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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0541111
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
9/8/2021 3:41:30 PM
Creation date
8/17/2021 11:00:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0541111
PE
1609
FACILITY_ID
FA0023542
FACILITY_NAME
CHERIE'S PIES
STREET_NUMBER
17971
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
01
SITE_LOCATION
17971 N TRETHEWAY RD
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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PRIO NOn TH o o <br /> Analytical Laboratory <br /> 3935N.Coronado Ave,Stockton CA.95204 Phone:(209)477-8105 CERTIFICATE OFANALYSIS <br /> Page 2 of 4 <br /> Attention: Cherie Segler <br /> Cherie Segler <br /> 17971 N.Tretheway Rd <br /> Lockeford,CA 95237 <br /> Conventional Chemistry Parameters by APHA/EPA Methods <br /> Analytical Report Sample Results <br /> Sample Information <br /> Laboratory ID: 1060309-01 Sample Type: Grab <br /> Sample ID: Kitchen Faucet Sample Maths: Water <br /> Date/Time Sampled Received., 6/3/2021 2:05:OOPM Date/lime Sampled Begin: <br /> Project Name&No.: Well Water Test-Well Water Test Date/lime Sampled: 03-Jun-2021 12:30 By Jonathan H.V.L <br /> Test Parameter Result DLR Unit Dilution Batch Prepared Analysis Date Method Notes <br /> Nitrate as N ND 0.400 mg/L 1 AF10306 06/03/2021 06/03/2021 FPA 300.0 <br /> Residual Chlorine ND 0.020 mg/L 1 AF10409 06/03/2021 06/03/2021 Hach(Field Measur.) <br /> Total Coliforms ABSENT 1 A/P/100mi- 1 AF10304 06103/2021 06/03/2021 S149223B <br /> E.Coli ABSENT 1 A/P/100mL 1 AF10304 06/032021 06/03/2021 S149223B <br /> MMO-MUG-PIA-Total Coliform and E.Coli Test in Drinking Water by MMO-MUG,using Standard Method 22nd Edition. <br /> The State Board of Health requires that bacteriological results must be'ABSENCE'or less than 1.1 (for MTF method)to meet drinking <br /> water requirements. <br /> The contents ofthis report apply to the sample(s)analyzed in accordance with the chain ofeustody document. <br /> RESPECTFULLY SUBMITTED, <br /> (� ladz' <br /> Jonathan H.V.Le,Laboratory Director <br /> FLAP No. 2387 crnclil: jhvle(dpeiallab.com Web: petallab.com Phone: (209) 477-810.1 Page 2 of 4 <br />
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