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HomeMy WebLinkAboutMarch 2007 e MINNESOTA DEPARTMENT OF HEALTH Section of Water Supply See instructions on reverse side to complete form. and Well Management PWS I0 # Month of Fluoridation Monthly Report F /Sg0o.;- o -ynkfi 07 Name of Facility Street . ' /L//6$ 6 ,eiAit. &J of City. County 4.. Zp Code C� 0� , /� iwa��Z fart SSo g Sign r��1 /' Title Phone Fluoride Chemical Used , Raw Water Fluoride Concentration Water Sour 7 , '/ ', te--i_ - `-c amY76 0.849 mo -1 # 1 clip-1675 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 9 y 533 5 • L/(03 ..2,e) • /. /7 . C� G. 2 1,14 5838 500 .2,s` • /, /y 6 • 3 '''S" , ,/cc- 3: 5— 1, 1 3 C�i,z /-,/A l 4 / / 7 e7 'g. / b % oI /AArY�lC, 5 9,1 73 / 5(0 8 a-s 7, / 6 . 164. ,,, 6 / q -746V 556, oP..- 1. /5 11-1-0K SQL 7 • 'N837/ 503 0.3- • 1. 0 7 5- `kJ.�4- 8 9 N 8`I O. S31 ..2, 0. 9 7 -7 .,.' . , sty 9 ' 9g9g1•as 50.3 - s /. o8 13- ,r" - / / 10 gigq3 ( 50(0 2. 0 . 03 Cif,.{ /I4LL 11 . gco3ib 1-tc- - 4!" Z- 0 1. b .5. ivEsT 12 9508 6 7 -i! I -2- S /o. /o. . -P exr,t' f dtd 13 95 /5/a2. (o y5 • 3. 5- 4, `fig ti I r-eZ% 14 951188 • L7 , �.o, /o /. _ 0 Pa 15 '75a15/6 S.8 .. S- . /. 0 5 5.4, -2-1/-e -- 16 91_c-3 /, - ,. ®Z 3,n I. ol-io €b,. w e/7 17 �I'.�-f 3 9 8 44e---rf• 260 • It 0 1, r1 7 s^/2- k"„6--.7 18 qS3 °1� be 3,d /•o© • ()«L1 ji 3 19 95ySLio 5741 a2.5 / .O6 , 4 . c , c 20 955109 56 9 .2. /. 1q/ c-1-e- ° «� _ _ 21 755591 L/$A a, O [v 02 / J.A.. V-1-'11--- J�y 22 (7 sTo 5O 1159 02r O 1 /1 7 ' 23 956,589 539 ., S /, ,26 75 0' ' _ 24 95 7031 /'lot 02, 0 /`c›?c2-._ s.,/(.or 25 7575q/ _ 5/0 d , 5- / • c29 5,Ae 64 26 (75O77 556, .2_s'- /.02 Ll /' 27 95$68e 519 (PtS / . /8 Gorl)- vn e CQic T 28 9591&Li 1478 4. o I , o l co+-vr -T. io.4_ 29 961657 L/13 a65 /;0/ S.tdeuil z --np- • 30 960/63 5OG _5- / 4/ / 6c,- v-e--P. _ 31 .6© l -/6.S--- r2-6 I- 0g f `s 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 '51 7.531 ° 6 c IC 140-0013 r 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 i D d 00) O 1� O 7 Name of Facility Street U 1 City r County _ Zp Code Signa 'rite fv Phone # g2/ Blare c �► , 1a1 Y3 t- Yt-( 39 Fluoride Chemical Used Raw Water fluoride Concentration Water Source / , t(7• .. mg/1 (/- # 70_1 3 ACo 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 2 3 4 • 5 • 6 • 7 . •• 8 • 9 • 10 11 12 13 14 • 15 16 • 17 18 . • 19 20 21 22 23 24 25 26 • 27 28 29 • 30 31 .. 7rj/.3 o~2 Cis © C 0 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- EE-00818-02 IC 140-0013