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EPARTMENT OF FISH AND GAME <br /> Fish'''�NWildlife Water Pollution Control Lb�tor <br /> t ti, ay <br /> i Request for laboratory Analysis <br /> 1 <br /> Your attention to completion of this form will pgawr yypCL ch,mists and biologish to better serve you,li you hove <br /> �F ;� reported here,plepx tall ffie appropriate number listed below.Also,if possible,please nofih yypCl prior to orrivpf pi samples Biology Lob(916)335-0856;Chemic <br /> Lab(916)355-0794;g755,e appy X. <br /> QVestwns mples regarding any aspect o4 somplirrg or the results <br /> Delivered By: Lori A. Oldfather "y <br /> [Field <br /> or laboratory Use Only: <br /> Analysis Required: <br /> Bioassay X Chemical PC!Number L-050-91 <br /> Nitro en (NH Ammonia) <br /> Date Required: ASAP ther Number <br /> Region 2 Number <br /> Send Results To:Name Warden Dennis DeAnda l� 170ceived By i <br /> Agency Fish and Game Date Received <br /> ' Address <br /> P.O. Box 30803 Date Completed 03/ 14/91 <br /> City Stockton, CA 95213 <br /> ZIP Phone{ 9 16 )---255 7040 <br /> Copies To----.—Central Valley Regional Water Quality <br /> Problem Description tion Control Board <br /> P (pollutant,source,water color,odor,etc.): Dai <br /> Waste Dischar e <br /> r <br /> Water Temp. 62-67'F or*C(circle one) pH <br /> Dissolved Oxygen <br /> mg/L(ppm) <br /> Sample Sources(providediagrombelow): Dalry solid waste settling pond outfall into laterals <br /> drain canal (Oakdale Irrigation District <br /> Sample Description(include number and size of containers): <br /> Pollutant <br /> X Water 8- 16oz-Dairy wastewater-sample collected by Mosquito <br /> Soil Abatement District on g/g ! � <br /> j <br /> Animal <br /> Animals were alive dying or deadi <br /> when collected(Check one). <br /> .t Suspect Sample May Contain; <br /> Heavy metals Analysis Requested for the Following Reason: <br /> Petroleum products Fish and/or wildlife loss{Date of loss <br /> F - g ; ) <br /> Fertilizer DFG Code violation(Code Section 56501 f) ) <br /> Region <br /> X Other(specify)—EtL, high BOD -- Suspected or potential problem(explain below) <br /> F1I Unknown Routine check <br /> ALL MEASUREMENTS ARE APPROXIMATE AND NOT TO SCALE UNLESS STATED (SCALE= I I + I I <br /> 1 <br /> " INDICATE <br /> a a NORTH <br /> F —� <br /> 2" <br /> 3„ 2., 3" 4' S„ d„ <br /> LM <br /> I 7„ <br /> FG1000{Rei,x/85; � <br /> 83 ]5373 <br /> VIIIB-1 <br />