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4 <br />WA# <br />/McCampbell Analytical, Inc./CDO or CB&I Technician <br />Certified byName of Sampler (If not Laboratory)Name of Certified Laboratory <br />,rd <br />/ <br />I I <br />Jody.Rhoades(a)cbi.come-mail: <br />/ <br />michael.i.messina(a>cbi.come-mail: <br />/ <br />kdwellinq(g)qmail.come-mail: <br />of: Seasonal X <br />Addresses or Locations of Routine and Repeat Sample Sites: <br />Repeat #1 Same as above <br />Sample site at west side of buildingRepeat #2 <br />Hose bib at northeast corner of buildingRepeat #3 <br />Wellhead(s)Repeat #4 <br />Routine #2 N/A <br />Repeat #1 N/A <br />Repeat #2 N/A <br />Repeat #3 N/A <br />N/ARepeat #4 <br />Sample Siting Plan <br />San Joaquin County Environmental Health Department <br />Bacteriological monitoring frequency: Monthly. <br />Monthly from: <br />McCampbell Analytical, Inc. <br />(877) 252.9262 <br />’JPacific Bell UE17L (8 Mile Road)_________ <br />Name of Small Public Water System (SPWS) <br />Routine #1 Sample site at east side of building <br />The four Repeat samples shall be collected within 24 hours of notification that the Routine sample failed at the following <br />locations, using enumerated test methods with chlorine residuals reported on the test result *: <br />100+__________ <br />Number of customers <br />(916) 565.4362 <br />Day <br />(916) 565.4366 <br />Day <br />(925) 584-9276 <br />Night/Cell <br />AT&T <br />Owner(s) <br />_______1__________________ <br />Number of service connections <br />Mr. Jody Rhoades <br />SPWS Contact (2n0) <br />(925) 584-9276 <br />Day <br />(916) 565.4362 <br />Night/Cell <br />(916) 591.3161 <br />Night/Cell <br />3901086 <br />PS Code <br />Michael J. Messina <br />SPWS Contact (3ra) <br />Quarterly <br />Quarterly from: <br />Kevin Dejesus <br />(CDO) (1s') <br />By signing below, I hereby submit this sample siting plan and authorize the above-mentioned State certified laboratory to <br />release and submit copies of all analytical results for this water system to the San Joaquin County Environmental Health <br />Department. . i . <br />Submitted by: k/V,* Date: x 3l 5 <br />*0wner or Operator shall notify the EHD any positive Repeat or E.coli/fecal result by the end of the day. <br />Name(s) and Phone Number(s) of Person(s) Laboratory are to Contact Following Any Positive Sample in order of 1 s,/2nd/3' <br />choice: