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Home My WebLink About030-300-034 RFI25-1029 WELL SAMPLING DATAInvoice # 576219A Patrick Phillips 427 Justeson Road Gridley, CA 95948 Remit To: FGL Environmental 853 Corporation St Santa Paula, CA 93060 Account # 7014522 Date Billed 07/08/2025 Amount Due $0.00 Date Due 08/07/2025 Amount Paid $73.00 INVOICE Customer Patrick Phillips Account # 7014522 Date Sampled 06/27/2025 Lab Number CH 2576219 Project 4581 Larkin Road - Oroville CA Invoice # 576219A Date Billed 07/08/2025 Amount Due $0.00 PO# / Check Number Date Paid Date Due 08/07/2025 Amount Paid $73.00 Description of Work Quantity Rate Extended Bacti Analysis Coliform-Colilert-P/A 1 34.00 34.00 Inorganic Analysis Wet Chemistry - NO3-N 1 34.00 34.00 Misc. Analysis Materials/Disposal For More Information http://fglinc.com/md.php 1 5.00 5.00 Total $73.00 Pre-Paid CC $73 in Chico -$73.00 Total $0.00 (RDM-L4) For Questions about this Invoice - contact Ronda Mefford at 805-392-2057 PREPAID Corporate Offices & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000CA ELAP Certification No. 1573 Office & Laboratory2500 Stagecoach RoadStockton, CA 95215TEL: (209)942-0182CA 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 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 July 1, 2025 Patrick Phillips 427 Justeson Road Gridley, CA 95948 Coliform Bacteria Analysis Lab No.: CH 2576219 1 Customer No.: 7014522 System Number: N/A Project Name : 4581 Larkin Road - Oroville CA Analytical Results ID Sample Description Total Fecal E. Coli Units Method Prep Footnote 1 Spigot @ Well Absent ---Absent A/P/100ml SM 9223B Colilert-P/A 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 2576219-001 N/A Source-Other Patrick Phillips Patrick Phillips 2025-06-27 15:15 Field Analysis/QA Information ID Sample Description Cl Total/Free Temp Analysis Started Analysis Completed Contact Contacted mg/l 1 Spigot @ Well ---/------2025-06-27 16:12 zmp 2025-06-28 11:05 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: 2025-07-01 Section: Case NarrativeSection: Case Narrative This Page is to be Stamped July 7, 2025 Patrick Phillips 427 Justeson Road Gridley, CA 95948 Lab No.: CH 2576219 Customer No.: 7014522 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 @ Well 06/27/2025 06/27/2025 CH 2576219-001 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)392-2000CA 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: 2025-07-07 Page 1 of 4 Section: Sample Results This Page is to be Stamped July 7, 2025 Patrick Phillips 427 Justeson Road Gridley, CA 95948 Description :Spigot @ Well Project :4581 Larkin Road - Oroville CA Lab No.: CH 2576219-001 Customer No.: 7014522 Sampled On : June 27, 2025 at 15:15 Sampled By : Patrick Phillips Received On : June 27, 2025 at 15:55 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 0.5 0.4 mg/L 10 1 07/01/2025 11:30 mm1 SM 4500-NO3 F 07/01/2025 12:10 mm1 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)392-2000CA 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 July 7, 2025 Patrick Phillips Description :Spigot @ Well Project :4581 Larkin Road - Oroville CA Lab No.: CH 2576219-001 Customer No.: 7014522 Matrix : Drinking Water Sampled On : June 27, 2025 at 15:15 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 0.5 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)392-2000CA 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 July 7, 2025 Patrick Phillips Lab No.: CH 2576219 Customer No.: 7014522 Quality Control - Wet Chem Constituent Method Date/ID Type Units Conc.QC Data DQO Note Wet Chem Nitrate Nitrogen 4500NO3F 07/01/2025:207195MM1 Blank mg/L ND <0.4 LCS mg/L 11.22 97.1%80-120 MS mg/L 5.609 97.2%66-125 (CH 2576219-001)MSD mg/L 5.609 97.5%66-125 MSRPD mg/L 0.3%≤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)392-2000CA 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 EnVIKO[MMr.MTAL ^^^^ AQRICULTUKALAiiJilylicnl Ciicniist.";cikait: Patrick PhillipsCustomer Number: 7014522Address: 427 Justeson RoadGridiey, CA 95948Phone: (916)337-3873 Fax:Email Address: pkpgiants25@iclOUd.COmContact Person: Patrick Phillips . />, tProject Name: \ (XCKK \\(L cA oPurchase Order Number:Quote Number:Rush Analysis: □ 5 Day □ 4 Day I 13 Day I | 2 Day □ 24 hourRush pre-approval by lab (initals)Eectronic Data Transfer; □ No □ State □ Client OtherSampler(s);www.fglinc. comCHAIN OF CUSTODYAND ANALYSIS REQUEST DOCUMENTTEST DESCRIPTION AND ANALYSES REQUESTEDLab Number:IISampling Fee:Pickup FeeCompositor Setup DateLocatKMi DescriptionTuneSampledDateSampledvOQ VVRemarksil^uished • I^te: °i|®"ha mk tvu/RelinquishedTune:Received ByReceived ByReceivCorporate Offioos & Laboratory853 Corporation StreetSanta Paula, CA 93060TEL: (805)392-2000CA ELAP Certification No. 1573Office & Laboratory2500 Stagecoach RoadStockton, CA 95215TEL: (209)942-0182CA ELAP Certification No. 1563Office & Laboratory563 E. Undo 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 AvenueVIsaila, CA 93291TEL: (559)734-9473CA ELAP Certification No. 2810 FGL Environmental Doc ID; Inter lab CUR.doc Revision Date: 10/10/23 Page 1 of 1 Inter-Laboratory Condition Upon Receipt (Attach to COC)Saniple Receipt at: CC C£E> STK VI 1. Number of ice chests/packages received: Of f Shipping tracking #(s): 2. 3. Temp IR Gun ID Were samples received on ice?No TempslT-^" ^ 7 /// Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10° C, whether iced or not, should be flagged unless the time since sample collection has been less than two hours. 4. Do the number of bottles received agree with the COC? 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) 6. VOAs checked for Headspace? 7. Were all analyses within holding times at time of receipt? 8. Verify sample date, time and sampler name Sign and date the COC, place in a ziplock and put in th^ame ice chest as the samples. Sample Receipt Review completed by (initials): Sample Receipt at SP: 1. )le Receipt at M': n ^ fZili N/A 2. 3. 4. 5. CTlUK' Number of ice chests/packages received: Shipping tracking #(s):^Lf r\u\Temp IR Gun ID #: Were samples received on ice? Acceptable is above freezing to 6°C. If No Temps:/// Do the number of bottles received agree with the COC? Were samples received intact? (i.e. no broken bottles, leaks etc.) packages are received at one time check for^ts/H.T.'s/rushes/ No N/A No Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels Sample Verification, Labeling and Distribution: 1. 2. 3. Were all requested analyses understood and acceptable? Did bottle labels correspond with the client's ID's? Were all bottles requiring sample preservation properly preserved? [Exception: Oil & Grease, VOA and CrVI verifled in lab] 4. VOAs checked for Headspace? 5. Have rush or project due dates been checked and accepted? 6. Were all analyses within holding times at time of receipt? Attach labels to the containers and include a copy of the COC for lab delivery. Sample Receipt, Login and Verification completed by (initials): C Discrepancy Documentation: Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. 1. Person Contacted: Initiated By: Problem: Resolution: 2. Person Contacted: Initiated By: ^ Problem: Resolution: Phone Number: Date: Phone Number: (7014522) Patrick Phillips FGL (Please use the back of this sheet for additional comm- CH0 iv 06/30/2025 07:29:55 ;re CH 2576219