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March 2009
FROM :MDH FAX NO. :6512014701 f•; Jan. 04 2010 01:34PM P2 - D11Uorl131SUO 1 mum am uy rt iwr i I c,{ •17 V J / 4 y�JVeme of FinaAiey t� I/ c6 0.24 4.4.4_ -7 -e-r % 4 City County .. • v Zp Code ' Od. `L.4 - lyp yLV --i(j 1% /` 5 s q.,.:, -- Phone # Sign k.l. "rc .771.4-44,_.. 6,57- y.7% ti 5 c/. eeyi ,r Flew vlhnmr Fluoride Concentration 1 ®r 800urce , Fluoride Chemical Ueetl � r,LG(��' � j� /�/ / 11( 14..-t Nnount at Solution Fluoride Analysis -Meter or Compound Tested Fluoride Sampling Point . Reading Pumpage Used Pura lbs. Concentration ' on Distribution Date . (1000 gal.) (1000 gal.) •Day (gal. lbs.)3 3 / 4 • 5 . 2 A 7.5 I q 155 0 - ' -'�`-4;O "A'-- f1 ` i .�a �a��. � 3— a-756,89 .9 `�1 a i o /. o`i.. . ,5 014:.1-:-k-- 5' . 1 4 ,. /l'53 )iity s GrM .. i 1 (72 . __ if-eA-4-24•,:,f 4'4x4-t Y. "0-1, 1 13 x 803 1,5": .e ; o Y . . 14 - ' • '.16 �• 59✓ ,?. ? . 1■ 0 P it) -k:,,'``? 15 :;.3 g) 7. . , .c// — - ::� 16 /. ' 18 • si 0-606' . ` ,.7.0 ..5 /d C' 3 .1 ( �r/' .- ' p�� , -7 7 4a :� 477 ,. .. ;1 / . 1'1 ) S.A. ,1d, -I:2 yam. 20 ;71 ' -3 p "'�y*. r,,..5" s 02- o^.s,�'.;.fr-C,�C k _ 21 Z. 3 $ 3 � • 5l _ 1.6 / : :,J ' • . .0.� • . :�� 5t3 z -D I- /, . 1 ,� �. 29 ow. 1 3.50 le.c' /e 1 r�J ✓,) .�; - .�t. 24 a" r °� C I. fa ' � -,' 26 -,n.O l S O �r Q /, 05 At-tali-el >i. , - ; _ 28 L1 1 . `i I r" hi•30 ;2.8 7 7& a'1 7? o ./' / 3 f.zab' errwelit P-.-alt-tt .•.o f!'' .. y 31 .r2 6�37 3� '�1 5 � Copy to be Sent back each month to Minnesota Department of Health,public Water supply.Unit, P.O.:Box 64973;St Paul, Minnesota 551644975 , ...... .Fl FROM :MDH FAX NO. :6512014701 Jan. 04 2010 01:34PM P3 1 . Fluoridation Monthly Report IC67.;16)(r.) In tili-ft:A, 01 . ;game of Fsoility Street . . •e i/ t'.).';',• 0 ca,,a coy . County Zp Code er1:6,)_cf) 064- Sgneture This Phone # 12LA44 'Wahl 1.1.4174,14.7.4.d.71, 4,5-f.- '13 f'..-4/93 f nuorido chem .1 uwad .. ow,Water Fluoride Concentration Water Source ...:.:.2,t2.,, p............,44,17.4.-71( rne....4.... ........ Fluorkie Ana is lYs ' ei Amount of Solution 1 ka f , - • or Compound Tasted fluoride Sampling Point Reading Pumpage Used Per Concentration on Distribution Date (1000 gal.) ' (1000 gal.) .Day (gal. or lbs,) Ong/1) System 1 2 a 4 • 5 . 1 ___ - _ - , ■ . — . 2 • • - - 3 , ,- . - . . 4 5 . 6 . ' - • 7 .- . . . . 8 . i . 4 , . 9 ' • - - 10 • 11 . • ........ ...... . , 12 . • . _-__- 1 13 14 15 • l. 16 17 8683473 j 5,3 Li 18 - 19 20 . ' 21 . . , • . 22 • _ ---- 23 24 _ . 25 26 - . , • 27 29 30 ' - . - . . 31 : if 6 q 93g -5" . ■■■■■•,......P ......../0 0■••■ -• Copy to be sent back each Monthto: Minnesota Department of Health,Public Water Supply Untt. P.O. Box 64975,St. Paul, Minnesota 55164-0975 Ft--.:-. — .—,. -- 5 7,, 000