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10-29-13;01:03PM;#1/1o <br />/ZfisLidAid <br />Quarterly.of: <br />Addresses or Locations of Routine and Repeat Sample Sites: <br />Repeat #1 Same as Above <br />Repeat #2 Same as above <br />Repeat #3 WelLSample Tap (Pressure Tank) <br />Repeat #3 Wellhead(s) <br />Routine #2 <br />Repeat #1 Same as Above <br />Repeat #2 <br />Repeat #3 <br />Repeat #3 We.llhead(s) <br />Bacteriological monitoring frequency: Monthly X <br />Monthly from: . Quarterly from: <br />3901205 <br />PS Code <br />______Vai San Associates <br />Owner(s) <br />X I <br />SPWS Contact <br />FGL____________ <br />Name of Certified Laboratory <br />______Lower Sac Plaza _______ _ <br />Name of Small Public Water System (SPWS) <br />1 _____________ <br />Number of service connections <br />/ <br />Certified by <br />/ <br />Name of Sampler (If not Laboratory) <br />Routine #1 Hosebib after Storage Tank <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 />Day <br />e-mail: <br />SPWS Contact (1 3rd) <br />x <br />NighVCell <br />x / X <br />Day <br />e-mail: x <br />&ri\2'7O''7'7-M <br />Day <br />e-mail: <br />X _■__________ _ <br />Night/Cell <br />Night/Cell <br />Seasonal <br />_ ____________________________WA0461205 <br />WA# <br />* bGMtftydlS AT)Ji 'Z-e) CAkb'hMWrZ <br />Number of customers <br />Name(s) and Phone Number(s) of Person(s) Laboratory are to Contact Following Any Positive Sample in order of <br />1 ,l/2nfl/3rd choice: <br />SContact(572nd/3rd) <br />Sample Siting Plan <br />San Joaquin County Environmental health Department <br />X Pou v/aS u- <br />(CDO/CTO)ris72nd/(^5 <br />By signing below, I hereby submit this sample siting plan and authorize the above-mentioned State certified laboratory to <br />release and submit cooies of all analyttepl results for this water system to the San Joaquin County Environmental Health <br />Department. f\ / j <br />Submitted by: xfi-. * Date: <br />•Owner or Operator^l^u/notify the’EMD any positive Repeat or E.coli/fecal result by the find of the day.