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HomeMy WebLinkAboutJuly 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 • /�aoo '0,1._ 20 Name of Facility Street /tit/6 C 0°4 1 i 15.E --d v City_ — County Zp Code cat. SignatGre Title Phone * P -2daa 657 -Y3 -yL/.�7 Fluoride C..hemical Used - . ‘ Flaw Water Fluoride Concentration Water Source / i , / r .Dcf 7 ©.� ' m911 c - 1 Amount of Solution • Fluoride Analysis Meter or Compound Tested Fluoride Sampling Point Reading Pumpage Used Per Concentration on Distribution Date s (1000 gal.) (1000 gal.) Day (gal. or lbs.) (mg/i) System 1 2 3 4 5 . • 1 3037 /020/ 7 6 ,0 /..13 7k-ea `5 . 2 3/•97a i 1 95 5,s biol. ,e 3 34 7.21 i a t-f 9 .0 •99 V oti 2) Lutr 4 33 ( ,0 2- 86 9, `-/ , ©. • 1. 31 S ir..--1 7 5 3q-Ci7• /0/5 S%-s /. 3`). e , C . 6 35(o117 1050 5.5 4 / 1/ 7 A -' -2 7D ,i 1 5 /',o9 /9i A 9/Q-d 5 8 37 / ye) 753 „,. 0 It 07 itsiz 9 .3 71a9 739 3.s . . o7 5' >• - 10 3'7 o3 R 11 o`I 5.a /. 0.2 -1 , �z..C' 11 ._ _. cgq 57 _ 44, 5 !./L1 5 , i %t 12 t-11 / lam JIai 5'.0 /•Os • 7- • ' % .5‘ - .,:.,« Al— ' :0, -_ .F .,.... __..49.5..x:'_ _ _ , LA . ._ . _ ..._ . `1t - - 15 _ z� L, , 4/ 3. 0 .. ao� _ 4 , / 16 35' . /7 .2„5 3 , 17 `3 5 5 j / �. /, / 9 y f l)saEo11 18 7 G, _/"�' 10 S"i Q. 9� TYi/� S�C3[✓P.e. 19 tig7Lig / 1 0 7 5.5• /. c� Y 2b__._ .._. 5`? 1d.g''7_ 5- _ ./ z ,_ I6 v,. 5 21 1ji1/v g 2.3 ( O 3 It 424, 'S /, D S ktUrw/t/fq/Z-a4 J 22 0 4 0 / 2 / 7 /,/ / , Ci-ty R94 Lt. 23 ii e 0/ 7 `� 7 7 . Li.S S !- /2- 41w1 Lf 24 119115(6, / 6 9' / /. / o 7'2ed�` 7:44.--e 25 19a3 37 D /, 36 S,4. - 26 Ll9 0502 ti 029' a..o 1, c . • E t C.. / _ ._ 3 _ e 27 y . � • ca c) !r 28 ' 7 r 'r Co Q 29 ill 71.S 30 ♦ p 0 --- 31 ' ' 5— -- 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 n HE-00818-02 .a �* IC 140-0013 c L ° MINNESOTA DEPARTMENT OF HEALTH • Section of Water Supply See instructions on reverse side to complete form. and Well Management PVVS ID * Month of Fluoridation Monthly Report • a00 c2 O 9-eA ll < Name of Facility Street 6 e9 r Lll / "4-✓/ '/ City_ County Zp Code Si o Do P 11-6 /_ , "V Yu/nr . © S Title a k .Pub 2J 701,-/rite 65f - Y34 - 11113? Fluor a Chem Used - .. Raw Water Fluoride Concentration Water Sourc e 705750 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 70575 & /3a , S 2 70 / 1L/ 35$ I, 5--- • • 3 4 "ZDt!o // `f p . 5 . 70(0 y5 8 ,oz 3 / S - 6 7 • _ '74-7 / 66 7 11/ 2s D . a S , 0 . 9 • • 10 7os0/36 / 0 70 y,. 11 12 _ _ 13 • /. Z3 5/9 W..ES t 14 744 t S-6 • /?-S'o t;/�� '/- Vs— b 15 71C� �7S `f � 4 � 7 © 7�,` r rSr5. t6 7/1 3J 4/ 7 e r 0 7 ?? �� 5� 17 3�iS D 1 1 it • S F- /# i 9 l , y. 5?--77 - 18 " / �/ i9 7/3 `i/3 / 033 `-/, -- _ 20 �`l / 3S74 / ? ? / . ° 21 74 3 S? ,3'9-'. 3d 1. 22 -7 f 4 L) 6 1 t9 x I _ 1. /C., , Ci-' /-1.4u 23 7 / (13 / 9 .57 / . 24 7)55 J6 i I .97 <.,0 25 7164 ,47 / 13/ 5,5* . 26 . ?17S “ . /a / 9 Cv, .0 27 -7/ $70C, S 3 ', 0 /,a a LE-e.l/ 28 7 f 9t(/a. 9 3 z/•g /. 3 ( 29 70W 7 /a17 6..0 , 41$ 30 , 7o -c;7J 13%& /6' -5r- jtr 002 �/ �,�.�'_�. - 31 7.3500 / fl,5 to, 0 /, Ili �>./`t r f- 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 HE-00818-02 7 IC 140-0013 .� �J�••°�7". Z / 7 7