Report Oct 11 2010 12:06PM Pyxis Labs, LLC. 5032541452 p.1
Jobnumber: 100417
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PWS #: 4100000q ffff
PWS Name: Endeavor Plumbing ORELAP #: - OR100028 ; ^�
City, County: PORTLAND. MTILTNOMAH Lab Name: Pyxis Laboratories, LLC.
Phone: 503-504-6846 Fax: Address: 12423 NE Whitaker Way
Portland, OR 97230
Ronan addrC&, for report; Phone/Fax; 503 -254 -1794 / 503- 254 -1452
Name: Steve Houston
Address: 2812 NE 20th Bottle#: BF009
PO Box 28037 O Results do not meet NELAC Standards
City, State, Zip: PORTLAND, OR, 97212 Lab Sample ID #: 100417 -1
Sample Collection Date/Time; 10/04/2010 01;50 PM Chlorinated: No ❑Yes
Collected By: Ian
•
DISTRIBUTION Sample Type: ®Routine ❑ "Repeat OTemporary Routine ❑Special
'Date of Initial Positive: *Original Positive ID #:
Address: 11945 SW 70th Sampled at Quiet Room Sink
SOURCE Sample Type: . ❑ *Triggered ❑ *Confirmation ❑Assessment ❑Special
*Date of Initial Positive: *Original Positive ID #:
Source ID: SRC- Source name;
LAB USE ONLY -
Sample Recieved Date /Time: 10/04/2010 04:10 PM Initials; NCM Temp; 4C Evidence of Cooling? ®Yes ON.
Analysis Start Date/Time: 10 /04/2010 04 :15 PM Initials: NC1VI
ORELAP Methods(s): ® Colilert ® ❑ Colilert -18 ® ❑ Colisure ® ❑Chromocult ® ❑Coliscan ❑Readycult g
Cook aurhos 2poy C I SM 9221 B (MTF) + DE or OF OSM 19 Ed. ❑SM 20 Ed. OSM 21 Ed.
OSM 9221 D (P -A -M) + DE or OF
OSM 9222 B (ME) + 09221E or 09221F or 09222G
OSM 9223 DColiTag ® ❑MI agar Om- ColiBlue ® Other:
Test Results: Analysis Complete Date/Time: 10/05/2010 04:15 PM
Total Coliforms: ❑ Present ® Absent Analyst: NCM
E Colt: ❑ Present ® Absent Review by: LAB Date: 10/06/2010
Reported By: Rep ort Date: 10/11/1010
Sample Invalidation: DHS USE ONLY Test results relate only to the parameters tested and to the samples as
❑ over 30 hours received by the laboratory. Test results meet all requirements of
❑ leak NELAC unless otherwise noted. This report shall not be reproduced,
O heavy noo- coliform growth except in full, without the written consent of this laboratory. Sand
Cl other results to: DHS -DWP P.O. Box 14350, Portland OR 97293 -0350
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15034779159 10/11/2010 11:59 RECEIVED FROM: 5032541452 #4523 -001