Laserfiche WebLink
■V <br />■Y <br />Acl" <br />Bacteriological monitoring frequency: Monthly 0 Quarterly Seasonal of: <br />Monthly from:- b^ce^'o^tjuarterly from: <br />Addresses or Locations of Routine and Repeat Sample Sites: <br />Repeat #1 Same as above <br />Repeat #2 sample site at west side of building <br />Repeat #3 hose bib at northeast corner of building <br />Repeat #4 Weltheadfs) <br />Routine #2 <br />Repeat #1 <br />Repeat #2 <br />Repeat #3 <br />Repeat #4 <br />Sample Siting Plan <br />San Joaquin County Environmental Health Department <br />, Gkezy <br />Day <br />e-mail <br />Pacific Bell <br />Owners) <br />3901086 <br />PS Code <br />2-CA -^5^- 7^2 <br />Day <br />e-mail <br />Pacific Bell UE17L_____________________ <br />Name of Small Public Water System (SPWS) <br />100+ <br />Number of customers <br />SPWS Contact (1s1/ 2™’/ 3ra) <br />Q^o- L <br />Number of service connections <br />FGL___________________I________________________________/ <br />Name of Certified Laboratory Name of Sampler (if not Laboratory) Certified by <br />Day Night/Cell <br />e-mail <br />Submitted by: Date: X/(o <br />‘Owner or Operatpr^Kall rtotif^ the^HDany positive Repeat or Ecoli/fecal result by the end of the day. <br />(CDO/CTO) (1 v 2nd/3"*) <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 ail analytical results for this water system to the San Joaquin County Environmental Health <br />Department. <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 <br />following locations, using enumerated test methods with chlorine residuals reported on the test result *: <br />‘-)erw'c£-5 ( <br />r3) <br />/___________ <br />Night/Cell <br />CX p AVT- <br />Name(s) and Phone Number(s) of Person(s) Laboratory are to Contact Following Any Positive Sample in order of <br />l^^/S"1 choice: <br />, _ , __ 5^ ■ <br />Gj<J 5\ AO t <br />SPWS Contact (1s1/2^ <br />/__________ <br />Night/Cell