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t- <br />l/C>l c-e <br />DAY <br />NIGHT <br />7.ADDRESSES OR LOCATIONS OF ROUTINE AND REPEAT_SAMPLE.._SITES <br />Z,ce/4- 7~7oREPEAT #1 <br />REPEAT #2 <br />REPEAT #3 <br />REPEAT #4 <br />ROUTINE #2 <br />REPEAT #1 <br />REPEAT #2 <br />REPEAT #3 <br />REPEAT #4 <br />So-pv <br />SAMPLE SITING PLAN <br />INFORMATION REQUIRED <br />/ / <br />-but <br />B. y/ - h <br />CONTACT #2 <br />8 . SUBMITTED BY: ( <br />ROUTINE # 1 SThwA e W - Cogjf^E-Z- <br />d>(^« *- <br />C • A (pl - l'&3 <br />NO. OF RESIDENCES OR AVERAGE NO. OF PERSONS SERVED PER MONTH <br />4 /^G-Z— ^Q/>A/.£^y77^Z__ <br />NAME OF CERTIFIED LABORATORY <br />A>/4__________y .__________________ <br />NAME(S) OF SAMPLER(S) IF NOT LABORATORY PERSONNEL <br />6.NAME(S) AND PHONE NUMBER(S) OF PERSONS LABORATORY ARE TO CONTACT <br />FOLLOWING ANY POSITIVE SAMPLE 2o t ) < - 3 V x- <br />A. <br />CONTACT #1 <br />LUEU^. TEr^ E Approved <br /> Approved with changes: See Remarks <br /> Disapproved; See Remark! <br /> <br />--------- - Remarks ELl^ ■ \ <br /> <br />■■' ■■■■—■■■ '' Vx fc?? 'v^ •f~r X j. <br /> ---------- ’ Date ■ ------Py - <br /> Approval of these plans extends only <br />which is ihown and described lieifcvn <br />does not authorize or approve any omission <br />"dr deviation df reqalrenieuL ul Slate laws or <br />’CWmeeces. <br />a. cE C‘lt C <br />a/—. <br />1. jPA-O- {FiC- <br />NAME OF SYSTEM <br />2. S/A_________ <br />OWNER(S) <br />DAY <br />^(33 <br />NIGHT <br />/ — '^^3 — /QoCg <br />/ - - ^^3 - /OQ 6 <br />o-F- ____________ <br />$AN JOAQUIN COUNTY <br />___PUBLIC HF Al TH SERVICES------ <br />ENVIRONMENTAL HEALTH DIVISION <br />g P Q Rnx 9(Y)Q gTnr.KTDN, r.A <br />PHONE: (209) 468-3420 <br />j^iA^'Tl^E