HomeMy WebLinkAboutWater sample reportInvoice # 270391A
Jeff Nelson
2133 Monte Vista Ave
Oroville, CA 95965
Remit To:
FGL Environmental
853 Corporation St
Santa Paula, CA 93060
Account # 7013513
Date Billed
02/02/2022
Amount Due
$60.00
Date Due
03/04/2022
Amount Paid
INVOICE
Customer
Jeff Nelson
Account #
7013513
Date Sampled
01/17/2022
Lab Number
CH 2270391
Project
Water Monitoring
Invoice #
270391A
Date Billed
02/02/2022
Amount Due
$60.00
PO# / Check Number
Date Paid
Date Due
03/04/2022
Amount Paid
Description of Work Quantity Rate Extended
Bacti Analysis
Coliform-Colilert-P/A 1 30.00 30.00
Inorganic Analysis
Wet Chemistry - NO3-N 1 30.00 30.00
Total $60.00
(MAD-L4) For Questions about this Invoice - contact Milli Delgadillo at 805-392-2084
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
January 25, 2022
Jeff Nelson
2133 Monte Vista Ave
Oroville, CA 95965
CH 2270391:1 Coliform Bacteria Analysis
Customer ID : 7013513
System Number : N/A
Project Name : Water Monitoring
Analytical Results
ID Sample Description Total Fecal E. Coli Units Method Prep Footnote
1 16 Granite Peak Ct Absent ---Absent A/P/100ml SM 9223B Colilert-P/A 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 2270391-001 N/A Source-Other Jeff Nelson Jeff Nelson 2022-01-17 11:20
Field Analysis/QA Information
ID Sample Description Cl Total/Free
mg/l Temp Analysis Started Analysis Completed Contact Contacted
1 16 Granite Peak Ct ---/------2022-01-17 13:55 hhh 2022-01-18 09:01 kx1 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 & 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
Reviewed and
Approved By Raquel R. Harvey Digitally signed by Raquel R. HarveyTitle: Tech Director MicrobiologyDate: 2022-01-26
January 21, 2022
Jeff Nelson Lab ID : CH 2270391
2133 Monte Vista Ave
Oroville, CA 95965
Customer : 7-13513
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
16 Granite Peak Ct 01/17/2022 01/17/2022 CH 2270391-001 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
at room temperature. 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:
Inorganic - Wet Chemistry QC
4500NO3F 01/18/2022:200870 All analysis quality controls are within established criteria
01/18/2022:200656 All preparation quality controls are within established criteria (performed at FGL-SP
ELAP# 1573)
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 = 08.9
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
Approved By Kelly A. Dunnahoo, B.S. Digitally signed by Kelly A. Dunnahoo, B.S.
Title: Laboratory Director
Date: 2022-01-21
January 21, 2022 Lab ID : CH 2270391-001
Customer ID : 7-13513
Jeff Nelson
Sampled On : January 17, 2022-11:20
Sampled By : Jeff Nelson
Received On : January 17, 2022-12:20
2133 Monte Vista Ave
Oroville, CA 95965
Matrix : Drinking Water
Description : 16 Granite Peak Ct
Project : Water Monitoring
This Page is to be Stamped
Sample Result - Inorganic
Sample Preparation Sample Analysis Constituent Result PQL Units MCL/AL
Method Date/ID Method Date/ID
Wet Chemistry
Nitrate Nitrogen 1.1 0.2 mg/L 10 4500NO3F 01/18/22:200656 4500NO3F 01/18/22:200870
ND=Non-Detected. PQL=Practical Quantitation Limit. * 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
January 21, 2022 Lab ID :CH 2270391-001
Jeff Nelson Description : 16 Granite Peak Ct
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
Inorganic - Primary
Nitrate Nitrogen 1.1 mg/L 10 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
January 21, 2022 Lab ID : CH 2270391
Jeff Nelson Customer : 7-13513
Quality Control - Inorganic
Constituent Method Date/ID Type Units Conc. QC Data DQO Note
Wet Chem
Nitrate + Nitrite as N 4500NO3F 01/18/22:200656vvh Blank mg/L ND <0.2
LCS mg/L 11.22 98.8% 80-120
MS mg/L 5.609 96.1% 5-285
(CH 2270386-001) MSD mg/L 5.609 98.2% 5-285
MSRPD mg/L 5.609 2.1% ≤30.4
4500NO3F 01/18/22:200870vvh CCB mg/l 0.0330 0.2
CCV mg/l 11.22 98.9% 90-110
CCB mg/l 0.0940 0.2
CCV mg/l 11.22 99.1% 90-110
Nitrate Nitrogen 4500NO3F 01/18/22:200656vvh Blank mg/L ND <0.2
Definition
CCV : Continuing Calibration Verification - Analyzed to verify the instrument calibration is within criteria.
CCB : Continuing Calibration Blank - Analyzed to verify the instrument baseline is within criteria.
Blank : Method Blank - Prepared to verify that the preparation process is not contributing contamination to the samples.
LCS : Laboratory Control Standard/Sample - Prepared to verify that the preparation process is not affecting analyte recovery.
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