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HomeMy WebLinkAboutWATER SAMPLE - 18-00083 - Homestead Cottages Bldg 1 - Solar PanelsWelaa System Name: Rr/ Escherichia Coli PWS1Dnu: (P)reaettt (A)baeat Collect Daaaw Ommyy.: // /. PerSon'rransp,rting %ample r,,1 h - 9223B -PA Condition of Transport: Cm,lcd r'J Carrier ► Mail j olht:r Re rt sultsTo:Q j � Hrlinyuished by Date: 1'imc: Phuru; Number Fax Number. Client Sample Lab Sample Sample Sampling Location Number Number Type Code Via �-+.unxmicunNJpecial PY-llmrealad(Soutoe) E Gnlnraememl (Chain or Cuskldy Required) Chain -of -Custody Information t� Public Water System Private System Preserved With Sodium Thiosulfate I Billine Address• TETON MICROBIOLOGY LABORATORY ID: ID00969 ---� 258 N Water Avenue Suite 2 Idaho Falls, IDAHO 83402 Office: 208-529-0077 -- Fax: 208-522-3797 tetonmi_cro,com Time IChlorinel Original Sample Collected residual Date PPM Total Coliforms 7_ Escherichia Coli Method Code RIOOmI (P)reaettt (A)baeat Method code plpptnl IP)rxeat IA)bsml 9223B -PA j I 92238 -PA 9223B -PA i 9223B -PA 9223B -PA 9223B -PA 9223B -PA 9223B -PA 9223B -PA 9223B -PA P•Rcpem Sample U-Upsucam Repeal D -m— urcam Repeat X -Other Repeat -_ (At Original Tap) Rer ed ny �!i- Daic: fine: dhy Relinquished by Date: Time. Received by Relinquished by DA'PP.(1'IMF RGrGrvGn. _ / Date: 1 'rind 1° )' /7 Hrlinyuished by Date: 1'imc: Itcceived by _ REMARKS: ...._ , DAThJI'IME ANALYZE: G _ __,.._.�. ...,...... ____ / 7 �$ SUPERVISOR: �AdRcsulls7�): 3 DEO Lq DEUPIR DATE/TIME READ: — 1 fly Dist 7 ower 4 f e �t'? 101 0 LAB tor: ID00969 _.,�- L Du,l 6