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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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PR0547290
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/30/2021 2:49:01 PM
Creation date
11/30/2021 2:46:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0547290
PE
1608
FACILITY_ID
FA0026860
FACILITY_NAME
MR WINTEAS
STREET_NUMBER
23346
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
RD
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
23346 S FREDERICK RD
P_LOCATION
05
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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Clint Elliott <br />23346 S. Frederick <br />Ripon,CA 95366 <br />IEH - JL <br />Vc2o�- <br />ANALYTICAL <br />217 Primo Way • Modesto, California 95358 • Office (209) 538.8111 • FAX (209) 538-3966 <br />Laboratory Number: 55035501 <br />Description: Water, Kitchen Sink, Distribution, Routine <br />Sampled By:Clint Elliot, Employed By:Clint Elliot <br />Analytical Results <br />Report# <br />L2.2 -14R57011 <br />Report Date: <br />11101/2021 <br />Received Date: <br />10/27/2021 <br />Work Order: <br />550355 <br />QC Results <br />Method <br />Matrix <br />Lab <br />Result <br />Minimum <br />Detection <br />Method <br />Analysis <br />Analysis <br />Analyst <br />Constituent <br />Precision <br />Accuracy <br />Level <br />Limit <br />Reference <br />Date <br />Time <br />Total Coliform (10 T LST) <br />< 1.1 <br />MPN/100ml <br />% <br />SM 9221B <br />1012712021 <br />NA <br />TP <br />Fecal Coliform (10 T LST) <br />< 1.1 <br />MPNI100m1 <br />NA <br />NA <br />SM 9221E <br />10/27/2021 <br />NA <br />TP <br />E. Coli (10 T LST) <br />< 1.1 <br />MPN/100m1 <br />NA <br />NA <br />SM 9221F <br />10/2712021 <br />NA <br />TP <br />Nitrate Nitrogen <br />3.4 <br />mgA <br />0.1 <br />0.04 <br />EPA 300.0 <br />10/29/2021 <br />10:52 <br />JA <br />Nitrite Nitrogen <br />< 0.3 <br />mgA <br />0.1 <br />0.007 <br />EPA 300.0 <br />10/2912021 <br />10:52 <br />JA <br />QC Results <br />Notes <br />Authorized By: h 11/01/2021 <br />Amos Snider Laboratory Supervisor <br />ELAP Accreditation Laboratory Certificate #2776. Unless otherwise noted, all samples were received in acceptable condition. The result(s) in this <br />report relate only to the portion of the sample(s) tested. This report does not constitute a release of product for consumption. This report shall not <br />be reproduced in full, withoutwritten approval of the laboratory. This document contains confidential commercial information pursuantto 5 U.S.C. <br />SFC A9711,11dl Page 1 of 1 <br />Matrix <br />Lab <br />QC Units <br />Blank <br />Matrix <br />Theoretical <br />Spike <br />Matrix <br />Spike <br />Spike <br />Control <br />Precision <br />Accuracy <br />Response <br />Constituent <br />Duplicate <br />Spike <br />% <br />Total Coliform (10 T LST) <br />M PNI100m1 <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />Fecal Coliform (10 T LST) <br />MPN1100ml <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />E. Coli 10 T LST <br />MPN1100ml <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />NA <br />Nitrate Nitrogen <br />mg/I < <br />0.1 <br />4.5 <br />0.9 <br />5.4 <br />5.4 <br />0.9 <br />0.3 <br />98.4 <br />98.3 <br />Nitrite Nitrogen <br />mg/I < <br />0.1 <br />< 0.3 <br />0.6 <br />0.6 <br />0.6 <br />0.6 <br />1.5 <br />98.8 <br />98.5 <br />Notes <br />Authorized By: h 11/01/2021 <br />Amos Snider Laboratory Supervisor <br />ELAP Accreditation Laboratory Certificate #2776. Unless otherwise noted, all samples were received in acceptable condition. The result(s) in this <br />report relate only to the portion of the sample(s) tested. This report does not constitute a release of product for consumption. This report shall not <br />be reproduced in full, withoutwritten approval of the laboratory. This document contains confidential commercial information pursuantto 5 U.S.C. <br />SFC A9711,11dl Page 1 of 1 <br />
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