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HomeMy WebLinkAboutAugust 2008 . • - ;,y MINNESOTA DEPARTMENT OF HEALTH Section of Water Supply See instructions on reverse side to complete form. and Well Management PWS ID# Month of Fluoridation Monthly Report / O oho Q a o aa1 a0 ffg Name of Facility Street /yam$ dot.. e - City_ Zip Code Sign Title Phone # e M`46"6 'Pt ,GLG Ll/ 057- 4(3 9 - ,,2 q Fluoride Chemical Used., , s•f ti 7o Water Fluoride Concentration Water Source Y t a 17c Q, /3 mg/I iv..tge �� jiO0'f 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/I) System 1 2 3 4 5 . 1 A/5 b o `if , a 2 g 19oay-- 6 _ 4 3 219 0e'Y- a _ 0 4 • • 5 _ 6 7 . _ . 8 , 9 _ 10 11 _ 12 13 14 !0 0 ' • S 74, To /1+ ca c e-eof../-/dam/ , 15 4 a0G 79' _ 7 7 7 Li.Q _ e. . • 17 )?; _ / . . Ct P 18 202 351 ., 78 / . S;0 /47 / „i - % i/ , 19 394, . 270 /... /. / , £ _4r ee.A4 20 _ . 21 92.25.267 105- /. s 1 / s"— U�J�>; ��r: A 22 et015L17/ , f lO`f S'.5'" , a a.� -Walt'''. 23 2Zb 532 JO ` i _ .St0 /• / 7 e. / T.4 24 i 2 7 s 3-O I. Z. t b4e etc, up�-f' �5 25 ag857401. 10.0 , 28 29 03057 ' ..515 _ ae /0 00_ ati /h7/124 .. 30 oZ 3 t 3.3tt SO7 Y. Q 1415 _/1'-a- . 31 -.0.3407.3 939 Yrs' 1.0 7 lvd.P if et/rx`--- Copy to be sent back eacti month to: Minnesota Department of Health, Public Water Supply Unit, P.O. Box 64975, St. Paul, Minnesota 55164-0975 x>J-00818-02 13� (26,7 000 IC 140-0013 MINNESOTA DEPARTMENT OF HEALTH • Section of Water Supply See instructions on reverse side to complete form. and Well Management! PwS ID * Month of Fluoridation Monthly Report • 6a0 a o © 3 Name of Facility Street / (II O t1L •Pik 8.1 P' - Ciiy County Zp Code 0a-it /Gilt Ate- iv 550%. - Signature Title Phone # lj • pog o- 2r.r f & 697- `/3y- `fg39' NFluoride Chemi--j Used --/ - e °// Raw Water Fluoride Concentration Water Source kJ 1 ' / ' o yjp /b • 15 mg/I - --�=eC. 1 711'057 Amount of Solution • Fluoride Analysis N Meter or Compouhd Tested Fluoride Sampling Point Reading Pumpage Used Per Concentration on Distribution CS`, Date (1000 gal.) (1000 gal.) Day (gal. or lbs.) (mg/1) System \\\ 2 3 1 5 °Ii e2- ' � 6- • ft 4 • 5 1/41c4 14 6(43 2 , 'G`t fv Z, /D .i 7 11 •G� • /, 0 .e) _ i►1.1Iu/b 4/ ,1/14-4-- _ 3 ca Y to '71- 0 J. o ? A/F AR 25 4 7`1$02tl , 159 S70 • 1r / C T ,r if-e 5 77`114.1 • 95-0 t-t`'5` / &R.5. 6 Soo3a i t `f8 ,5'.,ca 1,44. . ��. (- 7 . 9©1 A ? ) Z, o 8• 9 1 :$b3 'Z4 t t z�q .5;c� i'l /P7 ,44 0.4.0s 10 Y'cq 1 to 5 S f / 31 5, .; t . 3 I. .1 i AAA_ 11 , " S O5 8O 7 //5'a, s. S - l± . ta-S §-Acid `` f2 , ? 9v'o e 1.D �t...�.. P.G.ct 13 07f60® !`�O3 f!o ./f'. / 9' 14 ,Ero�6 5'7`7� , • 9 P g 'S"� .t . 07 $ Gav e•�c.v i+, ..- •Sr 15 • _ 16 17 _ 18 19 R0%Z.2C /0.1.1 e{r3- 20 ao77i .. `�'f3b ir5 /..a.7 -7r/ c, - 21 8,04/74, 7 /e. /5 Vale" 2iso- 22 23 1 O 4 , 24 _ . 25 26 • Z7 `r3it40 q 131 t IL Ui � �,f,tSS 28 81.21.1a � 7 9 r .x V M// ie,,, AO_ 29 $fel.3g5 _ igr . .5 30 , 31 595- 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 gf 308, coo F,_. HE-00818-02 IC 3.40-0013