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CITY OF PARIS <br />ENVIRONMENTAL SERVICES LABORATORY <br />SAMPLE CUSTODY SHEET /REPORT <br />CUSTODY NUMBER: S- <br />SAMPLE SITE: <br />SAMPLE TYPE: (CHECK ALL THAT APPLY) <br />WASTEWATER: WATER: <br />BYPASS (LIFT STA.) DISTRIBUTION <br />BYPASS (OTHER) PLANT <br />SPECIAL WELL <br />SPECIAL <br />SAMPLE DATE /TIME: <br />AM /PM <br />SAMPLE DELIVERED BY: <br />DATE /TIME: <br />AM /PM <br />SAMPLE RECEIVED BY <br />DATE /TIME: <br />AM /PM <br />TESTS <br />TO BE RUN (CHECK <br />ALL THAT APPLY) <br />TEST: <br />RESULTS: <br />TEST: <br />RESULTS: <br />BOD -5 <br />mg /L <br />ALK. <br />mg /L <br />TSS <br />mg /L <br />Cu <br />mg /L <br />VS <br />mg /L <br />.Fe <br />mg /L <br />pH <br />mg /L <br />Mn <br />mg /L <br />NH3 <br />mg /L <br />SO4 <br />mg /L - -- <br />FLUORIDE mg /L <br />CL2 RESID. mg /L <br />TURBIDITY NTU <br />F. COLIFORM COLONIES /100 ml <br />T. COLIFORM COLONIES /100 ml <br />SPEC. GRAV. <br />SEND RESULTS TO: <br />COMMENTS: <br />(SCUSTODY.DW3) <br />REVISED 10 -30 -91 <br />