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HomeMy WebLinkAboutFebruary 2010 idmi vww.• Qr wager oment - 40.T. ...+....w�..r .... •......-� ��_ _-'--r.-- .. and Well Management caws i0• Mont!! of Fluoridation Monthly Report f O c OOH o . ` -g-6-_ o a 01 a Name of Ready 1.(,tC Street o /c 6. , � P �� � . Zip Code , I/ 0 P mi _ c© 7 � -I/✓�1 /� Phone a. 7eJea (057 Y3 9 - 4/€13 Fluoride * -, : Used e, r ` Rear Water Fluoride Concentration Water Source -1 , , �- .2 Y7, 0. 18 ngn _ # a Fluoride Analysis Amount of-Meter - Compound Tested Fluoride nDis g Point Reading Pumpage Used Per Concentration on Date (1000 gal.) (1000 gal.) -Day (gal. or lbs.) (mg/l) SYstem . 1 2 3 4 - • 5 . 1 � 1� 518 c•d • /a o 3 Cin '. Pa41-e. 2 4 a-I 3 79 /.5 -367 � - 3 /5 /n S' 90 /,,.- c..� �- 4 .9..3/6/ 5-L18. col r1;". - or 73 G-- - �� �o�-i 5 13 513 . 3 SZ. Z •D - a `?'/ • 7 ' ' (.5- A 1"� 6 Z .) i �- f o_3 Z -0 I' . o g . j_' �. 7 . - S 1. 03 • 3A- EA-5 8 al-tgs7 _ i 7b zf� .- 91 r - 9 '�53/3 • cZt 1,o /004° Co-v-at a4A- 10 As 785' if 7 a c,2• D /. 05 � T,. 11 . vZCDaW7 _, `„I,/sr T v 9L/ 12 - A,(0899 Co S 3.0 /O /a, - r . " �- 13 (2, 770• _3 71 /.S /±/5 14 - A 7 74 3 x/73 0?.o /.,®/ • /4.1-12_ 1 5 aii �J 1.5 . . 911 �" AS 6Sa .53/ .2.5 /Coq ; T/ -P.� t 17 ? 0 5 T 3 76 - /• s' /. 10 Sc. pe itl,�.•41.4c4 e4) -r-- 18 a9 55.2. LI 9 cl a. 0 + Ts- sou t e-rteC.2 19 30 / 01 5y9 -o0 lc/y 20 _20 5 Z 5- z. Z • 5'. - /, oil C'_ I/ f- ' 21 31OZo 1, 1 r M 23 3191 . _ X88 a ` 24 3„/(11-17 537 - o y93 ti.. 6. , . 25 3z8 / 14 365 - /,5 9, - U w + /°oLU-e 26 33 a.16 4118a 02,© . 96 - ,7 , I s, c 3 3 7 90 y y 9 a . s- i of & r.,,,28 06 g - V2 a-o /41 S a, 29 . 30 - - • 31 - 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 lv, `f, -4/ 000 R_-, ...... .........,.. _.... *. lip MINNESOTA DEPARTMENT OF HEALTH Section of Water Supply See instructions on reverse side to complete form. • and Well Management PWS 10# - - Month of Fluoridation Monthly Report / p R o o g'0 ` c o i o I City „may, — Zp Code Swami el? rye # 6S-r- I g'4-o 7/--e.-6(-6-V faz-e-Lci ide-412, 2z-oz-e-7)-a--)-v zi 39 — q Li3 y Fluoride Chemical used . , _ Flaw Water Fluoride Water Source 7 *-� X96 ,, `71). - - 3 LJ Ngy 7 Amount of Solution Fluoride Analysis -Meter - or Compound Tested Fluoride Po_int Reading Pumpage Used Per Concentration on Date (1000 gal.) (100o gal.) -Day (gal. or lbs.) (m9A) SYstan 1 2 3 4 - 5 . 1 - - .--_— - 2 . • 3 - 4 5 . 6 . 7 . - - a . 10 , 11 12 . . i3 14 t-- 15 • - 16 _ 17 - 18 19 20 _ - 21 - 22 23 24 • 25 26 27 _- - -28 31-ic Biz . MO.() - 29 30 - - , • -4 31 Copy to be sent back each month to: Minnesota Department of Health,Public Water Supply Unit, P.Q.Box 64975,St. Paul,Minnesota 55164-0975 FI-r HE-00818-02 IC 140-0013