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SR0083415_SSNL ADDENDUM
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SR0083415_SSNL ADDENDUM
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Last modified
2/24/2022 1:21:10 PM
Creation date
2/23/2022 5:06:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL ADDENDUM
RECORD_ID
SR0083415
PE
2602
FACILITY_NAME
88 MARKET & GRILL
STREET_NUMBER
21850
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02120024
ENTERED_DATE
3/16/2021 12:00:00 AM
SITE_LOCATION
21850 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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Aest <br /> P 0. Box 355 COPY TO: Phone 209-869-9260 <br /> 6602 2nd Street FAX TO: Fax 209-869-2278 <br /> IA RORATORIESba <br /> ,INC. Riverbank, CA 95367 State Certification x'1310 <br /> EMAIL TO: ooasis3@gmail.com <br /> ID#: <br /> 86 MARKET&GRII L COLLECTED BY: V. SWANSON <br /> P.O.BOX 250 DATE COLLECTED: 8/11/2019 <br /> CLEMENTS,CA 95227 DATE/TIME RECEIVED: 8/21/2019 / 1615 <br /> DATE/TIME STARTED: 8/21/2019 / 1630 <br /> DATE/TIME COMPLETED: 8/22/2019 / 1630 <br /> DATE REPORTED: 9/4/2019 <br /> TOTAL COLIFORM BACTERIA TEST IN DRINKING WATER <br /> STD.METHODS 89223-2004 (COLH.ERT MMO/MUG) <br /> 100 ML SAMPLE INCUBATED FOR 14 HRS.AT 35oC <br /> CERTIFICATE OF ANALYSIS <br /> SAMPLE ADDRESS: 21850 E.LIBERTY RD.-CLEMENTS <br /> TOTAL E.COLI <br /> TSAMPLE SAMPLE RESID COLIFORM COLIFORM <br /> COLL FWLS LOCATION TYPE CL2 BACTERIA BACTERIA <br /> (MPN/100mL) (MPN/100mL) <br /> 0924 29-7494 BACK SINK 3A NA ABSENT ABSENT <br /> IF ANY SAMPLE INDICATES"ABSENT"FOR TOTAL COLIFORM BACTERIA, <br /> TT 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: <br /> SIGNATURE: <br /> DATE/TIME NOTIFIED: ABOl4TOR4*?DIRECTCR— <br />
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