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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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PR0547668
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/21/2023 2:44:53 PM
Creation date
9/21/2023 2:44:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0547668
PE
1608
FACILITY_ID
FA0027138
FACILITY_NAME
MAMA'S TOUCH SPECIALTY COOKIES
STREET_NUMBER
21600
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
21600 N KENNEFICK RD
QC Status
Approved
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Tags
EHD - Public
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March 29, 2022 <br />Mike Wutzke Lab ID : STK2233190 <br />21600 N. Kennefick Road <br /> <br />Customer : 3-19150 <br />Acampo, CA 95220 <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 (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 />Case Narrative <br />This Case Narrative pertains to the following samples: <br />Sample Description Date <br />Sampled <br />Date <br />Received FGL Lab ID # Matrix <br />Well 03/08/2022 03/08/2022 STK2233190-001 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 7.1 °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 />4500NO3F <br /> 03/09/2022:203480 All analysis quality controls are within established criteria <br />03/09/2022:202665 All preparation quality controls are within established criteria (performed at FGL-SP <br />ELAP# 1573) <br />Page 1 of 5 <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: <br />CA ELAP Certification No. 1573 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: (209)942-0182 <br />(805)392-2063 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 />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 />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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