPOSE SAMPLE
"NOTE IF ALL INFORMATION IS NOT SUPPLIED, THE SAMPLE WILL BE DISCARDED.
SEE REVERSE FOR TIME LIMITATIONS, SAMPLING INSTRUCTIONS AND DEFINITIONS.
9-011
REMARKS
PHONE 41A"'
RETURN TO
ADDRESS
CITY-STATE
,Co
ANALYST/START {d. UNSUITABLE
FOR TEST
ANALYST/FINISH ,.,„_.„11::::1_
RESULTS
COL1FQRM
E.COLI
COLILERT 1B -hour lest
1,72 Rule
COLIFORM MPN
E.COLI MPN
+�
PRESENT
PRESENT
DO NOT WRITE IN THIS SPACE
DATE lz1 `( /[TIME J + t RECEIVED
DATE 1.2 " Lin •1 TIME 0
ON TEST
RESULTS GREATER THAN ONE COLIFORM
PER 100 MI. INDICATES NON-COMPLIANCE WITH
MINIMUM DRINKING WATER STAISL ARDS
BOTTLE #•