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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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9454
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4300 - Water Well Program
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PR0420079
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
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Last modified
11/19/2024 1:52:27 PM
Creation date
10/26/2022 3:17:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
PR0420079
PE
4242
FACILITY_ID
FA0002925
FACILITY_NAME
MORADA MOBILE HOME PARK
STREET_NUMBER
9454
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95212
APN
08515006
CURRENT_STATUS
01
SITE_LOCATION
9454 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Section: Case NarrativeSection: Case Narrative <br />This Page is to be Stamped <br />October 19, 2022 <br />Valley Operators <br />1211 Como Dr <br />Manteca, CA 95337 <br />Lab No.: STK2254546 <br />Customer No.: 3019239 <br />Laboratory Report <br />Introduction: This report package contains a total of 4 pages divided into 3 sections: <br />Case Narrative (1 page): An overview of the work performed at FGL. <br />Sample Results (2 pages): Results 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 Date Received FGL Lab No.Matrix <br />Influent 10/10/2022 10/10/2022 STK2254546-001 WW <br />Trickling Filter Effluent 10/10/2022 10/10/2022 STK2254546-002 WW <br />Sampling and Receipt Information: <br />All samples were received in acceptable condition and within temperature requirements, unless noted on the Condition <br />Upon Receipt (CUR) form. All samples were received, prepared and analyzed within the method specified holding times. <br />All samples arrived at 21. ° C. All samples were checked for pH if acid or base preservation is required (except for <br />VOAs). For details of sample receipt information, please see the associated Chain of Custody and Condition Upon <br />Receipt Form. <br />Quality Control: All samples were prepared and analyzed according to established quality control criteria. Any exceptions are noted <br />in the Quality Control Section of this report. <br />Test Summary <br />SM 5210 B Preparation and analysis performed by FGL-Stockton (FGL-STK ELAP# 1563) <br />Certification: I certify that this data package is in compliance with ELAP standards, both technically and for <br />completeness, except for any conditions listed above and in the QC Section. Release of the data contained in this data <br />package is authorized by the Laboratory Director or his designee, as verified by the following electronic signature. This <br />report shall not be reproduced except in full, without the written approval of the laboratory. <br />KD: MKH 44 Digitial Signature Stamp Y = 8.2368 <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: (805)392-2000 <br />Env FAX: (805)525-4172 / Ag FAX: (805)392-2063 <br />CA ELAP Certification No. 1573 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: (209)942-0182 <br />FAX: (209)942-0423 <br />CA ELAP Certification No. 1563 <br />Office & Laboratory <br />563 E. Lindo Avenue <br />Chico, CA 95926 <br />TEL: (530)343-5818 <br />FAX: (530)343-3807 <br />CA ELAP Certification No. 2670 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />TEL: (559)734-9473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 2810 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />FAX: (805)783-2912 <br />CA ELAP Certification No. 2775 <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br /> <br />Approved By Kelly A. Dunnahoo, B.S. Digitally signed by Kelly A. Dunnahoo, B.S. <br />Title: Laboratory Director <br />Date: 2022-10-19
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