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COMPLIANCE INFO_2013-2019
Environmental Health - Public
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1600 - Food Program
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PR0538015
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COMPLIANCE INFO_2013-2019
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Entry Properties
Last modified
5/14/2021 8:19:16 AM
Creation date
12/7/2018 9:22:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2019
RECORD_ID
PR0538015
PE
1608
FACILITY_ID
FA0021951
FACILITY_NAME
BUFFALO BAKING CO
STREET_NUMBER
4543
Direction
E
STREET_NAME
BALSAM
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08656030
CURRENT_STATUS
01
SITE_LOCATION
4543 E BALSAM DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\B\BALSAM\4535\PR0538015\COMPLIANCE.PDF
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EHD - Public
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ENVIRONMENTA <br /> Analytiull Chemists <br /> September 12, 2014 <br /> Patti Lynn Drake Lab ID : STK1438969 <br /> 4642 Mosher Dr. Customer : 3-17297 <br /> Stockton, CA 95212 <br /> Laboratory Report <br /> Introduction: This report package contains total of 3 pages divided into 3 sections: <br /> Case Narrative (1 pages) : 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 /> Case Narrative <br /> This Case Narrative pertains to the following samples: <br /> Sample Description Date Date FGL Lab ID# Matrix <br /> Sampled Received <br /> Well 09/02/2014 09/02/2014 STK1438969-001 DW <br /> Sampling and Receipt Information: All samples were received in acceptable condition and within <br /> temperature requirements, unless noted on the Condition Upon Receipt (CUR) form. All samples arrived <br /> on ice. All samples were prepared and analyzed within the method specified hold time. All samples were <br /> checked for pH if acid or base preservation is required (except for VOAs). For details of sample receipt <br /> information, please see the attached Chain of Custody 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 /> 450ONO3F 09/04/2014:213471 All analysis quality controls are within established criteria ==J <br /> 09/04/2014:210475 All preparation quality controls are within established criteria <br /> Certification:: I certify that this data package is in compliance with ELAP standards, both technically <br /> and for completeness, except for any conditions listed above. 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 <br /> signature. <br /> KD:DMB er�b up "Mir n.P,m B5 <br /> Approved By Kelly A.Dunnahoo,B.S. �: �_15e <br /> L b a <br /> Page 1 of 3 <br /> Corporate Offices&Laboratory Office&Laboratory Office 6 Laboratory Office d Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lando Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico.CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> TEL:(805)392-2000 TEL:(209)942-0182 TEL:(530)343-5818 TEL:(805)783-2940 TEL:(559)734-9473 <br /> Env FAX:(805)525-4172/AS FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.2810 <br />
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