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HomeMy WebLinkAboutJanuary 2011 47�I/M(^7�SuT A SECTION OF DRINKING WATER PROTECTION see Ins etions - -ver.troop Co s1.le - of MD 1 Fluoridation Monthly Report(Single Well) /q k(:)c) .0 � �,, oil OMR AE'Tor MA T' Name of Facility , Street � (J 0• P ,1, j1 14168 Oak Park Blvd. N. City "'�(/by Operator Name(Please Print) Zip Code Oak Park Heights S"EFF SELL o6 Cr 55082 Sign f e�,�,�( _ D Title L Phone# 4' �� 1 i,4G 7•t1PLl rrU00. — 651-439-4439 Fluoride Chemical Used r r ` t� Water Fluoride Concen tion Water Source t' .}� ` a�y'r Q. /8 mgn \l\l e. 1 1 �et r e Amou t of solu?on Fluoridation Analysis Date 10 Tin ;sew) Y *-� Tested Fluo de tai i ;f t:g ig ( 0�ga.j s(gaiJ r .jay 1 0 3 c� Con nil- on on istrmt on ��• ,a II Day# 1 2 3 4 5 1 os53 1(75 1 a /. // egfeac. Pore 2 1011 Z 1 171-. 1- v 1. Z3 G>1 loll 3 1 O 15 ik Z Z , 5 /. Zz. 5. A. Lot s-}- I 4 710 ©s 0251 /• S /, 0% tworatt 77- # , 5 7/3 70 165 /. 0 1 ./4, 5.4. 644-Y- 6 716 13 . 7 . /0 /�A- S :. 7 7/ 903 , o / a /. 2._- 3" 6.I.. .es7- i 8 —702 /,5— /,,) / 0 /. / / /2dU ev ?ter 9 79 3— a g3 75- / 0 /40,6y s 7.257 11 70. 7/ 3 / 68 /.0 /./5 , r 12 7303 / .a$s 1, 5- /.01‘ • I PaZ(J-e c_. 13 73,204 173 /•0 0. 97 - ' -tictirt 14 73 `l 73 6 l p o� /.S" I r A 1 , ice" - i 15 7370® ra V7 /. 0 l. 3( P ,6-et"- 16 731.223 c20 loo 1. 39 Cf; N-4W 17 7 Li ) '1 I t,Z / V /• 0 b 4 S.11-. e t - 18 7(366/ 010% /. 0 /. 07 .ztiel5i- 77-4.-e 19 7(-158' 3 a I `r( 1, 0 /• / 8 TA.eoc.r.,►ec tP'. • 20 79$oG aa3 /,0 Rat s-kg • 21 714971 165 40 1. 001 t 22 75- 2. 3 Z lc. 1 1 5— 1 /3 C%Ily A 11 23 75 if, 230 10 /. 1 / 5 .4. x" 24 7 S c 7 s 070 7 1. 0 /. 2, qf' . mss77 25 7c. ,c ( /d 6 /, /, 3 -2 ,Z)/5- 0,-(_-7(-- -7/R�. 26 746- / c S"� 0 S/ / 0 7. / 7 23c',-/r/A , ,tIC 27 76 T 0 7 / 9 c /- -© / .)v /4-14-7-."--//-6,--f-- /, 7/ 00.44sw�l/' 29 2 4e 0 /, S- /. 0 420,4 s 30 76, 9</a /8' /f 0 e 9'F 1p/ y/14/44A4 z.e_ 31 77 S E S/ 0 /,0 €`f 4,6- Qc.<_>C, opy to be sent back each month to: Minnesota Department of Health,Community Water Supply Unit,P.O.Box 64975,St.Paul,Minnesota 551640975 E-00818-02-IC 140-0013 Fl-single Rev.10@0C (0/(O5.2102° - climutm SECTION OF DRINKING WATER PROTECTION am instructions on Reverse Side Complete Form MDH Fluoridation Monthly Report(Single Well) /46;4094 gek/rV. 9.011 I Name of ac city Street O.e7(, ( jJ :; 14168 Oak Park Blvd. N. City Operator Name(Please Print) Zip Code Oak Park Heights Z--eFF / (_0 6 6- 55082 Signature ( �!y Title �� ' L - Phone# ��U U J �/O Pitokit,•zi��L�1d 651-439-4439 Fluoride Chemica Used E, d�llr .l.�.U.c "' Raw Water Fluoride Concentration Water Source T ay 7, 0 • /( mg/ 141-tee Date ia g.) ;swim AmoC y on Fluoridation Analysis is '9a1 1 on Pon CI get 5( snmI e Day# 1 2 3 4 5 1 9 b / 5 . 0 . 0 1. 19 6 re.k.1 � 19a1K., 2 969z b. ? 67 1. 0 /• 23 Oil A/ 3 9 b ` ri S Z5'9 I0 / Z _ S.4. We 4" 4 q09R02. 307 1,5 1. 05 5 5 1702/ 0 0218 /• 0 /./6 5.A . eat- s 9 7 i-N 6 . 0.367 /. O 1. 1 o 5 7 7 7/ 7 7 0 /e z'D S',1 &)!S-7— 8 ' S7" ,-Y o 7 rs""�3 /, c I- / s 4,) ..e PA K.4_ • 9 ra a s /cV 7r's _ / d 9 . s Q�,��-}- 10 5 84d 0 476 / () /e /I / P-�.WrN 11 9987 Z_301 3/o 1,5 /, 15 T G 12 1 p! 0 1.© 01741 /• s /-(:2 6 \.ot.r;1, rQifren 13 9114203 all /, 0 0.97 s;l 'o� 14 9 9 3 a.a p f. 0 /., y e 15 '3 7700 425 7 /. 0 /. 36 e A/. 6. 16 1 000 1 I 31 I A 5- /. 39 ClA AWL- 11 io0ao7 I V o /. 0 /,aG 5 .N. Cam- 18 100‘46a X55 1.0 /, 07 - 7:4%te 19 / 007! a 4250 1. 0 1, 1q r Ria-1rt 20 X00937 02 a5 /, o /•421 7 �� . 21 /©Ia3q 097 1. 5 /.042 6 22 16I5z. L. zqt.. 1.0 1. 13 Cily Al 23 1 42 112 s / q I 1. 0 1. 1/ S.A. c,.)-es f-. 24 j®l 7? 0 / 4,5-- r, 0 /.a V ,�s 1- 25 /et ?a-7 3/7 (/. a . /9- _ —, . - sDeu-i ,�i� � 26 zi 02 l C / 15 /• 0 / " / / ,6/0/91,`P.rEsev C. 27 "p°a'?7 cif 7/ 9 / S- / o </ �"' ff& ' 28 /6 9r( 2/, / d /- // `' ,042-is G// 29 / 9" / 3 6 { 9-� 2 C /'f C/ :' y 3 30 /422 sac c s/2) /o . 29 C ' 41.// ?i(G-e- .o to be sent back each month to: Minnesota Department of Health,Community Water Supply Unit,P.O.Box 64975,St Paul, nnesota 55164-0975 E-04818-02-IC 140-0013 6.0/1 D©O Fl-single Rev.10/20C