Loading...
HomeMy WebLinkAboutFebruary 2011 " SECTION OF DRINKING WATER PROTECTION See Instructions on Reverse sine to Comatete Form I Fluoridation Monthly Report(Single Well) I60a000•0 --e6--, p�o I l , DEPA K 'TOt NEA f. Name of facility Street /P: .1 -Velgt, Witi, t i 14168 Oak Park Blvd. N. City '�- Operator Name(Please Print) Zip Code Oak Park Heights ZEF F IL-1.o(,.& 55082 II Sign� u Thtie Phone# 1� e� 4,1',A "f,.. ,,. 651-439-4439 39-4 439 Fluoride Used , 'Raw Wa ter Flu ri Conenation Ingfi Water Source °‘C't4ke2 qt Date r� g( 000da , rime) Amon Fluoridation Analysis (gal .) T sted Fluoride Sa lin Point 77g05- eonye oiNtIon on'tY m on tm n) Day# +�/ 7 1 2 3 4 5 1 / 1388 183 /. 0 1. /5 r 2 1 -731 V 190 16 /, /3 .( 7 /G4, €, p 3 '7 77 6 7 /$ I /e0 /1 /5 "" / 4 7.80 / o a. 9 3 /, 5" /- /A 6 5 78 ( 69 a59 . 1. 5 _/, ,or . ci,tkii.40 6 75L) 5 , _ 1 *U7 , /r D i, 0,5 , S , . 7 (o 11 , 0 ,r 0 y 7- �� 7 8 � 7 a / -� tA 8 7811 / 0 a 1-1.3 /, o , 76 h9 77 ._ 9 '7'7j5 , a �{t o 1.s- /, 1 7 SA . 741.z4-t- '10 713 77 a 41 /10 1, 13 6-w-wnot itt- ' `'i 11 79590 1x13 _ J' O 1 . 1y )6:11-4611if 12 14 � 1 /•O 1. 0 13 BORN _ l.A 1. 0 . 5 4. _t / q � � � II 14 (92 7-2/�4..? / 9 A.. ., /! V `i��ieryv a r.7 Plitt, /G' i 15 (60‘i 9 ! . / 75 1. 0 _ /1 /6. c4.42-do - .-.e 16 % 0770 G. 79 1, 5" i.37 64o-el 17 0 93& 16.6 1. 0 , /r 19 ' si -,/ S "1 16 / J E /r> s /, s " /,/3 S6,`- 'L(I 19 , / 4/9/ (-97s— _ _ / 5- 7 y6 PLZI 6)(3t 637ft-1,4� 20 g// s--3 / r ,1- , 5-- 2 ?,- %✓4-,d4e- 21 6, .../ .93 3'v a.0 . /. 09' (/ //4/7 22 Sa065 7d. 'Si /• 33 . 4. 2J 23 cb,2.3029 AC Li /, 0 /. 14( 5,2. 24 SA555 .ab /it 1f/ $ 25 S a(7� f(7 1 It 1. 0 1.30/ � 164:€1-ke,. P� 26 Va l 7 e1-H1 _ i.0 1 ` / I / t r6- 27 83170 I S 3 1. 0 /.(2.3 7� Zfi a, r 0 / �� � 8.3 LI 1 a- ti� t o 1r ��r ,o 5, . 29 30 31 ;o to be sent back each month to: Minnesota Department of Health,Community Water Supply Unit,P.O.Box 64975,St.Paul,Minnesota 55164.0975 E.00618 02-tC 1400013 Rev-10120[ (p, 02 07) 1900 dil Seth Di stream puppy . - �. .--- ---- -- ---- - - and Weft Management IP WS ID# - Month of Fluoridation Monthly Report / S 4 O o ,O . „ ! -. t2 ©1 ' . Name of Street --Gill p. tpel.., 1c? of," iii/‘ K` Oa-1t- AAA-I oat 6af. pa z -Teeleree14l 5S-o % �e # * eu t� e (.S f - 4(37Mcf'139 Ruoride/"' , . , - f ° aye O 0 02 13 fri9/1 1) a- _ Fluoride analys 03 7 er Ariuwnt� Tested Fluoride Sampling Point Reading Pumpage Used Per concentration on Dion Date (1000 gat.) • (1000 gal.) •Day or lbs.) (mg/0 - SYstem 1 2 3 q 5 . 1 10399 . aZ 3 I I, 0 /, 15 S . , " 2 10425 Z, (o0 /' 0 //3 . J/ ./ 3 ..,/is- t• / 8 ri • /OrtlS,3$ 4 0 7-0 _ .0 • - • r s....,..._ .__ 5 1050�G - a...5G h ® - 1•9 - ' ' s 10533 1-9. q7 l. 5 LoS . SA- . / . _ 7 ' 105 q - 170 1. 0 ' _ J. at/ $ /.o r" 1D57� 7 Q3,to$. . . , o /, 7 S., . 7f1,e%a%1 � 10(90,3q ,45_p- / 10 loco 3 I 1 �. 7.2, - l..5- 1, /3 G 11 . )(*_.,5 73 �a too / •/ 12 10 $3b L 3 1 . 01- . c;6 4_a 1. 13 l0 ' !3 - 3 0 I 1.o 1. o s. ct.efi 14 - /©-U ,2- . A/5- ., s`� /.1 .Z0,44 7,0,---. ...-' 15 1O7c,/ a53c210 /•5 _ /. /10 7"1-e- - r .e 16 /0 783 7 v?a.3 /..0 /.37 jr'�r z 17 0 ; y 0 - 0 3.:... -: - 18 /© 8'g37 /F.3 . /0 _ 7/3 - :-e..-f5 c_!�� 19 /dl�.?.1 c�" /. . 6 6l,c.G �sCae� 20 /p 5 (. 7 '3 i, s.'- . lea-- .A44P�i - - 21 /o �/� • pia f� .G"s 9 n S`� /7 22 /Q935 X23 7 1. 6 .1, 3 .S � -�'- 23 /o958y .2.31 1 .0 /, /y . - 24 /0913941 310- /. S" /,4,1 / , 25 11019,1 0o 1,5. 1,36 V 23 / - 26 11c,..3137 193 1.0 . 1.11 �• , ` 27. 1 I6 83 a9 /.5 - /,023 e �. ... ', ; 28 /0 �5 7% _ J75 5 /.0 /.O 7- 2s 3a . 31 Copy to be sent back each month to: Minnesota Department of Health,Public Water Supply unit, P.O.Box 54975,St Paul, Minnesota 55154-0975 Fi,,:. - 7, I (g, oa0