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COMPLIANCE INFO_2013-2019
Environmental Health - Public
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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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AdML <br /> September 9, 2013 <br /> Patti Lynn Drake Lab ID : STK1338375 <br /> 4642 Mosher Dr. Customer : 3-17297 <br /> Stockton, CA 95212 <br /> Laboratory Report <br /> Introduction: This report package contains total of 4 pages divided into 3 sections: <br /> Case Narrative (2 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 DescriptionS Datled RDateed FGL Lab ID # Matrix <br /> Well 08/19/2013 08/19/2013 STK1338375.001 DW <br /> Sampling and Receipt Information: The sample was received, prepared and analyzed within the <br /> method specified holding times. All samples arrived on ice. All samples were checked for pH if acid or <br /> base preservation is required (except for VOAs). For details of sample receipt information,please see <br /> 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 /> 300.0 08/20/2013:212398 All analysis quality controls are within established criteria. <br /> 08/20/2013:209663 All preparation quality controls are within established criteria,except: <br /> The following note applies to Nitrate: <br /> 435 Sample matrix may be affecting this analyte. Data was accepted based on the LCS or CCV recovery. <br /> The following note applies to Nitrate: <br /> 435 Sample matrix may be affecting this analyte. Data was acce ted based on the LCS or CCV recovery. <br /> nelac Page l of 4 <br /> Cmpoiate Offlces B LaDoraWiy Orrice B LUDuratury OMLOa Labumtuiy Office B Laburatuiy Office&La"atury <br /> &3 Coipuiallun Sleet 25W 51ugecoaen Nuad bb3 L,Lubu AvenUe 3442 bnplesa UrNe.Sune U 9415 W Goshen Avenue <br /> Santa Pwl <br /> Paula,CA 93u stocKton.CA 95215 taco,CA 95926 San Lull Obispo.CA 93401 vlsana.CA 93291 <br /> IEL (805}392-2 U00 TEL..(2USP42-0182 TEL,(530)343-5818 TEL (805)783-2940 TEL(559)/34-94/3 <br /> Env FAX (905)525-4172 r Ag FAX (805)392-2063 FAX.(209)')42-0423 FAX.(530)343-3801 rAx.(805)18}2912 FAX.(559)734-8435 <br /> CA NELAP Cettftatluu No 01110CA CA ELAP Cell flcatluu No.1563 CA FLAP CenlBcatlon No,2670 CA FLAP CetMatlun No 7/15 CA FLAP Cerbacatun No 281U <br />
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