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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0547290
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/21/2022 3:17:24 PM
Creation date
12/21/2022 3:16:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
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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IEH - JL ANALYTICAL <br />217 Primo Way • Modesto, California 95358 - Office (209) 538-8111 • FAX (209) 538-3966 <br />Clint Elliott <br />Report# <br />L2.2 -14R61536 <br />Analysis <br />Time <br />Report Date: <br />1110212022 <br />23346 S. Frederick <br />Received Date: <br />1013112022 <br />Ripon,CA 95366 <br />Work Order: <br />562562 <br />Laboratory Number: 58256201 <br />Description: Water, A, Distribution, Routine <br />Sampled Sy:Clinl Elliott, Employed By:Clint Elliott <br />Analytical Results <br />Method <br />Reporting Detection <br />Result Limn Limit <br />Constituent <br />Method <br />Reference <br />Analysis <br />Date <br />Analysis <br />Time <br />Analyst <br />E. Coli PIA Absent 1100m] <br />SM 92238 <br />1013112022 <br />11:20 <br />SLR <br />Total Coliform PIA Absent 1100ml <br />SM 92238 <br />1013112022 <br />11:20 <br />SLR <br />Response <br />Constituent <br />QC Results <br />Notes <br />I <br />Authorized By: 11/02/2022 <br />Joe Alves, Chemical Technician <br />ELAP Accreditation Laboratory Certificate #2776. Unless otherwise noted, all samples were received in acceptable condition. The result(s) in this report <br />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 be <br />reproduced in full, Without written approval of the laboratory. This document contains confidential commercial information pursuant to 5 U.S.C. SEC. 552 <br />(b)(4). Page 1 of 3 <br />Matrix <br />Lab <br />OC Units <br />Theoretical <br />Blank Matrix Spike <br />Matrix <br />Spike <br />Spike <br />Control <br />Precision Accuracy <br />Response <br />Constituent <br />Duplicate <br />Spike <br />% o <br />E. Coli PIA <br />/ OOmI <br />NA NA NA <br />NA <br />NA <br />NA <br />NA NA <br />NA <br />Total Coliform PIA <br />1100ml <br />NA NA NA <br />NA <br />NA <br />NA <br />NA NA <br />NA <br />Notes <br />I <br />Authorized By: 11/02/2022 <br />Joe Alves, Chemical Technician <br />ELAP Accreditation Laboratory Certificate #2776. Unless otherwise noted, all samples were received in acceptable condition. The result(s) in this report <br />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 be <br />reproduced in full, Without written approval of the laboratory. This document contains confidential commercial information pursuant to 5 U.S.C. SEC. 552 <br />(b)(4). Page 1 of 3 <br />
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