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P. 0. Box 355 COPY TO: Phone <br /> 69-9260 <br /> 2 2nd <br /> treet Fax <br /> -2278 <br /> r West Riverbank,rbank SCA 95367 FAX TO: State Certification *1310 <br /> L ABO RATORIFS,INC <br /> EMAIL TO: ooasis3@gmail.com <br /> IDH: E <br /> 88 MARKET&GRILL COLLECTED BY: V.SWANSON <br /> P.O.BOX 250 DATE COLLECTED: 5/15/2019 <br /> CLEMENTS,CA 95227 DATE/TIME RECEIVED: 5/15/2019 / 1530 <br /> DATE/TIME STARTED: 5/15/2019 / 1530 <br /> DATEITIME COMPLETED: 5/16/2019 / 1600 <br /> DATE REPORTED: 5/22/2019 <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 RESID COLIFORM COLIFORM <br /> COLL FWL# LOCATION TYPE CL2 BACTERIA BACTERIA <br /> (MPN/100mL) (M[PN/100mL) <br /> 1154 29-4448 INSIDE 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: 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: lit-4 <br /> DATE/TIME NOTIFIED: LABORATOFY3WOR <br />