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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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FarWest F 0. Box Street <br /> COPY TO: Phone 209-869-9260 <br /> 6602 2nd Street Fax 209-869-2278278 <br /> Riverbank, CA 95367 FAX TO: State Certification #1310 <br /> LABORATORIES,INC. <br /> EMAIL TO: ooasis3@gmail.wm <br /> ID#: E002 <br /> 88 MARKET&GRILL COLLECTED BY: V.SWANSON <br /> P.O.BOX 250 DATE COLLECTED: 8/19/2020 <br /> CLEMENTS,CA 95227 DATE/TIME RECEIVED: 8/19/2020 / 1500 <br /> DATE/TIME STARTED: 8/19/2020 / 1515 <br /> DATE/TIME COMPLETED: 8/20/2020 / 1530 <br /> DATE REPORTED: 8/27/2020 <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 FWL# SAMPLE SAMPLE RESID COLIFORM COLIFORM <br /> COLL LOCATION TYPE CL2 BACTERIA BACTERIA <br /> (MPN/I00mL) (MPN/100mL) <br /> 1303 30-7131 BATHROOM 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 /> C-SPECIAL <br /> 3 -DISTRIBUTION SYSTEM <br /> 4-SURFACE WATER/SOURCE <br /> 5-OTHER <br /> PERSON NOTIFIED: SIGNATURE: / <br /> DATE/TIME NOTIFIED: LABORATORY DIREC.OR <br />
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