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t <br /> • STATE OF WASMINGTON � STATE OF WASMIN6TON <br /> DEPARTMENT OF HEALTH • DEPARTMENT OF HEALTH <br /> • WATER BACTERIOL!1GICAL ANALYSIS ! WATER BACTERIOLOGICAL ANALYSIS <br /> SAIAPLE COILECTION F£AD INSTRUC110NS ON fl4CK OF GOLDENROD COPY � SAMPLE CO!lECT10N.RfAD INSiRUCTi0N5 ON BACK OF GOLDENRDD COPY <br /> M In�W cllom�ro nat IollawM,umph wlll M ropclee. j n���b�ctloro�n nollollornA,umpN�III M nMedd. <br /> D�iECOILECiCD 11MECOlLECi'p COUNTYNUAE <br /> � DATEC0.LCC7ED TIMECOIIE�C�r�D COUNttNAME <br /> MonTH o�. n.n � ' '-fl� � Ma+.r o�. .e�n � : T'/ Slloho0l�sh <br /> � (.� /Z j .� �' AM � �; PM Snohomish � r r� / -{ /L)(y �� AM � , PM <br /> TVPE0F5YSTEM f�IALiCS�'STEM.CWPIFtE I T'�PEOFSYSTEM FW&ICSYSiEM.tpARETE <br /> .0 �lNlp'�iWAI �I� tl Na, 2 4�� S � �. � �E�P I �'�(J NDMW�L IO.No. 2 4 0 5 � '. CIR�EGROUP <br /> �..���.w.i I s+r���.i v <br /> NAI/E Of SYSTEM NAMF Of SYSTEM <br /> Ctt� of F;vGrMt, l'ublic 1�'ork.r• Dept Cih� of[:��crett, Public 1Yorks Dcpt <br /> SPE"IfICIOGiKY1W11ERE5/MPIECIXIEtrEO TELCPII(1•IiNO I SPECKICLOL�TpNNMERf.SAMPLEtOLLELTED IELEP1qNEN0 <br /> (;'rr<� 4 c- Z I Z /� r wr i4;5� 257-8824 f�''<�q 4 < - �. 1 1 f?i� . o"v�425� 257-8824 <br /> �2.:• .� - - � r10 c , -+� ' EVENING 14ZS 1 157-8821 <br /> /�d/.'I.n EVENING i'�ZS I ZS7-HRZ� � C. M i.r I .�.� <br /> C• � Sudl'�ECO'.IECtEDBr I�++me1 SYS7EUOWNERVOR <br /> S�MR[COUECiFDBY.�Name) 515TEM�M1EqAlOR �Name� (�) <br /> ��� �,�J.� -{- S _j_7_om ThMford A C % �+i � Tom Thetford <br /> SbIMCEiYPE �_� GfIW11tW�7ERUNGEqSUifALEMRUCNLE ' 3a1�CETYPE I_I GPWNDW�TERUNDERSU:FACE�NRUFNCE <br /> �Y� SU1IF�LE [] NFIIfIELD �.� SPRING �_� MI�SEDa � � aG�qT10N �] SUPfA�E �� WELLa L� SPHINC � WIICIuSEDn (_� LOMBINA7qN <br /> ' MfLLiIEID WfEpTIE aOTNER <br /> SE PEPORTTO�VmIfJfY bhM1�MZqfp�) SENDREPOi1T70�RrAW Mbe5sYN2qCo0e� <br /> _�:niirvnmcnl+�(?unliq�cLu�aeon�rolts--_ �:nslr9nmsnta �►Hl[qsLo�fnrvnS�utts <br /> 121lUS,sslAt�lccfl— _�29��CdAt�S1[cet <br /> F.�'crcll «.,»��a 98201 F:vcrcll ..,,,�,a 9R2U1 <br /> !v[a s�v.rtie iaen ap one n mx mium� lve a sumt[�nwa ary m.n m mumi <br /> f I nairwr �� CMd�WAIReLAxI TayO�Lf.�,� � � nourm� � e�.w�e�nevaw _.._tur0.)5��.. <br /> [%IINKINGWAICR �� i�ne0 `j' onnMiNcwu¢n �J9 rmna <br /> e..a eewna+ -� �_I um.�ea n orc... . .. . . ._ .. �*ba�+ -� [l u�+rceaea a omn_ . <br /> C] PEPEAi SMIP�E I.] ��T SAMPLE <br /> PmwstWmmpesmce ltl� __' . ._____ .. Prmwscallampeshc* ltl1 <br /> D�eCa4peE _ . _. __i_. _ ...1 DMeCa4neE ____J. '.___ I_ .__ <br /> fl MWSOUqLEW�1ER s�.� O U 1l I.I iaacmam f1�t fUWSOUf1LEWATCR sa�rca� O 0 1 C] raywNam <br /> Q1 rrtwcor�srnucranancrrias � f�l r«rca� u' �W�TNULTqNaREVAIRS fl ;«rcar,� <br /> (�� on�Enik�vl ❑ oMEal��l <br /> NEM�Rk� AEMARIlS <br /> (LAB USF ONLY)ORINKINO WATER RE6ULT6 (UB USE ONLY 0f11NKIN0 WATER RESUL.T�B <br /> �..� UNS�TISFACTORv,CdAoimspresanl ��i S�TISFI,CTORY �� UNSA�ISFACTOi7Y,Cddormspmsanl y� S�TISFACTORY <br /> �.;dilqms s�snN COMIOrtns eE]!M <br /> RSAMftES � � E Col�presem � � [ Cdi etnenl �y�p�Es �-� E.Coh presem [..) E.Cdi aMenl <br /> REOUIRED �_� Fenlpre9enl � � Fxeleblenl _ _AE��� �J FeCelprnaM � � Fecel��senl <br /> OTHER LABORIITORY RESULTB OTNEH LABORATOPY RE8Ul�S <br /> TOiAICOlIf01tlA____ . ___IIOOrN --��� E CIXI IIOpiY iOTQCOIIfOfpA_ ___ _IIOdN E COII . ____'"_,I10pn <br /> rEcu cai�aaM__ _ __ r ioom vurc caM �m <br /> vecucaiva�u---- - i�aan rurecanrt i� <br /> �� �— ANOMERSMIPlEREOUIRED —�� - '-- �-- ...'�1NFR5111RENEOUPF:C --- - <br /> 5�6mlEN0ITE51EDBECAUSC 1ES7UNSUITA&EBfGUSE SAMPLENOTTESTEDB[CAUSE TESTUNStI1TABLEBECAVSE <br /> 1 se�e�ro an I. 1 r ��pnt prowlh �� �mde ioo oa C] e«�n�,m prowm <br /> ' i Wrpgcontame� � ! iNTC �� Waqronleiner �] TNTC <br /> � �' Lunmpl�9a lorm � IurMO culture �-i Incomplete brm �] TuTM cuMuro <br /> . I � � FcessUeAns �.� _ .'._-___ �) E.cessEeEns <br /> SfG RfVENSE SIDF.OF OREEN COCV FOfI LX���NA710N OF NESUlTS SEE REVERSE SIDE OF OREEN COFV f Jq E%RANATON OF RESULTS <br /> LAANOpD�G1151 OALFrN1EPiCEIVFO RECEIVEDB� �����+�T51 MiE7nNENECEIVEO R�EIYEVBY <br /> / � t I I h <br /> � �_L��LL( ,�1. / � L' �� )� /�7w, 1 � j I1y�(�� Ib Jj � I ��,�1 I �� <br /> o��[aEaoATFo �iaa�ronv wrEncvoai�o �"�+�'a+� CITYOPEVERETT � <br /> � . .�lJ I�. CITYOFEVERETT � � . Cb� � <br /> ENVIRONMENTAL LABORATORV ENVIRONMENTAL U6JMi OR��� <br /> ,,, , ,�„ , „ 9200 CEDaq STREET ,...,.,, .,,.�,,., 3200 CEDAR STREET <br /> EVfRF.7T,W4 9P:01 EVERETT.WA BB201 <br />