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d s � <br /> Wes P. O. Box 355 <br /> 6602 2nd Street COPY TO: SAN JOAQi lIN CO. Phone 2©9-869-3260 <br /> a a o R a r p R i E 5,t ti C. Riverbank, CA 95367 Fax 209,869-2278 <br /> FAX TO: State Certification #2310 <br /> EMAIL TO: <br /> ID#: FO <br /> FRENCH CAMP RV PARK COLLECTED BY: <br /> J.BRANDENBURG <br /> P.O. BOX 1500 DATE COLLECTED: 6/6/2012 <br /> FRENCH CAMP,CA 95231 DATE/TIME RECEIVED: 6/6/2012 1 1450 <br /> DATE/TIME STARTED: 6/6/2012 / 1700 <br /> AT'TN: BONNIE DATE/TIME COMPLETED: 6/7/2012 / 1730 <br /> DATE REPORTED: 6/11/2012 <br /> BACTERIOLOGICAL,TEST FOR COLIFORM BACTERIA IN DRINKING WATER <br /> STD. METHODS#9223, l8TTI ED. <br /> CERTIFICATE OF ANALYSIS <br /> SAMPLE ADDRESS: 3919 E. FRENCH CAMP RD, MANTECA SYSTEM# 3901377 <br /> TIME TOTAL E.COLI/FECAL <br /> COLL. FW! # SAMPLE SAMPLE RESID COLIFORM COLIFORM <br /> LOCATION TYPE CL2 BACTERIA BACTERIA <br /> MPN1I00mL MPNlIOOmL <br /> 1220 M125 R.V. CLUBHOUSE HB 3A NA ABSENCE <br /> ABSENCE <br /> ENS p <br /> IF ANY SAMPLE INDICATES AN "ABSENCE" OF TOTAL COLIFORM BACTERIA, <br /> IT MEETS STATE STANDARDS FOR COLIFORM BACTERIA, <br /> 1F ANY SAMPLE INDICATES A "PRESENCE" OF TO'T'AL COLIFORM BACTERIA, <br /> ITDOES NOT MEET STATE STANDARDS FOR COLIFORM BACTERIA. <br /> SAMPLE TYPE: 1 - WELL REASON FOR TEST: A-ROUTINE <br /> 2 - WELL TANK B - REPEAT <br /> 3 -DISTRIBUTION SYSTEM C- SPECIAL <br /> - SURFACE WATER/SOURCE <br /> 5-OTHER <br /> PERSON NOTIFIED. <br /> if <br /> DATE/TIME NOTIFIED: SIGNATURE: <br /> LAB TORY D REC"TOR <br /> L <br />