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HomeMy WebLinkAboutMarch 2011 . LIgh- icw Instructions on Reverse Sid to Complete Form 1 MI�H SECTION OF DRINKING WATER PROTECTION See� e� � IMIH Fluoridation Monthly Report(Single Well) / S c9.O O. O ' -7114 .C& co 1 I Name of Fac lity , Street 0- p. , VI" (,lt4e 14168 Oak Park Blvd. N. City Operator Name(Please Print) Zip Code Oak Park Heights 3-Err kei.,t,,©6-6- 55082 Signature k-661111-9- Title Phone# "i,t.G- G ?�oitel�e4rtet" 651-439-4439 Fluorid emical Used Raw Water Fluoride Concentration Water Source 4/ p, 3g 610/1 IJ4a #a. Date Atli) ria r Amau�os�y on Fluoridation Analysis � ATntM Fluoride Sa li Paint / 1 D Q 7S nration on y udon Day If 11 2 3 4 5 WI lg Zc0.0 /• a 1, 1el 2 1 t 136,8 a30 /. 0 , 99 T P�3 1116V- 6 Z. 5is /. / a. .3 1ge x'q ��ea. ' 4 _ 121X73 a1 -1 1. Q , l . cog► 5. A e9- 5 ` ii AA 67 334> A /SS— .gr ,-(- 6 0/07 390 / ( /. 0 . 9S' A / G , 7 li26O1 a11/ /.o /. /0 1.44., 8 J/r18.37 ?,? g' to , foA? 72 c,. 9 ii3a90 30t3 /, s /. o7 10 ) ( 3336 / 7G ,.5 1.30 64,416. e /34A- 11 11,3(0a 3.2 to /. $ 1. l -i i3 ,..1-t t.elis i 12 113 844 ty'e. 1. 0 (. Ot CI 1(( L ,c, j 13 1 14 142. ZS( - 1. 0 _ /./l 5.A, 4.)-#s4' 14 1 I 1433 / 9a lra /. 05 ek. C , C, 15 ) 1 1"160010 a3G i. o /,c20 /Y 16 ? F,27 30.--.7 . 2.. J� `03 ' 17 l I i 5 l S b ast it 0 /1 1 7 F� x#4.4. ✓y' .G . 18 `.,‘.,‘ -a3 f /¢�- / 0 _ /t /t /W 19 1 15G9'0 J /15 / X02 P Zci . 20 11.5 %80p 190 /. D /. /`b S. �4 21 j /6 o 71 19! t /' o / 1// -1.4-41/Yl'r 3/4/t 22 11 ( 4017 3V3 /. 5 1913 23 116599 1702 1. 0 1. / ei G , te.s7Y4, 24 1r& fret AW 14. 0 , 1,0.1- 7icp-e.t.ttab. . 25 /J 1 I 30 1 r S -- 1. 11 Lr w v, � r 26 I i i ii 7 3 k I 1.0 I.o r )fir 5ca,.,,,.4--r 27 1177 -0 X237 1 . 0 _ /.26 Glt N ,,/ 28 11 - 901 1R1 L . v 1 ,o°! Su • ►��5,� 29 11 B a 5 Ll 353 /15 1. 0 6 a,c /'-e-t..Q 30 11 5-3 1 r1' `1 1_e0 a 9`7 S, , 4-_�•-7— 31 1lg �0 7(v a,a.3 it 0 /1 /g r�- opy to be sent back each month to: Minnesota Department of Health,Community Water Supply Unit,P.O.Box 64975,St Paul,Minn ota 551640975 E-00818-02-IC 144-0013 Ft-single Rev.10/20C Z 71$) O °o MI -� � SECTION OF DRINKING WATER PROTECTION DH °` Iii tt Fluoridation Monthly Report(Single Well) 1 al.0 0 O r d/L e K, c2 O I 1 I A, zda i,, 14168 Oak Park Blvd.N. m Zip Code Oak Park Heights I 3.cr.F i<61-(-0&-6-- 55082 K ti U(/ totigtG h ral∎ea r�1 651-439-4439 Phone• Fl ma Used Water C ation Water Souice Q� (,.44714 y% I Q. Q 1155 I -�r�C.JC. Date t * l °f Fluoridation Analysis 1� S 3 y 1� �� ' ":,4r" ��, .p� DayS I 2 3 4 5 1 `63601 /11 1. 0 1. 11 /j-aJ 2 83 $95 a<66 IS v99 T P' , 3 640i % / 53 - s ,�° d i7 1K,,y 4 ifii 4 c . S 1 .09 s w«sr ,S-' 0202 /o l 7 /yo`7 1 SG I. 0 1. 10 Tvlte S5338 S , 5 1t 0 ? i ye 10 g 54905 � 7 � / 34 11 85765 /60 /. v /. /7 130,4-i1is 12 % 6 0 Z.9 2 te A . S 1 01 GiA � L .&�r - k Z51 -0 I. 1K 5- NAic.s u g (6LILio 15q . 5 /. os cx . e , C. 15 86 (0 902. , .25. i3O /.moo 16 C, 6 gs-* 7i y S /,.0 3 5(.(4ti49d 0- 17 (6703a- 178 /.0 /1 / 7 Tom. 18 ;730 376 /, S 1• / l P� 14 $ 75008 a o o /. o /,c2. .a 2Cl, a/2-a Vie. 1777% 0270 /.s /./G 5. 4 r 21 8 7q$ 1 14'63 /10 / // 1 22 88102.1 1Co$ /10 143 23 S v-f o 7 4 7$ /.‘ /. `1 G , n+, u SS -5(0% / Cod /• C. bc). - 1 I ,. 25 r-54(7 r 31 i 1 ,c ! - 11 ees4+n - V63 1 i r I. c) i • c3 V 12 $cam, t- 4;re 22 e,A5-7 i II 1- .o- 1.76 0,4--j 1�0..// 26 Ks&y I, r L . 09 s 29 V1191 1 G II I. 0 1. 0 49 a R a-41.W 36 '10006 42. 78 /, 5 A 9'7 Sip- EAS 31 -l o a a t is /, n I. I q ago to be sent back each month to: Minnesota Department of Health,Coonnu iity Water Supply unit.P.O.Box 64975,St.Paid, 55164-0975 �009'IttA2 belt?1440018 iRaipis Rev iQr10C fog SO% 000