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ANALYST LC 1 I J J <br />N rARr 'T $A J A N LOCAL HEALTH DISTRICT <br />P.O. Box 2009 <br />1601 E. Hozelton Ave., Stockton, Ca. 95201 <br />WATER ANALYSIS <br />Address All Inquiries To <br />DIVISION OF ENVIRONMENTAL HEALTH <br />ROUTINE ❑ REOUEST ❑ RECHECK <br />,, PUBLIC ❑ PRIVATE ❑ Drinking Water <br />❑ Raw Surface ❑ <br />Water <br />SAMPLING POINT <br />s <br /><.4 <br />SAMPLE NO. I / <br />DATE & HOUR OBTAINED <br />DILUTION + <br />irvv <br />/ FECAL COLI <br />COMPLETED <br />MPN/100 ML <br />SPC/ML <br />10 ML SAMPLE PER TUBE <br />GAS IN HRS. <br />1 2 3 4 5 <br />PRESUMPTIVE <br />24 <br />TEST <br />48 <br />CONFIRMED <br />24 <br />TEST <br />48 <br />FECAL COLI <br />24 <br />COMPLETED <br />PHYSICIAN <br />At45 �I'll <br />TYPE <br />OR/C <br />PRINT <br />LAB <br />AD <br />SANITARIAN_ <br />Jr ,lV'11n� <br />