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HomeMy WebLinkAboutApril 2009 bectr ton OT waver *uppity ■ ‘'C -`---r C. and Well Management aws ID* Month of Fluoridation Monthly Report of3 Name of Facility Street • /9/&' Oak g..,,/,_ g- et - Zp Code C.4;a `t Oak �� rte /�� Sig Title Phone # 9°61 (<1- 1-e4r9, p Q46, 1,; - -z.21, .S( -Y39- W3 T Fluoride Chemical Used Flaw Water Fluoride Concentration Water Source / / > 1t c2r- C C 4;"4;" +g, • Q./6 mgn _ -Kt , 7 v '86,$g38 Amount of Solution Fluoride Analysis • Meter or Compound Tested Fluoride Sampling Point Reading Pumpage Used Per Concentration on Distribution Date (1000 gal.) (1000 gal.) -Day (gal. or lbs.) (n1910 1 2 3 4 5 . 1 . 2 . 3 4 . 5 • . 6 • 8 8'( .9°z 4 t j.3 9 ..0 97 cL �'v'c4'-e t..- 9 *MP/ 7041 Lt WOK • a - - ee.,c 10 5,0V4.6- 45c c - ,P .G e> 4 7 4"`'`/-SG 11 . v-106 zks A 3 M 2. O /, 6c s auces 12 5(1 t 2 Q l e 5-(o ' Z- i r . Y© . , 5 A, urns+ . 13 o - •- r / 0 11: . �-`�, r 3 7 - 6 v.e tit 2 ?-7,,?,). 7S ,-S-e d , 5" .a r JD' / r1', 8736?x. V/ 7 . . 1 -,9t eT y o `e� A rk i i 7 g a d Z 3 0 / q r C/, /A l l 20 s7 s- S?.S -S'. I f // r10,----r4d AJ94,.:,e 21 S 7579© ' 448 .1.o 1.17 riee '-- ~- 876393 4 o 3 3.O l./9 Cc 76 8 S/ 4 S$ 4. 0 t o as �L v-wv-e-z_ -,.? " 2_ 7. 5" /..2 5 IQ,4L q�rpe l•y131 VC 3 . 0 . 33 S' cr c.. Ill 87%2_45 1111ffilliMilli ZA "Leitrim-€-1(1- 1M5:: • 797/ -7' 5&za%) 29 88033a, (' /8 /- al , -5,A, 30 $$g 7C3 G3. 3.0 . /,a/ 6- -,l -C.e.n , 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 — ....".4, OS ON f , f 531, Doo - MINNESOTA DEPARTMENT OF HEALTH Section of Water Supply See instructions on reverse side to complete form. • and Well Management . PwS io „ , of Fluoridation Monthly Report Icce. occ9-6) ._ all'*- C243 Name of Facility Street City -_ County dip Code \. C.I.," r„," 000c 47 . A � -�'_`� ' -'` 5COS,P- Sign re True Phone * _ 9--g ems - 'f7 P ide CO 57-- y3 y L/1/3 7 Fluoride Chemical Used • •--1-C- t ��L L Raw Water Fluoride Concentration Water Sourc- Y.,� . `°�'( mg/I 'V , M373 Amount of Solution Fluoride Analysis Meter or Compound Tested Fluoride Sampling Point Date (1000 Reading.) • (1000 gal.) •Day (gal. or or lbs.) Concentration on Distribution 1 2 3 4 • 5 . 1 ASS 853 80 c•0 1,0 t.t0--49 /.,r.�,p 2 AA ifAk,a 0t." ..,t.) , ' 40,1 . _ r ; 5: .. _ 3 . � 4 aQ 18x1 53 2.o �9 . 0c. 0, Z U Z Z 4 - , 0.� LL6,uer' /� t'K 5 Z1O1ZZ.. '465 Z. 0 , j, q3 . o1itif 6 a9117-4 . ii 5.2 „.v •, ✓.G2.9 . 7"424. . 8 9 . _ , 10 11 . ' ,. 12 . 13 . . 14 • • • ' •15 16 17 18 . ■ 19 f . 20 , 21 22 23 24 25 . 26 • 27. - 28 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 .., A�et.AIN, 1 q1 7 o