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CALIFORNIA DEPARTMENT OF HEALTH SERVICES <br />SANITARY ENGINEERING BRANCH <br />CHEMICAL ANALYSES SUBMITTAL FORM <br />a. <br />System Number: <br />39-1 I Z 6 <br />EXHIBIT "B^ <br />-- e. <br />,5EPT. a� 1 <br />.....uta yay r01I1L: <br />d. WELL NO. 01 <br />. i 986f, <br />I Phone Number: <br />(209) 466-6781 <br />ext ,51 <br />h. Primary Station Code: 01.-� N <br />6 0 E_ <br />p g p M <br />Date.& Time 8 <br />6 10�g1� <br />k, <br />Of Sampling: Y <br />I <br />Y M M D DITITITITI <br />Water Type: U user <br />ZD: C C W <br />(24 hr) <br />STORET <br />AGENCY <br />CODE <br />CODES <br />Anal zin Agency <br />(Laboratory) <br />1' <br />28 15 <br />Ill 4161 <br />AB 1803 Chemical <br />Analvses <br />116 18150161012 <br />