. .;

l- sa Y TE B~C LIEUTRUNG TAM KIEM SOAT BtNH T~T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDia chi: 01 Dong Khoi, phuong 5, thannph6 Bac Lieu, tinh B(lC Lieu

Dien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau.ksblbl(ij)gmail.com

S6: 114 IKN-KSBT PHIEU KET QuA KIEM NGHI~M

Ten khach hang : CONG TV CO PHA.N cAp NUOC B~C LIEU

Dia chi : S6 92, dirong Le Duan, khorn 7, phuong 1, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ten m~u : NV6c SINH HOAT DAu NGUON -181121131114

Mil s6 m~u : 0019.19

Tinh trang m~u : Mffu con nguyen ven niem phong co dong dftu cua Trung tam Ki~m SoM benh t~t

tinh B<_lCLieu ngay 13/12/2018. Tren niem phong co chtt ky ong Trc1nSa Vet - can

bQ lfty m~u va ong NguySn Quoc Anh - dai dien dan vi diroc lfty m~u.

Dia diem lfty m~u : Nha may mroc s6 2, dirong Cao Van L~u, phuong 2, thanh pho Bac Lieu,

tinh Bac Lieu

Ngay lfty m~u : 13112/2018 Ngay nhan m~u: 13/12/2018Ngiroi nhan m~u : NgUYSnNgoc Thao

Ngiroi giri m~u : Trc1nSa Vet

Ngay b~t d~u kiem nghiem: 13/12/2018

KET QuA KIEM NGHItM

Mlii, vi TCVN 2653: 1978 (b) Khong co mui, Khong co mui,. la

03 DQdue Hanna HI 93703 (b) 0,77 NTU :S2 NTU

04 pH TCVN 6492 : 2011 (b) 7,82 6,5 - 8,5

05 DQcirng tong cong SMEWW 2340 C : 2017 (b) 240 mg/L :S300 mg/L06 Ham luqng Clorua SMEWW 4500-CrB: 2017 (b) 52 mg/L :S300 mg/L07 Chi s6 Pecmanganat TCVN 6186:1996 (b) 0,3 mg/L :S2 mg/L08 Ham luqng Mangan SMEWW 3500-Mn B: 2017 (b) Omg/L :S0,3 mg/L

09 Ham luqng Nitrite SMEWW 4500-N02' B : 2017 (b) 1,21 mg/L ~ 3 mg/L

10 Ham luqng Nitrate TCVN 6180:1996 (b) 2,2 mg/L :S50 mg/L

11 Ham luqng Sulphat US-EPA 1997-375.4 (b) 104,75 mg/L :S250 mg/L

- Cac ket qua hem nghi¢m trong phieu nay chi co gici trj (/oi vo-imau do khGch himg,gui de'!. .- Khong dzc(fctrich sao mot phdn Phidu kit qua kiim nghi¢m nay ndu kh6ng co S1,f dong y bang van bem cua trung tam Kiem socitbenh tat tinh Bac Lieu. _

- Thong'tin v~ md~, khcich himg dzc(fcghi thea yeu ;du,/ua nai g__uin;au. ,. . ::- ._ Khong nhrjn khieu n(1itrong trzrong hop kh6ng co mau lzruhO(1chet thO'igtan lzrumau thea quy d!nh.BM.7.8.4-3 BH 01: 18110/2018 1/2

_......._____...__._ ~

Mii s6 mOu: 0019.19 (

12 Ham luong s~t tong s6 SMEWW 4500 -Fe -B: 2017 (b) 0,058 mg/L :S 0,3 mg/L

13 Clor dir Hanna HI96701 (b)(c) 0,37 mg/L 0,3 - 0,5 mg/L

14 Coliforms ISO 9308-1 :2014/Amd.1 :2016 (b) o CFU/IOOmL o CFU/I00 mL

15 E.coli ISO 9308-1 :2014/Amd.1 :2016 (b) o CFUIlOOmL o CFU/I00 mL

Ghi chu: - Kit qua (b) phep thir chua OU(/C chung nhdn Vi/as.- Kit qua (c) duoc thuc hien hili Khoa Sue khoe moi truong - Y Ii truong h9C- Benh nghd nghiep tai naildy mdu.

Nh~n xet: Mfru Nvdc SINH HOA.T DAuNGUON - 18/12/13/114 (0019.l9) c6 cac chi tieu duockiem nghiem dat theo Quy chuan Viet Nam QCVN 01:2009/BYT do B('>Y t~ ban han~jV

Bac Lieu, ngay).4 thang)2-- nom 2018GIAMDOCKHOA XET NGHI_f:M

CHAN DoAN HINH ANHTHAM DO CHUC NANG

- Cdc ket qua kiem nghiem trongphieu nay chi c6 gia tri a6i verimdu do khach hang giri den.- Kh6ng duoc trich sao mot phdn Phiiu kit qua kdm nghiem nay niu khong c6 su dongy bang vdn ban cua trung tam Kiem sotubenh tdt tinh Bac Lieu.

- Thong tin vd maZ!,khdch hang duac ghi theoyeu criucua noi giri mau.- Khong nhdn khieu nai trong truang hop khong c6 mau luu ho(ic hit thai gian luu mau theo quy ainh.BM.7.S.4-3 BH 01: IS/I0/20lS . 212

sa Y TE B~C LIEUTRUNG TAM KIEM SOAT BtNH T~T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDia chi: 01 Dong Khoi, phuong 5, thanh ph6 B(lC Lieu, tinh B(lC Lieu

Dien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau.ksbtbl({i}gmail.com

S6: ;1~ IKN-KSBT PHIEU KET QuA KIEM NGHIEM•

Ten khach hang : CONG TY CO PHAN cAp NUaC B~C LIEU

Dia chi : S6 92, duong Le DuAn, khorn 7, phuong 1, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ten m~u : NVOC SINH HOAT DAu NGUON - 18/12113/113

Mii s6 m~u : 0018.1 9

Tinh trang m~u : M~u con nguyen ven niern phong co dong diu cua Trung tam Ki~m Scat benh t~t

tinh Bac Lieu ngay 13112/2018. Tren niem phong co chfr ky ong Tnin Sa Vet - can

bQliy m~u va ong Nguyen Quoc Anh - dai dien don vi diroc liy m~u.

Dia di~m liy m~u : Nha may mroc s6 1, duong Le Duan, khorn 7, phuong 1, thanh pho Bac Lieu,

tinh Bac Lieu

Ngay liy m~u : 13112/2018 Ngay nhan m~u : 13112/2018Nguoi nhan m~u : Nguy€n NgQCThao

Ngiroi giri m~u : Trin Sa Vet

Ngay b~t diu ki~m nghiem: 13/12/2018

KET QuA KIEM NGHItM

Mlii, vi TCVN 2653 : 1978 (b) Khong co mui, Khong co rnui,v

03 DQdue Hanna HI 93703 (b) 0,19NTU S2 NTU

04 pH TCVN 6492 : 2011 (b) 7,89 6,5 - 8,5

05 DQcirng t6ng cong SMEWW 2340 C : 2017 (b) 336 mgfL S 300 mg/L

06 Ham hrong Clorua SMEWW 4500-CrB: 2017 (b) 97 mg/L S 300 mg/L

07 Chi s6 Pecmanganat TCVN 6186:1996 (b) 0,9 mg/L S 2 mg/L

08 Ham luqng Mangan SMEWW 3500-Mn B: 2017 (b) Omg/L S 0,3 mg/L

09 Ham luqng Nitrite SMEWW 4500-N02- B : 2017 (b) 2,41 mg/L :'S 3 mg/L

10 Ham luqng Nitrate TCVN 6180:1996 (b) 2,0 mg/L S 50 mg/L

11 Ham luqng Sulphat US-EPA 1997-375.4 (b) 185,75 mg/L S 250 mg/L

- Cac ki2tqua kiem nghi¢m trang phieu nay chi co gia tri doi vai mau da khcich himg,gui de,?, . '_ Khong du(!c trich saa mijt phim Phiiu kit qua kiim nghi¢m nay niu khong co Sl! dong y bang van ban cua trung tam Kiem saGtb¢nh t(lt tinh Bc;zcLieu, ,_

- Thong tin vd mdu, khcich himg du(!c ghi thea yeu cau_cua noi gLci~au. _ ._ Khong nh(ln khiiu n(li trang truang h9P khOng co mau iuu ha(lc het thiri gian iuu mau thea quy d,nh.BM,7,8.4-3 BH 01: 18110/2018 112

Mfi sa mau: 0018.19

12 Ham luong s~t tong s6 SMEWW 4500 -Fe -B: 2017 (b) Omg/L :s 0,3 mg/L

13 Clor dtr Hanna HI96701 (b)(c) 0,42 mg/L 0,3 - 0,5 mg/L

14 Calif arms ISO 9308-1 :2014/Amd.1 :2016 (b) o CFUIlOOmL o CFUIlOO mL

15 E.coli ISO 9308-1 :2014/ Amd.1 :2016 (b) o CFU/100mL o CFU/100 mL

Ghi chu: - Kit qua (b)phep thtrchua duoc chung nhdn Vi/as.- Kh qua (c) duoc thuc hien boi Khoa Sue khoe moi trutmg - Yd truong h9C- Benh nghJ nghiep tai noildy mdu.

Nh~n xet: M~u Nlfdc SINH HOAT DAu NGUON - 18/12/13/113 (0018.19) c6 chi tieu DQcirngtong cong duoc kiem ng~i~m khong dat; cac chi tieu con lai dat theo Quy chuftnViet Nam QCVN01:20091BYT do B<)Y te ban hanh. ~V

~

KHOA XET NGHl'E:MCHAN DoAN HINH ANHTHAM DO CHUC NANG

Bgc Lieu, ngay lA thong A~ nam 2018GIAMDOC~=--~

- co~ kef qua kiim nghiem fran? phie~ n~ chi co ~idtri doi voi ma!, do khach hang gU'iden.- Khong duac trich sao mot phdn Phieu ket qua kiem nghiem nay neu khong co Sl! a6ng y bang van ban cua trung tam Kidm sootbenh tat tinh Bac Lieu.

- Thong tin vJmdl!. khach hang duac ghi thea yeu cdu cua noi giri mdu.- Khong nhr;inkhieu n(li trong trU'ang h(fp khong co mdu /U'U ho(lc hit thai gian /U'U mdu theo quy ainh.BM.7.S.4-3 BHOI:ISIlO/20IS' 2/2

sa Y TE B~C LIEUTRUNG TAM KIEM SOAT BtNH T~T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDia chi: 01 Dong Khoi, phuong 5, thanhph6 Bac Lieu, tinh Bac Lieu

Dien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau. ksbtbl(ii),gmail.com

S6: ~ Z. IKN-KSBT PHIEU KET QuA KIEM NGHlJ~M

Ten khach hang : eONG TY eo PHANeAp xuoc B~eLIEUDia chi : se 92, duong Le Duan, khom 7, phuong 1, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ten m~u : Nvdc SINH HO~.T CUDr NGUDN - 18/12/05/112

Mff s6 m~u : 0010.19

Tinh trang m~u : M~u con nguyen ven niem phong co dong d~u cua Trung tam Ki~m SoM benh t?t

tinh Bac Lieu ngay 05112/2018. Tren niem phong co chir ky ong Tr~n Sa Vet - can

bQl~y m~u va ong Nguyen Quoc Anh - dai dien don vi diroc l~y m~u.

Dia diem l~y m~u : Duong Tinh LQ 38, phirong 5, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ngay l~y m~u : 05/12/2018 Ngay nhan m~u: 0511212018

Nguoi nhan m~u : Nguyen Ngoc Thao

Nguoi gui m~u : Tr~n Sa Vet

Ngay b~t d~u kiem nghiem: 05112/2018

KET QuA KlEM NGHItM

E.coli TCVN 6187-1: 2009 (b)

TCVN 6187-1: 2009 (b)

o CFU/I00mL o CFUI100 mL

Ghi chu: - Kit qua (b) phep thir chua duac chung nh(in Vi/as.

Nh~n xet: M~u Nudc SINH HOAT CUOJ NGUON - 18/12/05/112 (0010.19) co cac chi tieu duQ'cki~m nghi~m d1;lttheo Quy chu:1n Vi~t Nam QCVN 02:2009/BYT do B9 Y t~ ban han~

Bqc Lieu, ngay A 9 thang dZ- niim 2018'MDOC'MD6c

KHOA XET NGHI:E:MCHAN DoAN HINH ANHTHAM DO CHUC NANG

- Cac ket qua kiem nghi¢m trong phieu nay chi co gia trj tl6i vai mau do khtich hang gui tlin. .. .- Kh6ng tlur;rctrich sao mot phdn Phiiu kit qua kdm nghi¢m nay niu kh6ng co S1! tl6ng y bJng van bim clla trung tam Kiem soa!benh tat tinh Bac Lieu.

- Th6ng 'tin vd mdu, khtich hang tlur;rcghi thea yeu cdu_cua nai gui m_du. _ .- Kh6ng nh(in khdu n(Ji trang trucmg hr;rpkh6ng co mau luu hoij.c het thai gian luu mau thea quy tI!nh.BM.7.8.4-3 BH 01: 18110/20 18 III

sa Y TE B~C LIEUTRUNG TAM KIEM SOAT BtNH T~T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDia chi: 01 Dong Khai, phuong 5, thanh ph6 B(lc Lieu, tinh B(lc Lieu

Dien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau.ksbtbl(iiJ.gmail.com

ss . A~ IKN-KSBT PHIEU KET QuA KIEM NGHI~M

Ten khach hang : CONG TY CO PHA.N cAp Nude B~C LIEU

Dia chi : S6 92, dtrong Le Duin, kh6m 7, phuong 1, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ten mau : NVOC SINH HOAT CUOI NGUON - 18/121131115

Mil s6 mau : 0020.19

Tinh trang mau : Mau con nguyen ven niem phong co dong d~u cua Trung tam Ki~m SoM benh t~t

tinh Bac Lieu ngay 13112/2018. Tren niern phong co chi! ky ong Tnln Sa Vet - can

b<)l~y mau va ong Nguyen Quoc Anh - dai dien dan vi diroc l~y mau.

Dia diem l~y mau : Duong Cau Ke, phirong 2, thanh pho Bac Lieu, tinh Bac Lieu.

Ngay l~y mau : 13/12/2018 Ngay nhan mau : 13/1212018

Ngiroi nhan mau : Nguyen Ngoc Thao

Ngiroi giri mau : Tr~n Sa Vet

Ngay b~t d~u ki~m nghiern: 13112/2018

KET QuA KIEM NGHItM

E.coli ISO 9308-1:2014/Amd.l:2016 (b) o CFUI100mL o CFUI100 mL

Ghi chit: - Kh qua (b) phep thtr chua duac chung nhdn Vilas.

N~~n xet: M~u NV6c SINH !fOAT CUOI NGUON - 18112/13/115 (0020,.19) co cac ~i tieu duqckiem nghi~m d~t theo Quy chuan Vi~t Nam QCVN 02:2009/BYT do BQ Y te ban han~~ V

KHOA XET NGHIJ~MCHAN DoAN HINH ANHTHAM no CHUC NANG

- Cac kit qua kiim nghi¢m trong phieu nay chi co gia tri doi vO'imd~ do khcich himg,gui de"!. ,- Khong tiuQ'ctrich sao m9t phdn Phiiu kit qua kidm nghi¢m nay neu khong co Sl,I' dong y bang van him cila trung tdm Kilim soatbenh tat tinh Bac Lieu.

- Thong 'tin vd mdu, khcich himg tiuQ'Cghi theo yeu cdu_cila nai gUi ~Ju. _- Khong nh(m khdu m;ti trong truang h(Jp khOng co mdu luu ho¢.c het thili gian luu mdu theo quy dinh.BM.7.8.4-3 BH 01: 18/10/2018 III

sa Y TE B~C LIEUTRUNG TAM KIEM SOAT B~NH T!T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDia chi: 01 D6ng Khoi, phuong 5, thanh ph6 Bac Lieu, tinh Bac Lieu

Dien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau. ksbtb/(iiJ,gmail.com

ss . A q IKN-KSBT PHIEU KET QuA KIEM NGHI¥M

Ten khach hang : eONG TY eo PHAN eAp Nude B~e LIEUDia chi : S6 92, duong Le Duan, khorn 7, phuong 1, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ten m~u : NV6c SINH HOAT CUOI NGUON -181121131116

Ma s6 m~u : 0021.19

Tinh trang m~u : M~u con nguyen ven niem phong co dong dau cua Trung tam Ki~m Soat benh t?t

tinh Bac Lieu ngay 13/12/2018. Tren niern phong co chtr ky ong Tr:1nSa Vet - can

bQ l:1ym~u va ong Nguyen Quoc Anh - dai dien don vi diroc l:1ym~u.

Dia diem l:1ym~u : Sieu thi Dien May, phuong 7, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ngay l:1ym~u : 13112/2018 Ngay nhan m~u: 13112/2018

Ngiroi nhan m~u : Nguyen Ngoc Thao

Nguoi giri m~u : Tr:1nSa Vet

Ngay b~t d:1Ukiem nghiem: 13/12/2018

KET QuA KIEM NGHItM

ISO 9308-1:2014/Amd.l:2016 (b) 0 CFUI100mL

ISO 9308-1:2014/Amd.l:2016 (b)

o CFUI100 mLE.coli

Ghi chu: - Kit qua (b) phep thu chua duoc chung nhdn Vilas.

N~~n xet: MfruNVdc SINH tIOAT CUD! NGUON - 18/12/13/116 (0021;19) co deAi tieu dUQ'ekiem nghi~m d<_ttthea Quy ehuan Vi~t Nam QCVN 02:2009/BYT do B(>Y te ban hfmh.\ /

----KHOA XET NGHI¥M

CHAN DoAN HINH ANHTHAM DO CHUC NANG

~

- Cac kdt qua iidm nghi¢m trong phieu nay chi co gia trj a6i vai mJu do khach himg,gui adf!.. ,- Khong aU(fc trich sao m9t phdn Phiiu kit qua kdm nghl¢m nay mfu khong co S1l aong y bang van him cua trung him Klem soatbenh tat tinh Bac Lieu.

- Thong 'tin vd mdu, khach hang aUQ'cghi theo yeu cdu_cila nO'jgui ~du. _- Khong nh(m khitfu nt.1itrang truang h(fp khong co mau luu ho(lc het {hili gian luu mau theo quy ajnh.BM.7.8.4-3 BH 01: 18110/2018 III

sa Y TE B~C LIEUTRUNG TAM KIEM SOAT BtNH T!T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDja chi: 01 D6ng Khoi, phuong 5, thanh ph6 B9C Lieu, tinh B9C Lieu

Dien thoai: 0291.3824107 - 0291.382471 1 Email: nhanmau.ksbtbl(jjJ.gmail.com

S6: )2 IKN-KSBT PHIEU KET QuA KIEM NGHI~M

Ten khach hang : CONG TY CO PHAN cAp NUaC B~C LIEU

Dia chi : S6 92, duong Le Duan, khom 7, plurong 1, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ten m~u : Nvdc SINH HO~T CUOI NGUON - 181121181118

Mil s6 m~u : 0031.19

Tinh trang m~u : M~u con nguyen ven niem phong co dong dc1ucua Trung tam Ki~m Soat benh t?t

tinh Bac Lieu ngay 18112/2018. Tren niern phong co chir ky ong Tran Sa Vet - can

b<)lc1ym~u va eng Nguyen Quoc Anh - dai dien don vi diroc lc1ym~u.

Dia diem lc1ym~u : Duong Dean Thi Di€m, phuong 3, thanh pho Bac Lieu, tinh Bac Lieu.

Ngay lc1ymfiu : 18/12/2018 Ngay nhan mfiu : 18/12/2018

NgWJi nhan mfiu : Nguy6n Ngoc Thao

Ngiroi giri mfiu : Tr~n Sa Vet

Ngay b~t d~u kiem nghiem: 18112/2018

KET QuA KIEM NGHItM

ISO 9308-1 :20141Amd.l :20 16 (b) 0 CFU/I00mL

ISO 9308-1:2014/Amd.l:2016 (b)

o CFUI100 mLE.coli

Ghi chu: - Kit qua (b) phep thu chua iJuQ'C chung nhdn Vilas.

N~~n xet: Mfru Nvdc SINH tI0AT CUO! NGUGN - 18/12/18/118 (0031;19) co cac ~h~tieu duqckiern nghi~rn d~t thea Quy chuan Vi~t Nam QCVN 02:2009/BYT do B<)Y te ban himh. ty,,--

B9c Lieu, ngaylA thang,12.--nam 2018~~~'MD6cKHOA XET NGHI:eM

CHAN DoAN HiNH ANHTHAM DO CHUC NANG

- Cac kit qua kidm nghi¢m trong phdu nay chi co gia tri d6i vo-im~u do khiich hang ,gui dJ~. ,- Khong du:(yctrich sao m9t phein Phiiu kit qua kiim nghi¢m nay neu khong co SI! dong )1 bang van ban cua trung ((im Kiem soatbenh tat tinh Bac Lieu.

- Thong 'tin vi mdu, khdch hang du:(Ycghi thea yeu cdu_cua nai gtci m,du. _ .- Kh6ng nh(in khiiu n(1i trong tru:cmgh9P kh6ng co mdu lu:uhoijc het thili gian IU71 mdu thea quy d!nh.BM.7.8.4-3 BH 01: 18/10/2018 III

·\-,, . sa Y TE B~C LIEU

TRUNG TAM KIEM SOAT BtNH T~T TiNH B~C LIEUCENTER FOR DISEASE CONTROL BAC LIEU PROVINCE

Dia chi: 01 D6ng Khai, phuong 5, thanh ph6 Bac Lieu, tinh Bac LieuDien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau.ksbtbl@gmail.com

ss . )4 IKN-KSBT PRIEU KET QuA KIEM NGRIE:M

Ten khach hang : CONG TY CO PH.AN cAp NUOC B~C LIEU

Dia chi : S6 92, duong Le Duan, khom 7, phuong 1, thanh ph6 B<;lCLieu, tinh B<;lCLieu.

Ten m~u :nuoc SINH HOAT CUOJ NGUON -181121181120

Mil s6 m~u : 0033.19

Tinh trang m~u : M~u con nguyen ven niern phong co dong dciu cua Trung tam Ki~m Soat benh t~t

tinh B<;lCLieu ngay 18112/2018. Tren niem phong co chir ky eng Tr~n Sa Vet - can

bQlciym~u va eng Nguy~n Quoc Anh - dai dien don vi duoc lciym~u.

Dia diem lciym~u : Duong Tra Kha B, phuong 8, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ngay lciym~u : 18/12/2018 Ngay nhan m~u: 1811212018

Ngiroi nhan m~u : Nguyen NgQCThao

Ngiroi giri m~u : Tr~n Sa Vet

Ngay b~t d~u kiem nghiem: 18112/2018

KET QuA KlEM NGHItM

ISO 9308-1 :20 14/Amd.1 :2016 (b) 0 CFU/I00mL

ISO 9308-1 :20141Amd.l :2016 (b)

o CFUIlOO mLE.coli

Ghi chu: - Kit qua (b) phep thir chua duoc chung nhdn Vi/as.

KHOA XET NGHI~MCHAN DoAN HINH ANHTHAM DO CHUC NANG

- Cdc kdt qua kiem nghiem trang phidu nay chi co gia tri ct6i vO'inuI!l do khach himg.gui ad,?' ..- Khong du!),ctrich sao m9t phdn Phidu kdt qua kiim nghi¢m nay neu khOng co s'"dong y bang van ban cua trung tam Kiem soatbenh tat tinh Bac Lieu.

- Thong'tin v~ mdu, khach hang dU9'Cghi thea yeu cdu_cua nO'igui m,du. _- Khong nh(m khidu nr,zitrong truong h9P khong co mau lUll ho(lc het thai gian lUll mau thea quy d;nh.BM.7.8.4-3 BH 01: 18/10/2018 111

so Y TE B~C LIEUTRUNG TAM KIEM SOAT B_tNH T~T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDia chi: OJDong Khoi, phuong 5, thann ph8 B9C Lieu, tinh B9C Lieu

Dien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau.ksbtbl(iiJ.gmail.com

ss 40 IKN-KSBT PHIEU KET QuA KIEM NGHI~M

Ten khach hang : CONG TY CO PRAN cAp NUOC B~C LIEU

Dia chi : S6 92, duong Le Duan, khom 7, phuong 1, thanh ph6 B<;lC Lieu, tinh Bac Lieu.

Ten rn~u :Nude SINH HOAT cuo:NGUON- 18/12118/119

Ma s6 rn~u : 0043.19

Tinh trang rn~u : M~u con nguyen ven niem phong co dong d~u cua Trung tarn Ki~rn SoM benh t~t

tinh B<;lC Lieu ngay 26112/2018. Tren niem phong co chtr ky eng Tdn Sa Vet - can

b91~y rn~u va eng Nguyen Quoc Anh - dai dien don vi duoc l~y rn~u.

Dia diem l~y rn~u : Duong Tra Kha A, phuong 8, thanh ph6 B<;lC Lieu, tinh B<;lC Lieu.

Ngay l~y rn~u : 26112/2018 Ngay nhdn rn~u: 26112/2018

Ngiroi nhan rn~u :Nguyen Ngoc Thao

Ngiroi giri rn~u : Tr~n Sa Vet

Ngay b~t d~u ki~rn nghiem: 27/12/2018

KET QuA KIEM NGHI_tM

Ghi chu: - Kit qua (b)phep thirchua duoc chung nhdn Vi/as.

Nh~n xet: M~u NUdc SINH HOAr cuor NGUON - 18/12118/119 (0043.19) co chi tie.lJ.-4'.coli_duoc kiem nghiem dat theo Quy chuan Vi~t Nam QCVN 02:20091BYT do B9 Y t€ ban hanh.:'X~~

KHOA XET NGHI:E:MCHAN DoAN HiNH ANHTHAM DO CHUC NANG

- Cac kerqua kiem nghi¢m trangphieu nay chi c6 gia tri d6i vO'jmau do khcichhimg gui den. ,- Kh6ng du9'ctrich saa m9tphdn Philu kit qua kiim nghi¢m nay ndu kh6ng co Sl! d6ng y brmgvan ban cua trung tam Kiem soalbenh tat tinh Bac Lieu.

- Th6ng'tinvd mdu, khach hang dUQ'cghi thea yeu cdu cllanoi gui mdu.- Kh6ng nMn khidu n(li trang trucmgh9'Pkh6ng co mdu luu ha(ic hit thili gian luu mdu thea quy dinh.BM.7.S.4-3 BHOI:ISI10/20IS III

sa Y TE B~C LIEUTRUNG TAM KIEM SOAT BtNH T!T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDia chi: 01 D6ng Khoi, phuong 5, thanh ph6 B(lC Lieu, tinh B(lC Lieu

Dien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau.ksbtbl@gmail.com

ss . g~ IKN-KSBT PHIEU KET QuA KIEM NGHII~M

Ten khach hang : CONG TY CO PHAN cAp NUaC B~C LIEU

Dia chi : S6 92, duong Le Duan, khom 7, phuong 1, thanh ph6 Bac Lieu, tinh B<;lC Lieu.

Ten m~u : NVdc SINH HO~T CUDI NGUDN -18/12/181117

Mil s6 m~u : 0042.19

Tinh trang m~u : M~u con nguyen ven niem phong co dong dciu cua Trung tam Ki~m SoM benh t~t

tinh B<;lC Lieu ngay 26112/2018. Tren niern phong co chft ky ong Trin Sa Vet - can

b9 lciym~u va ong Nguy~n Quoc Anh - dai dien don vi diroc lciym~u.

Dia diem lciym~u : Phuong Nha Mat, thanh ph6 Bac Lieu, tinh Bac Lieu.

Ngay lciym~u : 26112/2018 Ngay nhan m~u : 26112/2018

Nguoi nhan m~u : Nguy~n Ngoc Thao

Nguoi giri m~u : Trin Sa Vet

Ngay b~t diu kiern nghiern: 27/12/2018

KET QuA KIEM NGHI_¢M

Ghi chu: - Kit qua (b) phep thu' chua duoc chung nhdn Vi/as.

Nh~n xet: M~u NVOC SINH HOA.T CUOI NGUON - 18112118/117 (0042.19) c6 chi tieu E.coliduoc kiem nghiem dat theo Quy chuan Vi¢t Nam QCVN 02:2009/BYT do Be>Y t~ ban him~t{2----

thimg 01 nam 2019.....................~,f)6C~,

A DOCKHOA XET NGHItM

CHAN f)OAN HINH ANHTHAM DO CHUC NANG

- Cac kit qua kiim nghi¢m trongphiiu nay chi co gia trj d6i vai mJu do khach himg gui din. ,- Kh6ng duQ'ctrich sao m¢tphdn Phiiu kit qua kiim nghi¢mnay niu kh6ng co SI,f d6ng y bang van bim cila trung tam Kiem soiabenh tat tinh Bac Lieu.

- Th6ng'tin vJ mdu, khach hang duQ'cghi theo yeu cdu_cilanO'igui rn_du. _- Kh6ng nh(m khidu n(Jitrang trucmgh9P khOngco mau luu ha(lc het thai gian luu mau thea quy dinh.BM.7.8.4-3 BH 01: 18/10/2018 III

so Y TE B~C LIEUTRUNG TAM KIEM SOAT BJ!,NH T~T TiNH B~C LIEU

CENTER FOR DISEASE CONTROL BAC LIEU PROVINCEDia chi: 01 Dang Khai, phuong 5, thanh ph6 Bac Lieu, tinh Bac Lieu

Dien thoai: 0291.3824107 - 0291.3824711 Email: nhanmau.ksblbl(ji)gmail.com

so . 5<'/ IKN-KSBT PHIEU KET QuA KIEM NGHI~M

Ten khach hang : CONG TY CO PHAN cAp NUOC B~C LIEU

Dia chi : sf> 92, dirong Le Duan, khom 7, phirong 1, thanh pho Bac Lieu, tinh Bac Lieu.

Ten miu :xrroc SINH HO~T CUD I NGUON - 18/12/051111

Ma sf>miu : 0041.19

Tinh trang miu : Miu con nguyen ven niern phong co dong dau cua Trung tam Ki~m Soat benh t~t

tinh Bac Lieu ngay 26112/2018. Tren niern phong co chfr ky eng Tr~n Sa Vet - can

b(>l~y miu va eng Nguyen Quoc Anh - dai dien don vi diroc l~y miu.

Dia di~m l~y miu : Khu nha t~p th~ Cong An, phuong 1, thanh pho Bac Lieu, tinh Bac Lieu.

Ngay l~y miu : 26112/2018 Ngay nhan mau : 26/12/2018

Nguoi nhan miu : Nguy~n Ngoc Thao

Nguoi giri miu : Tr~n Sa Vet

Ngay b~t d~u ki~m nghiem: 2711212018

KET QuA KIEM NGHI:¢M

Ghi chu: - Kit qua (b) phep thu chua duoc chung nhdn Vilas.

Nh~n x~t: M~u Nudc SINH HO~T CUOI NGUON - 18/12/05/111 (0041.l~) co chi ti~u E.colidugc kiem nghi~md:;tttheo Quy chuan Vi~tNam QCVN 02:20091BYT do BQ Y te ban him~1O--------

thang (JA nam 2019~"-'~;;'T DOC",ME>OC

KHOA XET NGHI.E:MCHAN f)OAN HINH ANHTHAM DO CHUC NANG

- Cac ket qua kiem nghi¢m trong phieu nay chi co gia tri il6i vai mau do khcichhimg giri den.- Kh6ng ilullc trich sao m6tphdn Phiiu kit qua kiim nghi¢mnay niu kh6ng co Sl! d6ng y bling van ban cua trung tam KidmsaGtb¢nh t4t tinh B(lcLieu.

- Th6ng tin vd mdu, khdch himg dUllcghi theayeu cdu cua nai gUimdu.- Kh6ng nh(jnkhiiu n(li trang truo-nghllPkh6ng co mdu luu hai;ichit th(J-igian luu mdu thea quy ilinh.BM.7.8.4-3 BH 01: 18110/2018 III