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| 2381 South Plaza Drive P.O. Box 3388 Rapid City, SD 57709 | ||||||
| (605) 348-0111 -- www.thechemistrylab.com | ||||||
| Received: | 04/10/05 at 02:30 PM |
| by John Doe | |
| Account: | 0000C |
| City of Clearwater | |
JOHN DOE
ABC MOTEL
123 MAIN STREET
CLEARWATER, SD 12345
ABC MOTEL
123 MAIN STREET
CLEARWATER, SD 12345
Pool / Spa Report
| EPA # | Sample Site | Sample Point |
Sample Date & Time | Total Coliform SM 9223 P/A |
Pseudo- monas |
Field Tests | Analyst | Lab Number | |
|---|---|---|---|---|---|---|---|---|---|
| Residual CL | pH | ||||||||
| 0000 0000 |
Hotel PoolSAFE Hotel SpaSAFE |
04/10/05 12:01 PM 04/10/05 12:40 PM |
Absent Absent |
0.8 mg/L 0.9 mg/L |
SCR 04/10/05 SCR 04/10/05 |
20050410101 20050410102 |
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- Key to Notes:
- SAFE: Bacteriologically safe at the time of sampling.
- UNSAFE: Bacteriologically unsafe for swimming.
| Approved By: | Values not yet Approved. |
| Date Printed: | 04/10/2005 03:00 PM |