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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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PR0548849
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/16/2024 11:09:43 AM
Creation date
1/16/2024 11:09:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548849
PE
1608
FACILITY_ID
FA0027993
FACILITY_NAME
JACALYN SOUTHER
STREET_NUMBER
9355
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
9355 E PELTIER RD
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />October 6, 2023 <br />Jacky Souther <br />P.O. Box 598 <br />Acampo, CA 95220 <br />STK2353299:1 Conform Bacteria Analysis <br />Customer ID : 3018126 <br />System Number : N/A <br />Project Name : 9355 Peltier Rd.,Acampo <br />Analytical Results <br />ID Sample Description Total Fecal E. Coll , Units Method Prep Footnote <br />1 Well <1.0 Absent — <1.0 Absent MPN/100m1 SM 9223B Quanti Tray 18 <br />N/R Not Required MPN Most Probable Number <br />The samples listed above were Acceptable for both Total and Fecal Coliform <br />Sam le Handling Information <br />A/P Absence/Presence <br />ID Sample Number System Number <br />. _ <br />Sample Type/Reason a Sampler Employed By Sampled <br />1 STI(2353299-001 N/A Source-Other Gary Cabal FGL Environmental 2023-09-26 12:10 <br />isIOA Information <br />ID Sample Description Cl Total/Free <br />mg/1 Temp Analysis Started Analysis Completed Contact Contacted <br />1 Well --- 2023-09-26 15:04 cth 2023-09-27 10:20 cth N/R <br />Analyses were performed at the FGL Stockton Laboratory using Standard Methods 20th edition. If you have any questions <br />regarding your results, please call. The FGL Stockton Laboratory is certified by California ELAP #1563 and accredited to <br />ISO/IEC 17025:2017 by PJLA certificate #75605,Testing. <br />Prepared By: RRH <br />Reviewed and ..ar Digitally signed by Raquel R. Hervey <br />Approved By Raquel R. Harvey 1-4;1 e: 023- 04) '1,1 <br />tal <br />e: Tech Director Microbiology <br />Page 1 of 1 <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 Office & Laboratory <br />3442 Empresa Drive, Suite D <br />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 <br />563 E. Lindo Avenue <br />Chico, CA 95926
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