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r West P 0. Box 355 <br />Str 6602 2nd Street <br />LABOPAT ORItS,INC. Riverbank, CA 95367 <br />A� <br />ID 5 <br />FRENCH CAMP RV .PARK <br />P.O. BOX 1500 <br />FRENCH CAMP, CA 95231 <br />ATTN': BONNE <br />PHONE: 234-3001 <br />COPY TO: SAN JOAQUIN CO. <br />COLLECTED BY <br />DATE COLLECTED: <br />DATE/ TME RECEIVED: <br />DATE/TIME SETUP: <br />DATEATIME COMPLETED. <br />DATE REPORTED: <br />BACTERIOLOGICAL TEST FOR COLIFORM BACTERIA <br />IN DRCNKJNG WATER - STANDARD METHODS, 1 STH. ED. <br />.METHOD 4: 9223 <br />SAMPLE ADDRESS: 3919 E. FRENCH CAMP RD, MANTECA CA <br />Phone 209-869-9260 <br />Fax 209-869-2278 <br />State Certification #1310 <br />J.BRANDENBURG <br />02-22-11 <br />02-22-11/1530 <br />02-22-11/1645 <br />02-23-11/1738 <br />02-24-11 <br />TIME <br />FWL# <br />SAMPLE LOCATION <br />SAMPLE <br />RESID. <br />TOTAL <br />E.COLI <br />COLL, <br />TYPE <br />CL2. <br />COLIFORM <br />COLIFORM <br />(MPN/100mL) <br />(MPN/100ml-) <br />1115 <br />P043 <br />PRO SHOP HOSEBIB <br />3A <br /><0.05 <br />ABSENCE < 1,0 <br />ABSENCE < 1.0 <br />1125 <br />Q043 <br />CLUBHOUSE HOSEBrB <br />3A <br /><0.05 <br />ABSENCE < 1.0 <br />ABSENCE < 1.0 <br />1140 <br />R043 <br />WELL <br />1A <br /><0,05 <br />ABSENCE < 1.0 <br />ABSENCE < 1.0 <br />1155 <br />SO43 <br />CLUBHOUSE HOSEBIB <br />3A <br /><0.05 <br />ABSENCE < 1.0 <br />ABSENCE < 1.0 <br />1205 <br />T043 <br />RESTAURANT XHB <br />3A <br /><0.05 <br />ABSENCE < 1.0 <br />ABSENCE < 1.0 <br />IF ANY SAMPLE INDICATES AN "ABSENCE" OF TOTAL COLIFORM BACTERIA IT <br />MEETS STATE STANDARDS FOR COLIFORM BACTERIA. <br />IF ANY SAMPLE INDICATES A "PRESENCE" OF TOTAL COLIFORM BACTERIA., <br />IT DOES NOT MEET STATE STANDARDS FOR COLIFORM BACTERIA, <br />SAMPLE TYPE: SOURCE: <br />I - WELL <br />2 - WELL TANK <br />3 - DISTRIBUTION SYSTEM <br />PERSON NOTIFIED: <br />DATE/TIME <br />REASON FOR TEST: <br />A - ROUTINE <br />B - REPEAT <br />C - SPECIAL <br />iASIGNATURE; d� <br />LABORATORY DIRECTOR <br />i- <br />