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COMPLIANCE INFO_2015-2019
EnvironmentalHealth
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1600 - Food Program
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PR0539648
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COMPLIANCE INFO_2015-2019
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Entry Properties
Last modified
10/7/2020 1:43:57 PM
Creation date
7/24/2019 11:49:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0539648
PE
1609
FACILITY_ID
FA0022688
FACILITY_NAME
RUSTIC CRUNCH
STREET_NUMBER
3958
Direction
W
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02514003
CURRENT_STATUS
01
SITE_LOCATION
3958 W SARGENT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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d G <br /> ENVIRONMENTAL <br /> Analytical Chemists <br /> May 10,2018 STKI835852:1 Coliform Bacteria Analysis <br /> Customer ID : 3013723 <br /> Ron Hittle <br /> 3958 West Sergent Road System Number :N/A <br /> Lodi,CA 95242 Project Name :3958 W. Sergent Rd <br /> Analytical Results <br /> ID1 Sample Description Total Fecal E.Coli Units Method Prep Footnote <br /> 11 I Well <1.0 Absent --- <1.0 Absent MPN/100ml SM 92236 Quanti Tray 18 <br /> N/R Not Required MPN Most Probable Number A/P Absence/Presence <br /> The samples listed above were Acceptable for both Total and Fecal Coliform <br /> Sample Handling Information <br /> 11DI Sample Number System Number Sample Type/Reason I Sampler Employed By I Sampled <br /> I STK1835852-001 N/A Source-Other I Corey Hancock FGL Environmental 1 2018-05-03 10:30 <br /> Field Analysis/QA Information <br /> ID Sample Description Cl Total/Free Temp Analysis Started Analysis Completed Contact Contacted <br /> 1 WellI ---/--- --- 1 2018-05-03 14:52 LSM 1 2018-05-04 10:05 LSM N/R <br /> Analyses were performed at the FGL Stockton Laboratory using Standard Methods 20th edition.If you have any questions <br /> regarding your results,please call.The FGL Stockton Laboratory is certified by California FLAP 41563 and accredited to <br /> ISO/IEC 17025:2005 by PJLA certificate#75605,Testing. <br /> Prepared By: SMH <br /> Reviewed and eacIty"�*R iR,a.Mr <br /> Raquel R.Harvey rnu,.T.hc�sci <br /> Approved By oau.wl"o M <br /> Page 1 of 1 <br /> Corporate Offices 8 Laboratory OKca&Laboratory Office&Laboratory Office S Laboratory 010u b Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue 3442 Empress Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visage,CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)5254172/Ag FAX:(805)392-2083 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Certification No.1573 CA ELAP Germcation No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />
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