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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WICKLUND
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20199
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1600 - Food Program
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PR0541790
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
5/12/2021 9:24:44 AM
Creation date
5/11/2021 4:49:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0541790
PE
1608
FACILITY_ID
FA0023958
FACILITY_NAME
THE BARN BAKE SHOP
STREET_NUMBER
20199
STREET_NAME
WICKLUND
STREET_TYPE
RD
City
TRACY
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
20199 WICKLUND RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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i <br /> • <br /> April 23,2021 STK2135311:1 Coliform Bacteria Analysis <br /> Customer ID : 3017843 <br /> Aero Pure Water <br /> 916 E. Victor Rd. System Number :N/A <br /> Lodi,CA 95240 Project Name : Scott Martin-20199 Wicklund Rd.,Tracy CA <br /> Analytical Results <br /> 11 LD1 Sample Description Total I Fecal I E.CollI Units Method Pre Footnote <br /> 1 <br /> We, <br /> Absent Absent I A/P/100ml SM 9223B Colilert-P/A 18 <br /> N/R Not Required MPN Most Probable Number A/P Absence/Presence <br /> The samples Hated above were Acceptable for both Total and Fecal Coliform <br /> Sample Handling Information <br /> ID Sam le Number S tem Number Sample T e/Reason Sampler Employed B Sam led <br /> I 5TK2135311-001 I N/A Source-Other I Joe Pastore I Aero Pure Water 1 2021-04-20 09:15 <br /> Field Analysis/QA Information <br /> Cl Total/Free <br /> ID Sample Description m Temp Analysis Started Analysis Completed Contact Contacted <br /> 1 I Wellhead --/-- 2021-04-2014:53 Ism 2021-04-2110:46 Ism 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 FLAP#1563 and accredited to <br /> ISO/IEC 17025:2005 by PJLA certificate#75605,Testing. <br /> Prepared By:SMH f <br /> i <br /> i <br /> I <br /> Bcvicwcd mrd a�ie°rev`^^t'Pit1O�a'1°'°'r <br /> Raquel R Harvey <br /> AppmvcJ By <br /> o.x:tor:.pyt <br /> Page I of 1 <br /> Corporate Offices&Laboratory Office&Lehoratory Office&Laboratory Ofeee&laboratory Omoo&Laboratory <br /> 853 Corporation Street 2600 Stagecoach Road 663 E.Undo Avenue 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Sante Paula,CA 93060 SteCMM.CA 95216 Chloe,CA 95926 San Luts Obispo,CA 93401 Massa,CA 93291 <br /> TEL;(806)392-2000 TEL!(209)942-0182 TEL:(630)343�5818 TEL(805)783-2940 TEL:(569)T34-9473 <br /> Env FAX:(806)525-4172!Ag FAX(805)392-2063 FAX(209)842-0423 FAX:(630)343-3807 FAX:(805)783-2912 FAX(659)734-8435 <br /> CA EIRP CerMceflon No.1573 CA ELAP Certillca(ion No.1563 CA ELAP Certification No.2670 CA ELAP Certification No,2775 CA EIRP Certification No.2810 <br />
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