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WA# <br />/CDO or CB&I Technician /McCampbell Analytical, Inc. <br />Certified byName of Sampler (If not Laboratory)Name of Certified Laboratory <br />■rd <br />/ <br />Jody. Rhoades(a>cbi.come-mail: <br />/ <br />michael.j.messina(a>cbi.come-mail: <br />I <br />kdwellinq@qmail.come-mail: <br />of:Seasonal X <br />Addresses or Locations of Routine and Repeat Sample Sites: <br />Same as aboveRepeat #1 <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 />N/ARepeat #2 <br />N/ARepeat #3 <br />Repeat #4 N/A <br />Department. <br /> <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 />b- <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 />Mr. Jody Rhoades <br />SPWS Contact (2nd) <br />(916) 565.4362 <br />Night/Cell <br />(925) 584-9276 <br />Night/Cell <br />AT&T <br />Owner(s) <br />_______1__________________ <br />Number of service connections <br />Michael J. Messina <br />SPWS Contact (3rd) <br />Kevin Dejesus <br />(CDO) (1st) <br />100+__________ <br />Number of customers <br />(916) 565.4362 <br />Day <br />(916) 565.4366 <br />Day <br />(925) 584-9276 <br />Day <br />(916) 591.3161 <br />Night/Cell <br />3901086 <br />PS Code <br />Quarterly <br />Quarterly from: <br />Name(s) and Phone Number(s) of Person(s) Laboratory are to Contact Following Any Positive Sample in order of 1s,/2nd/3' <br />choice: <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 />Submitted by: • Date: x 3^ 2 S <br />‘Owner or Operator shall notify the EHD any positive Repeat or E.coli/fecal result by the ind of the day.