WATER MICROBIOLOGY LABORATORY EVALUATION FORM
State of Illinois
Illinois Department of Public Health
ANALYTICAL MEDIA (cont’d)
2. Heterotrophic Plate Count Agar
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 7.0 ± 0.2 (465.400n)
______
3. Lauryl Tryptose Broth (Lauryl Sulfate), Lactose Broth
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH single strength 6.8 ± 0.2 (465.400n)
______
Final pH double strength 6.7 ± 0.2 (465.400n)
______
4. Brilliant Green Lactose Bile Broth
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 7.2 ± 0.2 (465.400n)
______
5. EC Broth
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 6.9 ± 0.2 (465.400n)
______
6. EC Broth - MUG
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 6.9 ± 0.2 (465.400n)
______
7. Nutrient Agar with MUG
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 6.8 ± 0.2 (465.360s1)
______
8. M-Endo Media (broth, broth/agar added, Les Endo)
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 7.2 ± 0.2 (465.400n)
______
9. M-FC Broth or Agar
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 7.4 ± 0.2 (465.400n)
______
10. Presence-Absence Broth
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 6.8 ± 0.2 (465.400n)
______
11. SimPlate
Lot
Date
Manufacturer __________________ Number ____________ Opened ____________ Exp. Date_____________
Final pH 7.2 ± 0.2 (465.360t2)
______
12