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COMPLIANCE INFO_2024
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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PR0546753
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
9/18/2024 11:27:25 AM
Creation date
9/18/2024 11:26:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0546753
PE
1608
FACILITY_ID
FA0026501
FACILITY_NAME
ELLIOTT ROAD BARN
STREET_NUMBER
23216
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
23216 N ELLIOTT RD
QC Status
Approved
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EHD - Public
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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />March 28, 2024 <br />Julie Edsell <br />23216 N. Elliott Rd <br />Acampo, CA 95220 <br />Lab No. : STK2433288 <br />Customer No. : 3018723 <br />Case Narrative <br />This Case Narrative pertains to the following samples: <br /> <br />Date Received <br /> <br />FGL Lab No. <br /> <br />Matrix Sample Description <br /> <br />Date Sampled <br /> <br />Well 03/0 7/2 024 03/07/2024 STK2433288-001 DW <br />Sampling and Receipt Information: The Sample was performed by FGL. <br />The Sample was received, prepared and analyzed within the method specified holding times. All samples arrived at 7.3 ° <br />C. All samples were checked for pH if acid or base preservation is required (except for VOAs). For details of sample <br />receipt information, please see the associated Chain of Custody and Condition Upon Receipt Form. <br />Quality Control: All samples were prepared and analyzed according to established quality control criteria. Any exceptions are noted <br />in the Quality Control Section of this report. <br />Test Summary <br />SM 4500-NO3 F Preparation and analysis performed by FGL-Santa Paula (FGL-SP ELAP# 1573) <br />Certification: I certify that this data package is in compliance with ELAP standards, both technically and for <br />completeness, except for any conditions listed above and in the QC Section. 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 signature. This <br />report shall not be reproduced except in full, without the written approval of the laboratory. <br />KD: MKH <br />Lbotally sigard by Kelly A Donnalx, 0.9 <br />Approved By Kelly A. Dunnahoo, B.S. jahOe Laboratory Ihrector <br />nato- 2024 03.28 <br /> <br />Page I of 4 Page 1 of 4 Section: Case Narrative <br /> <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula. CA 93060 <br />TEL (005)392-2000 <br />Env FAX (805)525-4172 /Ag FAX (805)392-2063 <br />CA ELAP Certification No. 1573 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL (209)942-0182 <br />FAX' (209)942-0423 <br />CA ELAP Certification No. 1563 <br />Office & Laboratory <br />5630. Undo Avenue <br />Chico, CA 95926 <br />TEL. (530)343-5819 <br />FAX- (530)343-3807 <br />CA ELAP Certification No. <br />Office & Laboratory <br />3442 Empresa Drive. Suite <br />San Luis Obispo, CA 93.401 <br />TEL (805)763-2940 <br />FAX' (805)783-2912 <br />2670 CA ELAP Certification No, 2775 <br />Office & Laboratory <br />9415W. Goshen Avenue <br />Visalia, CA 93291 <br />TEL' (559)734-9473 <br />FAX (559)734-8435 <br />CA ELAP Certification No. 281 <br />-,1; <br />Laboratory Report <br />Introduction: This report package contains a total of 4 pages divided into 4 sections: <br />Case Narrative (1 page) : 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 <br /> (1 page) : Supporting Quality Control (QC) results.
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