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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ALPINE
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14536
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1600 - Food Program
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PR2500263
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
4/23/2025 2:48:23 PM
Creation date
4/23/2025 2:47:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR2500263
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0003090
FACILITY_NAME
DOGHOUSE BAKERY
STREET_NUMBER
14536
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
LODI
Zip
95240
CURRENT_STATUS
Active
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
14536 N ALPINE RD LODI 95240
Tags
EHD - Public
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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 Interpretationi for each sample submitted. <br />Quality Control (1 page) : Supporting Quality Control (QC) results. <br />ENVIRONMENTAL :' AOK1cui:I'UIAL <br />At idlytical clicinists <br />March 29, 2023 <br />Lab No. : STK2333458 <br />Robin Regla <br /> Customer No. : 3019316 <br />14536 N. Alpine Road <br />Lodi, CA 95240 <br />Case Narrative <br />This Case Narrative pertains to the following samples: • <br />Sample Description <br />111110=12311111 <br />Well • 03/16/2023 <br />Date Received <br /> <br />FGL Lab No. 1112=1111 <br />DW 03/16/2023 <br /> <br />STK2333458-001 <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 22. ° 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 />MKH <br />Digitally signed by Kelly A. Dunnehoo, B.S. <br />Approved By Kelly A. Dunnahoo, B.S. r Title: Laboratory Director <br />Dale: 2023 03.30 <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. 15 <br />Office & Laboratory <br />563 E. Lindo Avenue <br />Chico, CA 95926 <br />, TEL; (530)343-5818 <br />FAX (530)343-3807 <br />63 CA ELAP Certification No <br />Office & Laboratory <br />3442 Empress Drive, Suite D <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />FAX: (805)783-2912 <br />. 2670 CA ELAP Certification No. 2775 <br />Page 1 of 4 <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. 281 <br />Section: Case Narrative Page 1 of 4
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