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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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1600 - Food Program
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PR0546353
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/19/2024 3:46:02 PM
Creation date
12/29/2020 12:41:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0546353
PE
1608
FACILITY_ID
FA0026270
FACILITY_NAME
GOT FANCY!
STREET_NUMBER
6571
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
6571 E HWY 12
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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ENVIRONMENTAL <br /> Analytical Chemists <br /> November 3,2020 <br /> Kris Nies lab ID : STK2054855 <br /> 6571 E.Hwy 12 Customer 3-18581 <br /> Lodi,CA 95240 <br /> Laboratory Report <br /> Introduction: This report package contains total of 5 pages divided into 4 sections: <br /> Case Narrative (2 pages) : An overview of the work performed at FGL. <br /> Sample Results (1 page) : Results for each sample submitted. <br /> Interpretation (1 page) : Drinking Water Interpretation for each sample submitted. <br /> Quality Control (1 page) : Supporting Quality Control (QC) results. <br /> Case Narrative <br /> This Case Narrative pertains to the following samples: <br /> Sample DescriptionDate Date FGL Lab ID# Matrix <br /> Sampled I Received <br /> Well 10/16/2020 10/16/2020 STK2054855-001 I DW <br /> Sampling and Receipt Information: All samples were received in acceptable condition and within <br /> temperature requirements,unless noted on the Condition Upon Receipt(CUR) form.All samples arrived <br /> at 19. 'C. All samples were prepared and analyzed within the method specified hold time.All samples <br /> were checked for pH if acid or base preservation is required(except for VOAs). For details of sample <br /> receipt information,please see the attached Chain of Custody and Condition Upon Receipt Form. <br /> Quality Control: All samples were prepared and analyzed according to the following tables: <br /> Inorganic -Wet Chemistry QC <br /> 450ONO2B 10/17/2020:216717 All analysis quality controls are within established criteria <br /> 10/17/2020:212298 All preparation quality controls are within established criteria(performed at FGL-SP <br /> ELAP# 1573) <br /> 450ONO3F 10/20/2020:216876 All analysis quality controls are within established criteria <br /> 10/20/2020:212346 All preparation quality controls are within established criteria(performed at FGL-SP <br /> ELAP#1573) <br /> Page 1 of 5 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Read 563 E Linda Avenue 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 Vsalia,CA 93291 <br /> TEL(806)392-2000 TEL:(209)942-0182 TEL:(530)343-SB18 TEL:(805)783-2940 TEL(559)734-9473 <br /> Env FAX:(805)5254172/Ag FAX:(505)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />
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