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Vai San Associates, Inc. <br />Name(s) of Sampler(s)Trained by (if not Laboratory Personnel)& Credentials <br />-(209)Cl Day <br />Night <br />Bacteriological monitoring frequency: <br />Monthly: Quarterly: (elaborate below)Seasonal: <br />Monthly from: Quarterly from: <br />Repeat #1 Same as above <br />Same as aboveRepeat #2 <br />Repeat #3 <br />Repeat #4 Wellhead tap <br />Routine #2 <br />Repeat #1 <br />Repeat #2 <br />Repeat #3 <br />Repeat #4 <br />I hereby submit this sample siting plan and authorize the <br />Submitted by: Richard J. Clover//12/18/05Date: <br />9 <br />^(2- <br />(209) 870-7770 <br />p -i -"hard J <br />Contact #1 <br />Less than 25______________________ <br />Number of Residents or Average Number <br />of Persons Served per Month <br />LOWER SAC PLAZA <br />Name of Water System <br />L(9 <br />Owner(s) <br />Name(s) and Phone Number(s) of Person(s) Laboratory are to Contact Following <br />Any Positive Sample: <br />FGT. Environmental_________ <br />Name of Certified Laboratory <br />Sample Siting Plan Ps Code ^0 <br />San Joaquin County Environmental Health Department <br />(8) Eight____________________ <br />Number of service connections <br />p tap <br />Addresses or Locations of Routine and Repeat Sample Sites <br />Routine #1 Hosebib after storage tank _ <br />The four Repeat samples shall be collected within 24 hours of notification <br />that the Routine sample failed at the following locations: <br />By signing below, <br />above-mentioned State certified laboratory to release and submit copies of all <br />analytical results for this water system to the/San Joaquin County <br />Environmental Health Department. - > // <br />Douglas J. Rishwain Day <br />Contact #2 <br />Wp 1 1 SATTlp 1