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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0546753
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
5/11/2022 4:15:16 PM
Creation date
5/11/2021 2:14:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546753
PE
1608
FACILITY_ID
FA0026501
FACILITY_NAME
ELLIOTT ROAD BARN
STREET_NUMBER
23216
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
23216 N ELLIOTT RD
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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April 1.2021 <br /> .lnlie Edsell Lab 1D : ST•K2133363 <br /> 23216 N. Elliott Rd Customer 3-18723 <br /> Acmnpo, CA 95220 <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 (I page) : Drinking Water Interpretation for each sample submitted. <br /> Quality Control (I page) : Supporting Quality Control (QC)results. <br /> Case Narrative <br /> This Case Narrative pertains to the following samples: <br /> Sam le Descri tion Date Dale <br /> P P Sam led Received FCL Lab ID # p1atrix <br /> 1113 n,Pressure Tank 03/112021 03/112021 STK2133363.001 1) , <br /> Sampling and Receipt Information: The sample was performed by FGL using the following methods <br /> (where applicable): <br /> Bacteriological Sampling -SOP:200900141 <br /> Grab sampling for liquids - SOP:200900137 <br /> Composite sampling for liquids -SOP:200900139 <br /> Grab sampling for solids - S011:200900142 <br /> Composite sanmpling for solids - SOP:200900143 <br /> All samples were received, prepared and analyzed within the method specified holding times. All <br /> samples arrived at S.I OC.All samples were checked for pH if acid or base preservation is required <br /> (except for VOAs). For details of sample receipt information,please see the attached Chain of Custody <br /> and Condition Upon Receipt porn. <br /> Quality Control: All samples were prepared and anahzed according to the follou4ng tables: <br /> Inorganic-Wet Chemistry QC <br /> 4300103F 03/122021:203735 All analysis quality controls are within established criteria <br /> 03/122021:203739 All analysis quality controls arc within established criteria <br /> 03/12/2021:202756 All prepamrion quality controls arc Millin established criteria(perforn)ed at PCI,ST <br /> FLAPP 1573) <br /> 03/122021:202757 All preparation quality controls arc within csrnhlishcd criteria(performed m 1'CI,-SP <br /> IIAPr9 1573) <br /> Page 1 of 5 <br /> Ceryente Oaicea a Lahootory office LeW Mlery Office a L000ralory Office 6 Laboratory Office A Laboratory <br /> 853 Cwpwetivn Street 2500 staaeecaeh Rood 563E Undo Avenue 3442 Empresa Drive,Sate a 9415 W Goshen Avenue <br /> Banta Pleas,CA 93060 Stockton.CA 95215 Chico.CA 95926 San Luls Obispo,CA 93401 Mc aha,CA 93291 <br /> TEL (605)3922000 TEL.(M)MA)II12 TEL (530)3435818 TEL!(805)763-2940 TEL (559)734.9473 <br /> Env FAX (M5)52S4l72/A9 rAX.(805)392-2003 FAX (2091942.0423 FAX (530)343.3807 FAX (805)7832912 FAX (559)734-8435 <br /> CA FLAP CMautton No 1573 CA EUtP CPni6ca cn No 1563 CA EL AP Cwb6wibn No 2670 CA ELM CeNfication No 2775 CA ELM CMaKalmn No.2810 <br />
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