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WA# <br />/McCampbell Analytical, Inc./CDO or CB&I Technician <br />Certified by <br />■rd <br />I <br />sheila.richqels(a>cbi.come-mail: <br />I <br />michael.i.messina@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 />N/A Routine #2 <br />N/A Repeat #1 <br />N/ARepeat #2 <br />N/ARepeat #3 <br />N/ARepeat #4 <br />By signing below, I hereby submit this sample siting plan and authorize the above-mentioned State certified laboratory to <br />Submitted by: <br />Bacteriological monitoring frequency: Monthly. <br />Monthly from: <br />Sample Siting Plan <br />San Joaquin County Environmental Health Department <br />McCampbell Analytical, Inc. <br />(877) 252.9262 <br />Pacific Bell UE17L (8 Mile Road)________ <br />Name of Small Public Water System (SPWS) <br />Sheila Richqels <br />SPWS Contact (2nd) <br />Michael J. Messina <br />SPWS Contact (3ra) <br />(916) 565.4366 <br />Day <br />(925) 584-9276 <br />Night/Cell <br />3901086 <br />PS Code <br />AT&T <br />Owner(s) <br />100+_________ <br />Number of customers <br />(916) 565.4327 <br />Day <br />(925) 584-9276 <br />Day <br />(916) 565.4327 <br />Night/Cell <br />(916) 591.3161 <br />Night/Cell <br />_______1________________ <br />Number of service connections <br />Quarterly <br />Quarterly from: <br />Kevin Dejesus <br />(CDO) (1sl) <br />release and submit copies of all analytical results for this water system to the San Joaquin County Environmental Health <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 />________ _ ___________________________ Date: x ______________ _ <br />‘Owner or Operator shall notify the EHD any positive Repeat or E.coli/fecal result by the end of the day. <br />Name of Certified Laboratory Name of Sampler (If not Laboratory) <br />Name(s) and Phone Number(s) of Person(s) Laboratory are to Contact Following Any Positive Sample in order of V^/S' <br />choice: