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v. FAIRFAX COUNTY HEALTH DEPARTMENT LABORATORY - BACTERIOLOGICAL EXAMINATION OF WATER <br /> 9 <br /> SPACE BELOW FOR LABORATORY USE OILY <br /> w DATE REPORTED ANALYST LAB 0 <br /> TIME COLLECTED Al CITY OR M, 9 l6 Q <br /> a L_ DATE COLLECTED - COUNTY 9 c„.000/ — 7 -7 7- <br /> COLIFORM ABSENT <br /> 0 SUPPLY OWNED BY G \ h ( 4 0 II MEMBRANE FILTER COLIFORM PRESENT <br /> — <br /> x (a FECAL COLIFORM ABSENT <br /> F- LOCATION 5) 1 0 Z14- 3) g PRESENCE- ABSENCE FECAL COL I FORM PRESENT <br /> z PREVIOUS SAMPLE TNTTC, GROWTH TURBID YES 0 <br /> SAMPLING POINT /k <br /> ` / r /44. 0 HETEROTROPHIC PLATE COUNT /100 ml <br /> I <br /> Z I S SUPPLY CHLORINATED? YES )('NO o <br /> W n (� <br /> CHLORINE TEST MADE AT SAMPLING POINT? YES , NO I 0 FECAL MEMBRANE FILTER / FECAL COLIFORMS /100 ml <br /> c� RES.L. RESUL S TO: <br /> PPM COLLECTED BY � � � <br /> m REP C <br /> ORT = D DILUTION MPN � COLIFORMS/I00 ml <br /> w V <br /> a L `( 0 FECAL DILUTION MPN FECAL COLIFORMS/I00 ml <br /> o f <br /> ( ;'v - _ UNSATISFACTORY (PLEASE RESAMPLE): <br /> L� es 6���. <br />