Section
2.
Sample
Collection
Information
Section
3.
Sample
Process
Dates,
Times,
and
Temperatures
Section
4.
Number
of
Colony
Forming
Units
and
Calculations
Section
5.
Comments
1Ground
water
under
the
direct
influence
of
surface
water
4
mTEC
incubation
end
mTEC
incubation
start
Urease
substrate
incubation
start
3
2
Filter
no.

1
Analyst
initials
Long­
Term
2
Enhanced
Surface
Water
Treatment
Rule
Source
Water
Monitoring
Method
Type:
Membrane
Filtration
Analytical
Method
Number:
SM
9213D
(
mTEC)

RESULTS
Urease
substrate
incubation
end
Date:

Time:

Temperature
(
oC):
Date:

Time:

Temperature
(
oC):
Source
water
type
(
circle
one):
Flowing
stream
(
FS)
Reservoir/
lake
(
RL)
1GWUDI­
FS
1GWUDI­
RL
E.
coli
per
100
mL
E.
coli
Number
of
E.
coli
CFU
mL
of
sample
filtered
Section
1.
Laboratory
Identification
Information
Laboratory
name:

Sample
ID
(
optional):
Laboratory
ID:

Sample
collection
point
ID:
Sample
collection
date:

Sample
collection
time:

Holding
time:

Turbidity
result
(
NTU):
PWS
ID:

PWS
facility
ID:

Date:

Time:

Temperature
(
oC):
Date:

Time:

Temperature
(
oC):

Draft
June
2003
