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COMPLIANCE INFO_2015-2019
Environmental Health - Public
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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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ENVIRONMENTAL7��—�- <br /> r r <br /> Analytical Chemists <br /> July 26, 2018 <br /> David Duke Lab ID : STK1839399 <br /> 1991 E. Peltier Rd. Customer 3-17313 <br /> Acampo, CA 95220 <br /> Laboratory Report <br /> Introduction: This report package contains total of 5 pages divided into 4 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 /> 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 Date I Sampled R Dat ed FGL Lab ID# Matrix <br /> H.13 @ Sink East of Well 07/05/2018 07/05/2018 STK]839399-001__L DW <br /> Sampling and Receipt Information: The sample was performed by FGL using the following methods <br /> (where applicable): <br /> Bacteriological Sampling - SOP:200900141 <br /> Grab sampling for liquids - SOP:200900137 <br /> Composite sampling for liquids - SOP:200900139 <br /> Grab sampling for solids - SOP:200900142 <br /> Composite sampling for solids - SOP:200900143 <br /> All samples were received, prepared and analyzed within the method specified holding times. All <br /> samples arrived on ice. All samples were checked for pH if acid or base preservation is required (except <br /> for VOAs). For details of sample receipt information, please see the attached Chain of Custody and <br /> Condition Upon Receipt Form. <br /> Quality Control: All samples were prepared and analyzed according to the following tables: <br /> Inorganic -Wet Chemistry QC <br /> 450ONO2F 07/06/2018:207903 All preparation quality controls are within established criteria <br /> 450ONO3F 07/06/2018:209700 All analysis quality controls are within established criteria <br /> 07112018:209707 All analysis quality controls are within established criteria <br /> 07/06/2018:207902 All preparation quality controls are within established criteria <br /> Page 1 of 5 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 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/Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530)343-3807 FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA FLAP Certification No.1573 CA ELAP Certification No.1563 CA ELAP Certification No.2670 CA ELAP Certification No.2775 CA ELAP Certification No.281 C <br />
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