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r West COPY TO: <br /> P. O. Box 355 Phone 209-869-9260 <br /> 6602 2nd Street FAX TO: Fax 209-869-2278 <br /> LAB OR AT OR I E 5,INC. Riverbank, CA 95367 State Certification #1310 <br /> EMAIL TO: ooasis3@gmail.com <br /> LD#: <br /> 88 MARKET&GRILL COLLECTED BY: V.SWANSON <br /> P.O.BOX 250 DATE COLLECTED: 4/8/2019 <br /> CLEMENTS,CA 95227 DATE/TIME RECEIVED: 4/8/2019 / 1545 <br /> DATE/TIME STARTED: 4/8/2019 / 1600 <br /> DATE/TIME COMPLETED: 4/912019 / 1600 <br /> DATE REPORTED: 4/16/2019 <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 /> T SAMPLE SAMPLE RES[D COLIFORM COLIFORM <br /> COLL Fes# LOCATION TYPE CL2 BACTERIA BACTERIA <br /> (MPN/100mL) (MPN/100mL) <br /> 1112 29-3387 BACK ROOM 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: I -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: SIGNATURE: <br /> DATE/TIME NOTIFIED: ORATO ]wRECTOR <br />