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SAMPLE SITING PLAN <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> French Camp Golf&RV 3901377 <br /> Name of Small Public Water System (S PWS) PS Code <br /> Jack Verderame <br /> Owner(s) <br /> 100 700 Customers <br /> Number of service connections Number of customers <br /> Far West 1 1 <br /> Name of Certified Laboratory Name of Sampler tit not Laboratory)Certified by <br /> Name(s) and Phone Number(s) of Person(s) Laboratory are to Contact Following Any Positive Sample in order of <br /> 1 nJ2nddd choice: <br /> 1 <br /> SPINS Contact WY 2" 13` } Day Night/Cell <br /> e-mail <br /> 1 <br /> SPWS Contact WY 2" 13` ) Day Night/Cell <br /> e-mail <br /> 1 <br /> (CDOICTO){151 2n"I 3` ) Day Night/Cell <br /> e-mail <br /> Bacteriological monitoring frequency: Monthly d Quarterly____Seasonal_of: <br /> Monthly from: Quarterly from: <br /> Addresses or Locations of Routine and Repeat Sample Sites: <br /> Routine#1 Hose bib at restaurant <br /> The four Repeat samples shall be collected within 24 hours of notification that the Routine sample failed at the <br /> following locations, using enumerated test methods with chlorine residuals reported on the test result ': <br /> Repeat#1 Same as above <br /> Repeat#2 RV clubhouse <br /> Repeat#3 Hose bib at pro shote <br /> Repeat#4 -Wellhead <br /> Routine#2 <br /> Repeat#1 <br /> Repeat#2 <br /> Repeat#3 <br /> Repeat#4 Wellhead <br /> By signing below, I hereby submit this sample siting plan and authorize the above-mentioned State certified laboratory to <br /> release and submit copies of all analytical results for this water system to the San Joaquin County Environmental Health <br /> Department. <br /> Submitted by: Date: <br /> 'Owner or Operator shall notify the EHD any positive Repeat or E.colilfecal result by the end of the day. <br />