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HomeMy WebLinkAboutMay 2010r 1.1 a ' 411 • 3CCUQR or water puppy 17%,G .. w - .- _.-_ ... and Well Management MS ip# Month of Fluoridation Monthly Report /1.3 0 0 o.O 91©/0 • Name of Facility Street . Oah "Cti1AAZIM '71)ell 14ttet," . I If/b- W A-11-el ,d-A City County Zip Code e a12 Pet/LA i%)4e4 14 / a, 6-S co gvP" Signature Title / _ Phone # 7� i'cti - 2✓crt/'01 -Cr e',2.4-n G;,s i Y'9 y'/3 9 Flu 'de Cr Used..., Flew Water Fluoride Concentration Water Source 11,.E ,v.. � Y� 6, / mgt wa. a 1 I Amount of Solution Fluoride Analysis • Meter or Compound Tested Fluoride Sampling Point Reading Concentration on Distribution Date (1000 ) (1000 l) •Day (gat or lbs.) ( System 1 2 3 4 • 5 . 1 6,5/6 _ • '3 5's / S' • /. r! ,� Ai/ 2 7 �1q �Z z3 f, t-o Sr -k,--ivas 3 /0 ,'9/a. 399 c9.0 /./ 7 S-, toe.s-r 4 /091.47 a 5 . I,0 . /,vi s /l4)K rr�,. /1;a1 5 t0eg 7'4 - Z a 7 1 ..0 /r 01 . 64,. 6 1103'1 • Ll1O 1. S /. 00 . s ,A . : 't, 7 . 1 ia.8•ti - .2oo 1.a I.nc,y o-f Cr 8 114,B5 "101 J .5 _1,07 a s..- t r 2*--7 4, e, 9 ' t 1-$1141 . 1 51 /.0 1. 33 /f 4 - 20 I aah' ii a .7.0 4.'33 y `- 11 . l a�l 7 7 a1 0 1 - /-0 /.:©/ 4 . Y: , G-i 12 I,Z ago 37.E /,. /.1'i- s :J', 13 13075 r IS • 1 0 14 - 14,287 - A.1.A Ito 1dog 0 , > 15 /3 es-0 .32z f. 5-- . I, 6i2" ' - 16 / 26 4/ ..1 . / 6? I 4442 . �ri'ei•�• r , 17 I'-f 3 Q • /15 /JO; , i; ', 18 / yCS © • - 3 a . /,5 /, /2 -*7A re%2.e 19 1 531,Q, 71 30.Q 1 t/S �1 /°� 20 IS�1 �7 3j , S jr f �+ 21 1 � oG 87 1,0 • / Q� J,4 i 0`4- 22 0413 611 2. © j-j , Cci it -swop 0 3. 0 *kV 4...r1�' '�= 23 l 't 9 5l3 s'1 ! � �f�'4`24 f ir'8''.5-2- ''3.7' `l 6 /� 0 9 ' 'rRTm#.,-d /9/..,-.‘-'r-- 29 / ! i 7 2/ _ 33.-) -.---• /, 3-- A i s'" (7cp v 1 44-0-1- 1,a-0e-it. 26 - , 9 r.-=' ♦ /, a'7 „, `s v /91 73 5/0 .2. o A. 69 i ' Id 29 ao� 1 % it 40 /101 _. __,f. 29 . 0 : , 5 44 - 7 L� 30 -1 oa. 58G - ,5 /. 0if 7( :.e4w 31 A I 69 70 . 01.68 /,Sr- /. 0 02, -- Copy to be sent back each month to: Minnesota Department of Health,Public Water Supply Ltnit, ar P.O. Box 64975,St. Paul, Minnesota 55164-0975 Fl-': ...,.. --, , .,■ jai 41591 c69C) - MINNESOTA DEPARTMENT OF HEALTH • . . , Section of Water Supply See instructions on reverse side to complete farm. and Well Management PWS Kt* - . - bloom of Fluoridation Monthly / a 00 cI Q I a Street Name of Fealty ,r:- /f / 1V1 l /4//‘,.S . l 0th �� 2 , 1. -- ctr ��; ti� County Code °`q-0 et&z. t%zA /—e � 550 g` ' . Phone# °197.e, 74( /-) , , Ruoride Pew Water fide o Water sovwcr # used , �jy% 0„ 14-/ mgr, '� 1 3 5 o8 - Amount of solution Fluoride Analysis -Meter or Compound Tested Fluoride Sampling Pow Reading Purge Used Per Concentration on won Date (1000 gal.) - (1000 gat) -Cray (gal. or lbs.) (eng/l) SYslern 1 2 3 4 5 . 1 3b 5i 141 , s /, sJ rill _11.-it - 2 31 ir4 3 z Z.-0 • I, 0SI .cis • 3 e i aeT /0 - 4 L/L/db dZ / S - 1 , 0 - 5 LI7clg - 3'- /15 6 yqf= - 17 i . sL • - 7 - 592(o l/ - 3 tlzt , O • - a 5 ya g 14y .5 9 - 5_748 • 3 0 1, s 10 Sqt 153 a.5 11 _ ('3Q9 3-88 `;2. o 12 (L.5 , I 1-17 b 5 13 b(035/ • 178 - /'O 14 6 956. - 3aa 1,5 15 7/ '73 s"' - . 16 7y 7/r7 j j •, v 17 76 ZI1G3 / 'S 18 go_ s • 379 . I. SE- _ 19 $ !),Z ci , 00 1 ._ 20 103C 6o ( - 21 co C , - l . 22 4, 23 24 fkSr 6 I 1 3 1 3. Cr 26 27 licc 4 ,,- a - - - 28 ' ; (O 0 30 low? 7 155 7 / - . 5 . 31 107(-1.5 46 a, 0 .. Copy to be sent back each month to: Minnesota Department of Health,Public Water Supply Unit, P.O. Box 64975,St.Paul,Minnesota 55164-0975 HE-00818-02 7 (9 .3 7 Oc o IC 140-0013