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Home My WebLink About072-500-002 RFI25-0881 WELL SAMPLING DATAJune 16, 2025 Terry Alderman 929 Gretchen Lane San Jose, CA, 95117 Coliform Bacteria Analysis Lab No.: CH 2575141 1 Customer No.: 7014496 System Number: N/A Project Name : 072-500-002 Hershel & Hurleton Analytical Results ID Sample Description Total Fecal E. Coli Units Method Prep Footnote 1 Spigot by 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 Result Interpretation 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 2575141-001 N/A Source-Other Terry Alderman Terry Alderman 2025-06-09 07:30 Field Analysis/QA Information ID Sample Description Cl Total/Free Temp Analysis Started Analysis Completed Contact Contacted mg/l 1 Spigot by well ---/------2025-06-09 13:14 zmp 2025-06-10 08:50 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: RRH Page 1 of 1 Corporate Offices & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000CA ELAP Certification No. 1573 Office & Laboratory2500 Stagecoach RoadStockton, CA 95215 TEL: (209)942-0182 CA ELAP Certification No. 1563 Office & Laboratory 563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818 CA ELAP Certification No. 2670 Office & Laboratory9411 W. Goshen Avenue Visalia, CA 93291 TEL: (559)734-9473CA ELAP Certification No. 2810 Office & Laboratory 3442 Empresa Drive, Suite D San Luis Obispo, CA 93401 TEL: (805)783-2940 CA ELAP Certification No. 2775 ENVIRONMENTAL AGRICULTURAL Analytical Chemists Reviewed and Approved By Raquel R. Harvey Digitally signed by Raquel R. HarveyTitle: Tech Director MicrobiologyDate: 2025-06-16 Section: Case NarrativeSection: Case Narrative This Page is to be Stamped June 12, 2025 Terry Alderman 929 Gretchen Lane San Jose, CA, 95117 Lab No.: CH 2575141 Customer No.: 7014496 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 Spigot by well 06/09/2025 06/09/2025 CH 2575141-001 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: RDM 44 Digitial Signature Stamp Y = 8.2368 Page 1 of 4 Corporate Offices & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000CA ELAP Certification No. 1573 Office & Laboratory2500 Stagecoach RoadStockton, CA 95215 TEL: (209)942-0182 CA ELAP Certification No. 1563 Office & Laboratory 563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818 CA ELAP Certification No. 2670 Office & Laboratory9411 W. Goshen Avenue Visalia, CA 93291 TEL: (559)734-9473CA ELAP Certification No. 2810 Office & Laboratory 3442 Empresa Drive, Suite D San Luis Obispo, CA 93401 TEL: (805)783-2940 CA 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: 2025-06-12 Page 1 of 4 Section: Sample Results This Page is to be Stamped June 12, 2025 Terry Alderman 929 Gretchen Lane San Jose, CA, 95117 Description :Spigot by well Project :072-500-002 Hershel & Hurleton Lab No.: CH 2575141-001 Customer No.: 7014496 Sampled On : June 9, 2025 at 07:30 Sampled By : Terry Alderman Received On : June 9, 2025 at 08:26 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 ND 0.4 mg/L 10 1 U 06/10/2025 14:15 mm1 SM 4500-NO3 F 06/10/2025 15:58 mm1 DQF Flags Definition: U Constituent results were non-detect. 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)392-2000CA ELAP Certification No. 1573 Office & Laboratory2500 Stagecoach RoadStockton, CA 95215 TEL: (209)942-0182 CA ELAP Certification No. 1563 Office & Laboratory 563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818 CA ELAP Certification No. 2670 Office & Laboratory9411 W. Goshen Avenue Visalia, CA 93291 TEL: (559)734-9473CA ELAP Certification No. 2810 Office & Laboratory 3442 Empresa Drive, Suite D San Luis Obispo, CA 93401 TEL: (805)783-2940 CA ELAP Certification No. 2775 ENVIRONMENTAL AGRICULTURAL Analytical Chemists Page 2 of 4 Section: Drinking Water Interpretations This Page is to be Stamped June 12, 2025 Terry Alderman Description :Spigot by well Project :072-500-002 Hershel & Hurleton Lab No.: CH 2575141-001 Customer No.: 7014496 Matrix : Drinking Water Sampled On : June 9, 2025 at 07:30 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 ND 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)392-2000CA ELAP Certification No. 1573 Office & Laboratory2500 Stagecoach RoadStockton, CA 95215 TEL: (209)942-0182 CA ELAP Certification No. 1563 Office & Laboratory 563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818 CA ELAP Certification No. 2670 Office & Laboratory9411 W. Goshen Avenue Visalia, CA 93291 TEL: (559)734-9473CA ELAP Certification No. 2810 Office & Laboratory 3442 Empresa Drive, Suite D San Luis Obispo, CA 93401 TEL: (805)783-2940 CA ELAP Certification No. 2775 ENVIRONMENTAL AGRICULTURAL Analytical Chemists Page 3 of 4 Section: Quality ControlSection: Quality Control This Page is to be Stamped June 12, 2025 Terry Alderman Lab No.: CH 2575141 Customer No.: 7014496 Quality Control - Wet Chem Constituent Method Date/ID Type Units Conc.QC Data DQO Note Wet Chem Nitrate Nitrogen 4500NO3F 06/10/2025:206323MM1 Blank mg/L ND <0.4 LCS mg/L 11.22 98.9%80-120 MS mg/L 5.609 97.9%66-125 (SP 2509735-005)MSD mg/L 5.609 97.7%66-125 MSRPD mg/L 0.1%≤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)392-2000CA ELAP Certification No. 1573 Office & Laboratory2500 Stagecoach RoadStockton, CA 95215 TEL: (209)942-0182 CA ELAP Certification No. 1563 Office & Laboratory 563 E. Lindo AvenueChico, CA 95926TEL: (530)343-5818 CA ELAP Certification No. 2670 Office & Laboratory9411 W. Goshen Avenue Visalia, CA 93291 TEL: (559)734-9473CA ELAP Certification No. 2810 Office & Laboratory 3442 Empresa Drive, Suite D San Luis Obispo, CA 93401 TEL: (805)783-2940 CA ELAP Certification No. 2775 ENVIRONMENTAL AGRICULTURAL Analytical Chemists Page 4 of 4 wmACjHlCUi;rU!<ALAn;ilyli(::jl Cl)cmi.':(r.-wws/ShfglineveofnCHAIN OF CUSTODY1iNDlfNinm~REQUEST DOCUMENTclienrTiCustomer Number: 0 j ^7^? C=>ireT<^ Cv^ L n n^raj-Email Address: » . /Contact Person: 'Project Name: 07X S^C?0 -2, ^ | ^Lab Number;2515ANALYSES REQUESTEDTEST DESCRIPTION ANDPurchase Order Number:Quote Number:Rush Analysis: □ 5 Day □ 4 Day I 13 Day I | 2 Day □ 24 hourRush pre-approval by lab (initals):CViKoElectronic Data Transfer: n No nSampler(s):^Vy>^PKKup Fee:Si^plmg Fee:Compositor Setup Dale:TimeSampledDateSampledLocation DcscnptmnJfi Ii>y I (RelinquishedRemarksRelinquishedRelinquishedmr.tiNID# I ClUt'OW)l(^iS {nl(0l7^ iCli^^ceived By: Dale: Time:aui 00^ WReceived By:Received By:CT^A" in/lO/7^ lOlUCorporato OfRcos & Laboratory853 Corporation StrestSanta Paula, CA 93080TEL: (805)392-2000CA ELAP CertificaOon No. 1573Office & Laboratory2500 Stagecoach RoiStockton, CA 95215TEL: (209)942-0182CA ELAP Certificabon No. 1563Office & Laboratory563 E. LIndo AvenueChico, CA 95926TEL: (530)343-5818CA ELAP Certification No. 2670Office & Laboratory3442 Empresa Drive, Suite DSan Luis Obispo, CA 93401TEL: (805)783-2940CA ELAP Certification No. 2775Office & Laboratory9411 W. Goshen AvenueVisalla, CA 93291TEL: (559)734-9473CA ELAP Certification No. 2810 FGL Environmental Revision Date: 10/10/23 251bH\ 1. 2. 3. Inter-Laboratory Condition Upon Rfeceipt (Atta| CC CcB^ STK Number of ice chests/packages received: dvC Shippii||: h Temp IR Gun ID #: G h'\ CO Were samples received on ice? (^e^ No: Temps:_ Surface water SWTR bact samples: A sainpTe that hjas a temperatut| should be flagged unless the time since sample coll^ciion has been 4. Do the number of bottles received agree wi^ the COG? 5. Were samples received intact? (i.e. no brokjen bottles, lej^ks etc.) 6. VOAs checked for Headspace? 7. Were all analyses within holding times at tijnie of receip 8. Verify sample date, time and sampler name Sign and date the COG, place in a ziplock and pijt in the same Sample Receipt Review completed by (initials):^ Sample Receipt at SP: 1. Number of ice chests/packages received: _Shippii Ig tracki 2. 3. 4. 5. Temp IR Gun ID #: ? ^ i Were samples received on ice? No| Acceptable is above freezing to 6®C. If many packages Do the number of bottles received agree wijtli the COG? Were samples received intact? (i.e. no broken bottles, le iks etc.) Sign and date the GOG, obtain LIMS sample nuihl Temps: are received at Doc ID: to COC VI g tracking #(s) ')Salii 3D0900002_SOP_14.DOC Page 1 of 1 pie Receipt at: //// upon receipt of ^10® C, whether iced or not, ess than two hours. No No No No No ice chest as the samples. N/A one time check for tests/H.T.'s/rushes/ ers, select ng #(s) I //I Sample Verification, Labeling and Distributioin 1. Were all requested analyses understood and acceptable? Did bottle labels correspond with the clientj's ID's? Were all bottles requiring sample preservation properly(Exception: Oil & Grease, ;VOA and CrVI V( [rifled in iabj [ VOAs checked for Headspace? Have rush or project due dates been checkeid|and accepted? Were all analyses within holding times at t^e of receip I ? Attach labels to the containers and include a copy pf the GOC Sample Receipt, Login and Verification completed by (initial Discrepancy Documentation: Dreserved? // ^s No N/A ^s No |nethods/tests and print labels. Yes Yes , for lab ddliveri. FGL Any items above which are "No" or do not meetjspecificatioij 1. Person Gontacted: I Initiated By:^ Problem: Resolution: 2. Person Gontacted: Initiated By: Problem: Resolution: (Please use the back of this sheet for additional comments or cbn|a 5 (i.e. tem Phone N Date ps) m umbler ust be resolved. Phone Numb€r: <7014496) Ter^Alden CH 2575141 IV 06/10/2025 07:48:27