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COMPLIANCE INFO_2015-2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0538083
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COMPLIANCE INFO_2015-2019
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Entry Properties
Last modified
9/23/2020 5:00:02 PM
Creation date
3/15/2019 9:40:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0538083
PE
1608
FACILITY_ID
FA0021998
FACILITY_NAME
KIM DUKES OLD VINE BAKESHOP
STREET_NUMBER
1991
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00318010
CURRENT_STATUS
01
SITE_LOCATION
1991 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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•• ENTALMAGRICULTURAL <br /> Analytical Chemists <br /> July 12,2018 STK1839399:1 Coliform Bacteria Analysis <br /> Customer ID :3017313 <br /> David Duke <br /> 1991 E.Peltier Rd. System Number :N/A <br /> Acampo,CA 95220 Project Name : 1991 E.Peltier Rd. <br /> Analytical Results <br /> 111DI Sample Description Total Fecal I E.Coli Units Method Prep Footnote <br /> 11 1 111.13 @ Sink East of Well <1.0 Absent — I <I.0 Absent MPN/100m1 SM 9223B I Quanti Tray 18 <br /> N/R Not Required MPN Most Probable Number A/P Absence/Presence <br /> The samples listed above were Acceptable for both Total and Fecal Coliform <br /> Sample Handling Information <br /> 1ID1 Sample Number System Number Sample Type/Reason Sampler Employed By Sampled <br /> 1 I STK1839399-001 N/A S stem-Other Corey Hancock FGL Environmental 2018-07-05 10:50 <br /> Field Analysis/QA Information <br /> ID Sample Description Cl Total/Free Temp Analysis Started Analysis Completed Contact Contacted <br /> m <br /> 1 H.B 0,Sink East of Well —/-- -- 1 2018-07-05 15:07 CTH 2018-07-06 10:48 CTH N/R <br /> Analyses were performed at the FGL Stockton Laboratory using Standard Methods 20th edition.If you have any questions <br /> regarding your results,please call.The FGL Stockton Laboratory is certified by California ELAP#1563 and accredited to <br /> ISO/IEC 17025:2005 by PJLA certificate#75605,Testing. <br /> Prepared By:SMH <br /> Reviewed and DiSiully siped by Kelly A 13 n hw.B.S. <br /> Kell-A.Dunnahoo B.S. Tule Ub, Dircttm <br /> Approved By ' Dau:zms <br /> 7-17 <br /> Page <br /> Page 1 of 1 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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 1 Ag 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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