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X19 <br /> COPY TO: <br /> P. O. Box 355 Phone 209-869-9260 <br /> 6602 2nd Street Fax 209-869-2278 <br /> )- rwest <br /> ABO AATORIE S.INC. <br /> Riverbank, CA 95367 FAX TO: State Certification #1310 <br /> �_\(l EMAIL TO: ooasis3@gmafl.com <br /> ID#: EOOY <br /> 88 MARKET&GRILL COLLECTED BY: V. SWANSON <br /> P.O.BOX 250 DATE COLLECTED: 1/9/2019 <br /> CLEMENTS,CA 95227 DATE/TIME RECEIVED: 1/9/2019 / 1515 <br /> DATE/rIME STARTED: 1/9/2019 / 1630 <br /> DATE/ 1MECOMPLETED: 1/10/2019 / 1700 <br /> DATE REPORTED: 1/11/2019 <br /> TOTAL COLIFORM BACTERIA TEST IN DRINKING WATER <br /> STD.METHODS#9223-2004 (COLILERT MMO/MUG) <br /> 100 ML SAMPLE INCUBATED FOR 24 HRS.AT 35oC <br /> CERTIFICATE OF ANALYSIS <br /> SAMPLE ADDRESS: 21850 E.LIBERTY RD.-CLEMENTS <br /> TOTAL E.COLI <br /> TIME SAMPLE SAMPLE RESII) COLIFORM COLIFORM <br /> COLL FWL# LOCATION TYPE CL2 BACTERIA BACTERIA <br /> (MPN/100mL) (MPN/l00mL) <br /> 1358 29-376 BACK SINK 3A N/A ABSENT ABSENT <br /> IF ANY SAMPLE INDICATES"ABSENT'FOR TOTAL COLIFORM BACTERIA, <br /> IT MEETS STATE STANDARDS FOR COLIFORM BACTERIA. <br /> IF ANY SAMPLE INDICATES"PRESENT"FOR TOTAL COLIFORM BACTERIA, <br /> IT DOES NOT MEET STATE STANDARDS FOR COLIFORM BACTERIA. <br /> SAMPLE TYPE: 1-WELL REASON FOR TEST. A-ROUTINE <br /> 2-WELL TANK B-REPEAT <br /> 3-DISTRIBUTION SYSTEM C-SPECIAL <br /> 4-SURFACE WATER/SOURCE <br /> 5-OTHER <br /> PERSON NOTIFIED: <br /> SIGNATURE: - <br /> DATE/TIME NOTIFIED: LABORATORY DIRECTOR <br />