HomeMy WebLinkAbout017-020-026 RFI25-1035 WELL SAMPLING DATAInvoice # 473300A
Andrea Rolde
PO Box 276
Chico, CA 95927
Remit To:
FGL Environmental
853 Corporation St
Santa Paula, CA 93060
Account # 7014152
Date Billed
05/03/2024
Amount Due
$0.00
Date Due
06/02/2024
Amount Paid
$141.00
INVOICE
Customer
Andrea Rolde
Account #
7014152
Date Sampled
04/25/2024
Lab Number
CH 2473300
Project
5300 Nimshew Run Lane Chico
Invoice #
473300A
Date Billed
05/03/2024
Amount Due
$0.00
PO# / Check Number
Date Paid
Date Due
06/02/2024
Amount Paid
$141.00
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
Support Analysis
Accounting - Wet Chemistry - 3 Day 1 34.00 34.00
Accounting - Bacti - Rush - 3 Days 1 34.00 34.00
Total $141.00
Pre-Paid CC ending 5447 in Chico $141 -$141.00
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)392-2000Env 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
May 1, 2024
Andrea Rolde
PO Box 276
Chico, CA 95927
CH 2473300:1 Coliform Bacteria Analysis
Customer ID : 7014152
System Number : N/A
Project Name : 5300 Nimshew Run Lane Chico
Analytical Results
ID Sample Description Total Fecal E. Coli Units Method Prep Footnote
1 Well 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 2473300-001 N/A Source-Other Andrea Rolde Andrea Rolde 2024-04-25 14:45
Field Analysis/QA Information
ID Sample Description Cl Total/Free
mg/l Temp Analysis Started Analysis Completed Contact Contacted
1 Well ---/------2024-04-25 16:23 kx1 2024-04-26 10:27 zmp 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)392-2000Env 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: 2024-05-01
Section: Case NarrativeSection: Case Narrative
This Page is to be Stamped
May 1, 2024
Andrea Rolde
PO Box 276
Chico, CA 95927
Lab No.: CH 2473300
Customer No.: 7014152
Laboratory Report
Introduction: This report package contains a total of 3 pages divided into 3 sections:
Case Narrative (1 page): An overview of the work performed at FGL.
Sample Results (1 page): Results 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
Well 04/25/2024 04/25/2024 CH 2473300-001 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: KVC 43 Digitial Signature Stamp Y = 8.0496
Page 1 of 3
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: 2024-05-01
Page 1 of 3
Section: Sample Results
This Page is to be Stamped
May 1, 2024
Andrea Rolde
PO Box 276
Chico, CA 95927
Description :Well
Project :5300 Nimshew Run Lane Chico
Lab No.: CH 2473300-001
Customer No.: 7014152
Sampled On : April 25, 2024 at 14:45
Sampled By : Andrea Rolde
Received On : April 25, 2024 at 15:39
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 04/26/2024 16:45 ilp SM 4500-NO3 F 04/26/2024 17:29 ilp
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 3
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 3
Section: Quality ControlSection: Quality Control
This Page is to be Stamped
May 1, 2024 Lab No.: CH 2473300
Customer No.: 7014152
Quality Control - Wet Chem
Constituent Method Date/ID Type Units Conc.QC Data DQO Note
Wet Chem
Nitrate Nitrogen 4500NO3F 04/26/2024:204659ILP Blank mg/L ND <0.4
LCS mg/L 11.22 99.8%80-120
MS mg/L 5.609 96.5%66-125
(STK2435677-001)MSD mg/L 5.609 98.4%66-125
MSRPD mg/L 0.9%≤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 3 of 3
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 3