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Home My WebLink AboutBRUIN PARK BLK 2 LT 2ooo ACHEMICAL & GI~.~LOGICAL LABORATORIES Drinking Water Analysis Report fo..r..,~,t~loC,.~c~n°~Baotoria TO BE COMPLETED BY WATER SUPPLIER "" Il ~(~COMPLETED BY LABORATORY --]..~____ . ¢r~li~w~'~ shows this Water SAMPLE to be: WATER SYSTEM: , , I.D. NO, ~ ~"'[~] ~Satisfactor¥ : %"~ ' ' ~' ':i ~'~ · [] Unsatisfactory Water System Name Phone No. Mailing Address City SAMPLE DATE: State Zip Code Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. ~ I I I , I I LOCATION Time Collected Collected By [] Sample too long in transit; samole should not be over 48 hours old at examination to indicate reliable results. Please send new sample, Date Received Time Received Analytical Method: [] Fermentation Tube D' Membrane Filter Lab Ref. No. Result* Analyst I I-W! I I FTq I ~ *No. of colonies/100 mi. or No. of Positive portions READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date CollecteO Source a.m. Date Received Time Recelve(~ __ p,m, Lab, No. Presumptive 10mi 10mi 10mi 10ml 10mi 1.0mi 0.1mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Multiple Tube Report: Membrane Filter: Direct Count verification: LTB Final Membrane Filter Results Reported By Broth 24 hours: Broth 48 hours: 10ml Tubes Positive/Total 10ml Portions Collform/100ml BGB Date Collform/100ml Time: ' I,m, p,m, ©~rec'(m" ~ * ''~'~ ~s' for Co~fecti~9 Samfes,. off Water for Totat Coliform Bacteria E×amination This water ar~atysis dea~s with m~terMs present i~ very minute quantities. Carelessness i~ cottectir~§ arid handling may ~ead to misleading resuits~ Water samples will have to reach the ~aborato~y as quickly as possibie within 48 hours after collection, After 48 hours, the sigr~ifica~ce of the bacteriological ar~alysis is impaired a~d resampting will be neck. l~"~ oo~ecti~9 samptes from TAPS or PU~PS proceed as foiiows: e) ~emove any aerators or screens attached 'to the out,et, tap ca' pump by a~io~vi~ag water to ru~ freely with a fut~¥ opened out,et for three [-~emove berrie from mai)in9 tube, Hotd bottle i[~ one frond whi~e removing cap with the other, touching the neck of the bottle and the inside of the cap. Fi~ the berth 'to its shoulder while attempting to avoid spiashir~g. ~mmediatet¥ replace cap, bei~g sum that it is tight, but not so tight ~s to split the cap~ Complete the portior~ of the lab for~ which is i~dicated "TO BE COMPLETED 8Y SUPPLIER," ~D ~'~umbe~~. {Public wate~- supffers Pack bottle carefully in mailing tube with lab form. The ~equimme~ts for aaa[ysis of public wate~~ systems for total coliform bacteria are defi~ed in the Dri~'cking Water regulations administered by the Department of Environmental Conservation.