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COMPLIANCE INFO_2024
EnvironmentalHealth
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1600 - Food Program
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PR0544440
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
3/7/2025 4:10:00 PM
Creation date
3/7/2025 4:09:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0544440
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0025264
FACILITY_NAME
LAURA'S LITTLE JAM COMPANY
STREET_NUMBER
12112
STREET_NAME
MUNDY
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
12112 MUNDY LN LODI 95240
Tags
EHD - Public
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UM- <br />EIIVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />October 15, 2024 <br />Lab No. : STK2455042 <br />Laura Boyce <br /> Customer No. : 3018303 <br />12112 Mundy Ln. <br />Lodi, CA 95240 <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 />Case Narrative <br />This Case Narrative pertains to the following samples: <br />. Sample Description. <br /> <br />Date Sampled <br /> <br />_FGL. Lab_No. . _ <br /> <br />Matrix__ <br /> <br />Well <br />10/09/2024 10/09/2024 STK2455042-001 DW <br />Sampling and Receipt Information: The Sample was performed by FGL. <br />The Sample was received, prepared and analyzed within the method specified holding times. All samples were checked <br />for pH if acid or base preservation is required (except for VOAs). For details of sample receipt information, please see <br />the associated Chain of Custody and Condition Upon 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: MKH <br />Approved By Kelly A. Dunnahoo, B.S. . Digitally signed by Kelly A Donnohoo, B.S. <br />' Title: Laboratoty Director <br />Dote: 2024-10-15 <br />Section: Case Narrative Page 1 of 4 Page 1 of 4 <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 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 />CA ELAP Certification No. 2670 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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