Microbiological Raw Data Sheet for Water Analysis

Year: ______________ Fecal Streptococci/Enterococcus (Multiple Tube Technique Method)

Equipment No. / Code
for sample no./s: for sample no./s:
Checked
Azide Dextrose EVA Broth Observed By Fecal Streptococci Evaluated
By
By
Date D/T Sample
No.
Sample Sample Type/
AB DB#
Broth/Rothe
Observed By EVA Broth for confirmed
for confirmed Count (Initials,
Received Sampled Code Sampling Point Broth (ADB)
(+) CB (+) 48h (+) ADB (Initials &
TI Readings Readings 24h (+) ADB tubes Sign &
ADB TI ADB tubes Date)
Date)
D/T D/T tubes tubes D/T D/T D/T D/T
D/T Dil’n 24h 48h
(24h) (48h)
D/T 24h 48h
(24h) (48h) (24h) (48h) MPN / 100 mL
B# MB# @ MB# ___
@
24h 24h
10 __ @ @ ( ) For Continuation to Fecal
AM / PM AM / PM AM / PM AM / PM AM / PM 48h 48h Enterococci see page _____
B# MB# @ MB# ___
@
24h 24h
10 __ @ @ ( ) For Continuation to Fecal
AM / PM AM / PM AM / PM AM / PM AM / PM 48h 48h Enterococci see page _____
B# MB# @ MB# ___
@
24h 24h
10 __ @ @ ( ) For Continuation to Fecal
AM / PM AM / PM AM / PM AM / PM AM / PM 48h 48h Enterococci see page _____
B# MB# @ MB# ___
@
24h 24h
10 __ @ @ ( ) For Continuation to Fecal
AM / PM AM / PM AM / PM AM / PM AM / PM 48h 48h Enterococci see page ______
B# MB# @ MB# ___
@
24h 24h
10 __ @ @ ( ) For Continuation to Fecal
AM / PM AM / PM AM / PM AM / PM AM / PM 48h 48h Enterococci see page ______
B# MB# @ MB# ___
@
24h 24h
10 __ @ @ ( ) For Continuation to Fecal
AM / PM AM / PM AM / PM AM / PM AM / PM 48h 48h Enterococci see page ______
B# MB# @ MB# ___
@
24h 24h
10 __ @ @ ( ) For Continuation to Fecal
AM / PM AM / PM AM / PM AM / PM AM / PM 48h 48h Enterococci see page ______
B# MB# @ MB# ___
@
24h 24h
10 __ @ @ ( ) For Continuation to Fecal
AM / PM AM / PM AM / PM AM / PM AM / PM 48h 48h Enterococci see page ______

Legend: D/T : Date and Time MPN : Most Probable Number Media Control clear Media Control no growth, clear Culture Codes
AB : Analyzed By DB# : Diluent Batch Number turbid turbid, purple button at the bottom
Positive Control Positive Control Ef-UPB-F___-P___-T ___ (+ Con)
CB: Confirmed By MB# : Medium Batch Number
TI : Time Incubated “ : Same as above
Page ____ of ____
Negative Control clear Negative Control no growth, clear Ec-UPB-F___-P___-T ___
E Con: Environmental Control (+) : Positive (- Con)
D/P Con: Diluent and Pipette Controls (–) : Negative ADB Inoculation E Con: D/P Con: EVA Inoculation E Con: Sa-UPB-F___-P___-T ___
Form No.