Laserfiche WebLink
SIERRA FOOTHILL LA80RATORY <br /> 255 SCOTTSVILLE BLVD •P O BOX 1268,JACKSON,CA 95642 /l} <br /> SAMPLE FOR MICRONIOLOrlICAL EXAMINATION +.�CQQ CAVE ALAN[ <br /> ' / [OYMTY bAo MOY COLLE[7[p1[ O[ AtEss 1U� � � <br /> mlm 1116 <br /> s4wpjkj lf.PbfMT cn <br /> msjKmj�J C E OOT OTTL[ q uYl Epi <br /> KnV/IF►.T}}I�AV�I x tj] /`/Ji�/11}{`/,`J\f <br /> ❑ orti"(ANY sNO tylkircgI ❑ s[CtA6[ [] GAIVIATStlRFA[E DEPT HEALTH AT <br /> TYPE OF (AMT SbuRCE1 pATQO <br /> SA p PLE <br /> Q OTHER (S►[CIrT..__ SEND COUNTY HEALTH <br /> j REPORT OTHER <br /> fEI ANALYSES DESfRED AND REMARKS TO <br /> ' 1 ,0 CCOLIFORM C1 r[CAL COLIFORtl kg <br /> 1 ,�1 SPC C) OTH[R <br /> • RESULTS (TO ®E.FILLED IN BY LABORATORY ONLY) <br /> TUBE NUMBER COLIFORM MPH/l*Dml OR o t <br /> PORTIONS a <br /> r04710N5+M YL Lcat, 1 1 1 L 1 <br /> HOURS <br /> IE PRESUMPTIVE 24 E C MAN/ICOmI <br /> TEST <br /> a[ <br /> CONFIRMED za SPC/rpt Cl,RES <br /> TEST AT 35' C mq/l f <br /> .[ n <br /> E C <br /> LABORATORY REMARKS -2030- EL <br /> ❑ LEAKED IM TRANSIT 772,-1�3 L� ANALYST <br /> `/J <br /> ^ 4, � INSUFFICIENT SAMPLE �/ /�� 1 <br /> t , <br />