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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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PR0537882
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/28/2021 1:51:05 PM
Creation date
8/26/2021 12:39:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0537882
PE
1609
FACILITY_ID
FA0020758
FACILITY_NAME
ANNAS IRRESISTIBLES
STREET_NUMBER
18481
STREET_NAME
PARADISE
STREET_TYPE
RD
City
TRACY
Zip
95304-9421
APN
23505509
CURRENT_STATUS
01
SITE_LOCATION
18481 PARADISE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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FGL <br /> June 24, 2021 <br /> Anna Gwerder Lab ID : STK2137853 <br /> 18481 Paradise Ave Customer : 3-17263 <br /> Tracy, CA 95304 <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 (I 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 Description Date Sampled Received FGL Lab ID# Matrix <br /> 18481 Paradise Ave 06/07/2021 1 06/07/2021 1STK2137853-OOl DW <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 -SOP:200900142 <br /> Composite sampling for solids -SOP:200900143 <br /> All samples were received, prepared and analyzed within the method specified holding times. All <br /> samples arrived at 8.7 'C. 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 Form. <br /> Quality Control: All samples were prepared and analyzed according to the following tables: <br /> Inorganic-Wet Chemistry QC <br /> 450ONO3F 106/08/2021:208652 All analysis quality controls are within established criteria <br /> 06/08/2021:206351 All preparation quality controls are within established criteria(performed at FGL-SP <br /> ELAN 1573) <br /> Page 1 of'5 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporaaen street 2500 Stagecoach Road 563 E.Undo 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 Visalia,CA 93291 <br /> TEL(805)392-2000 TEL:(209)942-0182 TEL:(530)3435818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525-4172/Ag FAX:(805)392-2063 FAX(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Certification No.1673 CA ELAP Cerbnca6on No.1563 CA ELAP Certification No.2670 CA ELAP Cer6Ncaten No.2775 CA ELAP Certification No.2810 <br />
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