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2010-12-09_REVISION - M1998058
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2010-12-09_REVISION - M1998058
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Last modified
6/16/2021 5:51:29 PM
Creation date
12/10/2010 9:31:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1998058
IBM Index Class Name
REVISION
Doc Date
12/9/2010
Doc Name
Submittal
From
Connell
To
DRMS
Type & Sequence
TR1
Media Type
D
Archive
No
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TID-- RECEIVED IN LAB L? RE IVED BY: Q <br />Routt County Department of Environmental Health <br />PORTING FORM FOR BACTERIOLOGICAL ANALYSIS <br />II RE <br />SAMPLER: PLEASE FILL OUT ONE FORM - FOR EACH INDIVIDUAL SAMPLE SUBMITTED <br />DATE COLLECTED (e1161 . 1 O <br />PWSID COUNTY:- <br />(Public Water System Identification Number) <br />SYSTEM/ESTABLISHMENT NAME: Yll'a <br />SYSTEM ADDRESS: <br />MAILING ADDRESS 7-195 #tq h1a.07d m6a4M ?f C?&L:?2S STATE Co ZIP <br />CONTACT PERSON: i'' HONE: 70 09 7 -9&ITAX: (Voj -k;3 t 3l q/ <br />SAMPLE COLLECTED BY: TIME COLLECTED: 315 am/? <br />WATER TYPE: RAW [ ] GWR [",A CHLORINATED [ J OTHER TREATMENT [ ] explain <br />SAMPLE CHLORINE <br />POINT: RESIDUAL: mg/L <br />SAMPLE TYPE: ROUTINE [A REPEAT [ ] SPECIAL PURPOSE [ ] <br />For Laboratory Use Only Below This Line <br />LABORATORY SAMPLE # ( 'P DATE RECEIVED IN LABORATORY JUN/ 1 5 2010 <br />COMMENTS: <br />PARAMETER RESULT <br />Coliform, TOT Absent resent) _ <br />Colifonn, E.COLI (Absent/Present) <br />OD = Outdated - Please resample <br />LA = Lab Accident - Please resample <br />Absent = Coliform not detected <br />Present = Colifonn detected ?--, <br />ANALYSIS DATE <br />JUN 1 6 2010 <br />LAB METHOD <br />Colile r -) <br />Colilert 24-hour <br />Reviewed & Approved <br />Routt County Environmental Health Dept. <br />1366 th Street <br />JUN 1 5 2010 <br />Tit e Date <br />Phone (970) 870-5588 <br />Fax (970) 870-5404 <br />PO Box 770087 <br />Steamboat Springs, CO 80477
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