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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1801
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1600 - Food Program
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PR0518813
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 10:19:30 AM
Creation date
12/7/2018 3:24:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0518813
PE
1619
FACILITY_ID
FA0022704
FACILITY_NAME
SAFEWAY #2600
STREET_NUMBER
1801
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23217024
CURRENT_STATUS
01
SITE_LOCATION
1801 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\1801\PR0518813\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
7/16/2015 9:31:36 PM
QuestysRecordID
2803554
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUN,.1 <br /> m' t ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4.... .: Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s6_qoy.org/ehd <br /> �rFOtt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 26 O0 Date: 10- 1q <br /> S a Zi Code: <br /> Address: p I Ian st City: T).,A� P q $ $ 7b <br /> Owner/Operator: SCA f e ` Telephone: a3�j -Z 9S <br /> Program Element: 11 Program Record: S I Inspection Type: -i <br /> SB780 Posted Yes No Permit Posted Yes No Re-Inspection on or After: ' l� r <br /> " OBSERVATIONS AND CORRECTIVE ACTIONS <br /> } <br /> 10 - _ re n 4 r rc .n locr S . nK Hf <br /> ft"3 COM i I. " A _We ejes <br /> Kee,I dish t.Ja3 rL4flfta4 / A <br /> lbor. FG : lid yyluSl h SaA r- pnJc / <br /> Grrrc /c �. <br /> rr } 1 AV, LA d1w 0 n d have rt c4 be; n <br /> S ; n ntt G d re- nS j2 ec4; v <br /> Item/Location i Temperatur0�. .k Rom/Location.. Temperature <br /> Food Safety C Certification Facility Hot Water Temperature i Warewashing <br /> __. _ �.._:_ m __ - <br /> Name: Hand Sink: .F .Chlorine: ppm Heat: .F <br /> Exp.Date: arewashing Sink: =F Ouat. Amm.: ppm thec -F <br /> Received By/Title: M <br /> i <br /> H Specialist: Phone: �j� �- ,��`V <br /> ime in: Time Out: Page/ of/ <br /> EHD 1&24 (2-pg) 4rYI3 FOOD PROGRAM OR CONTINUATION <br />
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