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HomeMy WebLinkAboutAugust 2007 1 MINNESOTA DEPARTMENT OP HEALTH Section of Water Supply See instructions on reverse side to complete form. and Well Management pyyg 1p Montt, of Fluoridation Monthly Report • /i� 00 e G�Al 07 of Facility Street 't Name f Fac ity City County — Zp Code eXk /uA / .7/0 G _ 5-5 o'K P-4 Title c Y- Phone # M / °3 "Fil eZJe h 7- 1/3?— yy3q Fluoride Chemical Used Raw Water fluoride Concentration Water Source�/� °7 4 4(19 0, 5f/ mgn £1 -Z 9414197 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 509ciW / 03 '7 _5.c) • it,?-6 s,A, E.- ' 2 Sao 9 9 r r L5 .6%5. 107 v 24€e�v 3 53186 1087 5,0 1 , 03 4 'j'-4/4) 8 9 9 0 3 5e. V • /1 0' Wr# ie,Fo..v� 5 _ -6-- 0-2-3 /3 9 6 , o ' r , / 3 4k-714.A2/1/16/«L-� 6 & 0 , 0 1 sr: C / . u"‘1. - 5* . 7 . g& 7 01,26 /- o . /, k), ` ' , 'W , 8 56 ciy0 1 53 , s' /- ,) ) Sc4 - - .... 9 '5 .6 . o 5' c s4-- 10 56 Sa 7 J 7 , 5- . d .1rd4 rc.I. r-e 11 . 560 9 4 5 / / g ° , .5 1. 01 C."'71 /MILL- 12 5 ` 9c{ s _ - - 1. /l • SA L � 13 5 ,_- S • - is T u..A. 15 573 q0 3 7.2 j 5 / / . S: S . 16 v 4S �/ , /�� 76) ,c-: ji Y 9 . c5',/ (-•-'42S7----- '`-'42s T 17 61,gti q/y�• 8 `78 fL�i[/4 S- /,,e9 / 1'719' /�-c- ... 13 t t✓ d / 9 ,?,c--- ? ( .5- / o c) / 1 1�Y s 19 , 'o 23? -2 o `� ,, `.e-j /• ' 0 c ,III , 20 f f�-h�/ / �- "7tl_. f- 02.1 �. w,�A�L,�e./L., 21 , o a y / L/3 - S^ /e / -- - c-1.vti� _. 22 6a (1 %% s' 6y Y-5 /. 03 714-6:6/Av. 23 (,36, 79 $ r1 4e,o /corn "44.A .24 6,16- y6 R q 7 L f 4 1. 1 7 `?)1 v-aur- 25 to 5QyI 695 ,o /. /3 '•,: , All i 25 66/04, $ 65 y,o • 75 ' , t0, 27 606785 8 71 'f,-5- /,,o y 7f 28 607Co&/ 7 3.0 , *08 ee4tt;Z O /� 29 Co79a`� Q<03 it 0 • , I., a-7 ' . u.,•1,✓. Wah 30 (v$ 7070 7% • Y-o , /, Oa 7 31 : 09397 I 639 3.0 /, 0 7 .5Gvn V ' /_ o 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 HE-00818-02 11 , L/I a a 000 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 1 07 Name of Facility Street , • City County Zp Code Signature Title Phone # Fluoride Chemical Used Raw Water Fluoride Concentration .�Watter�Soourrcce ®. (7 mg/I 11)-e--69 fr cit 7 3 5o 0 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 7c 3778 0178 1. 5 . 2 . 3 7(24-13(101. (' O '1 3, 0 _ 4 --7 2_41 7 2_/ : 3 1 I / .5' • 5 '72 'f -7 Z/ ^" ,- 6 . 7 . 7.2 57 35 /b Pi t/,5 / .i a A/ -.r, S 8 °7,4 7 O O G' l a 7 I G , 5' ,�d-7 52>//am4i-vt//eig. e/4 9 7(' 1.3 0 / l 02 `{ S.5 /. /3 ti w,sfi . 10 7c2 36 1366 4.5r ) `� I /5 Ty.'z-,.. ......___ 11 .., 2_.0.1:0.7 6�__ ____. 1z..341 _. _ (,,.. , /. 03.. _ __ 4-y (= A _ . 12 13i53 � 942_ 4. 5 / 1/ . . 5 .A J } - l 4s w7_3 5 H 1_,.�. ..„. OJ 7._.... .._.,_ —.14457:. _.__, . .....___/....?1,-___. 14 733 978 la2.9 Li.-S /_) 9 _14 733 qa Si'I_ .a /. ?/ <S E�sr 18 19 = _ 20 21 73J 53 z/_ .. 0, S- - .23 24 25 26 28 . . . 29 30 J 31 73'953 5O0 ..3- a _ 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 HE-00818-02 it / 115 J) d© o Fl IC 140-0013