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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELLIOTT
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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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fFGIU <br /> April 1. 2021 Lab ID : S7-K2133363 <br /> 311lic Edsell Customer : 3-18723 <br /> Quality Conlrol-Inorganic <br /> Cnnslihtfns <br /> Method Dptd1U 'I'ylN 1(nlla Cane. V(=Ilam IIVO Nob <br /> Wet(ahem <br /> 'ilrnte♦Nitrile m N 4500NO3r 03112PI 202756VVII Blank mgA. NG <02 <br /> I.CS mg/I. 1122 9T0% 80-120 <br /> NIS mgn. 5 609 IDO V. 5.285 <br /> (SI'K2133361-002) MSD mPA, 5609 102% 5.285 <br /> MSRPD m S6(M) I3% <304 <br /> 43WN031` 0312121203739WB CCU mEA. 0042 0.2 <br /> CCV mg/1, 1122 993% 90-110 <br /> CUT mgt. 0058 02 <br /> CCV m A, 11 22 97.8% 90-110 <br /> - urate Num rn 4300NOtp n3/1221;302736V\71 Blank m . ND q)2 <br /> . nnle ns Nnrngen 45NNO317 03112P 202757\M I Blank mgll, ND <04 <br /> I.CS mgn. 1.218 992% 80420 <br /> MS m8/1. 06090 990% 50.150 <br /> (STK21333614x12) MSD m0. 06090 101% 50-130 <br /> MSRPD mPA. 06&90 0010 1504 <br /> 450ONO3F 03/12/21203735VVII CC13 mgn, O.OWOO 0012 <br /> CCV mgn. 1218 987% 90-II1) <br /> CCB eag/L 000800 0012 <br /> CCV m• 1.218 98.9% 90-110 <br /> inic as NO2 45MN03P 03/12/2120275]VVII Illank m ND <13 <br /> Wadden <br /> CCV •L'ominuing CahM1mtion Verification-Mnl)�eA to verify the mstrummd eldihmtian n within entrain. <br /> CCIt :Consmuing Calibration Blank-Analged In veil)the instrument bmebee l5 oithin en¢riu. <br /> Blank :Method Blank-Prepared m verify that the inepmetlon poncesis not cvntriWting umlaminmion Ioths, p <br /> LCS Labormary Conal SlmtdardlSomple-I'repao:d to verify that the preparation process Is not of lIng Imalpe recos<lT <br /> MS :Matrix Spikes-A random vvnple is spiked with a knoxn amount ofmA)se The mooverits me an indication ofhom that somple <br /> matrix affects amine¢cowry. <br /> 51SU :Mntnx Spike Duphcate ofMS/MSD pair-A nmdem sample dupliealc 1s spiked with a knoon a noum ofanal5le The recoveries <br /> me an indication of how that sample matrix Balla anNyfc mcovm, <br /> t .MS/MSD Relntise p=ml Difference(lull))-The MS relatisx pollens difrmenca ism indlmnlon of recnion for the o ratan <br /> hISRPD and wal)sis. p p <br /> ND t Non-dtlees-Rosu11 was below the DQO listed for We lsnal)4e. <br /> DVO -Dols Qualify Objective-This is the ttiteria against lidell she gonlitv mntrol data is emplased. <br /> Page 5 of 5 <br /> L7SanMPou1a.CA9306Q <br /> ffices d Wboraary Office a Laboratory Office 6 Laboratory Office 6 L.abonaory OfOca 8.Laboratory <br /> en Street 2500 Sta9oo0nth Road 563 E.Lindo Asenue 3442 Empresa Dove,Slate 0 9415 W Goshen Awnue <br /> CA93060 Stockton,CA 95215 Chloe,CA 95920 Sen Lua Obispo,CA 93401 VaaltaCA 93291 <br /> 2-2000 TEL (209)942-0182 TEL (530)343-5818 TEL-(605)783-2940 TEL,(559)734-9473 <br /> 5)525.4172/A9FAX (805)392.2.003 FAX (209)942-0423 FAX (530)343.3807 FAX (805)783-2912 FAX.(559)734.8475 <br /> ifieaaon No 1573 CAEIAPCemScstlon No 1563 CA EIRP Cenificiaan No.2570 CA EIRP CemBcaWn N0,2775 CA EIAP CeMCatgn No 2810 <br />
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