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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BYRON
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1600 - Food Program
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PR2500003
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
1/7/2025 4:13:10 PM
Creation date
1/7/2025 4:12:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2500003
PE
1609 - CLASS B COTTAGE FOOD-INDIRECT SALES
FACILITY_ID
FA0001732
FACILITY_NAME
SALTYY'S CAKES
STREET_NUMBER
14222
Direction
W
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
14222 W BYRON RD TRACY 95304
Tags
EHD - Public
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AGRICULTURAL ENVIRONMENTAL <br />Analytical Chemists <br />Laboratory Report <br />Introduction: This report package contains a total of 3 pages divided into 3 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 />Quality Control (1 page) : Supporting Quality Control (QC) results. <br />November 7, 2024 <br />Lab No. : STK2455962 <br />The Salted Cafe <br /> Customer No. : 3019535 <br />14222 W. Byron Road <br />Tracy, CA 95304 <br />Case Narrative <br />This Case Narrative pertains to the following samples: <br /> <br />Date Sampled Date Received FGL Lab No. Matrix Sample Description <br /> <br />Kitchen Sink 10/24/2024 10/24/2024 STK2455962-001 <br />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 12. ° 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: SVH <br />Approved By Kelly A. Dunnahoo, B.S. r oi <br /> signed by Kelly A. Dunnahoo, B.S. <br />Title: Laboratory Director <br />Date: 2024-11-07 <br />Section: Case Narrative Page 1 of 3 Page 1 of 3 <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: (805)392-2000 <br />CA ELAP Certification No. 1573 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: (209)942-0182 <br />CA ELAP Certification No. 1563 <br />Office & Laboratory <br />563 E. Lindo Avenue <br />Chico, CA 95926 <br />TEL: (530)343-5818 <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 />CA ELAP Certification No. 2775 <br />Office & Laboratory <br />9411 W. Goshen Avenue <br />Visalia, CA 93291 <br />TEL: (559)734-9473 <br />CA ELAP Certification No. 2810
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