My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
3003 W CASINO RD 1991 BLDG 40-87 2018-01-01 MF Import
>
Address Records
>
W CASINO RD
>
3003
>
BLDG 40-87
>
3003 W CASINO RD 1991 BLDG 40-87 2018-01-01 MF Import
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/28/2018 8:44:14 AM
Creation date
1/26/2017 12:53:26 PM
Metadata
Fields
Template:
Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-87
Year
1991
Notes
SITE WORK
Imported From Microfiche
Yes
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
495
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
- __ <br /> ( er�rE os w�motoM � <br /> � ocr��rrcMr os�xtN <br /> WATER BACTERIOLOOICAL ANALYSIS <br /> SAMPLE COILECT10N: READ INSTflUCTI0N5 ON BACK OF GOLUENROD COPY <br /> If Inetructlone�re not lollowed,e�mple wlll bs ro�eeted. <br /> DATE COLLECIED TIMECOLLECTED COUNiY N�ME <br /> MONTN DAY YE�A I I ; ��_ <br /> r / T( �.l�M O PtA ��a �p�.. �_ <br /> TYPE OF 8Y6TEM �F PIIBLI�BYBTEM,COMFLETE: <br /> �,PUBLIC anci[u�ss <br /> �] IN�IVIDUAL �•D. No. � � . J 1 <br /> u....aw�,..ans« —1 <br /> NAMEOFBYSTEM N �^-�-�(� �ti�• <br /> ��. t2� .� T3o�,�_� <br /> SPECIFlL L C�f10N WNERE S�MPLE COLLECiE SYSrFM 1TP/ N�MF NA N� <br /> �..,,���. �.,`.���.�,�. �-P �r � c. <br /> �-f.._.�y /� � <br /> _�� ,�- o ( )asY-9B�a <br /> BAM COLLECTED BY:INm�I ��// <br /> a d �� �- /sll � T� i <br /> SOURCETVPE <br /> ❑ 8URFACE ❑ WELL ❑ BPRINO �PUNCM�BED ❑ COMBINATION <br /> a OTHER <br /> BE EPOR TO: �PUulil�m�kiD�G ��D�J <br /> � q <br /> �(i c�r o w�sniMaror�c p'�� <br /> TYPE OF B�MPLE <br /> FMc1�u+r aw in�nN cwnro <br /> 1. U DRINKINOWATER ❑ C�ICHrutedlResldu�l:_Tot�l_Frsel <br /> cMck Iro�lmant�--► � Flllersd <br /> ❑ UnVoletl a OIMr <br /> 2. ❑ RI1W SOUNCE WA�EH <br /> 3. �NEW CON6TRUGTION or REPAIRS , <br /> 4. OTHER ISpec��y) <br /> COMPLETE IF TN19 9RMPLE 19 A CIIECK B�MPLE <br /> �E�,��S��a No 0923 <br /> PREVIOUS 6AMP4E COLLEGTION DATE <br /> NEMARK3: <br /> LAlORATORY NEBULTS Iso�w us[awrl <br /> MPN�COLIFORM BTD PUTE CWNi B�MPBEC U8EES7ED ' <br /> _�5iw..c«,�.» �R� <br /> MPN pILUT10N TEST UNSUIT�BLE � B�m01s Too Old <br /> ��mi �, ❑ Ca�lluant�rowt� ❑ Not In PrqNr Co��sliror <br /> IRF COLIFORM 2. ❑ TNTC Ineulllclanl Inlorm�llon <br /> ��00 m � ProvldaE–Pla�a�Nxtl <br /> Inetrucllon�on Form <br /> fECAL COUPOR 3• � E+csu Osbtle <br /> �� 4. ❑ ❑ <br /> �100 m� <br /> FOR DR NKINQ WATER SAMP�EB ONLY,MESE RESULTB ARE: <br /> 6ATISF�CTORV ❑ UN9ATIBFIICTORY <br /> SEF.REVEP,SE SIDE OF OHEFN I:OPY FOR EXPLANATION OF RESUlTS <br /> Ua NO. O�TE.TINE RECEIVED– RECEIVEU BY <br /> � .� ' I-��� { ' v – � . <br /> � p�T EPO ED UBOR�TOPY: <br /> �� <br /> RE �RR6 <br /> OOH 7Dl0071�V.17M1 . <br /> DP CENTER COPY ''a� <br />
The URL can be used to link to this page
Your browser does not support the video tag.