Loading...
HomeMy WebLinkAboutJuly 2009 ■ ■ Section OT water ouppiy ................... _.. ._--^-- --- - -- - . and Well Management P_ 10# Mona, of Fluoridation Monthly Report pedy_. 0 9 /4 00o0 Name of Facility Street G_44 6.-t fre , City _ Zp Code _ Q SiO / , 5-S"0O �-- c v �/ ` �� / Phone # Je U lj f“-e.Y Z.lc,-Z./v FEwnr'-n & s, - '13 9 - YY3 7 Ruoride Chemical Used - c Raw Water Ruoride Concentration Water Source Al , ' •I / ,P`17o O . /r mgn 14)--ee 906.157 Amount of Solution Fluoride Analysis - Meter • or Compound Tested Fluoride Sampling Point Reading Pumpage Used Per Concentration on Distribution Date (1000 gal.) - (1000 gal) -Day (gal. or lbs.) (mg/!) 1 2 3 4 . 5 . 1 2O 2O 3 • Sd 6 471. .0 - /./ 1/01/'9'14 2 9cB0761, /op 7 5..5 L• l hk:P.a • 3 /05 4 Z . sa9 • 4J, 0 D,99 ly1 L/4�isz0ep s 4 t C 9`) I/ l d 2-.2,... S', D I ,12 /q 1.11.01,1". 5 :IA' .7 �_3 7 7 4' 0 • 45- .1 /4 a-Aelr/ 1-6 6 /i -S (, .d • .1 .13 . / /R c t 91 �' 3 i� / 7 7 +.� 7 /08Q. 5e5" /o /9 1 t 5CA- ' 9 YiyORR. 106S 50 bat/ ,7.74, 9 t- ge 9 '`�LSl37 • 14,5".3" 5.0 1.05 ��►i� � ' 10 `T/ .20 1 / 7�? �� /.v l / 11 . ?/73�S . 9 9 V �',n _ /. .2 /"{CAL,cii,et t2 /F/ ,�ra ' / 3 cv 4c 4' 7 51-/Q P �� 13 ; . - e . • � La..4�..Z�C.u.GrL li 14 ' goZ.0 7a 5 / / O 6 S',5 l. 07 , , ' 15 3.5 1.1 - , . ' .�/2- 9a.153q $/� 16 /4241650 1 1 l 1 5-3- /, 06 • ' '- V.az-v- 17 123 $ L / 1 1 -11 • -S 1' 0Z /3- 'mss 18 1147 1 0 (65'3 . 3• 5' 1. 15 -t (tt c- , L 19 azs � a4 591 4•o 1. z1 s.A- WIS 4- 20 901496o /0/.56 S.5- . .cas ,�A •.� 21 9z > 3 'l l 3 J. al �!�� + - Twze 22 23 24 - 25 • 26 • 27 . 28 29 30 • - 31 9c2 7755 IIC6 4 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 ._ a( �9% OOO 1 R-1:: I alMINNESOTA DEPARTMENT OF HEALTH Section of Water Supply See instructions on reverse side to complete form. ' and Well Management FWS ID# Month of Fluoridation Monthly Report J7�UL ecy. oci Name of Fealty Street • l©/ " , Oak Pa- .& - C r City _ County _ Tap Code Q crik /'ct / �/ - •se--So$ ' Tide Phone # //i /\ -06C4&)-(1C- -e- -u-K & 57 - c/3 9- (3 J Fluoride Chemical Used • ,. GC,-C Flaw Water Fluoride Concentration Water Source / 1 / •# y7ii 0. 05 -vat #--7 311 a Amount of Solution Fluoride Analysis • Meter - or Compound Tested Fluoride Sampling Point Reading Pumpage Used Per Concentration on Distribution Date (1000 gal.) - (1000 gal.) -Day (gal. or lbs.) (m9/I) System 1 1 2 3 4 - 5 . 2 . 3 - • 4 5 6 . 7 . • 8 9 10 11 . 12 13 _ • 14 15 . 16 17 ' 18 19 20 . 21 302010/ - '481 .2.s /.aJ ,0_434.t.04‘44,--l.,�-e. 22 3 a 0702 f 84/.3 3, s-- /.102. P� 23 3.4 f 7/0 786, 3,5 j. f 5 G Cott 24 30202433 ?a5 c/,0 x o5 5",Ar"0- -- 25 3430145 4 3 0 .3.0 lac* Bnixfr- -P - 26 302(1/ 90 /4125 ILO /.3q S-Aor n 3025068 • S78 _ q, o 1,/a .7- ,Ay , i P. c 28 3026000 9301 Lf 5 -Lew— 29 11, / `U.Le — 29 3a6t'tg 9VOQ5 Lfia /,p2f 30 3027705 _ 877 - t.(.0 . log 4'V, ES' , 31 Sat s3 I 7 6,4 1 3,5 /•d 7 5,g 1 -4) ; t Copy to be sent back eacti month to: Minnesota Department of Health,Public Water Supply Unit, P.O.Box 64975,St. Paul, Minnesota 554644975 Fl-+t HE-00818-02 IC 140-0013 $.147, c()000