School

Lead Water Testing - Data Collection Form

School Short Name

Beidler

Length of time water remained in pipes before sampled (hours)

Report based on lab results dated
Date of test
Water last used (Time and date)

Sample ID #

Sample Location

Sample Collection Time & Date

Test Result (ppb)

Test Results

51180-C-CS01-01

Kitchen

5/25/16 6:18 AM

None Detected

ND

51180-C-CS01-02

Kitchen

5/25/16 6:18 AM

None Detected

ND

51180-C-CS01-03

Kitchen

5/25/16 6:18 AM

None Detected

ND

51180-C-CS01-04

Kitchen

5/25/16 6:18 AM

None Detected

ND

51180-C-CS01-05

Kitchen

5/25/16 6:18 AM

None Detected

ND

51180-SE-CS01-06

Kitchen

5/25/16 6:23 AM

None Detected

ND

51180-SE-CS01-07

Kitchen

5/25/16 6:23 AM

None Detected

ND

51180-SE-CS01-08

Kitchen

5/25/16 6:23 AM

None Detected

ND

51180-SE-CS01-09

Kitchen

5/25/16 6:23 AM

None Detected

ND

51180-SE-CS01-10

Kitchen

5/25/16 6:23 AM

None Detected

ND

51180-SW-CS01-11

Kitchen

5/25/16 6:35 AM

None Detected

ND

51180-SW-CS01-12

Kitchen

5/25/16 6:35 AM

None Detected

ND

51180-SW-CS01-13

Kitchen

5/25/16 6:35 AM

None Detected

ND

51180-SW-CS01-14

Kitchen

5/25/16 6:35 AM

None Detected

ND

51180-SW-CS01-15

Kitchen

5/25/16 6:35 AM

None Detected

ND

West Hallway/
Restroom 133
West Hallway/
Restroom 133
West Hallway/
Restroom 133
West Hallway/
Restroom 133
West Hallway/
Restroom 133
West Hallway/
Restroom 133
West Hallway/
Restroom 133
West Hallway/
Restroom 133
West Hallway/
Restroom 133
West Hallway/
Restroom 133
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130

5/25/16 6:50 AM

None Detected

ND

5/25/16 6:50 AM

None Detected

ND

5/25/16 6:50 AM

None Detected

ND

5/25/16 6:50 AM

None Detected

ND

5/25/16 6:50 AM

None Detected

ND

5/25/16 6:55 AM

None Detected

ND

5/25/16 6:55 AM

None Detected

ND

5/25/16 6:55 AM

None Detected

ND

5/25/16 6:55 AM

None Detected

ND

5/25/16 6:55 AM

None Detected

ND

5/25/16 7:13 AM

None Detected

ND

5/25/16 7:13 AM

None Detected

ND

5/25/16 7:13 AM

None Detected

ND

5/25/16 7:13 AM

None Detected

ND

5/25/16 7:13 AM

None Detected

ND

5/25/16 7:15 AM

None Detected

ND

5/25/16 7:15 AM

None Detected

ND

5/25/16 7:15 AM

None Detected

ND

51180-1-NW-F01-16
51180-1-NW-F01-17
51180-1-NW-F01-18
51180-1-NW-F01-19
51180-1-NW-F01-20
51180-1-NW-F02-21
51180-1-NW-F02-22
51180-1-NW-F02-23
51180-1-NW-F02-24
51180-1-NW-F02-25
51180-1-SE-F01-26
51180-1-SE-F01-27
51180-1-SE-F01-28
51180-1-SE-F01-29
51180-1-SE-F01-30
51180-1-SE-F02-31
51180-1-SE-F02-32
51180-1-SE-F02-33

9-10 hrs
6/7/16
05/25/16
5/24/16 ~8pm

Sample ID #

Sample Location

Sample Collection Time & Date

Test Result (ppb)

Test Results

East Hallway/ Girls

Restroom 130
East Hallway/ Girls
Restroom 130
West Hallway/
Restroom
West Hallway/
Restroom
West Hallway/
Restroom
West Hallway/
Restroom
West Hallway/
Restroom
West Hallway/
Restroom
West Hallway/
Restroom
West Hallway/
Restroom
West Hallway/
Restroom
West Hallway/
Restroom
East Hallway/ Girls
Restroom 230
East Hallway/ Girls
Restroom 230
East Hallway/ Girls
Restroom 230
East Hallway/ Girls
Restroom 230
East Hallway/ Girls
Restroom 230
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130
East Hallway/ Girls
Restroom 130

5/25/16 7:15 AM

None Detected

ND

5/25/16 7:15 AM

None Detected

ND

5/25/16 7:29 AM

None Detected

ND

5/25/16 7:29 AM

None Detected

ND

5/25/16 7:29 AM

None Detected

ND

5/25/16 7:29 AM

None Detected

ND

5/25/16 7:29 AM

None Detected

ND

5/25/16 7:33 AM

None Detected

ND

5/25/16 7:33 AM

None Detected

ND

5/25/16 7:33 AM

None Detected

ND

5/25/16 7:33 AM

None Detected

ND

5/25/16 7:33 AM

None Detected

ND

5/25/16 7:44 AM

None Detected

ND

5/25/16 7:44 AM

None Detected

ND

5/25/16 7:44 AM

None Detected

ND

5/25/16 7:44 AM

None Detected

ND

5/25/16 7:44 AM

None Detected

ND

5/25/16 7:46 AM

None Detected

ND

5/25/16 7:46 AM

None Detected

ND

5/25/16 7:46 AM

None Detected

ND

5/25/16 7:46 AM

None Detected

ND

5/25/16 7:46 AM

None Detected

ND

51180-1-NW-CS01-56

Primary Room 121

5/25/16 7:58 AM

None Detected

ND

51180-1-NW-CS01-57

Primary Room 121

5/25/16 7:58 AM

None Detected

ND

51180-1-NW-CS01-58

Primary Room 121

5/25/16 7:58 AM

None Detected

ND

51180-1-NW-CS01-59

Primary Room 121

5/25/16 7:58 AM

None Detected

ND

51180-1-NW-CS01-60

Primary Room 121

5/25/16 7:58 AM

None Detected

ND

Primary Room 125/

East Hallway
Primary Room 125/
East Hallway
Primary Room 125/
East Hallway
Primary Room 125/
East Hallway
Primary Room 125/
East Hallway

5/25/16 8:04 AM

111

AA

5/25/16 8:04 AM

72.5

AA

5/25/16 8:04 AM

30.1

AA

5/25/16 8:04 AM

24.6

AA

5/25/16 8:04 AM

31.9

AA

51180-1-SE-CS01-66

Kindergarten 131

5/25/16 8:08 AM

None Detected

ND

51180-1-SE-CS01-67

Kindergarten 131

5/25/16 8:08 AM

None Detected

ND

51180-1-SE-CS01-68

Kindergarten 131

5/25/16 8:08 AM

None Detected

ND

51180-1-SE-CS01-69

Kindergarten 131

5/25/16 8:08 AM

None Detected

ND

51180-1-SE-CS01-70

Kindergarten 131

5/25/16 8:08 AM

None Detected

ND

51180-1-SW-CS01-71

Kindergarten 125

5/25/16 8:10 AM

None Detected

ND

51180-1-SW-CS01-72

Kindergarten 125

5/25/16 8:10 AM

None Detected

ND

51180-1-SW-CS01-73

Kindergarten 125

5/25/16 8:10 AM

None Detected

ND

51180-1-SW-CS01-74

Kindergarten 125

5/25/16 8:10 AM

None Detected

ND

51180-1-SE-F02-34
51180-1-SE-F02-35
51180-2-NW-F01-36
51180-2-NW-F01-37
51180-2-NW-F01-38
51180-2-NW-F01-39
51180-2-NW-F01-40
51180-2-NW-F02-41
51180-2-NW-F02-42
51180-2-NW-F02-43
51180-2-NW-F02-44
51180-2-NW-F02-45
51180-2-SE-F01-46
51180-2-SE-F01-47
51180-2-SE-F01-48
51180-2-SE-F01-49
51180-2-SE-F01-50
51180-2-SE-F02-51
51180-2-SE-F02-52
51180-2-SE-F02-53
51180-2-SE-F02-54
51180-2-SE-F02-55

51180-1-NE-CS01-61
51180-1-NE-CS01-62
51180-1-NE-CS01-63
51180-1-NE-CS01-64
51180-1-NE-CS01-65

Sample ID #

Sample Location

Sample Collection Time & Date

Test Result (ppb)

Test Results

51180-1-SW-CS01-75

Kindergarten 125

5/25/16 8:10 AM

None Detected

ND

EPA ACTION LEVEL FOR LEAD IS 15 ppb or 15 g/L

SPREADSHEET LEGEND
ND-Not Detected at the Reporting Limit
BA-Below EPA Action Level of 15 ppb
AA-Above EPA Action Level