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HomeMy WebLinkAboutSeptember 2007 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 . P600000 . 5 , c007 Name of Facility Street • •/LigG,$ Ocat AAA A 6_1 v-d , City_ ._ County Zp Code C `% oC Pa, *CIA" -11) _ SSa 8�- Signa re Tine Phone gig '/CIL cii f , , Co S7 1139- yyRy Fluoride Chemical Used Raw Water Fluoride Concentration Water Source, 7 , , ,i .i - et-ea ' f z 0 el$ mg,i --e c 73 '753 53 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 -7341,3 0 O /, 61 ()I.', 2 . 734.g53 O d . 9 5A • /.rsT 3 7 '.S' 7 b _ 7 '1 Lv e/ , (5-- [ // X71 W/, cf s -7- . _ 4 7 36, 57 _ 0 6 9 hi, e , - I. ®/ ,T-S.,, /b4,Rs4 5 7. 77eD9'• . // S--..? .570 g".4 eken_A-,k , 6 73 5't5 _ 7 / V / / 2 5>7 Ades 1-- 7 . 73cj 3I I Z. I �17L f�� i/S 8 , 74 0 1 10 3 _ 6-2 , 'a • 5 ..,4. T 9 7`{C 5.S. _ t e(Z :3 . 5, fT � �r 11 10 74 1 57 . t `d 55 (a .5- 1, 1S ,niu /,//5 /_ 11 . 76424 6 9)— ' 44— /, /O /XCir7/^. Ati., 12 -7 4/3176 7Y3 ..3 c 1,, /47 V7,/lei.-,_7/ifo,rJ. - 13 7 v/ 7 U f?-76/ 3 / / 4,... ./5-, 0 - 14 7�c / ---734_,........ 3,O f , .) —7 ,42(i ''c/Z 15 7 -(c77 7 /( S. /.. j 8' lS . 16 ,A.�3/0 .-7 3 cS . S—` 1. „I_ / 4, ..<.. ?- 1, f(f s. 17 717 /37 8ca 7 • y'.0 / , b6 Tz_e4ertiict P.-Cuitt 1s 7/ 76.23 1186 .5" 1 . oq !9.4.64-u.vL,1-- 77 19 id� CZ>-o--k. pa..c.A___ 20 . 21 22 23 24 . 25 26 7'48379 756 9%0 1.0e/ 54, 'Z9 e-,t- Z7 7L(7 O$L/ 7©s 3,s /raaf P - 2s '71-117CO3 fv 79 3r0 if / 4/ Can: P° " 25 15 v1 z v Lo 51 3-o '� �u i C c/1-( W4LL 30 7 1 4 7 G L 7 . 0 /-va U t C'ieuf ✓e_. 31 r Copy to be sent back eacti month to: Minnesota Department of Health, Public Water Supply Unit, P.O. Box 64975, St. Paul, Minnesota 55164-0975 xE-noels-oz 4,01 (29'(► ° '° IC 140-0013 • MINNESOTA DEPARTMENT OF HEALTH Section of Water Supply See instructions on reverse side to complete form. and Well Management . pyyS ID# Month of Fluoridation Monthly Report /el.gpoo ' ` r,OO Name of Facility Street & r City - County Zip Code C. 004 4-44_ 7 /a '1Ju4-11 `0.407-\ 5—s0$cp.. - Signature Title Phone # gg le P M roz-e 6.57— y3 9- W37 Fluoride Chemical Used Raw Water Fluoride Concentration Water Source .Y°yo r i'. - mg/1 J r 9 3.`7 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 0•woo 4 6q.5 3. S !• S4 Ci4/ 1,), u- 2 , 07©.713 - 0 3, o , q9 _ SA4 EAsT 3 , ?>7 Vt , A40 j , o 4 7O 7 39' 0 • 5 6 8 10 7074 _ 9 L, 5 4aivi,� /I//4fik 11 " 12 • • 13 _ 14 - 15 . 16 17 18 709c6 CO . , a34?) I 19 7/6.20 to 31/ 3r S- 20 7.25'/G 8 74. `-f,s- I, Z g' aC,t, n+�. t 21 73133 Co/ 7 3.S- _ / ./ 7 '?l, " ' V u- 22 4 % 3 .7 4 r'•0�1 Ci-71 "�,u 23 74s3 L `i _ 3 , 1, 03 5a_ es -- 24 75339 03 t/,0 1.07 . 7`� ,, " Pittic-t--- 26 27 2s 29 30 7 C 747 6. 4,---- 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 Fl-1 b HE-00818-02 Cp /.Or coo IC 140-0013 L