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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541111
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
8/23/2023 10:06:46 AM
Creation date
8/23/2023 10:06:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0541111
PE
1608
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
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EHD - Public
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FGL <br />ENVIRONMENTAL AGRICUITURAL <br />kilytical Chunists <br />May 12, 2023 <br />Lab No. : STK2335761 <br />Keith Gross Wells & Pumps <br /> Customer No. : 3016059 <br />PO Box 168 <br />Lodi, CA 95241 <br />Case Narrative <br />This Case Narrative pertains to the following samples: <br />Sample Description Date Sampled <br /> <br />Date Received <br /> <br />FGL Lab No. Matrix <br />Wellhead 05/05/2023 05/05/2023 STK2335761-001 DW <br />Sampling and Receipt Information: <br />The Sample was received in acceptable condition and within temperature requirements, unless noted on the Condition <br />Upon Receipt (CUR) form. The Sample was received, prepared and analyzed within the method specified holding times. <br />All samples arrived at 7.5 ° 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 4500-NO3 F Preparation and analysis performed by FGL-Santa Paula (FGL-SP ELAP# 1573) <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: GMA <br />Digitally signed by Kelly k Dunnahoo, BS. <br />Approved By Kelly A. Dunnahoo, B. S. Title: Laboratory Director <br />Date: 2023-05-13 <br />Section: Case Narrative Page 1 of 4 <br />Page 1 of 4 <br />Laboratory Report <br />Introduction: This report package contains a total of 4 pages divided into 4 sections: <br />Case Narrative (1 page) : An overview of the work performed at FGL. <br />Sample Results (1 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 />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula CA 93060 Stockton CA 95215 <br />TEL: (805)392-2000 TEL (209)942-0182 <br />Env FAX: (805)525-4172 / Ag FAX: (805)392-2063 FAX: (209)942-0423 <br />CA ELAP Certification No. 1573 CA ELAP Certification No. 1563 <br />Office & Laboratory Office & Laboratory <br />563 E. Lindo Avenue 3442 Empresa Drive, Suite D <br />Chico, CA 95926 San Luis Obispo, CA 93401 <br />TEL: (530)343-5818 TEL: (805)783-2940 <br />FAX (530)343-3807 FAX: (805)783-2912 <br />CA ELAP Certification No. 2670 CA ELAP Certification No. 2775 <br />Office & Laboratory <br />9415W Goshen Avenue <br />Visalia, CA 93291 <br />TEL: (559)734-9473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 2810
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