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
�'/f� <br /> ( a�n a w��oroM ( r <br /> �swnrerr os�un� � <br /> WATER BACTERIOLOOICAL ANALYSIS <br /> SRMRE COLIECTION: REAO INSTRUCTIONS ON BACK OF GOIDENROD COPV <br /> If Imtrucflons�ra not IdWw�d.wnpN wlll bs rs�ectetl. <br /> DATE COLLECTED TIME COLLECTED COUNTY N�ME <br /> MONTN D�Y YEAR I/ � J � <br /> iL <br /> I I} sr' M OatA Ra�iJ...: Sli <br /> TYPE OF 6V8TEM �F%1BLIC BYBTEM,COMPLETE: <br /> lH�r,_u,e:. - I.D. NO. �� °1eaF cuss <br /> LJ INDIVIDUAL �� I 2 � � <br /> nr...uwr�rnuw��w <br /> NAME OF BYBTEM `M pP yA• 4 <br /> , R n..t' — oe �. <br /> SPEq C l �TIOM WNERE 511MRE COLIfCIEO SYSfEM OWNEAiMqI W�ME NI 1ER10NE NO <br /> M�IItM�M��:nod.in nMbl Iw�MwH <br /> l��os.� 0'7�— W�!�e'r �i �l ' <br /> � -9 v ( )�-89iv <br /> 8AM OLLECTED BY:1Nr�r�1 � <br /> �10u " nf� F /s ���/Dk <br /> nce nve <br /> ❑ BURFACE ❑WELL ❑BPRINO J�PURCHABED ❑ ���EpTION <br /> 8 REPORT TO:Nnm suu hrn, coa� � <br /> t ♦ 'r.' ►` °C l�s./�T � <br /> D o � <br /> .� � �r � �"— w�eHiHora� �� <br /> trvE or s�Mr�e <br /> ILT�A pMY 0M M 1114�OIIM111� <br /> 1. � DRINI(INO WATER ❑ C�IaInrIM(RenlAwl:_Tol�l_Fros) <br /> eMCM Ifu11Mn1�-► � FIII�fW <br /> ❑ Untmled w OtMr <br /> 2. MW 80URCE WATER <br /> 3. NEW CONBTRUCTION a IiEPAlRS O__a <br /> 1. ❑ TMER(BpsclM � <br /> • <br /> COMPLETE IF TH18 BAMPLE 18 A Cl�CK BAMPLE <br /> PNFVIOUS IAB N0. <br /> PAEVIOUS BAMPLE COLLECTION OATE � <br /> REMARKB: <br /> uw��roer�rs�.o�w u.E a.n <br /> MPN�COLIFORM 810 PUTE COUNT BAMPLE NOT TESTED I <br /> BECAUtlE: <br /> _�6 we..w.n.. �mi <br /> MPN DILUtION TEBT UNBUITABLE � ��^D�e Too Old <br /> I <br /> ��"a t. Q Conlluen�arowln ❑ No1lnWopa,cont.�nsr <br /> �Ilr COLIFORM <br /> /� 2. O rNrc � i�ndna.m i�iwm.uo� <br /> /7, /pp ProvlMd—Plwu RMtl <br /> In�INcllOn�pn Form <br /> FECAL COLIFOR 3. ❑ E�cw�D�btl� <br /> ° 4. ❑ ❑ <br /> �m� <br /> FOR NIO wATEA BAMPLEB ONLV,TMEBE RE6ULT611NE: <br /> s�nas�croar ❑ UNBATIBFACTqiY <br /> 6EE RE.VERSE SIDE OF OREEN COPY FOR EXPUNATION OF RESULTB <br /> W NO. d1TE.iIYE 11ECEIYED— RECEIVED!Y <br /> Ct0 q � � 4 �v� � <br /> wre n ronr usoru onr: <br /> . � <br />� aon aosam 1�[v.�aw1 � : I_��,i'. , , , , , . � <br /> oP cENr�covr �, <br /> �_ <br />
The URL can be used to link to this page
Your browser does not support the video tag.