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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0538083
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/4/2020 9:29:32 AM
Creation date
11/4/2020 9:28:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0538083
PE
1608
FACILITY_ID
FA0021998
FACILITY_NAME
KIM DUKES OLD VINE BAKESHOP
STREET_NUMBER
1991
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00318010
CURRENT_STATUS
01
SITE_LOCATION
1991 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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• CHM OF CUSTODY <br /> ,ENVIRONMENTAL FGL AGRICULTURAL Quarterly www.fgUnc.com <br /> Analytical Cheirilsts Laboratory Copy (1 of 3) <br /> 35878:09/07/2020 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: David Duke <br /> Address: 1991 E. Peltier Rd. <br /> Acampo,CA 95220 w <br /> � a <br /> Phone: (209)471-0062 Fax: 3 <br /> ft <br /> Contact Person: David Duke <br /> a <br /> Project Name: 1991 E. Peltier Rd. E �' <br /> Purchase Order Number. ti 3 y <br /> Quote Number: v u,°�1 a <br /> v <br /> Sampler(s) B <br /> tj v rn Oa S <br /> Samplin e,: ic Lp ee: iw a°, y H y <br /> Compositor Sem Date:_/_/_ Time:_/_ 6 a z O 'em z E <br /> n y E ch ° <br /> Lab Number. STK A� / 3.17313 v "- v m O g 5 <br /> v ° o <br /> Tamp Date Time $ '� 'L, v c E <br /> Num Location Description Sa d Sampled u T' ° A A $ ° <br /> P P F a m AGO U= h <br /> 1 H.B®Sink East of Well i .��� �� G DW 1 X <br /> ( l <br /> Remarks: Relujiltuthe ate: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> � y6 <br /> Recei By: Date: f Time: Received By: Date: Time: Received By: Date: Time: <br /> Ro 10 1H-�D <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)7349473 <br /> Env Fax:(805)5254172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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