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arWest <br />ABORATORIES,INC. <br />IDH: R08 <br />RUBY'S ROCKY ROAD <br />8857 VIA CARANO RD. <br />ESCALON, CA 95320 <br />ATTN: RUBY <br />I <br />.03.2022 03:31 PM FAR WEST LABS 2098692278 P 1/ 2 <br />1.• <br />R 0. Box 355 <br />6602 2nd Street COPY TO: <br />Riverbank, CA 95367 FAX TO: 464-0138 <br />Phone 209-869-9260 <br />Fax 209-869-2278 <br />State Certification 4:1310 <br />EMAIL TO: <br />COLLECTED BY: D. MAR.TIN <br />DATE COLLECTED: 7/19/2022 <br />DATE/TIME RECEIVED: 7/19/2022 / 1410 <br />DATE/TIME STARTED: 7/19/2022 / 1915 <br />DATE/TIME COMPLETED: 7/20/2022 / 1910 <br />DATE REPORTED: 7/25/2022 <br />TOTAL COL1FORM BACTERIA TEST IN DRINKING WATER <br />STD. METHODS 149223 - 20114 (COL1LERT MMO/MUG) <br />100 ML SAMPLE INCUBATED FOR 24 HRS. AT 35oC <br />CERTIFICATE OF ANALYSIS <br />SAMPLE ADDRESS: SAME AS ABOVE. SYSTEM # <br />TIME <br />FWL# SAMPJ SAMPLE RES1D <br />COLL LOCATION TYPE CL2 <br />TOTAL E. COLI <br />COLIFORM COLIFORM <br />BACTERIA BACTERIA <br />(MPN/100m1,) (MPN/100mL) <br />1455 32-5943 WELL <br /> JA N/A ABSENT ABSENT <br />RECEIVED <br />AUG 0 3 2022 <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />IF ANY SAMPLE INDICATES "ABSENT" FOR TOTAL COLIFORM BACTERIA, <br />IT MEETS STATE STANDARDS FOR COLIFORM BACTERIA. <br />ir ANY SAMPLE INDICATES "PRESENT" FOR TOTAL COLIFORM BACTERIA, <br />IT DOES NOT MEET STATE STANDARDS FOR COLIFORM BACTERIA, <br />SAMPLE TYPE: 1 - WELL <br />WELL TANK <br />DISTRIBUTION SYSTEM <br />4 - SURFACE WATER/ SOURCE <br />5 - OTHER <br />REASON FOR TEST: A - ROUTINE <br />B - REPEAT <br />C - SPECIAL <br />PERSON NOTIFIED: 2Ji9 4.a'— SIGNATURE: <br />ORY DIRECITv DATE/T1ME NOTIFIED: LA130