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HomeMy WebLinkAboutJune 2007 0 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 g6e"--Q__ O 7 /ge�ooao . Name of Facility Street /41/61 % 0a-i P - City County Zp Code Dart 4a r ec, SSo $ �- Sig atu Title Phone # i '114114.0. id a20/41 77 • &S't- Y39'— 4'4'37 Fluonde Chemical Used Raw Water Fluoride Concentration Water Source a- .71(z, 0. 3.2- mg/i )4E,* I 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 03/ol. 8c2. 1 3. 0 • /, 0? _ AO-r4-&0 -e122_ 2 '9 7 ssg-s' /2 S" • /- 4) < s//o pb • 3 3 s.) f .3 / ��,e2 i. a ,' /fie- s 4 1/t� 7. Q . ��.� • f, / g 2�. �. A�. 5 .'L 278" ?. 0 • o ,26 J, a/ pit, 1t_— 6 ./'0 / F 1 5-3 $ 4 / 7 . 7> ?J..�,e.C.0 7 • 6,369 750 3.0 • 09'9 5.11, 8 7.1. ,_3 85 1.1 y,0 /, IS' 9 . 1(e 0 " 9 37 y.© /. a 1 AL-4-l-2 10 9136 976 ii,5 - 96 �� P 11 . /oH3L/ /a98 5,5' /. 19 - 19._1�'«, 12 11 9 56, /Ca.: iY.c 1, // . . 0`6,1.-Zer `r s3_ 13 /ao7A • 6.2(2: aid `e /9 ?Li-W/— 14 /Act 6 • 868 �•a i. O s 5,,4. --€4-e- 15 / /c 9 /06s' y .5 . /r /o'L '- - wc/ 16 ` /�. ' 0 . 0 /, D$ try' ' ' 17 l a 05-3 17 • • -0 f1 /7 %/;-7� 18 17a3(v • 1 / 53 5.0 /. 30 T. PM 19 I 8039 S. 03 L/..® /. I `I 5,4. C=•r- 20 190 01 `76,2 4Y-S. /. 0 0 .0a/ice—ix/rat T"-tee_. 21 42 00 7$ 107 7 I-{,S"-" 1. 11 Q.0o` V-1440- 22 / 3-SS' A:277 r -O ,f.e2 / s,�4. -t- 23 ( 1U Zr _ 5 1, o rr //�- 24 Z32� /a X5= 0 I, / K& , "t_ 25 aqs 9 /A65 5-_s e� i .S�t 1 . 26 025651 / o oa i/.o /. / 6 71-4,/ okett-e. 27 0/6LI00 8 y9 Lk° /./t/ S./. Est" 28 027“( 7 1567 z// 0 /113 ervyt, a44,7 e• ie-r 29 a 1c1 gs 9/ 17%/0 Ai 6, 5,11-, le J2-4cr 30 '9J no 5/5. 7'4 / 09 5 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 � ,, F HE-00818-02 �,)�'7 ' IC 140-0013 2- 7 (AI 1 . . MINNESOTA DEPARTMENT OF HEALTH Section of Water Supply See instructions on reverse side to complete form. and Well Management PWS ID # Month of i Fluoridation Monthly Report 07 i$a0 oa o Name of Facility Street Cat. • /q/ 6/44 / (o City County Zip Code ,a Oah• , - Aite fi �J sco g p- SCA'nait�to Title Phone # �gW l� .&leer ?Joziza S i►rct. 4,67- 939- v4r3T Fluoride Chemical Used Raw Water Fluoride Concentration --10-4,-,Water Source / 4 .y 9 ./- mg/1 A 70/376. 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 . - 701.514I / S, b6, . 1 3 • 4 5 • 6 • 7 . • . , • - 8 _ • 9 • 10 11 " 12 p ) • . 13 'T O� L /�I !r © 1 t 5 • 9 a 5 14 70317f . 0260 / , 0 15 ' s 3 Q5-, 3 .Q / -S"_ _• 1s f 17 70 (�Z.? .7b - • 1 S 1 d] Le+ R. Avk__ 18 19 20 21 22 23 24 _ . 25 26 27 70t{iisc, ai L(•o 28 1 29 7 o s ya 6 /70 Lb 5- 30 72,6,a ti , 193 /.D 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 HE-00818-02 l I 2 C 140-0013