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COMPLIANCE INFO_2021
Environmental Health - Public
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WICKLUND
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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
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SJGOV\jcastaneda
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EHD - Public
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ENVIROriMEN AGRICULTURAL <br /> Analytical Chemista <br /> May 5, 2021 <br /> Aero Pure Water Lab ID : STK2135311 <br /> 916 E. Victor Rd. Customer 3-17843 <br /> Lodi, CA 95240 <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 /> Wellhead 04/20/2021 04/20/2021 STK213531 1-00 1 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 /> at 17. 'C. All samples were prepared and analyzed within the method specified hold time. All samples <br /> were checked for pH if acid or base preservation is required(except for VOAs). For details of sample <br /> receipt 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 04/21/2021:205851 All analysis quality controls are within established criteria <br /> 04/21/2021:204321 All preparation quality controls are within established criteria(performed at FGL-SP <br /> ELAN 1573) <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 <br /> Reviewed evd u,ww)ve+uMs ira¢. .a.s. <br /> A r.„rd 9 Kelly A.Dunnahoo,B.S. ®Tt�v� r <br /> PP y oom.wxwzes <br /> Pagel of 3 <br /> Corporate Offices 8 Laboratory Office&Laboratory Ofilee&Laboratory Office&Laboratory Office A Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linda 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)5254172/Ag FAX:(805)392-2063 FAX:(209)942-0423 FAX:(530),143-3807 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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