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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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6571
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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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ENVIRON]"IENTAOW AGRICULTURAL <br /> October 26,2020 STK2054855:1 Coliform Bacteria Analysis <br /> Customer ID : 3018581 <br /> Kris Nies <br /> 6571 E.Hwy 12 System Number :N/A <br /> Lodi,CA 95240 Project Name : 6571 E.Hwy 12,Lodi CA <br /> Analytical Results <br /> ID Sample Description Total Fecal I E.Coli I Units Method Prep Footnote - <br /> I I Well <1.0 Absent <1.0 Absent I MPN/100ml SM 9223B I 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 /> 111DI Sample Number I System Number I Sample Ty e/Rmson I Sampler Employed By I Sampled <br /> 1 I STK2054855-001 I N/A I Source-Other I Kris Kris Nies 2020-10-16 15:55 <br /> Field Analysis/QA Information <br /> ID Sample Description CI T �/Free Temp Analysis Started Analysis Completed Contact Contacted <br /> 1111 Well1 ---/--- --- 2020-10-16 16:36 cth 2020-10-17 11:09 Ism I NIR <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 ELAP#1563 and accredited to <br /> ISO/IEC 17025:2005 by PJLA certificate#75605,Testing. <br /> Prepared By: SME - <br /> Raviewed and ➢iONlly tlprctlpy RequJ R Nervty <br /> A rr.eda RaquelRHarvey �r Title:Tea Dime.,mtn .leiy <br /> PP Y M. <br /> mmio-n <br /> Page 1 of 1 <br /> Corporate Offices It Laboratory Omea&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 583 E.Llndo Avenue 3442 Empresa Dave,Suite D 9415 W Goshen Avenue - <br /> Santa Paula,CA 93080 Stockton,CA 95215 Chico.CA 95928 San Luis Obispo,CA 93401 Visalia,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)525.4172/Ag FAX:(805)392-2083 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP CertlOcatlon No.1673 CA FLAP Certlflcatlon No.1563 CA FLAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />
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