HomeMy WebLinkAbout017-220-013 RFI24-0173 WELL SAMPLING DATAInvoice # 371898A
Brent Heinz
3794 Keefer Rd
Chico, CA 95973
Remit To:
FGL Environmental
853 Corporation St
Santa Paula, CA 93060
Account # 7010899
Date Billed
06/14/2023
Amount Due
$63.80
Date Due
07/14/2023
Amount Paid
INVOICE
Customer
Brent Heinz
Account #
7010899
Date Sampled
05/31/2023
Lab Number
CH 2371898
Project
1141 Honey Run Road
Invoice #
371898A
Date Billed
06/14/2023
Amount Due
$63.80
PO# / Check Number
Date Paid
Date Due
07/14/2023
Amount Paid
Description of Work Quantity Rate Extended
Bacti Analysis
Coliform-Colilert-P/A 1 32.00 32.00
Inorganic Analysis
Wet Chemistry - NO3-N;1 32.00 32.00
Misc. Analysis
Materials/Disposal
For More Information http://fglinc.com/md.php 1 3.00 3.00
Discount -$3.20
Total $63.80
(RDM-L4) For Questions about this Invoice - contact Ronda Mefford at 805-392-2057
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
June 6, 2023
Brent Heinz
3794 Keefer Rd
Chico, CA 95973
CH 2371898:1 Coliform Bacteria Analysis
Customer ID : 7010899
System Number : N/A
Project Name : 1141 Honey Run Road
Analytical Results
ID Sample Description Total Fecal E. Coli Units Method Prep Footnote
1 1141 Honey Run Road Present ---Absent A/P/100ml SM 9223B Colilert-P/A 18
N/R Not Required MPN Most Probable Number A/P Absence/Presence
The sample(s) listed below failed drinking water standards for Total and/or Fecal Coliform and/or E. Coli as listed:
CH 2371898-001 1141 Honey Run Road: Total Coliform - Failure
Sample Handling Information
ID Sample Number System Number Sample Type/Reason Sampler Employed By Sampled
1 CH 2371898-001 N/A Source-Other Brent Heinz Brent Heinz 2023-05-31 09:00
Field Analysis/QA Information
ID Sample Description Cl Total/Free
mg/l Temp Analysis Started Analysis Completed Contact Contacted
1 1141 Honey Run Road ---/------2023-05-31 14:12 kx1 2023-06-01 09:30 kx1 Brent Heinz 2023-06-01 09:53
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: 2023-06-06
Section: Case NarrativeSection: Case Narrative
This Page is to be Stamped
June 9, 2023
Brent Heinz
3794 Keefer Rd
Chico, CA 95973
Lab No.: CH 2371898
Customer No.: 7010899
Laboratory Report
Introduction: This report package contains a total of 4 pages divided into 4 sections:
Case Narrative (1 page): 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 No.Matrix
1141 Honey Run Road 05/31/2023 05/31/2023 CH 2371898-001 DW
Sampling and Receipt Information:
The Sample was received in acceptable condition and within temperature requirements, unless noted on the Condition
Upon Receipt (CUR) form. The Sample was received, prepared and analyzed within the method specified holding times.
All samples arrived on ice. 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 associated Chain of Custody and Condition Upon Receipt Form.
Quality Control: All samples were prepared and analyzed according to established quality control criteria. Any exceptions are noted
in the Quality Control Section of this report.
Test Summary
SM 4500-NO3 F Preparation and analysis performed by FGL-Santa Paula (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 and in the QC Section. 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. This
report shall not be reproduced except in full, without the written approval of the laboratory.
KD: MKH 44 Digitial Signature Stamp Y = 8.2368
Page 1 of 4
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 DirectorDate: 2023-06-09
Page 1 of 4
Section: Sample Results
This Page is to be Stamped
June 9, 2023
Brent Heinz
3794 Keefer Rd
Chico, CA 95973
Description :1141 Honey Run Road
Project :1141 Honey Run Road
Lab No.: CH 2371898-001
Customer No.: 7010899
Sampled On : May 31, 2023 at 09:00
Sampled By : Brent Heinz
Received On : May 31, 2023 at 10:03
Matrix : Drinking Water
Sample Results - Inorganic
Constituent Result RL Units MCL/AL Dil.DQF Sample Preparation Sample Analysis
Wet Chemistry Date Time Who Method Date Time Who
Nitrate Nitrogen 2.5 0.4 mg/L 10 1 06/01/2023 15:00 lfs SM 4500-NO3 F 06/01/2023 18:31 lfs
DQF Flags Definition:
ND=Non-Detected, RL=Reporting Level , Dil.=Dilution
MCL = Maximum Contamination Level. 2 - Secondary Standard. 3 - CDPH Notification Level. AL = Regulatory Action Level.
Page 2 of 4
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
Page 2 of 4
Section: Drinking Water Interpretations
This Page is to be Stamped
June 9, 2023
Brent Heinz
Description :1141 Honey Run Road
Project :1141 Honey Run Road
Lab No.: CH 2371898-001
Customer No.: 7010899
Matrix : Drinking Water
Sampled On : May 31, 2023 at 09:00
Drinking Water Interpretations
Summary: Your water was acceptable for all items tested on this sample report. Details are presented below:
Constituent Result Units MCL Result Compared to MCL
Inorganic - Primary Less Than or Equal Exceeded
Nitrate Nitrogen 2.5 mg/L 10 PASS
ND=Non-Detect
Definitions
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 under the following searches:
Water Purification & Filtration Equipment
Water Softening & Conditioning Equipment
Water Treatment Equipment
Page 3 of 4
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
Page 3 of 4
Section: Quality ControlSection: Quality Control
This Page is to be Stamped
June 9, 2023
Brent Heinz Lab No.: CH 2371898
Customer No.: 7010899
Quality Control - Wet Chem
Constituent Method Date/ID Type Units Conc.QC Data DQO Note
Wet Chem
Nitrate Nitrogen 4500NO3F 06/01/2023:206001LFS Blank mg/L ND <0.4
LCS mg/L 11.22 104%80-120
MS mg/L 5.609 103%66-125
(CH 2372123-001)MSD mg/L 5.609 104%66-125
MSRPD mg/L 1.3%≤30.4
Definition
Blank :Method Blank - Prepared to verify that the preparation process is not contributing contamination to the samples.
DQO :Data Quality Objective - This is the criteria against which the quality control data is compared.
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 analyted. 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.
Page 4 of 4
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
Page 4 of 4