Laserfiche WebLink
LAB ANALYSIS <br />N TART D <br />DEC c v PKIN <br />COLIFORM <br />FECAL COLI <br />MPNi1 OML <br />MP '1 M' <br />COMPLETED <br />SPC/ML <br />MPN/10 ML <br />10 ML SAMPLE PER TUBE <br />GAS IN <br />HRS. <br />1 2 3 4 5 <br />PRESUMPTIVE <br />24 <br />TEST <br />48 <br />CONFIRMED <br />24 <br />TEST <br />48 <br />FECAL COLI <br />24 <br />COMPLETED <br />TYPE <br />OR <br />PRINT <br />- 0-I'C <br />i< • �ff i 1 �1 �I >r+K�t �+ I <br />14 <br />LAB FORM 9 SANITARIAN <br />J lJ} VFWL tt C/ -1L 119 UIJI KI t.I <br />P O 709 <br />1601 E. Hazelton A" tockton, Co. 95201 <br />WATER ANALYSIS <br />Address All Inquiries To <br />DIVISION OF ENVIRONMENTAL HEALTH <br />❑ ROUTINE ❑ REQUEST ❑ RECHECK <br />.13. PUBLIC ❑ PRIVATE A Drinking Water <br />❑ Raw Surface ❑ <br />Water <br />SAMPLING POINT <br />SAMPLE NO. / <br />DATE & }jU IN <br />DILUTION <br />M'_' w 7_+ <br />