Billing addressHS Public Water Supplies IHot -- Drinking Water Program

ke..hYhttYl 5pr/~S ----Name: - Pendleton Lab

Address: ~419 SW 5th Street

P~A~~I Pendleton, Oregon 97801

City, State, Zip: 5412760385

9,C::;P ,~7 -~.O'i(Y-- ~.pa/~/~ Fax 541 2762041Phone:5lti l{).'1 3015 Fax: ~I I rv- ''" CustomerServices@PendletonLab.com-

- ORIOOO58Report Address

Name: QUANTITATIVE COLIFORM ANALYSIS

Address: Bottle Lot #: VO 0<::."2-

City, State, Zip: Lab Sample 10#: ()'10Cp tl f\:?..

Sample Collection Date/Time: ()~ Ill. I~ O~ : '3<;' ~AM---- ---- DPMMonth Day Year Hour Min

Collected By: ~""t~ D",~Sample Point: t-o-z C£ \.\-~~"( (' IW)~"()b -

Address:

PWS#: 1 411 '1 1 1 1 1 1(Water Districts Only)

Sample Type: D Waste Water)Q Other (specify) L0 ':)() C>\:]Source Water D Flowing Stream D Reservoir / Lake

ISample Received Date/Time: 0 <0 (:>.. b~ ()~:'-1\ ~AM Initials: c..-. Temp: y °CDPM

Month / Day / Year Hour Min

Analysis Start Date/Time: V Go 1'2 09 V\ Ljo ~AM Initials: c...DPM

Month / Day / Year Hour MinORELAPMethod(s): 'f4j SM 9223 ~ Colilert Quantitray D OtherCheck all that apply.

-i- - - - -- - - 4/1J --1 tirtG )b 0t DAM--- Z - -

Analysis Complete Date/Time /2 :30 cMonth I Day I Year Hour Min

~PMAnalyst Reviewer Signat~rJ

Raw Results Total Coliform E. coli Final Results

# Large Wells Positive $~ 0 Total Coliform ~~ MPN 1100 mls

# Small Wells Positive 7 (:, E.Coli < \ MPN /100 mls

MPN /100 mls ~ I..(., <::.l

MICROBIOLOGICAL ANALYSIS

'5f. Fax Results

o Email Results

D Call Results

f' '" .•..")..""'IFax # \...'} ~ I J "1.).... J Q

Address \, jZ) 3 - ..zYl - 5ZJ >?tfPhone #

Completed ------------------------Completed ------------------------Completed------------------------ ------------------------

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements ofNELAC unless otherwise noted. This report shall not be reproduced, except in full, without written consent of this laboratory.

\HS Public Water Supplies IBilling address

L~kM ~"") \+11l- ..•..- Drinking Water Program

S rJl \ "35 --, Name: - Pendleton Lab!

~~TO~ 419 SW 5th StreetAddress: r~·:A'\I Pendleton, Oregon 97801City, State, Zip: ,~ ~ln6ro~

~ ~ Fax 5412762041Phone: Fax:

!j.'l& CustomerServices@PendletonLab.com-Report Address ORIOOO58Name: QUANTITATIVE COLIFORM ANALYSIS

Address: Bottle Lot #: f"\)Oa<

City, State, Zip: Lab Sample ID#: ()9C)~llAl

I Sample Collection Date/Time: 0(0 1 12.. 1 0 q o ~ : ~~ QaAM------ ---- DPMMonth Day Year Hour Min

Collected By: \zV\\t. Dot)

I

Sample Point: \\.bov~ S~~~\.- I .,JC:JCJy\ --C n:-{ l -

IAddress:

PWS#: 1 411 1 1 1 1 1 1(Water Districts Only)

Sample Type: D Waste WaterC 'r-( ( kSource Water D Flowing Stream D Reservoir / Lake IRI Other (specify)

ISample Received Date/Time: 0 ~ [2- ~9 c~ :<t) ~AM Initials: ~ Temp: ~ °CDpM

Month I Day I Year Hour Min

IAnalysis Start Date/Time: (p 12- 0,\ d) it0 ~AM Initials:

L.IDpM

I Month 1 Day I Year Hour MinORELAPMethod(s): ~ 8M 9223 ~Colilert Quantitray D Other

Check all that apply.

I - - " J,fI;:6 \3 Or DAM ~z., -- LAnalysis Complete Date/Time 12 :30 lOPM ,

Month 1 Day 1Year Hour Min Analyst Reviewer

I Raw Results Total Coliform E.coli Final ResultsL....jC! (p i :L03 \'

# Large Wells Positive Total Coliform MPN 1100 mls

# Small Wells Positive yl 0 E.Coli <0 MPN 1100 mls

MPN 1100 mls 11...t)~,3 (,,3 ;I , e

5:ax Results Fax# l2V 3- 21J-56 q7 Completed - -7o Email Results Address Completed

D Call Results Phone # Completed

----

MICROBIOLOGICAL ANALYSIS

Test results relate only to the parameters tested and to the samples as received by the laboratory. Test results meet all requirements ofNELAC unless otherwise noted. This report shall not be reproduced, except in full, without written consent of this laboratory.