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COMPLIANCE INFO_2021
Environmental Health - Public
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1600 - Food Program
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PR0161195
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/20/2021 4:26:32 PM
Creation date
6/15/2021 8:42:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161195
PE
1615
FACILITY_ID
FA0000083
FACILITY_NAME
STOP & SHOP MART
STREET_NUMBER
255
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19310014
CURRENT_STATUS
01
SITE_LOCATION
255 E FRENCH CAMP RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Atialytical Chemists <br /> June 24, 2021 <br /> Beattie Grocery Lab ID : STK2138315 <br /> 255 E. French Camp Road Customer : 3-18813 <br /> French Camp, CA. 95231 <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 Date FGL Lab ID# Matrix <br /> Sampled Received <br /> Wellhead 06/14/2021 06/14(2021 STK2138315-001 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 at 6.1 °C. All samples were checked for pH if acid or base preservation is required <br /> (except for VOAs). For details of sample receipt information, please see the attached Chain of Custody <br /> 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 06/15/2021:209051 All analysis quality controls are within established criteria <br /> 06/15/2021:209053 All analysis quality controls are within established criteria <br /> 06/15/2021:206699 All preparation quality controls are within established criteria(performed at FGL-SP <br /> ELAP# 1573) <br /> 06/15/2021:206700 All preparation quality controls are within established criteria(performed at FGL-SP <br /> ELAP# 1573) it <br /> Page I of 5 <br /> Corporate Offices S Laboratory Office 8 Laboratory OMcs&Laboratory Office&Laboratory Office&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:(530P43-5818 TEL:(805)783-2940 TEL:(559)734-"73 <br /> Env FAX:(805)525-01721 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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