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COMPLIANCE INFO_2025
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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PR0547668
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
9/10/2025 2:47:06 PM
Creation date
9/10/2025 2:46:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0547668
PE
1608 - CLASS A COTTAGE FOOD-DIRECT SALES
FACILITY_ID
FA0027138
FACILITY_NAME
MAMA'S TOUCH SPECIALTY COOKIES
STREET_NUMBER
21600
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
21600 N KENNEFICK RD ACAMPO 95220
Tags
EHD - Public
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August 21, 2025 <br />A <br />Well 08/18/2025 08/18/2025 STK2552090-001 DW <br />Sampling and Receipt Information: The Sample was performed by FGL. <br />Preparation and analysis performed by FGL-Santa Paula (FGL-SP ELAP# 1573) <br />KD: MKH <br />Section: Case Narrative Page I of4 <br />Sample Description Date Sampled Date Received FGL Lab No.Matrix <br />Test Summary <br />SM 4500-N03 F <br />Mike Wutzke <br />21600 N. Kennefick Road <br />Acampo, CA 95220 <br />(1 page) <br />(1 page) <br />(1 page) <br />(1 page) <br />: An overview of the work performed at FGL. <br />: Results for each sample submitted. <br />: Drinking water Interpretation for each sample submitted. <br />: Supporting Quality Control (QC) results. <br />Lab No. <br />Customer No. <br />: STK2552090 <br />:3019150 <br />Corporate Offices & Laboratory <br />853 Corporalion Street <br />Santa Paula, CA 93060 <br />TEL (805)392-2000 <br />CA ELAP Certification No. 1573 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton CA 95215 <br />TEL: (209)942-0182 <br />CA ELAP Certification No. 1563 <br />Office & Laboratory <br />3442 Empress Drive Suite D <br />San Luis Obispo CA 93401 <br />TEL: (805)783-2940 <br />CA ELAP Certification No. 2775 <br />Case Narrative <br />This Case Narrative pertains to the following samples: <br />Office & Laboratory <br />563 E. Lindo Avenue <br />Chico, CA 95926 <br />TEL (530>343-5818 <br />CA ELAP Certification No. 2670 <br />Page I of4 <br />Office & Laboratory <br />94 11 W. Goshen Avenue <br />Visalia. CA 93291 <br />TEL. (559)734-9473 <br />CA ELAP Certification No. 2810 <br />EnVIROnMEnTAL'^^ AGRICULTURAL <br />~~~~ Analytical Chemists <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 />, . „ T,- 11 . a Digitally signed by Kelly A. Dunnahoo, B.SApproved By Kelly A. Dunnaboo, B.S. IvT* Title Laboratory Director <br />n.lte. 2025.011.21 <br />The Sample was received, prepared and analyzed within the method specified holding times. All samples arrived at 10.4 <br />0 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 />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 />Laboratory Report <br />Introduction: This report package contains a total of 4 pages divided into 4 sections: <br />Case Narrative <br />Sample Results <br />Interpretation <br />Quality Control
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