HomeMy WebLinkAbout058-190-189 EHDR19-10272 WATER SAMPLEInvoice # 070846A
Victor Ambrosini
PO box 2464
Yankee Hill, CA 95965
Remit To:
FGL Environmental
853 Corporation St
Santa Paula, CA 93060
Account # 7013152
Date Billed
02/18/2020
Amount Due
$0.00
Date Due
03/19/2020
Amount Paid
$102.40
INVOICE
Customer
Victor Ambrosini
Account #
7013152
Date Sampled
01/31/2020
Lab Number
CH 2070846
Project
Water Analysis
Invoice #
070846A
Date Billed
02/18/2020
Amount Due
$0.00
PO# / Check Number
Date Paid
Date Due
03/19/2020
Amount Paid
$102.40
Description of Work Quantity Rate Extended
Bacti Analysis
Coliform-Quanti Tray 1 33.00 33.00
Organic Analysis
EPA 524.2 - Benzene;1 95.00 95.00
Discount -$25.60
Total $102.40
Accounting-Pre-Paid CC -$102.40
Amount Due $0.00
(GMA-L4) For Questions about this Invoice - contact Gloria Ary at 805-392-2011
For Payments and Account Balance Information - contact the Accounting Department at (805) 392-2038
PREPAID
Corporate Offices & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000Env FAX: (805)525-4172 / Ag FAX: (805)392-2063CA ELAP Certification No. 1573
Office & Laboratory2500 Stagecoach RoadStockton, CA 95215TEL: (209)942-0182FAX: (209)942-0423CA ELAP Certification No. 1563
Office & Laboratory
563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818
FAX: (530)343-3807CA ELAP Certification No. 2670
Office & Laboratory9415 W. Goshen AvenueVisalia, CA 93291
TEL: (559)734-9473FAX: (559)734-8435CA ELAP Certification No. 2810
Office & Laboratory
3442 Empresa Drive, Suite DSan Luis Obispo, CA 93401TEL: (805)783-2940
FAX: (805)783-2912CA ELAP Certification No. 2775
To ensure that your account is properly credited, please return top portion with payment
Keep bottom portion for your records.
INVOICE
ENVIRONMENTAL AGRICULTURAL
Analytical Chemists
ENVIRONMENTAL AGRICULTURAL
Analytical Chemists
February 4, 2020
Victor Amborsini
PO box 2464
Yankee Hill, CA 95965
CH 2070846:1 Coliform Bacteria Analysis
Customer ID : 7013152
System Number : N/A
Project Name : Water Analysis
Analytical Results
ID Sample Description Total Fecal E. Coli Units Method Prep Footnote
1 Well <1.0 Absent ---<1.0 Absent MPN/100ml SM 9223B Quanti Tray 18
N/R Not Required MPN Most Probable Number A/P Absence/Presence
The samples listed above were Acceptable for both Total and Fecal Coliform
Sample Handling Information
ID Sample Number System Number Sample Type/Reason Sampler Employed By Sampled
1 CH 2070846-001 N/A Source-Other Victor Victor Amborsini 2020-01-31 12:00
Field Analysis/QA Information
ID Sample Description Cl Total/Free
mg/l Temp Analysis Started Analysis Completed Contact Contacted
1 Well ---/------2020-01-31 16:28 BTZ 2020-02-01 14:05 BTZ N/R
Analyses were performed at the FGL Chico Laboratory using Standard Methods 20th edition. If you have any questions regarding
your results, please call.
Prepared By: GMA
Page 1 of 1
Corporate Offices & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000Env FAX: (805)525-4172 / Ag FAX: (805)392-2063CA ELAP Certification No. 1573
Office & Laboratory2500 Stagecoach RoadStockton, CA 95215TEL: (209)942-0182FAX: (209)942-0423CA ELAP Certification No. 1563
Office & Laboratory563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818
FAX: (530)343-3807CA ELAP Certification No. 2670
Office & Laboratory9415 W. Goshen AvenueVisalia, CA 93291
TEL: (559)734-9473FAX: (559)734-8435CA ELAP Certification No. 2810
Office & Laboratory3442 Empresa Drive, Suite DSan Luis Obispo, CA 93401TEL: (805)783-2940
FAX: (805)783-2912CA ELAP Certification No. 2775
ENVIRONMENTAL AGRICULTURAL
Analytical Chemists
Reviewed and
Approved By Raquel R. Harvey Digitally signed by Raquel R. Harvey
Title: Tech Director Microbiology
Date: 2020-02-04
February 11, 2020
Victor Ambrosini Lab ID : CH 2070846
PO box 2464
Yankee Hill, CA 95965
Customer : 7-13152
Laboratory Report
This Page is to be Stamped
Introduction: This report package contains total of 4 pages divided into 4 sections:
Case Narrative (1 pages) : An overview of the work performed at FGL.
Sample Results (1 page) : Results for each sample submitted.
Interpretation (1 page) : Drinking Water Interpretation for each sample submitted.
Quality Control (1 page) : Supporting Quality Control (QC) results.
Case Narrative
This Case Narrative pertains to the following samples:
Sample Description Date
Sampled
Date
Received FGL Lab ID # Matrix
Well 01/31/2020 01/31/2020 CH 2070846-001 DW
Sampling and Receipt Information: All samples were received in acceptable condition and within
temperature requirements, unless noted on the Condition Upon Receipt (CUR) form. All samples arrived
on ice. All samples were prepared and analyzed within the method specified hold time. All samples were
checked for pH if acid or base preservation is required (except for VOAs). For details of sample receipt
information, please see the attached Chain of Custody and Condition Upon Receipt Form.
Quality Control: All samples were prepared and analyzed according to the following tables:
Organic QC
524.2 02/05/2020:202029 All analysis quality controls are within established criteria
02/05/2020:201458 All preparation quality controls are within established criteria
Certification:: I certify that this data package is in compliance with ELAP standards, both technically
and for completeness, except for any conditions listed above. Release of the data contained in this data
package is authorized by the Laboratory Director or his designee, as verified by the following electronic
signature.
KD:DMBDigitial Signature Stamp Y = 08.8
Corporate Offices & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000Env FAX: (805)525-4172 / Ag FAX: (805)392-2063CA ELAP Certification No. 1573
Office & Laboratory2500 Stagecoach RoadStockton, CA 95215TEL: (209)942-0182FAX: (209)942-0423CA ELAP Certification No. 1563
Office & Laboratory563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818
FAX: (530)343-3807CA ELAP Certification No. 2670
Office & Laboratory9415 W. Goshen AvenueVisalia, CA 93291
TEL: (559)734-9473FAX: (559)734-8435CA ELAP Certification No. 2810
Office & Laboratory3442 Empresa Drive, Suite DSan Luis Obispo, CA 93401TEL: (805)783-2940
FAX: (805)783-2912CA ELAP Certification No. 2775
ENVIRONMENTAL AGRICULTURAL
Analytical Chemists
Reviewed and
Approved By Kelly A. Dunnahoo, B.S. Digitally signed by Kelly A. Dunnahoo, B.S.
Title: Laboratory Director
Date: 2020-02-11
February 11, 2020 Lab ID : CH 2070846-001
Customer ID : 7-13152
Victor Ambrosini
Sampled On : January 31, 2020-12:00
Sampled By : Victor
Received On : January 31, 2020-13:29
PO box 2464
Yankee Hill, CA 95965
Matrix : Drinking Water
Description : Well
Project : Water Analysis
This Page is to be Stamped
Sample Result - Organic
Sample Preparation Sample Analysis Constituent Result PQL Units MCL/AL
Method Date/ID Method Date/ID
EPA 524.2
4-Bromofluorobenzene‡ 104 70-130 % 524.2 02/05/20:201458 524.2 02/05/20:202029
1,2-Dichlorobenzene-d4‡ 106 70-130 % 524.2 02/05/20:201458 524.2 02/05/20:202029
Benzene ND 0.5 ug/L 1 524.2 02/05/20:201458 524.2 02/05/20:202029
ND=Non-Detected. PQL=Practical Quantitation Limit. ‡Surrogate. * PQL adjusted for dilution.
MCL = Maximum Contamination Level. 2 - Secondary Standard. 3 - CDPH Notification Level. AL = Regulatory Action Level.
Corporate Offices & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000Env FAX: (805)525-4172 / Ag FAX: (805)392-2063CA ELAP Certification No. 1573
Office & Laboratory2500 Stagecoach RoadStockton, CA 95215TEL: (209)942-0182FAX: (209)942-0423CA ELAP Certification No. 1563
Office & Laboratory
563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818
FAX: (530)343-3807CA ELAP Certification No. 2670
Office & Laboratory9415 W. Goshen AvenueVisalia, CA 93291
TEL: (559)734-9473FAX: (559)734-8435CA ELAP Certification No. 2810
Office & Laboratory
3442 Empresa Drive, Suite DSan Luis Obispo, CA 93401TEL: (805)783-2940
FAX: (805)783-2912CA ELAP Certification No. 2775
ENVIRONMENTAL AGRICULTURAL
Analytical Chemists
February 11, 2020 Lab ID :CH 2070846-001
Victor Ambrosini Description : Well
Drinking Water Interpretation
Summary: Your Water was acceptable for all items tested on this sample report. Details are
presented below:
MCL
CONSTITUENT RESULT UNITS MCL LESS OR
EQUAL EXCEED
Organic - Primary
Benzene ND ug/L 1 Pass
ND=Non-Detected.
MCL: The maximum level at which a constituent may be present and be considered
acceptable for potability or aesthetics.
Primary: Items listed as primary are regulated because of health concerns. If there is a
failure for a primary constituent treatment is normally required.
Secondary: Items listed as secondary are regulated because they may adversely affect the
taste, odor or appearance of drinking water. They are not directly health related.
If there is a failure for a secondary constituent on a small public water system it is
best to consult your regulator to determine if treatment is required. A secondary
constituent failure for a private water system does not require treatment.
However, the owner may wish to treat the water in order to improve the quality.
Treatment: If your water requires treatment we suggest that you contact a qualified water
treatment company. They are normally listed in the yellow pages under the
following topics:
Water Purification & Filtration Equipment
Water Softening & Conditioning Equipment
Water Treatment Equipment
This Page is to be Stamped
February 11, 2020 Lab ID : CH 2070846
Victor Ambrosini Customer : 7-13152
Quality Control - Organic
Constituent Method Date/ID Type Units Conc. QC Data DQO Note
Organic
1,2-Dichlorobenzene-d4 524.2 02/05/20:201458VRG Blank ug/L 10.04 103 % 70-130
MS ug/L 10.04 104 % 70-130
(CC 2080345-001) MSD ug/L 10.04 109 % 70-130
MSRPD ug/L 10.04 4.4% ≤20
524.2 02/05/20:202029VRG CCV ug/L 10.04 105 % 70-130
4-Bromofluorobenzene 524.2 02/05/20:201458VRG Blank ug/L 10.05 95.5 % 70-130
MS ug/L 10.05 110 % 70-130
(CC 2080345-001) MSD ug/L 10.05 117 % 70-130
MSRPD ug/L 10.04 6.3% ≤30
4-Bromofluorobenzene (BFB) 524.2 02/05/20:202029VRG CCV ug/L 10.05 113 % 70-130
Benzene 524.2 02/05/20:201458VRG Blank ug/L ND <0.5
MS ug/L 10.00 102 % 12-158
(CC 2080345-001) MSD ug/L 10.00 119 % 12-158
MSRPD ug/L 10.04 15.3% ≤36
524.2 02/05/20:202029VRG CCV ug/L 10.00 107 % 70-130
Definition
CCV : Continuing Calibration Verification - Analyzed to verify the instrument calibration is within criteria.
Blank : Method Blank - Prepared to verify that the preparation process is not contributing contamination to the samples.
MS : Matrix Spikes - A random sample is spiked with a known amount of analyte. The recoveries are an indication of how that sample
matrix affects analyte recovery.
MSD : Matrix Spike Duplicate of MS/MSD pair - A random sample duplicate is spiked with a known amount of analyte. The recoveries
are an indication of how that sample matrix affects analyte recovery.
MSRPD : MS/MSD Relative Percent Difference (RPD) - The MS relative percent difference is an indication of precision for the preparation
and analysis.
ND : Non-detect - Result was below the DQO listed for the analyte.
DQO : Data Quality Objective - This is the criteria against which the quality control data is compared.
Corporate Offices & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000Env FAX: (805)525-4172 / Ag FAX: (805)392-2063CA ELAP Certification No. 1573
Office & Laboratory2500 Stagecoach RoadStockton, CA 95215TEL: (209)942-0182FAX: (209)942-0423CA ELAP Certification No. 1563
Office & Laboratory
563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818
FAX: (530)343-3807CA ELAP Certification No. 2670
Office & Laboratory9415 W. Goshen AvenueVisalia, CA 93291
TEL: (559)734-9473FAX: (559)734-8435CA ELAP Certification No. 2810
Office & Laboratory
3442 Empresa Drive, Suite DSan Luis Obispo, CA 93401TEL: (805)783-2940
FAX: (805)783-2912CA ELAP Certification No. 2775
ENVIRONMENTAL AGRICULTURAL
Analytical Chemists